Course Description: This course dives deep into discussing major knee injuries such as dislocated knee, meniscus tears, and ACL injuries. Meniscus injuries continue to be a problem in football, and this course will identify and discuss rehabilitation techniques that will get players on the field safely and quickly. Advancements in the rehabilitation of the ACL and the outcomes of these will also be discussed. Connecting the advancements to major impacts on the ACL reconstruction is critical. The different reconstruction rehabilitation phases will be also discussed relating to how players can get healed safely. This will start at the early phase and going through the functional activity phase of rehabilitation. 

Course Objectives:

1. Recognize the knee anatomy, in-season management and treatment of major ligaments in the knee.

2. Discuss in-season meniscus injuries and rehabilitation, and how quickly players can get back to the field. 

3. Discuss different ACL rehabilitation advancements and how their outcomes have affected the speed of playing time.  

4. Identify the dislocated knee and how to prevent and manage treatment. 

Disclosure: Faculty Disclosures. No planners of this activity have any relevant relationships with commercial interests to disclose.

Course Outline:

1. Meniscus Injuries
   1. Sideline diagnosis
   2. What we know and don’t know about meniscal tears
   3. Advantages and disadvantages of a partial meniscectomy
   4. Surgical repair
   5. Risk of playing with a tear
2. Meniscus Injury: In-season Rehabilitation and How Quick Can They Play
   1. Meniscus injury
   2.  Treat the athlete
   3. Non-surgical intervention
   4. Surgical intervention
   5. Preservation
3. ACL Advancements and Outcomes
   1. Brief History
   2. Where are we now?
   3. Where are we going?
4. ACL Reconstruction Rehabilitation: The Early to Intermediate Phase
   1. Rehabilitation program development
      • i.      Problem solving approach
      • ii.      Other considerations  
   2. Pre-operative phase
      • i.      Goals
   3. Immediate post-operative phase
   4. Early rehabilitation phase
      • i.      Goals
      • ii.      Exercises
   5. Progressive strengthening phase/ neuromuscular control phase
      • i.      Proper technique and motor control
   6. Running progression
      • i.      Gradual progressive plan with close monitoring
   7. Advanced activity phase
5. ACL Rehabilitation: Advanced to Functional Activity Phase
   1. ACL rehabilitation
      • i.      Advanced phase
      • ii.      7-phase program
   2. ACL injuries
      • i.      Carey et al: AJSM ‘06
      • ii.      Return to play
   3. Return to sports
   4. ACL rehabilitation phase III
      • i.      Quadricep strength/ hypertrophy
      • ii.      Hamstrings/ core training
      • iii.      Hips/ core control
      • iv.      Cognitive motor control
      • v.      Speed, agility, and endurance drills
      • vi.      Running drills
      • vii.      RTP criteria
6. The Dislocated Knee
   1. Anatomy
   2. Determining the extent of the injury
   3. Complex knee surgery
   4. Pre-operative stress x-ray
   5. Surgical intervention
      • i.      Procedures
      • ii.      Xray setups
   6. Anatomy study 
7.  Panel discussion 

Participants have no equipment or materials required to take this education course.

Accreditation:

Physicians:  

Baptist Health Care is accredited by the Florida Medical Association to provide continuing medical education for physicians. 

Baptist Health Care designates this live activity for a maximum of (2) hour in AMA PRA Category I creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses & Occupational Therapists (Florida):

Baptist Hospital, CE Broker provider # 50-183 approves this program for 2 hours credit for nurses and occupational therapists.  

Athletic Trainers 

Andrews Research & Education Foundation P10024 is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 2 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.