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.
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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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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.