EMERGING TECHNOLOGIES IN THE BATTLE AGAINST KNEE OSTEOARTHRITIS: NEW ANSWERS TO OLD QUESTIONS

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "EMERGING TECHNOLOGIES IN THE BATTLE AGAINST KNEE OSTEOARTHRITIS: NEW ANSWERS TO OLD QUESTIONS"

Transcription

1 EMERGING TECHNOLOGIES IN THE BATTLE AGAINST KNEE OSTEOARTHRITIS: NEW ANSWERS TO OLD QUESTIONS Dr. Jason Peeler PhD, CAT(C) Department of Human Anatomy & Cell Science, U of M Pan Am Clinic Research Foundation

2 OBJECTIVES OF PRESENTATION 1. Review Osteoarthritis ü ü ü What is it? What causes it? How is it treated? 2. Introduce an Emerging Technology ü ü ü 3. Question Period Novel application? Limitations? Enhancing Quality of Life?

3 OSTEOARTHRITIS (OA) Degenerative disease of joints that leads to slow, progressive disruption of the structural integrity of the cartilage that lines the joint. Single most common joint disease (after 65 years of age: 60% in men / 70% in women). No Known Cure!!

4 Most Common in weight bearing joints (knee/hip) Insidious onset of pain Joint stiffness & swelling Progressive loss of ROM Enlarged / deformed joints Loss bodies in joint / joint crepitus Narrowing of joint spaces / loss of joint integrity

5

6 Clinical Diagnosis: X-RAYS Standardized classification system used to determine severity. Joint space widening (early) Subchondral bone sclerosis Subchondral bone cysts Osteophytes Joint space narrowing

7 KNEE OSTEOARTHRITIS Most common type of OA Affects more than 10 million people in North America alone Cited as the most common cause of disability! Designated as a key condition for special attention during the World Health Organization s Bone and Joint Decade ( )

8 TYPES OF KNEE OSTEOARTHRITIS 1. Primary OA Unknown cause May be related to a defect in the articular cartilages genetic and/or cellular composition 2. Secondary OA OA with a known cause Most commonly: Acute Trauma (eg. knee ligament injury) Repetitive stress Infection Hemarthrosis Osteonecrosis

9 ETIOLOGY OF 2 º KNEE OSTEOARTHRITIS Multi - factorial!!!! Extrinsic factors Intrinsic factors 1. Abnormal joint biomechanics Limb alignment Muscle weakness / imbalance Joint instability 2. Physical Activity Too much / Too little Others????????????

10

11 LIMB ALIGNMENT

12 MUSCLE WEAKNESS

13 Joint Instability

14 Surgical Repair Can it be repaired? Is patient a good candidate? Timing of surgery? (I S time) Which procedure is best? Short & long Term Prognosis?

15 ACL INJURY & KNEE OSTEOARTHRITIS Research demonstrates that adolescents and young adults who sustain an ACL injury are at substantially increased risk for the development of future osteoarthritis (OA): the young patient with the old knee. >50% of ACL injured knees demonstrate radiographic evidence of OA 5 15 years after initial injury diagnosis.

16 Physical Activity What s best? When / how / etc Keys are: Quality of Life Longevity

17 Too Much vs. Too Little

18 HOW DO WE AVOID THIS???

19 CURRENT OA TREATMENTS Treatments focus on optimizing the patient s quality of life through the reduction of joint pain and enhancement of functional capacity

20 ETIOLOGY OF 2 º KNEE OSTEOARTHRITIS Multi - factorial!!!! Extrinsic factors Intrinsic factors 1. Abnormal joint biomechanics Limb alignment Muscle weakness / imbalance Joint instability 2. Physical Activity Too much / Too little Others????????????

21 #1 MODIFIABLE RISK FACTOR Body Weight Research suggests that each one pound of weight gain results in a corresponding 4 pound increase in knee joint loads during walking.

22 Weight Loss?

23 Physical Activity??? Research indicates that walking 15 minutes a day three times a week may help decrease OA pain by up to 40 percent.

24 Catch 22 - Scenario

25 NON-WEIGHT BEARING ACTIVITIES

26 NEW TECHNOLOGY Anti-gravity treadmill

27 LBPP LOWER BODY POSITIVE PRESSURE Grabowski & Kram, 2008

28 ADVANTAGES Ground Reaction Forces Normal pain free functional movement patterns Enhanced proprioception (ie. balance) Does not affect: Muscle activation Joint Motion Limb Swing Mechanics Cardiovascular Function Facilitates regulation of body weight ie. Artificial method of achieving instantaneous weight loss!!!!

29

30

31 Current Research Using Alter G Treadmill Examining the relationship between body weight and knee pain in an OA population Early onset Elderly Goals of Research: Determine the exact nature of the body weight/knee pain relationship in knee OA Promote pain free functional activities in at risk populations

32 What is OA? What causes it? Take Home Message Optimizing Function in At-Risk Populations #1 modifiable risk factor Body Weight! Walking is best! Emergence of anti-gravity technologies Alter G Treadmill Enormous application potential of this new technology with at-risk populations such as early onset OA and the elderly.

