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Evidence suggests a direct correlation between the quality of postoperative orthopaedic rehabilitation and the effectiveness of the surgery. Clinical Orthopaedic Rehabilitation, 4th Edition, helps today’s orthopaedic teams apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries and post-surgical conditions. Charles Giangarra, MD and Robert Manske, PT continue the commitment to excellence established by Dr. S. Brent Brotzman in previous editions, bringing a fresh perspective to the team approach to rehabilitation.

  • Every section is written by a combination of surgeons, physical therapists, and occupational therapists, making this respected text a truly practical "how-to" guide for the appropriate initial exam, differential diagnosis, treatment, and rehabilitation.
  • Treatment and rehabilitation protocols are presented in a step-by-step, algorithmic format with each new phase begun after criteria are met (criteria-based progression, reflecting current best practice).
  • Revised content brings you up to date with new evidence-based literature on examination techniques, classification systems, differential diagnosis, treatment options, and criteria-based rehabilitation protocols.
  • Extensive updates throughout include new chapters on: medial patellofemoral ligament, shoulder impingement, pec major ruptures, thoracic outlet syndrome, general humeral fractures, foot and ankle fractures, medial patellofemoral ligament reconstruction, the arthritic hip, athletic pubalgia, and labral repair and reconstruction.

1. Instructions for online access - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Contributors - p. v 7. Foreword by George J. Davies - p. xi 8. Foreword by Edward G. McFarland - p. xii 9. Preface - p. xiii 10. Acknowledgments - p. xiv 11. Section 1. Hand and Wrist Injuries - p. 1 12. 1. Flexor Tendon Injuries - p. 2 13. 2. Flexor Digitorum Profundus Avulsion (“Jersey Finger”) - p. 9 14. 3. Extensor Tendon Injuries - p. 12 15. 4. Fractures and Dislocations of the Hand - p. 19 16. 5. Fifth Metacarpal Neck Fracture (Boxer's Fracture) - p. 24 17. 6. Injuries to the Ulnar Collateral Ligament of the Thumb Metacarpophalangeal Joint (Gamekeeper’s Thumb) - p. 29 18. 7. Nerve Compression Syndromes - p. 32 19. 8. Scaphoid Fractures - p. 42 20. 9. Triangular Fibrocartilage Complex Injury - p. 45 21. 10. Metacarpal Phalangeal Joint Arthroplasty - p. 51 22. Section 2. Rehabilitation After Total Elbow Arthroplasty - p. 53 23. 11. The Total Elbow - p. 54 24. 12. Rehabilitation After Fractures of the Forearm and Elbow - p. 57 25. 13. Pediatric Elbow Injuries in the Throwing Athlete: Emphasis on Prevention - p. 63 26. 14. Medial Collateral Ligament and Ulnar Nerve Injury at the Elbow - p. 66 27. 15. Treating Flexion Contracture (Loss of Extension) in Throwing Athletes - p. 71 28. 16. Post-Traumatic Elbow Stiffness - p. 74 29. 17. Treatment and Rehabilitation of Elbow Dislocations - p. 77 30. 18. Lateral and Medial Humeral Epicondylitis - p. 81 31. 19. Forearm Upper Extremity Nerve Entrapment Injuries - p. 89 32. Section 3. Shoulder Injuries - p. 93 33. 20. General Principles of Shoulder Rehabilitation - p. 94 34. 21. Importance of the History in the Diagnosis of Shoulder Pathology - p. 100 35. 22. Rotator Cuff Tendinitis in the Overhead Athlete - p. 110 36. 23. Rotator Cuff Repair - p. 117 37. 24. Shoulder Instability Treatment and Rehabilitation - p. 130 38. 25. Adhesive Capsulitis (Frozen Shoulder) - p. 158 39. 26. Rehabilitation for Biceps Tendon Disorders and SLAP Lesions - p. 164 40. 27. Scapular Dyskinesis - p. 174 41. 28. Rehabilitation Following Total Shoulder and Reverse Total Shoulder Arthroplasty - p. 181 42. 29. Upper Extremity Interval Throwing Progressions - p. 189 43. 30. Shoulder Exercises for Injury Prevention in the Throwing Athlete - p. 196 44. 31. Glenohumeral Internal Rotation Deficiency: Evaluation and Treatment - p. 203 45. 