Clinical Orthopaedic Rehabilitation: A Team Approach, 4e

Description:

Evidence suggests a direct correlation between the quality of postoperative orthopaedic rehabilitation and the effectiveness of the surgery. Clinical Orthopaedic Rehabilitation, 4th Edition, helps today’s orthopaedic teams apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries and post-surgical conditions. Charles Giangarra, MD and Robert Manske, PT continue the commitment to excellence established by Dr. S. Brent Brotzman in previous editions, bringing a fresh perspective to the team approach to rehabilitation.

• Every section is written by a combination of surgeons, physical therapists, and occupational therapists, making this respected text a truly practical "how-to" guide for the appropriate initial exam, differential diagnosis, treatment, and rehabilitation.
• Treatment and rehabilitation protocols are presented in a step-by-step, algorithmic format with each new phase begun after criteria are met (criteria-based progression, reflecting current best practice).

• Revised content brings you up to date with new evidence-based literature on examination techniques, classification systems, differential diagnosis, treatment options, and criteria-based rehabilitation protocols.
• Extensive updates throughout include new chapters on: medial patellofemoral ligament, shoulder impingement, pec major ruptures, thoracic outlet syndrome, general humeral fractures, foot and ankle fractures, medial patellofemoral ligament reconstruction, the arthritic hip, athletic pubalgia, and labral repair and reconstruction.

 

 

 

Table of Contents:

 

 

Section 1. Hand and Wrist Injuries

1. Flexor Tendon Injuries

Important Points for Rehabilitation After Flexor Tendon Laceration and Repair

Rehabilitation Rationale and Basic Principles of Treatment After Flexor Tendon Repair

2. Flexor Digitorum Profundus Avulsion (“Jersey Finger”)

Background

Treatment

Tendon-to-Bone Repair Considerations

Surgeon’s Preference

3. Extensor Tendon Injuries

Anatomy

Extensor Tendon Injuries in Zones 1 and 2

Extensor Tendon Injuries in Zone 3

Extensor Tendon Injuries in Zones 4, 5, and 6

Extensor Tendon Injuries in Zones 7 and 8

Mallet Finger (Extensor Injury—Zone 1)

4. Fractures and Dislocations of the Hand

Metacarpal and Phalangeal Fractures

Metacarpal Fractures

Phalangeal Fractures of the Hand

Proximal Interphalangeal Joint Injuries

5. Fifth Metacarpal Neck Fracture (Boxer's Fracture)

Background

Clinical History and Examination

Treatment

6. Injuries to the Ulnar Collateral Ligament of the Thumb Metacarpophalangeal Joint (Gamekeeper’s Thumb)

Background

Evaluation

Treatment

7. Nerve Compression Syndromes

Nerve Compression Physiology

Carpal Tunnel Syndrome

Bowler’s Thumb (Digital Neuritis)

Pronator Syndrome

Radial Nerve Compression

Ulnar Nerve Compression

8. Scaphoid Fractures

Background

Clinical History and Examination

Treatment

Rehabilitation

9. Triangular Fibrocartilage Complex Injury

Clinical Background

Classification

Diagnosis

Imaging Studies

Treatment

10. Metacarpal Phalangeal Joint Arthroplasty

Rehabilitation

Section 2. Rehabilitation After Total Elbow Arthroplasty

11. The Total Elbow

12. Rehabilitation After Fractures of the Forearm and Elbow

Fractures of the Radius and Ulnar Shaft

Both Bone Forearm Fracture Rehabilitation (Boland 2011)

