Clinical Orthopaedic Rehabilitation

in clinical orthopaedic rehabilitation: an evidence-based approach, dr. s. brent brotzman and robert c. manske help you
apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries
and post-surgical conditions. a well-respected, comprehensive source for evaluating, treating, and rehabilitating
orthopaedic patients, the 3rd edition guides you on the prevention of running injuries, the latest perturbation
techniques, and the acl rehabilitation procedures and functional tests you need to help get your patients back in the
game or the office. you'll also find a brand-new spine rehabilitation section, an extensively revised art program, and
online access to videos demonstrating rehabilitation procedures of common orthopaedic conditions at
www.expertconsult.com.


Table of Contents
1 Hand and Wrist Injuries 1
FLEXOR TENDON INJURIES 1
TRIGGER FINGER (STENOSING FLEXOR TENOSYNOVITIS) 5
FLEXOR DIGITORUM PROFUNDUS AVULSION (밓ERSEY FINGER? 6
EXTENSOR TENDON INJURIES 7
FRACTURES AND DISLOCATIONS OF THE HAND 11
FIFTH METACARPAL NECK FRACTURE (BOXER'S FRACTURE) 13
INJURIES TO THE ULNAR COLLATERAL LIGAMENT OF THE THUMB
METACARPOPHALANGEAL JOINT (GAMEKEEPER'S THUMB) 17
NERVE COMPRESSION SYNDROMES 18
WRIST DISORDERS 23
FRACTURE OF THE DISTAL RADIUS 24
TRIANGULAR FIBROCARTILAGE COMPLEX INJURY 29
DE QUERVAIN TENOSYNOVITIS 33
INTERSECTION SYNDROME OF THE WRIST 34
DORSAL AND VOLAR CARPAL GANGLION CYSTS 36

2 Elbow Injuries 55
PEDIATRIC ELBOW INJURIES IN THE THROWING ATHLETE: EMPHASIS ON PREVENTION 55
MEDIAL COLLATERAL LIGAMENT AND ULNAR NERVE INJURY AT THE ELBOW 57
TREATING FLEXION CONTRACTURE (LOSS OF EXTENSION) IN THROWING ATHLETES 60
POST-TRAUMATIC ELBOW STIFFNESS 60
TREATMENT AND REHABILITATION OF ELBOW DISLOCATIONS 63
LATERAL AND MEDIAL HUMERAL EPICONDYLITIS 66
ELBOW ARTHROPLASTY 74

3 Shoulder Injuries 82
GENERAL PRINCIPLES OF SHOULDER REHABILITATION 84
IMPORTANCE OF THE HISTORY IN THE DIAGNOSIS OF SHOULDER PATHOLOGY 86
ROTATOR CUFF TENDINITIS IN THE OVERHEAD ATHLETE 95
ROTATOR CUFF REPAIR 99
SHOULDER INSTABILITY TREATMENT AND REHABILITATION 106
SHOULDER INSTABILITY뾕EHABILITATION 112
ADHESIVE CAPSULITIS (FROZEN SHOULDER) 113
REHABILITATION FOR BICEPS TENDON DISORDERS AND SLAP LESIONS 117
ACROMIOCLAVICULAR JOINT INJURIES 124
OSTEOLYSIS OF THE ACROMIOCLAVICULAR JOINT IN WEIGHT LIFTERS 127
SCAPULAR DYSKINESIS 128
REHABILITATION FOLLOWING TOTAL SHOULDER AND REVERSE TOTAL SHOULDER ARTHROPLASTY 129
UPPER EXTREMITY INTERVAL THROWING PROGRESSIONS 136
SHOULDER EXERCISES FOR INJURY PREVENTION IN THE THROWING ATHLETE 142
GLENOHUMERAL INTERNAL ROTATION DEFICIENCY: EVALUATION AND TREATMENT 148
POSTURAL CONSIDERATION FOR THE FEMALE ATHLETE'S SHOULDER 151

4 Knee Injuries 211
ANTERIOR CRUCIATE LIGAMENT INJURIES 211
PERTURBATION TRAINING FOR POSTOPERATIVE ACL RECONSTRUCTION AND PATIENTS WHO WERE NONOPERATIVELY TREATED AND ACL
DEFICIENT 219
GENDER ISSUES IN ACL INJURY 223
FUNCTIONAL TESTING, FUNCTIONAL TRAINING, AND CRITERIA FOR RETURN TO PLAY AFTER ACL RECONSTRUCTION 230
FUNCTIONAL PERFORMANCE MEASURES AND SPORTS-SPECIFIC REHABILITATION FOR LOWER EXTREMITY INJURIES: A GUIDE FOR A SAFE
RETURN TO SPORTS 233
OTHER ACL REHABILITATION ADJUNCTS 244
TREATMENT AND REHABILITATION OF ARTHROFIBROSIS OF THE KNEE 246
POSTERIOR CRUCIATE LIGAMENT INJURIES 251
MEDIAL COLLATERAL LIGAMENT INJURIES 257
MENISCAL INJURIES 261
PATELLOFEMORAL DISORDERS 263
HIP STRENGTH AND KINEMATICS IN PATELLOFEMORAL SYNDROME 273
OVERUSE SYNDROMES OF THE KNEE 275
PATELLAR TENDON RUPTURES 277
ARTICULAR CARTILAGE PROCEDURES OF THE KNEE 279

5 Foot and Ankle Injuries 315
ANKLE SPRAINS 315
ANKLE-SPECIFIC PETURBATION TRAINING 331
CHRONIC ANKLE INSTABILITY 332
SYNDESMOTIC INJURIES 334
INFERIOR HEEL PAIN (PLANTAR FASCIITIS) 336
ACHILLES TENDINOPATHY 342
ACHILLES TENDON RUPTURE 350
FIRST METATARSOPHALANGEAL JOINT SPRAIN (TURF TOE) 352
CUBOID SYNDROME 356

6 The Arthritic Lower Extremity 371
TOTAL HIP REPLACEMENT REHABILITATION: PROGRESSIO AND RESTRICTIONS 374
THE ARTHRITIC KNEE 380
TOTAL KNEE REPLACEMENT PROTOCOL 386

7 Special Topics 393
RUNNING INJURIES: ETIOLOGY AND RECOVERY-BASED TREATMENT 393
RUNNING INJURIES: SHOES, ORTHOTICS, AND RETURN-TO-RUNNING PROGRAM 402
GROIN PAIN 413
HAMSTRING MUSCLE INJURIES IN ATHLETES 416
TENDINOPATHY 429
HIP INJURIES 432

8 Spinal Disorders 451
WHIPLASH INJURY: TREATMENT AND REHABILITATION 451
THERAPEUTIC EXERCISE FOR THE CERVICAL SPINE 458
TREATMENT-BASED CLASSIFICATION OF LOW BACK PAIN 465
CORE STABILIZATION TRAINING 467
MCKENZIE APPROACH TO LOW BACK PAIN 482
REHABILITATION FOLLOWING LUMBAR DISC SURGERY 491
CHRONIC BACK PAIN AND PAIN SCIENCE 498
SPINAL MANIPULATION 507
NEURODYNAMICS 514
SPECIFIC LUMBOPELVIC STABILIZATION 523
SPONDYLOLISTHESIS 532
LUMBAR SPINE MICRODISCECTOMY SURGICAL REHABILITATION 538
GLOSSARY 563
INDEX 567