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Monday, September 17

  1. page Anterior Cruciate Ligament Tear edited INTRODUCTION NTRODUCTION Biomechanics/Anatomy The tibiofemoral joint is comprised of the con…

    INTRODUCTIONNTRODUCTION
    Biomechanics/Anatomy
    The tibiofemoral joint is comprised of the convex femur and concave tibia which move along a coronal axis during flexion and extension. Internal rotation occurs in a transverse plane and abduction and adduction occur in a coronal plane. Within the knee are four main stabilizing ligaments: MCL, ACL, LCL and PCL.
    ...
    Below is a link to The Institute for Arthroscopy & Sports Medicine in San Francisco's ACL reconstruction protocol, where Dr. Jeffrey Halbrecht is the Medical Director.
    {ACLReconstruction.pdf}
    Here is a PDF file to an article containing an eccentric exercise program for ACL repairs
    {IJSPT Eccentric Article Lorenz Reiman.pdf} I

    Exercises
    NWB vs WB Exercise
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    1:55 pm

Tuesday, May 8

  1. page Rotator Cuff Repair edited ... (+) - Empty can test (+) - Lag sign in abduction (Arm positioned in 90 deg flexion, 90 deg ab…
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    (+) - Empty can test
    (+) - Lag sign in abduction (Arm positioned in 90 deg flexion, 90 deg abduction-- PT releases wrist and elbow and arm drops 10 deg)
    If arm moves into IR when wrist released it is more infraspinatus
    If arm drops when elbow released it is more supraspinatus

    (+) - Neer's (pain with flexion 70-120 degrees: abnormal test result)
    (+) - Hawkins-Kennedy
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    6:46 am

Thursday, April 19

  1. page Anterior Glenohumeral Instability edited ... Obtaining an accurate diagnosis of glenohumeral instability can be difficult, therefore severa…
    ...
    Obtaining an accurate diagnosis of glenohumeral instability can be difficult, therefore several points must be considered when assessing the patient. A thorough history and clinical examination are necessary as radiographs typically do not provide additional information. Asymptomatic shoulder laxity must be differentiated from symptomatic instability. Other pathological conditions may be present, such as rotator cuff impingement. No single test may be used to diagnose glenohumeral instabilities.
    A thorough subjective evaluation will assist the examiner in identifying the often vague symptoms associated with nontraumatic glenohumeral instability. Symptoms may include activity related global pain, aching, looseness and reports of slipping of the joint. Transient neurological symptoms may be reported and must be differentiated from cervical radiculopathy and thoracic outlet syndrome. Anterior instability may be present with pain with overhead activities or when the shoulder is in an abducted and externally rotated position.
    ...
    between the asymptomaticsymptomatic and asymptomatic
    Ligamentous hyperextensibility should be assessed using the Beighton scale. A score ≥ 4 out of 9 indicates generalized joint laxity.
    {Beighton.JPG}
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    7:56 am
  2. page home edited ... Load up your page with links, pictures and plenty of items that will help your classmates unde…
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    Load up your page with links, pictures and plenty of items that will help your classmates understand your topic! Have fun!
    Shoulder Labral Tear
    Bankart Lesion
    SLAP Lesion
    Posterior Labral Lesion

    Meniscal Injury
    [[include component="pageList" hideInternal="true" limit="10"]] Achilles Tendon Rupture
    Anterior Cruciate Ligament Tear
    Anterior Glenohumeral Instability
    Plantar Fasciitis
    Rotator Cuff Tear
    Ulnar Nerve Transposition

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    7:56 am
  3. page Achilles Tendon Rupture edited ... Slowly increased training intensity Since injuries to the Achilles tendon often occur when tr…
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    Slowly increased training intensity
    Since injuries to the Achilles tendon often occur when training intensity is abruptly increased, intensity should be increased by no greater than 10% each week.
    Beckham tear/ repairOverview Video:
    References:
    Anderson, K., (2004). Achilles Tendon Rupture / Repair Protocol. William Beaumont Hospital.
    (view changes)
    7:44 am
  4. page Achilles Tendon Rupture edited ... Slowly increased training intensity Since injuries to the Achilles tendon often occur when tr…
    ...
    Slowly increased training intensity
    Since injuries to the Achilles tendon often occur when training intensity is abruptly increased, intensity should be increased by no greater than 10% each week.
    Beckham tear/ repair Video:
    References:
    Anderson, K., (2004). Achilles Tendon Rupture / Repair Protocol. William Beaumont Hospital.
    (view changes)
    7:36 am
  5. page Meniscal Injury edited ... Chris, Gabriel. “Functional Testing and Return to Sport.” OrthoCarolina Sports Performance. We…
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    Chris, Gabriel. “Functional Testing and Return to Sport.” OrthoCarolina Sports Performance. Web 16 Apr. 2012 http://www.hickoryortho.com/uploads/file/Functional%20Testing%20and%20Return%20to%20Sport%20-%20Chris%20Gabriel.pdf.
    Denney, Linda. (2012, February 28). The Knee [powerpoint]. Musculoskeletal III. Kansas City, KS.
    Dutton, M. (2008). Orthopaedic: examination, evaluation and intervention 2nd edition. United States of America: McGraw-Hill Companies Inc.
    Jarosz, Brett S., and Rick A. Ames. "Chiropractic Management of a Medial Meniscus Tear in a Patient with Tibiofemoral Degeneration: A Case Report." Journal of Chiropractic Medicine 9.4 (2010): 200-08. PubMed. Web. 16 Apr. 2012. <http:www.ncbi.nlm.nih.gov/pmc/articles/PMC3206581/>.
    "Meniscal Tears - OrthoInfo - AAOS." American Academy of Orthopedic Surgeons. AAOS, Feb. 2009. Web. 16 Apr. 2012. <http://orthoinfo.aaos.org/topic.cfm?topic=a00358>.
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    7:23 am
  6. page Anterior Cruciate Ligament Tear edited ... -Take caution when initiating rapid deceleration with plyometric drills -Addition of external…
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    -Take caution when initiating rapid deceleration with plyometric drills
    -Addition of external resistance does not appear to increase ACL loading with WBing exercise
    -Controlling knee valgus with females (front step-downs, lateral step-downs with resistance, squats with resistance around distal femur)
    Full Extension
    The most common reason for poor outcomes following ACL reconstruction is failing to regain full extension range of motion. Inability to gain full extension can cause an increase in patellofemoral contact pressure, increased scar adhesion in the anterior aspect of the knee and poor movement quality. There are several ways to increase extension motion, including PROM, supine heel props, and gastroc stretching. Two additional methods are pictured below:
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    6:57 am

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