Michael T. Gross – Evidence-Based Interventions for Osteoarthritis, Meniscal/Labral Lesions, Muscle/Tendon Strains, & Tendinitis

Outline

OSTEOARTHRITIS

• Composition of articular cartilage
• Mechanical properties of articular cartilage
• The 3 main destroyers of articular cartilage
• Exercise parameters that protect articular cartilage from frictional abrasion
• Protecting your patient from impact loading
• Strategies to alter contact pressures
• Conservative and invasive repair attempts and how to manage them
• The interplay between running shoes and foot strike pattern
• So, you thought you knew what hand to use with a cane for knee varus/valgus?

MENISCAL/LABRAL LESIONS

• Changing your thinking about post-scope meniscectomy
• Improving meniscus repair response
• Detecting SLAP lesions – what will be the patient’s story?
• Detecting SLAP lesions – the best special tests
• Basics of SLAP lesion rehab based on lesion type/repair of the lesion
• Detecting hip labral lesions
• Rehabilitation of hip labral lesions
• Joint instability models and effect on meniscus
• Improving the repair response
• Meniscus transplantation

MUSCLE/TENDON STRAINS

• Why the weekend warrior is prone to muscle-tendon juncture injuries – at the microscopic level
• The Jarvinen Approach to treating muscle strain injuries
• Factors that explain why patients have
• recurrent muscle strains – how to end the vicious cycle
• Dealing with compartment injuries
• Apophyseal injuries in the young
• Avulsion injuries among older adults

TENDINITIS

• Tendon structure in healthy tendon and in tendon with chronic tendinosis
• Treating acute tendinitis versus chronic tendinosis
• Tendon pulley mechanisms – the triple whammy
• Strategies to decrease compressive stress in tendon pulley mechanisms
• Strategies to decrease frictional abrasion in tendon pulley mechanisms
• Application of tendon pulley mechanisms to the shoulder, wrist, and ankle
• The “Wringing Out Effect” of Rathbun and McNab and its applications