32. Postural Consideration for the Female Athlete’s Shoulder - p. 207 46. 33. Impingement Syndrome - p. 210 47. 34. Pectoralis Major Rupture Repair - p. 221 48. 35. Thoracic Outlet Syndrome in the Overhead Athlete - p. 226 49. 36. Proximal Humeral and Humeral Shaft Fractures - p. 233 50. 37. The Use of a Functional Testing Algorithm (FTA) to Make Qualitative and Quantitative Decisions to Return Athletes Back to Sports Following Shoulder Injuries - p. 237 51. Section 4. Foot and Ankle Injuries - p. 245 52. 38. Foot and Ankle Fractures - p. 246 53. 39. Ankle Sprains - p. 255 54. 40. Ankle-Specific Perturbation Training - p. 273 55. 41. Chronic Ankle Instability - p. 275 56. 42. Syndesmotic Injuries - p. 278 57. 43. Inferior Heel Pain (Plantar Fasciitis) - p. 281 58. 44. Achilles Tendinopathy - p. 290 59. 45. Achilles Tendon Rupture - p. 299 60. 46. First Metatarsophalangeal Joint Sprain (Turf Toe) - p. 303 61. Section 5. Knee Injuries - p. 307 62. 47. Anterior Cruciate Ligament Injuries - p. 308 63. 48. Perturbation Training for Postoperative ACL Reconstruction and Patients Who Were Nonoperatively Treated and ACL Deficient - p. 322 64. 49. Gender Issues in ACL Injury - p. 326 65. 50. Functional Testing, Functional Training, and Criteria for Return to Play After ACL Reconstruction - p. 334 66. 51. Functional Performance Measures and Sports-Specific Rehabilitation for Lower Extremity Injuries: A Guide for a Safe Return to Sports - p. 341 67. 52. Treatment and Rehabilitation of Arthrofibrosis of the Knee - p. 353 68. 53. Posterior Cruciate Ligament Injuries - p. 359 69. 54. Medial Collateral Ligament Injuries - p. 367 70. 55. Meniscal Injuries - p. 372 71. 56. Patellofemoral Disorders - p. 376 72. 57. Medial Patellofemoral Ligament Reconstruction - p. 389 73. 58. Hip Strength and Kinematics in Patellofemoral Syndrome - p. 393 74. 59. Overuse Syndromes of the Knee - p. 397 75. 60. Patellar Tendon Ruptures - p. 400 76. 61. Articular Cartilage Procedures of the Knee - p. 405 77. 62. The Arthritic Knee - p. 411 78. 63. Total Knee Replacement Protocol - p. 417 79. Section 6. Hip Injuries - p. 421 80. 64. Hip Injuries - p. 422 81. 65. The Arthritic Hip - p. 432 82. 66. Total Hip Replacement Rehabilitation: Progression and Restrictions - p. 436 83. 67. Groin Pain - p. 443 84. 68. Hamstring Muscle Injuries in Athletes - p. 447 85. 69. Athletic Pubalgia - p. 462 86. 70. Femoro-acetabular Impingement: Labral Repair and Reconstruction - p. 466 87. Section 7. Spinal Disorders - p. 478 88. 71. Whiplash Injury: Treatment and Rehabilitation - p. 479 89. 72. Therapeutic Exercise for the Cervical Spine - p. 487 90. 73. Treatment-Based Classification of Low Back Pain - p. 496 91. 74. Core Stabilization Training - p. 498 92. 75. McKenzie Approach to Low Back Pain - p. 514 93. 76. Rehabilitation Following Lumbar Disc Surgery - p. 523 94. 77. Chronic Back Pain and Pain Science - p. 532 95. 78. Spinal Manipulation - p. 541 96. 79. Neurodynamics - p. 553 97. 80. Spondylolisthesis - p. 563 98. 81. Lumbar Spine Microdiscectomy Surgical Rehabilitation - p. 571 99. Section 8. Special Topics - p. 576 100. 82. Running Injuries: Etiology and Recovery-Based Treatment - p. 577 101. 83. Running Injuries: Shoes, Orthotics, and Return-to-Running Program - p. 588 102. 84. Tendinopathy - p. 601 103. Index - p. 605

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Evidence suggests a direct correlation between the quality of postoperative orthopaedic rehabilitation and the effectiveness of the surgery. Clinical Orthopaedic Rehabilitation, 4th Edition, helps today’s orthopaedic teams apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries and post-surgical conditions. Charles Giangarra, MD and Robert Manske, PT continue the commitment to excellence established by Dr. S. Brent Brotzman in previous editions, bringing a fresh perspective to the team approach to rehabilitation.