33 ACKNOWLEDGEMENTS Dr. Peter MacDonald, Pan Am Clinic Dr. Jeff Leiter, Pan Am Research Foundation Ms. Judit Takacs, University of Manitoba Dr. Paul H.T. Thorlakson Foundation Fund Mb. Centre on Aging

34 Question Period

35 WEIGHT SUPPORTED SYSTEMS Harness systems 1 Fixed Pulley Water-based systems

ARTHRITIS INTRODUCTION

ARTHRITIS INTRODUCTION ARTHRITIS INTRODUCTION Arthritis is the most common disease affecting the joints. There are various forms of arthritis but the two that are the most common are osteoarthritis (OA), and rheumatoid arthritis

More information

Osteoarthritis of the knee joint is

Osteoarthritis of the knee joint is Note: This copy is for your personal non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact us at www.rsna.org/rsnarights. Richard Kijowski,

More information

Meniscus Disease and Treatment A Guide for Patients

Meniscus Disease and Treatment A Guide for Patients Meniscus Disease and Treatment A Guide for Patients Anil K. Gupta, MD, MBA Sports Medicine and Shoulder Surgery Toledo Orthopaedic Surgeons 1 Background Meniscal tears are among the most common knee injuries.

More information

Osteoarthritis of the Wrist Joint

Osteoarthritis of the Wrist Joint A Patient s Guide to Osteoarthritis of the Wrist Joint 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is compiled

More information

Rheumatoid Arthritis. Nicole Klett,, M.D.

Rheumatoid Arthritis. Nicole Klett,, M.D. Rheumatoid Arthritis Nicole Klett,, M.D. Rheumatoid Arthritis Systemic Chronic Inflammatory Primarily targets the synovium of diarthrodial joints Etiology likely combination genetic and environmental Diarthrodial

More information

Integra. MCP Joint Replacement PATIENT INFORMATION

Integra. MCP Joint Replacement PATIENT INFORMATION Integra MCP Joint Replacement PATIENT INFORMATION Integra MCP Patient Information This brochure summarizes information about the use, risks, and benefits of the Integra MCP finger implant. Be sure to discuss

More information

A Patient's Guide to Arthritis of the Finger Joints

A Patient's Guide to Arthritis of the Finger Joints Introduction A Patient's Guide to Arthritis of the Finger Joints When you stop to think about how much you use your hands, it's easy to see why the joints of the fingers are so important. Arthritis of

More information

The Sporting Knee. Research. Education. Dr Lingaraj Krishna Consultant Division of Hip and Knee Surgery National University Hospital

The Sporting Knee. Research. Education. Dr Lingaraj Krishna Consultant Division of Hip and Knee Surgery National University Hospital The Sporting Knee Dr Lingaraj Krishna Consultant Division of Hip and Knee Surgery National University Hospital Assistant Professor Department of Orthopaedic Surgery National University of Singapore Clinical

More information

David R. Cooper, M.D. www.thekneecenter.com Wilkes-Barre, Pa.

David R. Cooper, M.D. www.thekneecenter.com Wilkes-Barre, Pa. David R. Cooper, M.D. www.thekneecenter.com Wilkes-Barre, Pa. Knee Joint- Anatomy Is not a pure hinge Ligaments are balanced Mechanism of injury determines what structures get damaged Medial meniscus tears

More information

Understanding Osteoarthritis: Symptoms, Causes, and Treatment Options. April Jorge, MD Rheumatology Fellow Massachusetts General Hospital

Understanding Osteoarthritis: Symptoms, Causes, and Treatment Options. April Jorge, MD Rheumatology Fellow Massachusetts General Hospital Understanding Osteoarthritis: Symptoms, Causes, and Treatment Options April Jorge, MD Rheumatology Fellow Massachusetts General Hospital Objectives 1. Discuss the causes of Osteoarthritis 2. Explain the

More information

Pediatric Knee Pain: Diagnosis and Management

Pediatric Knee Pain: Diagnosis and Management Pediatric Knee Pain: Diagnosis and Management Ramsey Shehab MD Division of Sports Medicine Department of Orthopaedic Surgery Henry Ford Medical Group Apophyseal injuries Patellar tendonitis Anterior knee

More information

Acute Knee Injuries Diagnosis and Management

Acute Knee Injuries Diagnosis and Management Acute Knee Injuries Diagnosis and Management Mandeep Lamba Consultant Orthopaedic Surgeon Whipps Cross Hospital Holly House Hospital Acute Knee Injuries Meniscal Injuries Cruciate and other Ligamentous

More information

Osteoarthritis of the Knee

Osteoarthritis of the Knee Osteoarthritis of the Knee Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 Osteoarthritis is a common problem for many people. Osteoarthritis

More information

Stickler Syndrome and Arthritis

Stickler Syndrome and Arthritis Stickler Syndrome and Arthritis Arthritis Foundation Pacific Region, Nevada Office Presented by: Crystal Schulz, MPH Community Development Manager Arthritis Foundation Improving lives through leadership

More information

Introduction. What is Knee Osteoarthritis?

