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Dorn Spinal Therapy

Spine Healing Therapy

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Figure 62-11 Anteroposterior (A) and lateral (B) radiographs and sagittal computed tomography scan image (C) of a displaced fracture of the tibial tubercle. The lateral radiograph (B) shows the presence of an associated Osgood-Schlatter disease lesion.

REFERENCES

1. Cain EL, Clancy WG: Treatment algorithm for osteochondral injuries of the knee. Clin Sports Med 2001;20:321-342.

2. Fairbanks H: Osteochondritis dissecans. J Bone Joint Surg Br 1933;21:67-71.

3. Wall E, Von Stein D: Juvenile osteochondritis dissecans. Orthop Clin N Am 2003;34:341-353.

4. Shapiro F: Pediatric Orthopedics Deformities. Orlando, FL, Academic Press, 2001, pp 466-469.

5. Staheli LT: Fundamentals of Pediatric Orthopedics, 3rd ed. New York, Lippincott Williams & Wilkins, 2001, p 71.

6. Benson M, Fixsen H, Macnicol M, et al: Children's Orthopaedics and Fractures. New York, Churchill Livingstone, 1994, pp 420-421.

7. Herring JA: Disorders of the knee. In: Tachdjian's Pediatric Orthopaedics, 3rd ed. Philadelphia, WB Saunders, 2002, pp 789-792.

8. Conrad JM, Stanitski CL: Osteochondritis dissecans: Wilson's sign revisited. Am J Sports Med 2003;31:777-778.

9. Pill SG, Ganley TJ, Milam RA, et al: Role of magnetic resonance imaging and clinical criteria in predicting successful nonoperative treatment of osteochondritis dissecans in children. J Pediatr Orthop 2003;23:102-108.

10. Luhmann SJ, Schootman M, Gordon JE, et al: Magnetic resonance imaging of the knee in children and adolescents. J Bone Joint Surg Am 2005;87:497-502.

11. Robertson W Kelly BT, Green DW: Osteochondritis dissecans of the knee in children. Curr Opin Pediatr 2003;15:38-44.

12. Wright RW, McLean M, Matava MJ, et al: Osteochondritis dissecans of the knee: Long-term results of excision of the fragment. Clin Orthop 2004;424:239-243.

13. Yoshizumi Y, Sugita T, Kawamata T, et al: Cylindrical osteochondral graft for osteochondritis dissecans of the knee. Am J Sports Med 2002;30:441-445.

14. Duri ZA, Patel DV Aichroth PM: The immature athlete. Clin Sports Med 2002;21:461-482.

15. Jakob RP, Von Gumppenberg S, Engelhardt P: Does Ogood-Schlatter's disease influence the position of the patella? J Bone Joint Surg Br 1981;63:579-582.

16. Herring JA: Disorders of the knee. In: Tachdjian's Pediatric Orthopaedics, 3rd ed. Philadelphia, WB Saunders, 2002, pp 812-813.

17. Ross MD, Villard D: Disability levels of college-aged men with a history of Osgood-Schlatter disease. J Strength Cond Res 2003;17:659-663.

18. Browner-Elhanan KJ, Small E, Coupey S, et al: Lower limb flexibility and muscle strength in Osgood-Schlatter disease. Med Sci Sports Exerc 1999;31:S359.

19. Krause BL, Williams JPR, Catterall A: Natural history of Osgood-Schlat-ter disease. J Pediatr Orthop 1990;10:65-68.

20. Flowers MJ, Bhadreshwar DR: Tibial tuberosity excision for symptomatic Osgood-Schlatter disease. J Pediatr Orthop 1995;15:292-297.

21. Di Gennaro S, Calvisi V, Magaletti M: Bone patellar tendon bone and ACL reconstruction in Osgood-Schlatter's disease. J Bone Joint Surg Br 2001;83(Suppl II):170.

