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Knee Realities: Managing Multiple Ligament Injuries

presented by Terry Malone

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Managing multiple ligament injuries in the knee can be a challenging process and certainly requires one to have a solid foundation of rotary instability and specific rotational instabilities (AMRI, ALRI, PLRI). These patients may prove to be a challenge for the sports physical therapist, as many of the classical rules for treatment no longer apply. Surgical timing, early rehabilitation, and long-term outcomes will differ in comparison to methods utilized to treat singular ligament injuries. In this course, Dr. Terry Malone will guide participants through the framework of management that allows the rehabilitation specialist to match the demands and capabilities of repaired or healing tissue. This course will utilize motion graphics, case studies, and live demonstrations to cover the realities of multiple ligament injury management, and care from surgery to rehabilitation.

Meet Your Instructor

  • Terry Malone, PT, EdD, ATC, FAPTA

    Dr. Terry Malone received his EdD and MSPT from Duke University in North Carolina and his BA from Bluffton College in Ohio. At Duke, he served as the initial Sports Physical Therapist and was the Coordinator of the Sports Medicine Clinic. He served as the initial Chairman of the Sports Specialization Council of the APTA and has been liaison to the American Orthopaedic Society for Sports. Dr. Malone was the initial chair and dean of the Krannert School of Physical Therapy at the University of Indianapolis, and served as the Physical Therapy Program Director at UK from 1993-2006. Terry is now a full time professor at the University of Kentucky, and enjoys most sports with a particular love for golf.

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Chapters & Learning Objectives

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  1. Realities of Multiple Ligament Injuries

    1. Realities of Multiple Ligament Injuries

    In this chapter, Terry Malone will educate participants on the concepts of rotary instability and how they apply to injuries of the knee capsule. Upon completion of the course, participants will have been introduced to the specific rotational instabilities that are prevalent today (AMRI, ALRI, and PLRI), as well as the structures that are injured as they relate to each other.

  2. Surgeries

    2. Surgeries

    Join Terry Malone as he discusses the assessment techniques used to delineate the specific injuries in which multiple ligaments are torn. Participants will come to understand the history of treatment and the surgeries used today in the treatment of multiple ligament injuries of the knee, as well as understand the concept of anatomic reconstruction, which often includes a double bundle concept.

  3. Rehabilitation Pearls

    3. Rehabilitation Pearls

    This chapter discusses the classic combinations of multiple injured ligaments commonly encountered by physicians, and the rehabilitation patterns associated with these post surgery. Participants will learn the importance of regaining ROM in primal MCL injuries and protecting the posterior corner after surgical repair, along with techniques to enable these to be achieved.

  4. Case Studies

    4. Case Studies

    In this chapter, Terry Malone will take participants through a case study that will evaluate and test their knowledge of ACL/MCL injury and intervention strategies.