Fractures of the Elbow

Radial Neck and Head Fractures

Simple or Complex Elbow Dislocations

13. Pediatric Elbow Injuries in the Throwing Athlete: Emphasis on Prevention

Introduction

Little Leaguer’s Elbow

Medial Tension Injuries

Lateral Compression Injuries

Posterior Compression Injuries

Prevention

USA Baseball Guidelines

14. Medial Collateral Ligament and Ulnar Nerve Injury at the Elbow

Anatomy and Biomechanics

Mechanism of Injury

Evaluation

Surgical Treatment

15. Treating Flexion Contracture (Loss of Extension) in Throwing Athletes

16. Post-Traumatic Elbow Stiffness

Definition

Classification

Heterotopic Ossification

Evaluation of the Stiff Elbow

Nonsurgical Treatment

Surgical Treatment

Postsurgical Protocol

17. Treatment and Rehabilitation of Elbow Dislocations

Rehabilitation Considerations

Anatomy and Biomechanics

Mechanism of Injury

Evaluation and Radiographs

Classification

Treatment

Complications

Rehabilitation Considerations

Results

18. Lateral and Medial Humeral Epicondylitis

Introduction

Epidemiology and Etiology

Clinical Examination of the Elbow

Anatomic Adaptations in the Athletic Elbow

Elbow Examination Special Tests

Treatment

Definitions: Tendinitis and Tendinosis

Eccentric Training Programs

Combined Exercise Programs

Rotator Cuff and Scapular Stabilization

Advanced Distal Upper Extremity Exercises for Rehabilitation of Humeral Epicondylitis

Return to Sport/Interval Return Programs

19. Forearm Upper Extremity Nerve Entrapment Injuries

Pronator Syndrome

Radial Nerve Compression

Ulnar Nerve Compression

Peripheral Nerve Rehabilitation

What I Tell My Patients

Section 3. Shoulder Injuries

20. General Principles of Shoulder Rehabilitation

Background

Shoulder Rehabilitation

21. Importance of the History in the Diagnosis of Shoulder Pathology

Structural Injury to the Rotator Cuff

Glenohumeral Instability

Detachment of the Superior Glenoid Labrum

Scapulothoracic Dyskinesia, Core Stability Deficits, and Other Fitness or Technique-Related Provocations

Adhesive Capsulitis ("Frozen Shoulder")

Calcific Tendinitis

Biceps Tendinosis

Acromioclavicular Degenerative Joint Disease

Glenohumeral Degenerative Joint Disease

Cervical Spine Pathology

Fractures

General Shoulder Rehabilitation Goals

22. Rotator Cuff Tendinitis in the Overhead Athlete

Anatomy and Biomechanics

The Throwing Cycle

Pathogenesis

History and Physical Examination

Imaging

Management

Summary

23. Rotator Cuff Repair

Type of Repair

Tear Pattern

Size of the Tear

Tissue Quality

Location of the Tear

Onset of Rotator Cuff Tear and Timing of the Repair

Patient Variables

Rehabilitation Situation and Surgeon’s Philosophic Approach

Acute Tears

Imaging

Examination

Treatment

Rehabilitation Protocol

Massive Rotator Cuff Repairs

Conclusion

24. Shoulder Instability Treatment and Rehabilitation

Introduction

Anatomic Considerations

Terminology

Diagnostic Evaluation: History, Physical Examination, and Imaging

Treatment Options

Postoperative Treatment and Rehabilitation

25. Adhesive Capsulitis (Frozen Shoulder)

Introduction

Typical Presentation

Treatment

26. Rehabilitation for Biceps Tendon Disorders and SLAP Lesions

Rehabilitation Rationale

History and Physical Examination

Treatment

Rehabilitation Considerations

27. Scapular Dyskinesis

Background

Treatment

28. Rehabilitation Following Total Shoulder and Reverse Total Shoulder Arthroplasty

Introduction

Surgical Aspects of Total Shoulder Arthroplasty

Subscapularis Precautions

Key Rehabilitation Concepts Following TSA

Outcomes of Traditional Shoulder Arthroplasty

Reverse TSA

Phase I—Immediate Postsurgical/Joint Protection Phase

Phase II—Active Range of Motion/Early Strengthening Phase (Weeks 6 to 12)

Phase III—Moderate Strengthening (Week 12+)

Phase IV—Continued Home Program (Typically 4+ months)

