Knee Sam and Matt Disease: Osteoarthritis - PowerPoint Presentation

Slide1

Knee

Sam

and

Matt

Slide2

Disease: Osteoarthritis

Slide3

Knee with Osteoarthritis

Slide4

Osteoarthritis

SymptomsSwellingpain that increase with activitieswarmth in the jointstiffness in the kneedecrease in mobility of the kneecreaking, crackly sound

treatment

weight loss

exercise

pain relievers and anti-inflammatory drugs

corticosteroids or hyaluronic acid

braces

physical and occupational therapy

surgery

Slide5

Treatment: Arthroscopy

https://www.youtube.com/watch?v=nAj2_pgTkEA

Slide6

Baker’s Cyst

Symptoms

no pain

tightness or stiffness behind the knee

swelling behind the knee that may get worse when you stand

slight pain behind the knee and into the upper calf.

Diagnosis

comparing two knees

MRI

transillumination

x-ray doesn’t show the cyst

Slide7

Treatment for Baker’s Cyst

Arthroscopy

https://www.youtube.com/watch?v=UmavjR6sg_I

Slide8

Osgood Schlatter Disease

inflammation where patellar tendon attaches to the tibia

Cause:Overuse of knee area before it is finished growingcommon cause of knee pain in growing adolescentsgrowth spurts when the structures are changing rapidly.hyperactive (eg: athletic children)

Slide9

Osgood Schlatter Disease

symptoms

knee pain and tenderness at the tibial tubercle

swelling at the tibial tubercle

tight muscles in the front or back of the thigh

treatment

Stretching exercises

non-steroidal anti-inflammatory medication

Surgical Treatment is rarely indicated in children

Slide10

Osgood Schlatter Disease

physical therapy

acute phase

infrapatellar strap may be recommended but has no proven efficacy

resting recommended when pain arises

20 minutes of icing after activities

recovery phase

exercises: wall slides, squat below 90 degree, straight leg raises, short-arc quadriceps

Slide11

Meniscus Tear

Slide12

Bucket Handle Tear Flap Tear

Slide13

Radial Tear Degenerative Tear

Slide14

Meniscus Tear

Slide15

Meniscus Tear

Symptoms

You may feel a pop when tearing meniscus

over 2~3 days the knee will be more stiff and swollen

Pain

Stiffness and swelling

Catching or locking of knee

knee feels like giving away

not able to move your knee in full range of motion

Examination

X ray- does not show meniscus tear

MRI- better images of the soft tissues of knee joint (meniscus)

Slide16

Meniscus Tear

Slide17

Meniscus Tear

Treatment

Non surgical

R

est

Ice

Compression

Elevation- leg high up higher than your heart

non-steroidal anti-inflammatory medicines

surgical

arthroscopic

partial meniscectomy→ damaged meniscus tissue trimmed away

Slide18

Partial Menisectomy

Slide19

Meniscus Tear

Meniscus repair

→

Total meniscectomy

→

Slide20

Total Knee Replacement: Causes

Osteoarthritis

Rheumatoid Arthritis

Post traumatic Arthritis

Bowed leg

Slide21

Total Knee Replacement: Diagnosis

http://orthoinfo.aaos.org/topic.cfm?topic=a00389

Slide22

Total knee replacement: Procedure

http://orthoinfo.aaos.org/topic.cfm?topic=a00389

https://www.youtube.com/watch?v=kAMuP2MNqUo

Slide23

Total Knee Replacement

http://orthoinfo.aaos.org/topic.cfm?topic=a00389

Slide24

Total Knee Replacement: Post-Op

http://orthoinfo.aaos.org/topic.cfm?topic=a00389http://www.mayoclinic.org/tests-procedures/knee-replacement/basics/risks/prc-20019202

Slide25

Partial Knee Replacement (Unicompartmental)

http://orthoinfo.aaos.org/topic.cfm?topic=A00585

https://my.clevelandclinic.org/services/orthopaedics-rheumatology/treatments-procedures/hic-partial-knee-replacement

Slide26

Partial or Total Knee Replacement?

http://orthoinfo.aaos.org/topic.cfm?topic=A00585

https://www.dmc.org/cartilagedefects

Slide27

Partial Knee Replacement: Post-Op

http://orthoinfo.aaos.org/topic.cfm?topic=A00585

Slide28

OATS

Osteoarticular Transfer System

For Cartilage repair/transfer.

https://www.youtube.com/watch?v=jRH0Q26TWms

Slide29

PCL Tear

https://www.youtube.com/watch?v=gqHDtiU7y2M

Slide30

ACL tear

http://orthoinfo.aaos.org/topic.cfm?topic=a00549

Slide31

ACL tear cont.

http://physioworks.com.au/injuries-conditions-1/acl-anterior-cruciate-ligament-injuries

Slide32

ACL tear: Symptoms and Diagnoses

http://orthoinfo.aaos.org/topic.cfm?topic=a00549

Slide33

PCL & ACL: Treatment Options

Nonsurgical:

RICE

Immobilization

Physical Therapy

Surgery:

ACL reconstruction

Slide34

PCL & ACL: Surgical Procedure

http://www5.aaos.org/icm/default.cfm?screen=icm004_s07_p4

Slide35

Review

Slide36

Review cont.

Slide37

Review cont.

This is a horizontal x-sectional viewMRI image

Slide38

Review cont. MRI

http://radsource.us/wp-content/uploads/2008/02/4a.jpg

Slide39

Reference

http://www.mccc.edu/~behrensb/documents/StrucKneebjb.pdfhttp://www.webmd.com/osteoarthritis/guide/ostearthritis-of-the-knee-degenerative-arthritis-of-the-knee?page=2https://www.youtube.com/watch?v=OXGx4jK_q3khttp://www.webmd.com/pain-management/tc/bakers-cyst-topic-overviewhttp://orthoinfo.aaos.org/topic.cfm?topic=a00549http://orthoinfo.aaos.org/topic.cfm?topic=a00420https://www.nlm.nih.gov/medlineplus/ency/article/002972.htmhttp://orthoinfo.aaos.org/topic.cfm?topic=a00109http://orthoinfo.aaos.org/topic.cfm?topic=A00585https://my.clevelandclinic.org/services/orthopaedics-rheumatology/treatments-procedures/hic-partial-knee-replacement

http://orthoinfo.aaos.org/topic.cfm?topic=a00389

http://www.webmd.com/pain-management/video/knee-replacement

https://www.youtube.com/watch?v=kAMuP2MNqUo

http://www.mayoclinic.org/tests-procedures/knee-replacement/basics/risks/prc-20019202

http://www.sportsmedicineofnapavalley.com/uncategorized/what-is-osteoarticular-transfer-system-oats-surgery/

http://knee1.com/Education_Center/Therapies/OsteoArticular_Transfer_System

http://www.webmd.com/pain-management/knee-pain/meniscus-tears

http://orthoinfo.aaos.org/topic.cfm?topic=a00358

http://orthoinfo.aaos.org/topic.cfm?topic=a00411

http://emedicine.medscape.com/article/1993268-treatment#d11

http://www.webmd.com/pain-management/tc/bakers-cyst-topic-overview