22. McCarroll JR, Shelbourne D, Patel DV: Anterior cruciate ligament reconstruction in athletes with an ossicle associated with Osgood-Schlatter's disease. Arthroscopy 1996;12:556-560.

23. Kendall N, Hsu S, Chan K: Fracture of the tibial spine in adults and children. J Bone Joint Surg Br 1992;74:848-852.

24. Meyers M, McKeever F: Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am 1970;52:1677-1684.

25. Gronkvist H, Hirsch G, Johansson L: Fracture of the anterior tibial spine in children. J Pediatr Orthop 1984;4:465-468.

26. Meyers M, McKeever F: Fracture of the intercondylar eminence of the tibia. J Bone Joint Surg Am 1959;41:209-222.

27. Hunter RE, Willis JA: Arthroscopic fixation of avulsion fractures of the tibial eminence: Technique and outcome. Arthroscopy 2004;20: 113-121.

28. Zaricznyj B: Avulsion fracture of the tibial eminence: Treatment by open reduction and pinning J Bone Joint Surg Am 1977;59:1111-1114.

29. Accousti WK, Willis RB: Tibial eminence fractures. Orthop Clin N Am 2003;34:365-375.

30. Kocher MS, Micheli LJ, Gerbino P, et al: Tibial eminence fractures in children: Prevalence of meniscal entrapment. Am J Sports Med 2003;31:404-407.

31. Shepley RW: Arthroscopic treatment of type III tibial spine fractures using absorbable fixation. Orthopedics 2004;27:767-769.

32. Lubowitz JH, Elson WS, Guttmann D: Part II: Arthroscopic treatment of tibial plateau fractures: Intercondylar eminence avulsion fractures. Arthroscopy 2005;21:86-92.

33. Stanitski CL: Knee trauma and epiphyseal disorders. Paper presented at the American Academy of Orthopaedic Surgeons, Review and Update for Practicing Orthopaedic Surgeons Course, November 1, 2003, Washington, DC.

34. Salter RB: Injuries involving the epiphyseal plate. J Bone Joint Surg Am 1963;45:587-622.

35. Beaty JH, Kumar A: Current concepts review. Fractures about the knee in children. J Bone Joint Surg Am 1994;76:1870-1880.

36. Stanitski CL: Physeal fractures about the knee. Paper presented at the American Academy of Orthopaedic Surgeons, Review and Update for Practicing Orthopaedic Surgeons Course, October 23, 2004, Washington, DC.

37. Ogden JA, Tross RB, Murphy MJ: Fractures of the tibial tuberosity in adults. J Bone Joint Surg Am 1980;62:205-212.

38. Reynolds R: Proximal tibia and distal femur fractures. Paper presented at the 81st AO Course, December 13, 2004, Davos, Switzerland.

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Knee Rehabilitation

Terry Malone

In This Chapter

General algorithm Functional progression Rehabilitation for specific conditions

This chapter is designed to provide the reader a well-defined process of rehabilitation progression in relationship to numerous knee conditions and their corresponding interventions. Rather than attempting to go into great detail on the rehabilitation sequence for each condition outlined in previous chapters, clinical pearls or unique observations are shared regarding each major area. The term functional progression is frequently used to describe the transition of the patient from lower levels of function to higher, more demanding levels, thus enabling a return to desired activity. These progressions are provided for each condition with the unique challenges of that specific patient presentation. A key part of these progressions is that certain rules always are observed, that is, controlled actions before less controlled actions, stable before unstable, partial weight bearing before full weight bearing, thus outlining a general algorithm of progression. This concept is also a part of the required patient assessment and allows the clinician to have a linkage of assessment to rehabilitation through well-defined sequences.

One of the major advances available to clinicians today is protocol information from Web sites of universities or centers enabling a quick review of patient progressions following specific interventions. Although readily available, clinicians must be cautious in the application of these external protocols to the individual patient, not blindly accepting a time-driven approach. The best application of protocols is to use them as a general "flight plan" that may need to be altered as "weather" conditions change.

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Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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