Summary

29. Upper Extremity Interval Throwing Progressions

Shoulder Injuries in Golfers

30. Shoulder Exercises for Injury Prevention in the Throwing Athlete

Rest and Recovery

Creating a Healthy Thrower's Shoulder

31. Glenohumeral Internal Rotation Deficiency: Evaluation and Treatment

Introduction

The GIRD Concept

Proposed Causes of GIRD

Consequences of GIRD on the Biomechanics of the Human Shoulder

Identifying GIRD

Prevention and Treatment of GIRD

Summary

32. Postural Consideration for the Female Athlete’s Shoulder

Ideal Posture

Faulty Posture

Treatment

33. Impingement Syndrome

Impingement Syndrome

Treatment

34. Pectoralis Major Rupture Repair

Introduction and Overview

Anatomy

Mechanism of Injury

Physical Examination

Injury Classification

Conservative versus Surgical Treatment

Postsurgical Rehabilitation

35. Thoracic Outlet Syndrome in the Overhead Athlete

Introduction

Thoracic Outlet Syndrome

Anatomic Relevance

Pathophysiology

Clinical Presentation with Examination

Conservative and Surgical Management

36. Proximal Humeral and Humeral Shaft Fractures

Proximal Humeral Fractures

Humeral Shaft Fractures

37. The Use of a Functional Testing Algorithm (FTA) to Make Qualitative and Quantitative Decisions to Return Athletes Back to Sports Following Shoulder Injuries

Functional Testing Algorithm Methods

Summary

Section 4. Foot and Ankle Injuries

38. Foot and Ankle Fractures

Introduction to Foot and Ankle Trauma

Ankle Fractures

Pilon Fractures

Talus Fractures

Calcaneus Fractures

Lisfranc Fractures/Dislocations

Metatarsal Fractures

The Neuropathic Patient

General Considerations

Phase I: Protection (Weeks 1 to 6)

Phase II: Mobilization (Weeks 6 to 8)

Phase III: Function (Weeks 8 to 12)

39. Ankle Sprains

Relevant Anatomy

Classification of Ankle Sprains

Diagnosis

The Injury and Healing Process

Treatment and Rehabilitation Protocol For Acute Ankle Sprain

Return to Activity Criteria After Acute Ankle Sprain

Prevention of Ankle Sprains

40. Ankle-Specific Perturbation Training

Chronic Symptoms After a “Simple” Ankle Sprain

41. Chronic Ankle Instability

Diagnosis

Treatment

42. Syndesmotic Injuries

Diagnosis

Classification of Syndesmotic Injury

Treatment

43. Inferior Heel Pain (Plantar Fasciitis)

Clinical Background

Anatomy and Pathomechanics

Myth of the Heel Spur

Etiology

Natural History

Bilateral Heel Involvement

Signs and Symptoms

Evaluation of Patients With Inferior Heel Pain

Treatment of Plantar Fasciitis

Rupture of the Plantar Fascia

44. Achilles Tendinopathy

Examination

Imaging

Achilles Paratenonitis

Achilles Tendinosis

Achilles Paratenonitis With Tendinosis

Insertional Achilles Tendinitis

Retrocalcaneal Bursitis

Treatment of Achilles Tendinopathy

Eccentric Achilles Training for Achilles Pathology

Eccentric Exercise Regimen

Operative Treatment

Postoperative Rehabilitation Progression After Achilles Tendon Débridement

Other Treatment Modalities for Achilles Tendinopathy

45. Achilles Tendon Rupture

Background

Clinical Signs and Symptoms

Treatment of Acute Rupture of the Achilles Tendon

Nonoperative Treatment of Acute Achilles Tendon Rupture

Operative Treatment for Acute Achilles Tendon Rupture

Rehabilitation After Operative Treatment of Acute Achilles Tendon Rupture

Chronic Achilles Tendon Rupture

Return to Sports Recommendations After Achilles Rupture

46. First Metatarsophalangeal Joint Sprain (Turf Toe)

Signs and Symptoms

Radiographic Evaluation

Treatment

Rehabilitation for Turf Toe

Section 5. Knee Injuries

47. Anterior Cruciate Ligament Injuries

Background

Treatment of ACL Injuries

ACL Rehabilitation Rationale

Other Rehabilitation Considerations After ACL Reconstruction

48. Perturbation Training for Postoperative ACL Reconstruction and Patients Who Were Nonoperatively Treated and ACL Deficient

Copers

Noncopers

49. Gender Issues in ACL Injury

ACL Injury in the Female Athlete

ACL Injury Prevention and Rehabilitation Programs in Female Athletes

50. Functional Testing, Functional Training, and Criteria for Return to Play After ACL Reconstruction

Risks With Early Return To Sport

Current Guidelines to Return to Sports

Targeting End-Stage Rehabilitation

51. Functional Performance Measures and Sports-Specific Rehabilitation for Lower Extremity Injuries: A Guide for a Safe Return to Sports