Introduction. What is Knee Osteoarthritis? Introduction Your referral by your General Practitioner with pain from knee arthritis has resulted in a consultation with a specialist who has taken a history, examined you, performed investigations and

More information

.org. Shoulder Pain and Common Shoulder Problems. Anatomy. Cause

.org. Shoulder Pain and Common Shoulder Problems. Anatomy. Cause Shoulder Pain and Common Shoulder Problems Page ( 1 ) What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm from scratching

More information

:{ic0fp'16. Evaluation and Management of Knee and Shoulder Pain. Andrew Ferris, DO. ACOFP 53 rd Annual Convention & Scientific Seminars

:{ic0fp'16. Evaluation and Management of Knee and Shoulder Pain. Andrew Ferris, DO. ACOFP 53 rd Annual Convention & Scientific Seminars :{ic0fp'16 ACOFP 53 rd Annual Convention & Scientific Seminars Evaluation and Management of Knee and Shoulder Pain Andrew Ferris, DO Evaluation and management of Knee and Shoulder pain Andrew Ferris DO

More information

Osteoarthritis (OA) of the Knee

Osteoarthritis (OA) of the Knee Integrated Musculoskeletal Service Osteoarthritis (OA) of the Knee Information and Exercise Leaflet for Patient s and Carers What is osteoarthritis? Arthritis means inflammation of the joints. Osteoarthritis

More information

Ankle Arthritis Treatment in Worker Compensation The New Gold Standard ~ Total Ankle Replacement

Ankle Arthritis Treatment in Worker Compensation The New Gold Standard ~ Total Ankle Replacement Ankle Arthritis Treatment in Worker Compensation The New Gold Standard ~ Total Ankle Replacement Aprajita Nakra, DPM, FACFAS Board Certified, Reconstructive Foot & Ankle Surgery Past President, Arizona

More information

.org. Arthritis of the Hand. Description

.org. Arthritis of the Hand. Description Arthritis of the Hand Page ( 1 ) The hand and wrist have multiple small joints that work together to produce motion, including the fine motion needed to thread a needle or tie a shoelace. When the joints

More information

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Jeffrey R. Baker, DPM, FACFAS Weil Foot and Ankle Institute Des Plaines, IL Ankle Injury/Sprains

More information

Osteoarthritis of the knee

Osteoarthritis of the knee Osteoarthritis of the knee Introduction Osteoarthritis (OA) is the most common disease affecting joints. It is the wear and tear process that occurs in joints in varying degrees, most commonly in weight

More information

Knee Pain: Evaluation and Cost Conscious Management. Ted Parks, MD

Knee Pain: Evaluation and Cost Conscious Management. Ted Parks, MD Knee Pain: Evaluation and Cost Conscious Management Ted Parks, MD Common knee problems Common knee conditions Ligament injuries Meniscal injuries Arthritis (osteoarthritis) Problems of the patello-femoral

More information

Cranial Cruciate Ligament Repair

Cranial Cruciate Ligament Repair Toronto Veterinary Emergency Hospital Toronto Veterinary Emergency Hospital 24 Hour Emergency & Referral Hospital 21 Rolark Dr, Toronto, ON, M1R3B1 Phone: 416 247 8387 Fax: 4162873642 Email: frontdesk@tveh.ca

More information

Rheumatoid Arthritis: Symptoms, Causes, and Treatments of Rheumatoid Foot and Ankle

Rheumatoid Arthritis: Symptoms, Causes, and Treatments of Rheumatoid Foot and Ankle Rheumatoid arthritis is the most common form of inflammatory arthritis, affecting about two to three million Americans. Rheumatoid arthritis is a symmetric disease, meaning that it will usually involve

More information

Osteoarthritis HANDBOOK

Osteoarthritis HANDBOOK THE Osteoarthritis HANDBOOK CreakyJoints is the hippest community of more than 75,000 people with all forms of arthritis! Visit us at CreakyJoints.org. Osteoarthritis can occur at any age, and just about

More information

AAOS Guideline of The Diagnosis and Treatment of Osteochondritis Dissecans

AAOS Guideline of The Diagnosis and Treatment of Osteochondritis Dissecans AAOS Guideline of The Diagnosis and Treatment of Osteochondritis Dissecans Summary of Recommendations The following is a summary of the recommendations in the AAOS clinical practice guideline, The Diagnosis

More information

.org. Lisfranc (Midfoot) Injury. Anatomy. Description

.org. Lisfranc (Midfoot) Injury. Anatomy. Description Lisfranc (Midfoot) Injury Page ( 1 ) Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of the injury can vary from simple

More information

Is Your Horse Off Behind?? Hindlimb Facts. Common Hindlimb Lameness. Diagnostic Techniques. Gait Analysis 3/21/2012

