1. Knee Sam and Matt

2. Disease: Osteoarthritis

3. Knee with Osteoarthritis

4. Osteoarthritis oSymptoms ▪Swelling ▪pain that increase with activities ▪warmth in the joint ▪stiffness in the knee ▪decrease in mobility of the knee ▪creaking, crackly sound otreatment ▪weight loss ▪exercise ▪pain relievers and anti- inflammatory drugs ▪corticosteroids or hyaluronic acid ▪braces ▪physical and occupational therapy ▪surgery

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

6. Baker’s Cyst ● Symptoms o no pain o tightness or stiffness behind the knee o swelling behind the knee that may get worse when you stand o slight pain behind the knee and into the upper calf. ● Diagnosis o comparing two knees o MRI o transillumination o x-ray doesn’t show the cyst

7. Treatment for Baker’s Cyst Arthroscopy https://www.youtube.com/watch?v=UmavjR6sg_I

8. Osgood Schlatter Disease o inflammation where patellar tendon attaches to the tibia o Cause: ● Overuse of knee area before it is finished growing -common cause of knee pain in growing adolescents ● growth spurts when the structures are changing rapidly. ● hyperactive (eg: athletic children)

9. Osgood Schlatter Disease osymptoms ▪knee pain and tenderness at the tibial tubercle ▪swelling at the tibial tubercle ▪tight muscles in the front or back of the thigh otreatment ▪Stretching exercises ▪non-steroidal anti-inflammatory medication oSurgical Treatment is rarely indicated in children

10. Osgood Schlatter Disease ophysical 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

11. Meniscus Tear

12. Bucket Handle TearFlap Tear

13. Radial TearDegenerative Tear

14. Meniscus Tear

15. oSymptoms ▪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 oExamination ▪X ray- does not show meniscus tear ▪MRI- better images of the soft tissues of knee joint (meniscus)

16. Meniscus Tear

17. ●Treatment oNon surgical ▪Rest ▪Ice ▪Compression ▪Elevation- leg high up higher than your heart ▪non-steroidal anti-inflammatory medicines osurgical ▪arthroscopic ●partial meniscectomy→ damaged meniscus tissue trimmed away

18. Partial Menisectomy

19. Meniscus Tear ●Meniscus repair → ●Total meniscectomy→

20. Total Knee Replacement: Causes Osteoarthritis Rheumatoid Arthritis Post traumatic Arthritis Bowed leg

21. Total Knee Replacement: Diagnosis http://orthoinfo.aaos.org/topic.cfm?topic=a00389

22. Total knee replacement: Procedure http://orthoinfo.aaos.org/topic.cfm?topic=a00389 https://www.youtube.com/watch?v=kAMuP2MNqUo

23. Total Knee Replacement http://orthoinfo.aaos.org/topic.cfm?topic=a00389

24. Total Knee Replacement: Post-Op http://orthoinfo.aaos.org/topic.cfm?topic=a00389 http://www.mayoclinic.org/tests-procedures/knee-replacement/basics/risks/prc-20019202

25. 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

26. Partial or Total Knee Replacement? http://orthoinfo.aaos.org/topic.cfm?topic=A00585 https://www.dmc.org/cartilagedefects

27. Partial Knee Replacement: Post-Op http://orthoinfo.aaos.org/topic.cfm?topic=A00585

28. OATS Osteoarticular Transfer System For Cartilage repair/transfer. https://www.youtube.com/watch?v=jRH0Q26TWms

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

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

31. ACL tear cont. http://physioworks.com.au/injuries-conditions-1/acl-anterior-cruciate-ligament-injuries

32. ACL tear: Symptoms and Diagnoses http://orthoinfo.aaos.org/topic.cfm?topic=a00549

33. PCL & ACL: Treatment Options Nonsurgical: ●RICE ●Immobilization ●Physical Therapy Surgery: ●ACL reconstruction

34. PCL & ACL: Surgical Procedure http://www5.aaos.org/icm/default.cfm?screen=icm004_s07_p4

35. Review

36. Review cont.

37. This is a horizontal x-sectional view MRI image

38. Review cont. MRI http://radsource.us/wp-content/uploads/2008/02/4a.jpg

39. Reference ohttp://www.mccc.edu/~behrensb/documents/StrucKneeb jb.pdfhttp://www.mccc.edu/~behrensb/documents/StrucKneeb jb.pdf ohttp://www.webmd.com/osteoarthritis/guide/ostearthritis -of-the-knee-degenerative-arthritis-of-the-knee?page=2http://www.webmd.com/osteoarthritis/guide/ostearthritis -of-the-knee-degenerative-arthritis-of-the-knee?page=2 ohttps://www.youtube.com/watch?v=OXGx4jK_q3k ohttp://www.webmd.com/pain-management/tc/bakers- cyst-topic-overview o http://orthoinfo.aaos.org/topic.cfm?topic=a00549 http://orthoinfo.aaos.org/topic.cfm?topic=a00549 o http://orthoinfo.aaos.org/topic.cfm?topic=a00420 http://orthoinfo.aaos.org/topic.cfm?topic=a00420 o https://www.nlm.nih.gov/medlineplus/ency/article/0029 72.htm https://www.nlm.nih.gov/medlineplus/ency/article/0029 72.htm o http://orthoinfo.aaos.org/topic.cfm?topic=a00109 http://orthoinfo.aaos.org/topic.cfm?topic=a00109 o http://orthoinfo.aaos.org/topic.cfm?topic=A00585 http://orthoinfo.aaos.org/topic.cfm?topic=A00585 o https://my.clevelandclinic.org/services/orthopaedics- rheumatology/treatments-procedures/hic-partial-knee- replacement https://my.clevelandclinic.org/services/orthopaedics- rheumatology/treatments-procedures/hic-partial-knee- replacement o http://orthoinfo.aaos.org/topic.cfm?topic=a00389 http://orthoinfo.aaos.org/topic.cfm?topic=a00389 o http://www.webmd.com/pain-management/video/knee- replacement http://www.webmd.com/pain-management/video/knee- replacement o https://www.youtube.com/watch?v=kAMuP2MNqUo https://www.youtube.com/watch?v=kAMuP2MNqUo o http://www.mayoclinic.org/tests-procedures/knee- replacement/basics/risks/prc-20019202 http://www.mayoclinic.org/tests-procedures/knee- replacement/basics/risks/prc-20019202 o http://www.sportsmedicineofnapavalley.com/uncategori zed/what-is-osteoarticular-transfer-system-oats-surgery/ http://www.sportsmedicineofnapavalley.com/uncategori zed/what-is-osteoarticular-transfer-system-oats-surgery/ o http://knee1.com/Education_Center/Therapies/OsteoArti cular_Transfer_System http://knee1.com/Education_Center/Therapies/OsteoArti cular_Transfer_System o http://www.webmd.com/pain-management/knee- pain/meniscus-tears http://www.webmd.com/pain-management/knee- pain/meniscus-tears o http://orthoinfo.aaos.org/topic.cfm?topic=a00358 http://orthoinfo.aaos.org/topic.cfm?topic=a00358 o http://orthoinfo.aaos.org/topic.cfm?topic=a00411 http://orthoinfo.aaos.org/topic.cfm?topic=a00411 o http://emedicine.medscape.com/article/1993268- treatment#d11 http://emedicine.medscape.com/article/1993268- treatment#d11 o http://www.webmd.com/pain-management/tc/bakers- cyst-topic-overview