Functional Training

Functional Progressions

Functional Performance Measures/Tests

Functional Performance Testing Categories: Lower Extremities

Advanced Lower Extremity Sports Assessment

Limb Symmetry Index

52. Treatment and Rehabilitation of Arthrofibrosis of the Knee

Introduction

Prevention

Classification

Treatment

Results

Conclusions

53. Posterior Cruciate Ligament Injuries

Rehabilitation Rationale

Evaluation

Biomechanics of the Posterior Cruciate Ligament–Deficient Knee

Biomechanics of Exercise

Natural History

Rehabilitation Considerations

Patellofemoral Joint

54. Medial Collateral Ligament Injuries

Clinical Background

Mechanism of Injury

Diagnosis and Physical Examination

Radiographic Examination

Treatment of Isolated and Combined Medial Collateral Ligament Injuries

Rehabilitation After MCL Injury

55. Meniscal Injuries

Clinical Background

Meniscal Movement

Rehabilitation Considerations

56. Patellofemoral Disorders

Clinical Background

Clinical Pearls for Patellofemoral Pain

Classification

Evaluation of the Patellofemoral Joint

Clinical Tests for Patellofemoral Disorders

Important Points in Rehabilitation of Patellofemoral Disorders

57. Medial Patellofemoral Ligament Reconstruction

Anatomy

Pathogenesis

Treatment

58. Hip Strength and Kinematics in Patellofemoral Syndrome

Additional Patellofemoral Pain Syndrome Rehabilitation Considerations

Patellar Excess Pressure Syndromes (GPPS versus ELPS)

59. Overuse Syndromes of the Knee

History of Patellar Tendinitis (Jumper’s Knee)

Iliotibial Band Friction Syndrome

History and Examination

Predisposing Factors

Treatment of Iliotibial Band Friction Syndrome

60. Patellar Tendon Ruptures

Background

Anatomy and Biomechanics

Etiology

Clinical Evaluation

Rehabilitation Following Surgical Treatment of Patellar Tendon Rupture

61. Articular Cartilage Procedures of the Knee

Clinical Background

Types of Motion

Muscle Strengthening

Weight bearing Progression

Important Rehabilitation Considerations

Rehabilitation Protocol

Troubleshooting Techniques After Articular Cartilage Procedures

62. The Arthritic Knee

Classification

Diagnosis

Radiographic Evaluation

Treatment Options

General Considerations

Goals of Rehabilitation After Total Knee Arthroplasty

63. Total Knee Replacement Protocol

Section 6. Hip Injuries

64. Hip Injuries

Treatment of Intra-Articular Hip Pathology

Hip Arthroscopy

Postoperative Rehabilitation Following Hip Arthroscopy

Open Procedures of the Hip

Total Hip Arthroplasty

Preoperative Patient Education

Postoperative Physical Therapy

Skilled Nursing and Home Health Interventions

Outpatient Orthopedic Physical Therapy

Return to Sport

Sport-Specific Exercises for the Golfer with a Total Hip Replacement

Treatment of Extra-Articular Hip Pathology

Coxa Saltans

Gluteal Tears

65. The Arthritic Hip

Clinical Background

General Features of Osteoarthritis

Primary Symptoms and Signs of Osteoarthritis

Classification of Hip Arthritis

Diagnosis of Hip Arthritis

Treatment of Hip Arthritis

66. Total Hip Replacement Rehabilitation: Progression and Restrictions

Preoperative Management

Surgical Approach

Multimodal Pain Management

Hip Precautions

Postoperative Total Hip Arthroplasty Rehabilitation Programs

Weight bearing

Levels of Rehabilitative Care

Postoperative Protocol After Primary Total Hip Replacement

Return to Sport After Total Hip Replacement

Sport-Specific Exercises for the Golfer With a Total Hip Replacement

67. Groin Pain

Background

History

Examination

Treatment

68. Hamstring Muscle Injuries in Athletes

Considerations of Applied Anatomy and Biomechanics

Classification of Hamstring Injury

Etiologic Concerns

Physical Examination

Diagnostic Imaging

Hamstring Injuries Other Than Strains

Functional Progression and Return-to-Play Guidelines

Prevention

69. Athletic Pubalgia

Introduction

Epidemiology/Special Population (Athletic)