Is Your Horse Off Behind?? Hindlimb Facts. Common Hindlimb Lameness. Diagnostic Techniques. Gait Analysis 3/21/2012 Is Your Horse Off Behind?? Nathaniel A. White II DVM MS DACVS Jean Ellen Shehan Professor and Director Common Hindlimb Lameness Sacroiliac joint pain Hip Lameness Stifle Lameness Stress Fractures Hock

More information

Knee, hip and lower limb specialist

Knee, hip and lower limb specialist Knee Arthroscopy If you have persistent pain, catching, or swelling in your knee, a procedure known as arthroscopy may help relieve these problems. Arthroscopy allows an orthopaedic surgeon to diagnose

More information

Rotator cuff tears Acute or chronic? Mary Obele ANZSOM September 2012 Acknowledgement: ACC

Rotator cuff tears Acute or chronic? Mary Obele ANZSOM September 2012 Acknowledgement: ACC Rotator cuff tears Acute or chronic? Mary Obele ANZSOM September 2012 Acknowledgement: ACC Anatomy Epidemiology Asymptomatic rotator cuff tears: prevalence is 35% (5) 15% full thickness and 20% partial

More information

Canine Knee Surgery Solutions for Your Dog s Knee Injury

Canine Knee Surgery Solutions for Your Dog s Knee Injury Canine Knee Surgery Solutions for Your Dog s Knee Injury by Solutions for Your Dog s Knee Injury Anterior Cruciate Ligament Injury! 1 We need define our terms so we can understand the problem better! 2

More information

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY.

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. SOME ARE HINGE BRACED 0-90 DEGREES AND ASKED TO REHAB INCLUDING

More information

ACC Knee Surgery Entitlement

ACC Knee Surgery Entitlement ACC Knee Surgery Entitlement ACC and NZOA Knee Society Consideration Factors (July 2012) Factors for consideration in traumatic internal derangement of the knee ACC funding of elective surgery is considered

More information

Collateral Ligament Injuries of the Knee

Collateral Ligament Injuries of the Knee Collateral Ligament Injuries of the Knee Hockey Injuries Breaking the Ice TRIA 2016 Conference Nick Mohtadi MD MSc FRCSC Dip Sport Med Clinical Professor No financial or other conflicts of interest to

More information

Rehabilitation Guidelines for Knee Arthroscopy

Rehabilitation Guidelines for Knee Arthroscopy Rehabilitation Guidelines for Knee Arthroscopy Arthroscopy is a common surgical procedure in which a joint is viewed using a small camera. This technique allows the surgeon to have a clear view of the

More information

Y O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y

Y O U R S U R G E O N S. choice of. implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Y O U R S U R G E O N S choice of implants F O R Y O U R S U R G E R Y Your Surgeon Has Chosen the C 2 a-taper Acetabular System The

More information

A Patient s Guide to Labral Tears of the Hip

A Patient s Guide to Labral Tears of the Hip A Patient s Guide to Labral Tears of the Hip 6565 Fannin Street Houston, TX 77030 Phone: 713-790-3333 DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete

More information

KNEE INJURIES DR. ANDREW POTTER SPORT & EXERCISE MEDICINE PHYSICIAN

KNEE INJURIES DR. ANDREW POTTER SPORT & EXERCISE MEDICINE PHYSICIAN KNEE INJURIES DR. ANDREW POTTER SPORT & EXERCISE MEDICINE PHYSICIAN CLASSIFICATION MENISCUS ACUTE CRUCIATE LIGAMENT (ACL/PCL) MEDIAL COLLATERAL LIGAMENT PATELLAR INSTABILITY LOOSE BODY CHRONIC PATELLOFEMORAL

More information

KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION

KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION The purpose of this document is to provide written information regarding the risks, benefits and alternatives of the procedure named

More information

Osteoarthritis damage to the knee

Osteoarthritis damage to the knee Osteotomy and Unicompartmental Knee Arthroplasty Total joint replacement (arthroplasty) is a common and very successful surgery for people with degenerative arthritis (osteoarthritis) of the knee. Two

More information

CRUCIATE LIGAMENT INJURY (KNEE) RECONSTRUCTIVE SURGERY

CRUCIATE LIGAMENT INJURY (KNEE) RECONSTRUCTIVE SURGERY CRUCIATE LIGAMENT INJURY (KNEE) RECONSTRUCTIVE SURGERY RACHEL GEVELL & P. OFORI-ATTA, uk 2013 1 Anterior cruciate ligament reconstruction (Information for health workers, the public and patients in Ghana)

More information

Elbow Injuries and Disorders

Elbow Injuries and Disorders Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that

More information

Copyright Bradley Whale 2011. No unauthorised reproductions.

