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SAVE YOUR KNEES I.M. Doctor, M.D. My Office My City, State.

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Presentation on theme: "SAVE YOUR KNEES I.M. Doctor, M.D. My Office My City, State."— Presentation transcript:

1 SAVE YOUR KNEES I.M. Doctor, M.D. My Office My City, State

2 The information in this presentation was provided to the presenter by the American Academy of Orthopaedic Surgeons and may be modified. Endorsement of this presentation by the AAOS is not implied or inferred.

3 Save Your Knees  Orthopaedics and the Bone and Joint Decade  Protecting your knees

4 What is an orthopaedic surgeon?  MD who specializes in treatment and health maintenance of musculoskeletal system (bones, joints, ligaments, muscles, tendons, cartilage and spine)

5 What is an orthopaedic surgeon?  The expert in maintaining musculoskeletal health  The expert in treating the musculoskeletal system

6 Educating an Orthopaedic Surgeon  College  Medical School  Internship  Orthopaedic Residency  Fellowship (optional)  2 Years Practice TOTAL (1) 2 16 years!

7 What do orthopaedic surgeons do?  Diagnose  Treat  Medication  Physical Therapy  Exercise  Brace  Surgery  Prevent

8 Save Your Knees Your Orthopaedic Surgeon Getting You Back In The Game

9 Save Your Knees

10 The Knee Joint

11 The Knee Joint © 2009 Getty Images

12 The Knee Joint Pain or damage often caused by:  Injuries  Osteoarthritis

13 Save Your Knees

14 Knee Injuries  Sprains  Ligament (ACL, PCL, MCL, LCL) tears  Meniscus tear Illustration reproduced with permission from The Body Almanac, American Academy of Orthopaedic Surgeons, 2003

15 Knee Injuries: Sprains  Ligament injury  Knee pain, tenderness, swelling

16 Knee Injuries: Sprains  R.I.C.E.: rest, ice, compression, elevation  Rehabilitation  Anti-inflammatory  Brace

17 Knee Injuries: Ligament Tear  Direct blow to knee  Non-contact injury, with foot plant  Landing on straight leg  Making abrupt stops

18 Knee Injuries: ACL Tear Normal anatomy Hyperextension Femur Anterior cruciate ligament Anterior cruciate ligament tears Patella Tibia Fibula Femur slips Illustration reproduced with permission from The Body Almanac, Rosemont, IL American Academy of Orthopaedic Surgeons, 2003

19 Knee Injuries: ACL Tear  Incidence of ACL much higher among female athletes  Combination of causal factors

20 Knee Injuries: Meniscus Tear  Helps knee joint carry weight, glide, and turn  Twisting injury  Football and other contact sports

21 Knee Injuries: Meniscus Tear  Pain  Giving way  Locking  Clicking  Swelling

22 When to See the Doctor  Inability or decreased ability to play  Locking, popping, catching  Visible deformity  Severe pain or giving way

23 Knee Pain: Osteoarthritis  Nearly 21 million Americans age 25 and older have osteoarthritis  46 million U.S. adults report doctor-diagnosed arthritis  As the U.S. population ages, these numbers are likely to increase dramatically.  The number of people who have doctor-diagnosed arthritis is projected to increase to 67 million in 2030.

24 Inflammation Avoidance of Motion Increased Muscle Tightness Loss of Motion Knee Pain: Osteoarthritis

25 Healthy Knee Osteoarthritic Knee Cartilage Knee Pain: Osteoarthritis © 2009 Getty Images

26 Osteoarthritis Causes Primary Osteoarthritis: Most Common  Thought to be result of aging  Decreased ability of cartilage to repair itself  Ligaments supporting joints weaken

27 Osteoarthritis Causes Secondary Osteoarthritis  Obesity  Trauma  Surgery  Abnormal joints  Gout  Diabetes  Hormone disorders

28 Treatment

29 Treatment  Drug therapy  Intra-articular treatment  Surgery  Experimental/alternative treatments  Health and behavior modifications

30 Treatment: Medication  NSAIDs are non-steroidal anti-inflammatory drugs  Aspirin  Ibuprofen  Naproxen

31 Vitamins & Nutritional Supplements

32 Treatment: Surgery  Why?  Alternatives  Benefits and for how long?

33 Treatment: Surgery  Duration of recovery?  Assistance at home? How long?  Disability after surgery?  Physical therapy?  Return to normal activity?

34 Treatment: Surgery  Arthroscopy  Surgical abrasion of cartilage

35 Treatment: Surgery Pre-OsteotomyPost-Osteotomy

36 Surgery: Total Joint Replacement

37 Preventing Sports Injuries  Know and abide by rules  Wear appropriate protective gear  Know how to use equipment  Never “play through pain”

38 Prevention: Exercise

39 Prevention: Exercise  Strengthening exercises can help  Correct positioning is critical

40 Prevention: Exercise  Strengthening exercises can help  Correct positioning is critical 40

41 Prevention: Warm Up  Marching  Walk in place  Jumping jacks  Mimic the sport you are about to do Warm- up:

42 Prevention: Stretching  You should NOT feel pain  Hold stretch 30 seconds  Relax into the stretch Stretching:

43 Breathe deeply & slowly Avoid bouncing Stretch both right & left sides Prevention: Stretching

44 Prevention: Exercise DO:  Include flexibility, strengthening, and aerobic exercises  Exercise when you are not tired  Exercise when pain and stiffness lowest  Exercise when medication having greatest effect

45 Prevention: Exercise DO:  Always warm-up and cool down  Start slowly, progress gradually  Avoid becoming chilled or overheated when exercising  Use heat, cold, & other pain reducers

46 Prevention: Exercise DO:  Use aids like walking sticks, braces, or canes if recommended  Expect minor discomfort  Use two-hour rule: No more pain two hours after exercising than before you started

47 Prevention: Exercise  Talk to your physician first  Consider athletic trainer or physical therapist

48 Prevention: Exercise DON’T:  Do too much too soon  Hold your breath while exercising  Take extra medication before unless your physician suggests it

49 Too Much Exercise Consult your physician if these symptoms are present:  Unusual or persistent fatigue  Increased weakness  Decreased range of motion  Increased joint swelling  Continued pain 1 hour after exercising

50 American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont, IL Resources

51 What are your questions and concerns? Save Your Knees

52 Save Your Knees  Thank you for participating today  Remember, your orthopaedic surgeon can help get you back in the game

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