11 December 2019 The Evaluation and Management of Common Disorders … · 2020. 1. 3. · 11...
47
11 December 2019 The Evaluation and Management of Common Disorders of the Knee Joseph P. DeAngelis, MD, MBA Assistant Professor, Orthopaedic Surgery Beth Israel Deaconess Medical Center Harvard Medical School Boston, MA COPYRIGHT
Transcript of 11 December 2019 The Evaluation and Management of Common Disorders … · 2020. 1. 3. · 11...
-
11 December 2019
The Evaluation and Management of
Common Disorders of the Knee
Joseph P. DeAngelis, MD, MBA
Assistant Professor, Orthopaedic Surgery
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston, MACOPYRIGHT
-
Disclosures
Appointments
AAOS Evidence-Based Quality & Valued Committee
Performance Measures
Consultancies
Forensis, GLG Group, Health Transformation Institute, KOL Groups,
Lumelian, Scope Medical
Research Support
Arthrex, Ceterix, DePuy Synthes, Major League Baseball, Smith &
Nephew
COPYRIGHT
-
Objectives
1. To understand the applied pathoanatomy of the knee as it
relates to common injuries and clinical complaints.
2. To recognize the critical elements within the history and
physical examination that warrant advanced imaging.
3. To appreciate the rationale for surgical treatment within
the continuum of patient care.COPYRIGHT
-
Plan of Attack
• Anatomy
• Function
• Common Injuries & Conditions
• Treatment
• Non-Operative & Surgical
• What Will Keep Your Knees Healthy
• StretchCOPYRIGHT
-
Secrets to Success
1.Stretch / Flexibility
2.Balance / Proprioception
3.Lateral-based movement
4.Core strength
5.Variety
COPYRIGHT
-
Knee Anatomy
• Bones
• Cartilage
• Ligaments
• Tendons
COPYRIGHT
-
Anatomy
Anterior Posterior (AP) View of Both Knees – Weight Bearing
COPYRIGHT
-
AP View of Both Knees – Weight BearingLateral View of Right Knee
Sunrise View of Right KneeCOPYRIGHT
-
COPYRIGHT
-
AP View of Right Knee AP View of Right Knee
COPYRIGHT
-
Knee Anatomy
• Bones
• Femur, Tibia, Patella
• Cartilage
• Articular & Meniscal
• Ligaments
• Tendons
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
Knee Anatomy
• Bones
• Femur, Tibia, Patella
• Cartilage
• Articular & Meniscal
• Ligaments
• Collateral: Medial (MCL) & Lateral (LCL)
• Cruciate: Anterior (ACL) & Posterior (PCL)
• TendonsCOPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
Knee Anatomy
• Bones
• Femur, Tibia, Patella
• Cartilage
• Articular & Meniscal
• Ligaments
• Collateral: Medial (MCL) & Lateral (LCL)
• Cruciate: Anterior (ACL) & Posterior (PCL)
• Tendons
• Quadriceps -> Patellar
• Hamstring
• Iliotibial Band
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
Knee Anatomy
• Bones
• Femur, Tibia, Patella -> Fractures
• Cartilage
• Articular & Meniscal
• Ligaments
• Collateral: Medial (MCL) & Lateral (LCL)
• Cruciate: Anterior (ACL) & Posterior (PCL)
• Tendons
• Quadriceps -> Patellar
• Hamstring
• Iliotibial Band
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
Knee Injuries
• Bones
• Femur, Tibia, Patella
• Cartilage
• Articular & Meniscal -> Torn vs. Worn Out
• Ligaments
• Collateral: Medial (MCL) & Lateral (LCL)
• Cruciate: Anterior (ACL) & Posterior (PCL)
• Tendons
• Quadriceps -> Patellar
• Hamstring
• Iliotibial Band
COPYRIGHT
-
• Pot hole vs. worn shoe/tire
• Pebble in shoe vs. frayed pants
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
Knee Injuries
• Bones
• Femur, Tibia, Patella
• Cartilage
• Articular & Meniscal
• Ligaments -> Sprained or or Torn
• Collateral: Medial (MCL) & Lateral (LCL)
• Cruciate: Anterior (ACL) & Posterior (PCL)
• Tendons
• Quadriceps -> Patellar
• Hamstring
• Iliotibial Band
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
COPYRIGHT
-
Knee Injuries
• Bones
• Femur, Tibia, Patella
• Cartilage
• Articular & Meniscal
• Ligaments
• Collateral: Medial (MCL) & Lateral (LCL)
• Cruciate: Anterior (ACL) & Posterior (PCL)
• Tendons -> Sprained vs. Torn
• Quadriceps -> Patellar
• Hamstring
• Iliotibial Band
COPYRIGHT
-
Secrets to Success
1.Stretch / Flexibility
2.Balance / Proprioception
3.Lateral-based movement
4.Core strength
5.VarietyCOPYRIGHT
-
bidmc.org/sports
COPYRIGHT
-
Bibliography
• Covey CJ, Hawks MK. Nontraumatic knee pain: a diagnostic & treatment
guide.
• J Fam Pract. 2014 Dec;63(12):720-8.
• Spindler KP, Wright RW. Clinical practice. Anterior cruciate ligament tear. N
Engl J Med. 2008 Nov 13;359(20):2135-42. doi: 10.1056/NEJMcp0804745.
• Schraeder TL, Terek RM, Smith CC. Clinical evaluation of the knee. N Engl J
Med. 2010 Jul 22;363(4):e5. doi: 10.1056/NEJMvcm0803821.COPYRIGHT