Copyright Bradley Whale 2011. No unauthorised reproductions. Knee Anatomy While there are four bones that come together at the knee, only the femur (thigh bone) and the tibia (shin bone) form the joint itself. The head of the fibula (strut bone on the outside of

More information

Integra. Subtalar MBA Implant

Integra. Subtalar MBA Implant Integra Subtalar MBA Implant Patient EDUCATION Overview: What is Flatfoot? Flatfoot is a physical deformity where there is an absence of the arch that runs from the heel of the foot to the toes. A common

More information

Degenerative Joint Disorders

Degenerative Joint Disorders Imaging Degenerative Joint Disorders Niels Egund, MD Osteoarthrosis Osteoarthritis - OA a. OA is defined as a focal lesion of the articular cartilage, combined with hypertrofic reaction in the subchondral

More information

Getting Back in the Game: Athletic Knee and Hip Injuries

Getting Back in the Game: Athletic Knee and Hip Injuries Getting Back in the Game: Athletic Knee and Hip Injuries Raj Bazaz, M.D. Western Orthopedics Denver, CO My Background Grew up Detroit, MI Medical School: University of Michigan Orthopedic Residency: Case

More information

The Prognosis Of Neck Injuries Resulting From Rear-end Vehicle Collisions. The Journal Of Bone And Joint Surgery (British)

The Prognosis Of Neck Injuries Resulting From Rear-end Vehicle Collisions. The Journal Of Bone And Joint Surgery (British) The Prognosis Of Neck Injuries Resulting From Rear-end Vehicle Collisions 1 S. H. Norris, I. Watt FROM ABSTRACT The Journal Of Bone And Joint Surgery (British) November 1983, Vol. 65-B. No. 5 Injury of

More information

Cruciate Ligament Rupture

Cruciate Ligament Rupture Cruciate Ligament Rupture PETVET clinics are well-equipped, full-service, small animal veterinary practices providing comprehensive diagnostic, medical, surgical and dental care. We aim to offer quality

More information

ANTERIOR KNEE PAIN. Information Leaflet. Your Health. Our Priority. Trauma and Orthopaedics Stepping Hill Hospital

ANTERIOR KNEE PAIN. Information Leaflet. Your Health. Our Priority. Trauma and Orthopaedics Stepping Hill Hospital ANTERIOR KNEE PAIN Information Leaflet Your Health. Our Priority. Page 2 of 5 What is anterior knee pain? Anterior knee pain simply describes the symptoms of pain at the front of the knee, no matter what

More information

CUBOID FRACTURE. The cuboid bone lies on the lateral side of the foot, in front of the calcaneus, and behind the fourth and fifth metatarsal bones.

CUBOID FRACTURE. The cuboid bone lies on the lateral side of the foot, in front of the calcaneus, and behind the fourth and fifth metatarsal bones. CUBOID FRACTURE Introduction The cuboid bone lies on the lateral side of the foot, in front of the calcaneus, and behind the fourth and fifth metatarsal bones. Isolated fractures of the cuboid are uncommon,

More information

Knee Pain: Evaluation and Management. Ted Parks, MD

Knee Pain: Evaluation and Management. Ted Parks, MD Knee Pain: Evaluation and Management Ted Parks, MD Financial Disclosures: Common knee conditions Ligament injuries Meniscal injuries Arthritis (osteoarthritis) Problems of the patello-femoral joint DIAGNOSIS:

More information

. 40 Allied Drive Dedham, MA (office)

. 40 Allied Drive Dedham, MA (office) 40 Allied Drive Dedham, MA 02026 781-251-3535 (office) www.bostonsportsmedicine.com ANTERIOR CRUCIATE LIGAMENT INJURY WHAT IS THE ANTERIOR CRUCIATE LIGAMENT? The anterior cruciate ligament (ACL) is one

More information

Evaluating Knee Pain

Evaluating Knee Pain Evaluating Knee Pain Matthew T. Boes, M.D. Raleigh Orthopaedic Clinic September 24, 2011 Introduction Approach to patient with knee pain / injury History Examination Radiographs Guidelines for additional

More information

Pain Management Centre -- ACHELOIS PAIN CLINIC

Pain Management Centre -- ACHELOIS PAIN CLINIC PAIN MANAGEMENT PAIN MANAGEMENT OZONE THERAPY For OSTEO-ARTHRITIS of KNEE Pain Management Centre -- ACHELOIS PAIN CLINIC Dr.S.SreeRanjani MBBS.DA.DNB.FIPM Consultant in Anesthesiology & Pain Medicine SANKARA

More information

The rehabilitation of Multi ligament Knee injuries. Multi-ligamentous knee injuries are rare but serious injuries that can threaten limb viability

The rehabilitation of Multi ligament Knee injuries. Multi-ligamentous knee injuries are rare but serious injuries that can threaten limb viability The rehabilitation of Multi ligament Knee injuries Multi-ligamentous knee injuries are rare but serious injuries that can threaten limb viability Challenges associated with multiligament knee injuries

More information

Hip pain in the active patient. Jason Cochran D.O. Michigan Orthopedic Center Sparrow Health System Lansing, MI 517-267-0200

Hip pain in the active patient. Jason Cochran D.O. Michigan Orthopedic Center Sparrow Health System Lansing, MI 517-267-0200 Hip pain in the active patient Jason Cochran D.O. Michigan Orthopedic Center Sparrow Health System Lansing, MI 517-267-0200 Who is the active patient? Why do you hurt? Goals Causes of hip pain Nonsurgical

More information

A Patient s Guide to Adult Radial Head (Elbow) Fractures

A Patient s Guide to Adult Radial Head (Elbow) Fractures A Patient s Guide to Adult Radial Head (Elbow) Fractures Glendale Adventist Medical Center 1509 Wilson Terrace Glendale, CA 91206 Phone: (818) 409-8000 1 DISCLAIMER: The information in this booklet is

More information

Are You Living with. Knee Pain? MAKOplasty may be the right treatment option for you.