Clinical Presentation

Risk Factors

Differential Diagnosis

Anatomy

Physical Examination

Diagnosis

Management

Our Approach

Conclusion

70. Femoro-acetabular Impingement: Labral Repair and Reconstruction

Introduction

Relevant Anatomy

Conservative Management and Preoperative Rehabilitation

Surgical Treatment

Postoperative Rehabilitation Guidelines

Immediate Postoperative Rehabilitation

Outpatient Rehabilitation

Section 7. Spinal Disorders

71. Whiplash Injury: Treatment and Rehabilitation

The Whiplash Epidemic

Diagnosis

Treatment: Review of the Literature

Treatment of Acute Whiplash (0 to 3 Weeks)

Treatment of Subacute Whiplash (3 Weeks to 3 Months)

Treating Chronic Whiplash (3 Months and More)

72. Therapeutic Exercise for the Cervical Spine

Exercises to Improve Muscular Coordination, Endurance, or Strength

Exercises to Improve Muscular Coordination

Exercises to Improve Muscular Endurance or Strength

Exercises to Improve Repositioning Acuity, Oculomotor Control, or Postural Stability

Exercises to Improve Mobility

73. Treatment-Based Classification of Low Back Pain

Background

History

74. Core Stabilization Training

Anatomy

Mechanisms of Injury to the Core

Rehabilitation: Assessment and Intervention

Where to Begin: Formal Motor Skill Training

Incorporation Into Light Functional Tasks

General Functional Exercises

Dynamic, Progressive Functional Challenges

Conclusion

75. McKenzie Approach to Low Back Pain

Types of Pain

Activation of Pain

Stages of Tissue Healing

Intervertebral Disc

McKenzie Classification of Syndromes

McKenzie Evaluation

Intervention

Summary

76. Rehabilitation Following Lumbar Disc Surgery

Lumbar Disc Surgery

Current Best Evidence: Postdiscectomy Rehabilitation

The Postdiscectomy “Protocol”

Education

Exercise

Walking Program

Manual Therapy

77. Chronic Back Pain and Pain Science

Introduction

Current Models for Managing Chronic Spinal Pain

Important Issues in Understanding Pain

The Brain’s Processing of Pain

The Output Systems

Chronic Pain: Best Evidence Management

Conclusion

78. Spinal Manipulation

Defining Spinal Manipulation

Evidence for Spinal Manipulative Therapy

Clinical Prediction Rules

The Audible Pop

Spinal Positioning and Locking

Cervical Spine

Thoracic and Lumbar Spine

Safety and Manipulative Techniques

Contraindications and Precautions

Spinal Manipulation Techniques

79. Neurodynamics

Manual Therapy for the Nervous System

Adverse Neural Tension versus Neurodynamics

Neurophysiology in Neurodynamics

Nerve Sensitivity

Central Sensitivity

Clinical Neurobiomechanics

The Base Tests

Clinical Application of Neurodynamics

Neurodynamic Treatment

Summary

80. Spondylolisthesis

Definitions

Diagnosis

Treatment

81. Lumbar Spine Microdiscectomy Surgical Rehabilitation

Section 8. Special Topics

82. Running Injuries: Etiology and Recovery-Based Treatment

Gait: Walking and Running

Education

Building Capacity

Principles of Optimal Run Training

Summary

83. Running Injuries: Shoes, Orthotics, and Return-to-Running Program

Biomechanical and Anatomic Factors

Shoes

Patterns of Wear for Running Shoes

Orthotics

Medications

Surgery

Physical Therapy and Rehabilitation

Return-to-Running Algorithm 2 (Miller’s Recommendations)

Summary

84. Tendinopathy

Medical Methods of Treatment

Physical Therapy

Index

 

An aparitie	2017
Autor	Charles E Giangarra, Robert C. Manske
Dimensiuni	3.2 x 22.9 x 28.6 cm
Editura	Elsevier
Format	Hardback
ISBN	9780323393706
Limba	Engleza
Nr pag	560