in Diagnose & Treat, Knee injuries
Cyclops lesions are a common cause of range of motion limitations after ACL reconstruction. Chris Mallac defines the malady, explores the causes, and suggests ways to prevent this syndrome from occurring. First described in 1990 by Jackson and Schaefer(1), a cyclops lesion is a reasonably common complication following anterior cruciate ligament reconstruction (ACLR), with the... MORE
in Diagnose & Treat, Email Newsletters, Knee injuries
Adolescence is often a period of rapid growth for most children. Because bones grow faster than muscles, this growth can lead to tension from the tendons at their insertion on the bone, causing an apophysitis. One of the most difficult-to-treat conditions related to such growth is Osgood-Schlatter Disease (OSD), an apophysitis at the tibial tuberosity.... MORE
in Email Newsletters, Knee injuries
Knee injuries are the bane of athletes in nearly all sports (see figure 1)(1). Clinicians and sports scientists continue to explore the best way to prevent such injuries. The knee, a hinge joint, moves in the sagittal plane. The thought is that most knee injuries occur from forced movement in the frontal plane. Therefore, control... MORE
in Knee injuries, Tools and technology
Patellofemoral pain (PFP) plagues up to 17% of runners who complain of knee pain(1). Often weak gluteus medius muscles are to blame with resulting hip adduction (HADD) and positive Trendelenburg sign during the unilateral stance phase of running. Patellofemoral pain also affects knee flexion (KFLEX) in single stance, with runners avoiding KFLEX to prevent pain.... MORE
in Email Newsletters, Joint injuries, Knee injuries, Pre-hab and post-surgical rehab
The high rate of reinjury after anterior cruciate ligament repair (ACLR) makes it essential that clinicians accurately assess an athlete’s readiness to return to sport (RTS). Many factors play a role in RTS decision making, not the least of which is knee extensor strength. Regaining quadriceps strength is one of the most challenging aspects of... MORE
in Diagnose & Treat, Joint injuries, Knee injuries, Uncommon injuries
In the first part of this series, Andrew Hamilton outlined the structure of the pes anserinus complex, the risk factors for injury, and the diagnostic criteria. In the second and final part, he explores the most effective treatment options and rehab protocols for athletes suffering from a pes injury. As explained in part one of this... MORE
in Knee injuries, Uncommon injuries
Although uncommon, a pes anserinus injury can cause debilitating medial knee pain. In the first of a two-part article, Andrew Hamilton explains the structure of the pes anserinus complex, the risk factors for injury, and how clinicians can differentially diagnose a pes anserinus injury. Knee injuries are prevalent in athletes due to the loads transmitted... MORE
in Diagnose & Treat, Knee injuries
Jumper’s knee occurs in 14% of athletes, mostly volleyball, basketball, and handball players(1). The term ‘jumper’s knee’ typically refers to anterior knee pain, usually presumed as patellar tendinopathy. However, a careful history and exam reveal that quadriceps tendinopathy exists in up to 25% of patients. These athletes complain of anterior knee pain at the superiorpole... MORE
in Email Newsletters, Knee injuries, Sports psychology
Anterior cruciate ligament (ACL) tears are the bread and butter for many an outpatient orthopedic practice. Still, physios the world over would happily go into semi-retirement if they could improve the outcomes of ACL repairs (ACLRs). As it stands today, just over half of the 250,000 to 300,000, who suffer an ACL injury in the... MORE
in Email Newsletters, Knee injuries
Patellofemoral pain (PFP) affects one in six adults with complaints of knee pain(1). What causes PFP remains equivocal. Multiple factors are thought to contribute to anterior knee pain. The elusive origins of PFP may be the reason that 40% of people affected lack significant improvement after a year of treatment(1). Researchers at the University of... MORE