Are You Living with. Knee Pain? MAKOplasty may be the right treatment option for you. Are You Living with Knee Pain? MAKOplasty may be the right treatment option for you. Understanding Osteoarthritis Osteoarthritis shouldn t keep you from doing the things you love. Osteoarthritis (OA) is

More information

ORTHOPAEDIC KNEE CONDITIONS AND INJURIES

ORTHOPAEDIC KNEE CONDITIONS AND INJURIES 11. August 2014 ORTHOPAEDIC KNEE CONDITIONS AND INJURIES Presented by: Dr Vera Kinzel Knee, Shoulder and Trauma Specialist Macquarie University Norwest Private Hospital + Norwest Clinic Drummoyne Specialist

More information

Mary LaBarre, PT, DPT,ATRIC

Mary LaBarre, PT, DPT,ATRIC Aquatic Therapy and the ACL Current Concepts on Prevention and Rehab Mary LaBarre, PT, DPT,ATRIC Anterior Cruciate Ligament (ACL) tears are a common knee injury in athletic rehab. Each year, approximately

More information

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Knee Arthroscopy - Menisectomy

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Knee Arthroscopy - Menisectomy Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Knee Arthroscopy - Menisectomy This is a general information packet for patients undergoing knee Arthroscopy Arthroscopic surgery involves

More information

ACL Injury Risk Factors and Prevention An Update. Kevin Latz, MD CMH Section of Sports Medicine klatz@cmh.edu

ACL Injury Risk Factors and Prevention An Update. Kevin Latz, MD CMH Section of Sports Medicine klatz@cmh.edu ACL Injury Risk Factors and Prevention An Update Kevin Latz, MD CMH Section of Sports Medicine klatz@cmh.edu Case Scenario 14 yo female soccer player Changed directions quickly when ball was taken from

More information

Clinical guidance for MRI referral

Clinical guidance for MRI referral MRI for cervical radiculopathy Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical radiculopathy

More information

Rotator Cuff Tears. Most tears occur in the supraspinatus but other parts of the tendon may be involved.

Rotator Cuff Tears. Most tears occur in the supraspinatus but other parts of the tendon may be involved. Rotator Cuff Tears Description Rotator cuff tear is a common cause of pain and disability in the adult population. The rotator cuff is made up of four muscles and their tendons. These combine to form a

More information

(Intro to Arthritis with a. Arthritis) Manager of Education & Services for the Vancouver Island Region of The Arthritis Society

(Intro to Arthritis with a. Arthritis) Manager of Education & Services for the Vancouver Island Region of The Arthritis Society Arthritis 101 (Intro to Arthritis with a Focus on Rheumatoid Arthritis) by Cari Taylor by Cari Taylor Manager of Education & Services for the Vancouver Island Region of The Arthritis Society What You Will

More information

Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet

Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet Page 1 Arthritis of the CMC joint of the thumb The joint where the thumb attaches to the hand can suffer from wear and tear.

More information

The more you know, the better you can manage your osteoarthritis pain.

The more you know, the better you can manage your osteoarthritis pain. The more you know, the better you can manage your osteoarthritis pain. If you re like most people who have recently been diagnosed with osteoarthritis (OA), you ve probably got a lot of questions. Through

More information

Other Noninfectious Diseases. Chapter 31 Lesson 3

Other Noninfectious Diseases. Chapter 31 Lesson 3 Other Noninfectious Diseases Chapter 31 Lesson 3 Diabetes Diabetes- a chronic disease that affects the way body cells convert food into energy. Diabetes is the seventh leading cause of death by disease

More information

Anterior Cruciate Ligament Tear

Anterior Cruciate Ligament Tear Anterior Cruciate Ligament Tear Introduction The Anterior Cruciate Ligament (ACL) is the most commonly injured ligament of the knee. The ligament is most commonly injured during an athletic activity. Due

More information

Chapter 6 Musculoskeletal System Diseases and Disorders

Chapter 6 Musculoskeletal System Diseases and Disorders Chapter 6 Musculoskeletal System Diseases and Disorders Anatomy and Physiology Bones and Joints Bones provide framework and support; classified by shape and composition Joints: where two or more bones

More information

Foot and Ankle Injuries in the Adolescent Athlete

Foot and Ankle Injuries in the Adolescent Athlete Foot and Ankle Injuries in the Adolescent Athlete Kevin Latz, MD Children s Mercy Hospital Center for Sports Medicine Foot and Ankle Injuries Very common Influenced by the unique properties of growth plates

More information

Total Joint Replacement. Shoulder, Hip and Knee Pain Dr. William Marshall Orthopaedic Associates, PA

