12 Preferred TreatmentNon Surgical: Activity Modification, Rehabilitation, BracingSurgical: Reconstruction of LigamentGoals of Surgery: Restore normal knee stability and function. Delay onset of degenerative arthritisJames M. Farmer M.D.
13 Patellofemoral Pain Pain originating from behind the knee cap Very common conditionExact cause unknown (likely many)Signs and SxAching pain along front of kneeWorse with sitting, stairs and squattingGiving way and bucklingJames M. Farmer M.D.
15 Preferred Treatment Non Surgical!!! Surgery Activity modification Physical TherapyTaping, Bracing, OrthoticsInjectionsSurgeryNot many “Good” optionsArthroscopy, Osteotomy, Resurfacing, ArthroplastyJames M. Farmer M.D.
16 Iliotibial Band Syndrome Caused by tight ITB rubbing over lateral epicondyle of femur when running.Signs and SxSharp pain over lateral knee when running or cyclingOccassional swellingJames M. Farmer M.D.
24 Preferred Treatment Grades 1 & 2: Non Surgical Grades 4-6: Surgical Grade 3: DebatableNon Surgical: Adequate for mostRest acutely then resume activitiesSurgical: Primarily for overhead athletes and militaryAcute: reduce and stabilize jointChronic: Reconstruct ligamentsJames M. Farmer M.D.
25 SLAP Lesion & Biceps Rupture Injuries to Biceps tendon origin in the shoulderMechanism: Acute: sudden pull on arm. Chronic: Degenerative, overuseSigns and SxPain reaching upward with palmWeaknessPossible deformity if rupturedJames M. Farmer M.D.
26 SLAP Lesion & Biceps Rupture James M. Farmer M.D.
27 SLAP Lesion & Biceps Rupture Popeye DeformityJohn Elway won 2 Super Bowls AFTER Biceps rupture!James M. Farmer M.D.
28 Preferred Treatment Non Surgical: Surgical: Activity modification Physical TherapySurgical:Repair of tendon attachmentRelease tendonRelocate tendonJames M. Farmer M.D.
29 Rotator Cuff Tear Continuum from Impingement to Complete Tear Mechanism: Acute: trauma. Chronic: degeneration with age due to poor blood supply to tendonSigns and SxPain reaching overheadPain sleepingWeakness and dysfunctionJames M. Farmer M.D.
31 Preferred Treatment Non Surgical: Surgical: Activity modification Physical TherapyInjectionsSurgical:Arthroscopic or Open repair of tendon and removal of bone spursShoulder replacementJames M. Farmer M.D.