Clinical Orthopaedic Rehabilitation: A Team Approach

Höfundar: Charles E Giangarra; Robert C. Manske (Útgáfa: 4)
Clinical Orthopaedic Rehabilitation: A Team Approach

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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.

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Útgefandi
Elsevier Limited (UK)
ISBN
9780323477895
Print ISBN
9780323393706
Format
ePub
Útgáfa
4
Höfundar
Charles E Giangarra; Robert C. Manske
Tungumál
English
Útgefið
2017-01-04
Prent takmörkun á líftíma
10

Kaflar

  • Instructions for online access
  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Contributors
  • Foreword by George J. Davies
  • Foreword by Edward G. McFarland
  • Preface
  • Acknowledgments
  • 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