Total Joint Replacement. Shoulder, Hip and Knee Pain Dr. William Marshall Orthopaedic Associates, PA Total Joint Replacement Shoulder, Dr. William Marshall Orthopaedic Associates, PA Reverse Shoulder Prosthesis Patient Education Introduction to the Shoulder Joint Complex structure which consists of the

More information

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC Objectives Rehabilitation after ACL Reconstruction: From the OR to the Playing Field Mark V. Paterno PT, PhD, MBA, SCS, ATC Coordinator of Orthopaedic and Sports Physical Therapy Cincinnati Children s

More information

Knee Arthroscopy Prior Authorization Request Form

Knee Arthroscopy Prior Authorization Request Form Prior Authorization Request Form Member Name: DOB: HPHC ID#: Requesting Provider #: Requesting Provider Phone #: Requesting Provider NPI #: Facility Name/Location: Requested Setting: Surgical day care

More information

.org. Osteochondroma. Solitary Osteochondroma

.org. Osteochondroma. Solitary Osteochondroma Osteochondroma Page ( 1 ) An osteochondroma is a benign (noncancerous) tumor that develops during childhood or adolescence. It is an abnormal growth that forms on the surface of a bone near the growth

More information

A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint.

A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint. SLAP TEARS A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint. Anatomy Your shoulder is a ball-and-socket joint made

More information

GP Assessment of the Shoulder. Keith Littlebury MSc Grad dip Phys Extended Scope Physiotherapist Camden CATS service

GP Assessment of the Shoulder. Keith Littlebury MSc Grad dip Phys Extended Scope Physiotherapist Camden CATS service GP Assessment of the Shoulder Keith Littlebury MSc Grad dip Phys Extended Scope Physiotherapist Camden CATS service Aims Refresh shoulder anatomy Classification of common shoulder conditions seen in primary

More information

January 2013 Repair Your Rotator Cuff Through Physical Therapy Rotator cuff tears are common, and

January 2013 Repair Your Rotator Cuff Through Physical Therapy Rotator cuff tears are common, and Repair Your Rotator Cuff Through Physical Therapy Rotator cuff tears are common, and recovery can take a long time. But do all rotator cuff tears need to be surgically repaired? After reviewing 137 studies

More information

1. Trochlea of femur 2. Tibia 3. Fibula 4. Cranial cruciate ligament 5. Caudal cruciate ligament 6. Lateral meniscus 7.

1. Trochlea of femur 2. Tibia 3. Fibula 4. Cranial cruciate ligament 5. Caudal cruciate ligament 6. Lateral meniscus 7. Greenville Veterinary Clinic LLC 409 E. Jamestown Rd. Greenville, PA 16125 (724) 588-5260 Torn cranial cruciate ligament (CCL) AffectedAnimals: Commonly, dogs and humans; less commonly, cats. Obese animals

More information

Are you living with knee pain?

Are you living with knee pain? Are you living with knee pain? Julie Actual Arthrosurface Knee HemiCAP Patient and Martial Arts Instructor Unlike a total knee replacement, the Arthrosurface Joint Restoration Systems can allow you to

More information

Refer to Specialist. The Diagnosis and Management of Shoulder Pain 1. SLAP lesions, types 1 through 4

Refer to Specialist. The Diagnosis and Management of Shoulder Pain 1. SLAP lesions, types 1 through 4 The Diagnosis Management of Shoulder Pain 1 Significant Hisry -Age -Extremity Dominance -Hisry of trauma, dislocation, subluxation -Weakness, numbness, paresthesias -Sports participation -Past medical

More information

! Director Department of Orthopedics! Specialize in Knee and Shoulder surgery. ! Knee replacements! Arthroscopic knee and shoulder surgery

! Director Department of Orthopedics! Specialize in Knee and Shoulder surgery. ! Knee replacements! Arthroscopic knee and shoulder surgery Background Knee Problems in Baby Boomer and Aging Population Kevin Khajavi, MD Director, Department Orthopedic Surgery St. Jude Heritage Medical Group Director Department of Orthopedics Specialize in Knee

More information

Passive ROM Exercises. 9/29/2013 Dr. Enas Elsayed ١

Passive ROM Exercises. 9/29/2013 Dr. Enas Elsayed ١ Passive ROM Exercises 9/29/2013 Dr. Enas Elsayed ١ Reference Therapeutic Exercise: Foundations and Techniques. 5 th edition by Kisner and Colby. Range of Motion (Chapter 3),pages: 41-63 9/29/2013 Dr. Enas

More information

Copyright Vanderbilt Sports Medicine. Table of Contents. Knee Bracing Purpose...2. Knee Anatomy...3. Common Knee Injuries...

