1 / 16

Osteochondritis Dissecans of the Knee

Osteochondritis Dissecans of the Knee. By: Ashlee Capano Ther . Ex Sp.11. What are OCD’s of the Knee?. Definition Epidemiology Etiology Trauma Iscemia Genetics Ossification Abnormality. Pathology. Involved Anatomy Pathophysiology Progression of Disease Clinical Presentation S/S.

sammy
Download Presentation

Osteochondritis Dissecans of the Knee

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Osteochondritis Dissecans of the Knee By: Ashlee Capano Ther. Ex Sp.11

  2. What are OCD’s of the Knee? • Definition • Epidemiology • Etiology • Trauma • Iscemia • Genetics • Ossification Abnormality

  3. Pathology • Involved Anatomy • Pathophysiology • Progression of Disease • Clinical Presentation • S/S

  4. Diagnostic Imaging • X-ray • MRI • Arthroscopy

  5. Treatment Options • Conservative Treatment • Operative Treatment • Drilling • Internal Fixation • Marrow Stimulation • OsteochondralAutograft Transplant • OsteochondralAllografting • AutologousChondrocyte Implantation • Body Excision

  6. Rehabilitation Protocol • Phase I (0-2 weeks) • Short Term Goals • reduce pain, edema, spasm, protect surgical site, maintain conditioning, prevent atrophy • Treatment • Modalities for pain, CPM, Grade I/II Joint Mobilization, Ankle ROM, Hip ROM, Conditioning

  7. Phase II (2-6 weeks) • Short Term Goals • Increase knee ROM, reduce scar tissue/ adhesions, NO pain/spasm/edema, Increase WB status, increase muscle endurance • Treatment • Quad sets w. stim, Knee ROM (P/AA/A), Aquatic Therapy, Gait Training, Gr I/II Joint Mobilization, CKC Balance when WB

  8. Phase III (6- 16 weeks) • Short Term Goals • Full ROM, Increase Strength, Increase N.M control/Proprioception, normal mobility, normal gait • Exercise • Treadmill Walk, Leg Press 60, Aquatic (waist deep), Grade III/IV Joint Mobilization, Lateral Step Ups,CKC, BAPS, Jogging, Light Plyometrics

  9. Phase IV( 16weeks -1 yr) • Short Term Goals • Increase functional activity, increase sport specific activity, full strength, full endurance, • Exercises • Plyometrics,Functional exercises, sport specific exercise, return to play

  10. Discussion • Treatment Options • Prognosis • Further Studies

  11. QUESTIONS???

  12. References • Sailors, M.E. Recognition and Treatment of Osteochondritis Dissecans of the Femoral Condyles. Journal of Orthopaedic and Sports Physical Therapy 1994; 4(29) 302-6 • Hambly, K. Knee Articular Cartilage Repair and Athletes. Sports Medicine Cartilage Repair 2009; 39 17-21 • Schmitt L, Byrnes R, Cherny C, Filipa A, Harrison A, Paterno M, Smith T; Cincinnati Children’s Hospital Medical Center: Evidence Based Clinical Care Guidline for Management of Osteochondritis Dissecans of the Knee. Guideline 037 pages 1-16, December 17,2009. • Pictures: google images

More Related