Copyright Vanderbilt Sports Medicine. Table of Contents. Knee Bracing Purpose...2. Knee Anatomy...3. Common Knee Injuries... Table of Contents Knee Bracing Purpose...2 Knee Anatomy....3 Common Knee Injuries...4 Types of Knee Braces...5 Knee Bracing Tips....7 1 Knee Bracing Purpose There are many purposes of bracing a knee and

More information

world-class orthopedic care right in your own backyard.

world-class orthopedic care right in your own backyard. world-class orthopedic care right in your own backyard. Patient Promise: At Adventist Hinsdale Hospital, our Patient Promise means we strive for continued excellence in everything we do. This means you

More information

Shoulder Replacement Arthroplasty to repair your shoulder

Shoulder Replacement Arthroplasty to repair your shoulder Patient Education Shoulder Replacement Arthroplasty to repair your shoulder When you have arthritis in your shoulder, moving your shoulder becomes painful. You may have trouble with tasks such as lifting

More information

Total Hip Replacement

Total Hip Replacement Please contactmethroughthegoldcoasthospitaswityouhaveanyproblemsafteryoursurgery. Dr. Benjamin Hewitt Orthopaedic Surgeon Total Hip Replacement The hip joint is a ball and socket joint that connects the

More information

Lisfranc Injury of the Foot: A Commonly Missed Diagnosis

Lisfranc Injury of the Foot: A Commonly Missed Diagnosis Lisfranc Injury of the Foot: A Commonly Missed Diagnosis James J. Lehman, DC, MBA, FACO Director Health Sciences Postgraduate Education Department University of Bridgeport Learning Objectives Organize

More information

Weak in the Knees Acute Knee Injuries

Weak in the Knees Acute Knee Injuries Weak in the Knees Acute Knee Injuries Douglas J. Moran, MD Concord Orthopaedics Northeast Regional Nurse Practitioner Conference DISCLOSURES None of the planners or presenters of this session have disclosed

More information

w w w. m e d i c u s. c a

w w w. m e d i c u s. c a www.medicus.ca Not only is the knee the largest joint of the human body but it is also the most complex. For close to fifty years now, Médicus, in collaboration with healthcare professionals, has been

More information

Osteoarthritis progresses slowly and the pain and stiffness it causes worsens over time.

Osteoarthritis progresses slowly and the pain and stiffness it causes worsens over time. Arthritis of the Foot and Ankle Arthritis is the leading cause of disability in the United States. It can occur at any age, and literally means "pain within a joint." As a result, arthritis is a term used

More information

Rheumatoid Arthritis

Rheumatoid Arthritis Rheumatoid Arthritis Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Autoimmune diseases are illnesses that occur when the body's tissues are mistakenly

More information

ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND. Barry Tietjens Unisports Sports Medicine Auckland

ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND. Barry Tietjens Unisports Sports Medicine Auckland ANTERIOR CRUCIATE LIGAMENT INJURY PREVENTION IN NEW ZEALAND Barry Tietjens Unisports Sports Medicine Auckland NO DISCLOSURES ACL INJURY PREVENTION Knee injuries involving the ACL are common in sport ACL

More information

Patellar Tendon Tear. Anatomy. Description

Patellar Tendon Tear. Anatomy. Description Patellar Tendon Tear The patellar tendon works with the muscles in the front of your thigh - the quadriceps - to straighten your leg. Although anyone can injure the patellar tendon, tears are more common

More information

Rehabilitation Guidelines for Autologous Chondrocyte Implantation. Ashley Conlin, PT, DPT, SCS, CSCS

Rehabilitation Guidelines for Autologous Chondrocyte Implantation. Ashley Conlin, PT, DPT, SCS, CSCS Rehabilitation Guidelines for Autologous Chondrocyte Implantation Ashley Conlin, PT, DPT, SCS, CSCS Objectives Review ideal patient population Review overall procedure for Autologous Chondrocyte Implantation

More information

.org. Tibia (Shinbone) Shaft Fractures. Anatomy. Types of Tibial Shaft Fractures

.org. Tibia (Shinbone) Shaft Fractures. Anatomy. Types of Tibial Shaft Fractures Tibia (Shinbone) Shaft Fractures Page ( 1 ) The tibia, or shinbone, is the most common fractured long bone in your body. The long bones include the femur, humerus, tibia, and fibula. A tibial shaft fracture

More information

Sports Injuries Treatments in India Medical Tourism

Sports Injuries Treatments in India Medical Tourism Sports Injuries Treatments in India Medical Tourism Sports & Exercise is essential and required to maintain or to improve one s health. Sportsmen undergo vigorous training and preparation to maintain physical

More information

Treatment of Injured Workers Shoulder and Knee Injuries. Determining What Findings are WC Compensable

Treatment of Injured Workers Shoulder and Knee Injuries. Determining What Findings are WC Compensable Treatment of Injured Workers Shoulder and Knee Injuries Determining What Findings are WC Compensable Difficult Job Utah Experience Knee Injury in injured worker The other job Perhaps unique to Utah Your

More information

Evaluation of Disorders of the Hands and Wrists

Evaluation of Disorders of the Hands and Wrists Evaluation of Disorders of the Hands and Wrists Case 27 yo female with 6 month history of right forearm and hand pain Works as secretary, symptoms are interfering with her job duties Complains that she

More information