  • Every section is written by a combination of surgeons, physical therapists, and occupational therapists, making this respected text a truly practical "how-to" guide for the appropriate initial exam, differential diagnosis, treatment, and rehabilitation.
  • Treatment and rehabilitation protocols are presented in a step-by-step, algorithmic format with each new phase begun after criteria are met (criteria-based progression, reflecting current best practice).
  • Revised content brings you up to date with new evidence-based literature on examination techniques, classification systems, differential diagnosis, treatment options, and criteria-based rehabilitation protocols.
  • Extensive updates throughout include new chapters on: medial patellofemoral ligament, shoulder impingement, pec major ruptures, thoracic outlet syndrome, general humeral fractures, foot and ankle fractures, medial patellofemoral ligament reconstruction, the arthritic hip, athletic pubalgia, and labral repair and reconstruction.

1. Instructions for online access - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Contributors - p. v 7. Foreword by George J. Davies - p. xi 8. Foreword by Edward G. McFarland - p. xii 9. Preface - p. xiii 10. Acknowledgments - p. xiv 11. Section 1. Hand and Wrist Injuries - p. 1 12. 1. Flexor Tendon Injuries - p. 2 13. 2. Flexor Digitorum Profundus Avulsion (“Jersey Finger”) - p. 9 14. 3. Extensor Tendon Injuries - p. 12 15. 4. Fractures and Dislocations of the Hand - p. 19 16. 5. Fifth Metacarpal Neck Fracture (Boxer's Fracture) - p. 24 17. 6. Injuries to the Ulnar Collateral Ligament of the Thumb Metacarpophalangeal Joint (Gamekeeper’s Thumb) - p. 29 18. 7. Nerve Compression Syndromes - p. 32 19. 8. Scaphoid Fractures - p. 42 20. 9. Triangular Fibrocartilage Complex Injury - p. 45 21. 10. Metacarpal Phalangeal Joint Arthroplasty - p. 51 22. Section 2. Rehabilitation After Total Elbow Arthroplasty - p. 53 23. 11. The Total Elbow - p. 54 24. 12. Rehabilitation After Fractures of the Forearm and Elbow - p. 57 25. 13. Pediatric Elbow Injuries in the Throwing Athlete: Emphasis on Prevention - p. 63 26. 14. Medial Collateral Ligament and Ulnar Nerve Injury at the Elbow - p. 66 27. 15. Treating Flexion Contracture (Loss of Extension) in Throwing Athletes - p. 71 28. 16. Post-Traumatic Elbow Stiffness - p. 74 29. 17. Treatment and Rehabilitation of Elbow Dislocations - p. 77 30. 18. Lateral and Medial Humeral Epicondylitis - p. 81 31. 19. Forearm Upper Extremity Nerve Entrapment Injuries - p. 89 32. Section 3. Shoulder Injuries - p. 93 33. 20. General Principles of Shoulder Rehabilitation - p. 94 34. 21. Importance of the History in the Diagnosis of Shoulder Pathology - p. 100 35. 22. Rotator Cuff Tendinitis in the Overhead Athlete - p. 110 36. 23. Rotator Cuff Repair - p. 117 37. 24. Shoulder Instability Treatment and Rehabilitation - p. 130 38. 25. Adhesive Capsulitis (Frozen Shoulder) - p. 158 39. 26. Rehabilitation for Biceps Tendon Disorders and SLAP Lesions - p. 164 40. 27. Scapular Dyskinesis - p. 174 41. 28. Rehabilitation Following Total Shoulder and Reverse Total Shoulder Arthroplasty - p. 181 42. 29. Upper Extremity Interval Throwing Progressions - p. 189 43. 30. Shoulder Exercises for Injury Prevention in the Throwing Athlete - p. 196 44. 31. Glenohumeral Internal Rotation Deficiency: Evaluation and Treatment - p. 203 45. 32. Postural Consideration for the Female Athlete’s Shoulder - p. 207 46. 33. Impingement Syndrome - p. 210 47. 34. Pectoralis Major Rupture Repair - p. 221 48. 35. Thoracic Outlet Syndrome in the Overhead Athlete - p. 226 49. 36. Proximal Humeral and Humeral Shaft Fractures - p. 233 50. 37. The Use of a Functional Testing Algorithm (FTA) to Make Qualitative and Quantitative Decisions to Return Athletes Back to Sports Following Shoulder Injuries - p. 237 51. Section 4. Foot and Ankle Injuries - p. 245 52. 38. Foot and Ankle Fractures - p. 246 53. 39. Ankle Sprains - p. 255 54. 40. Ankle-Specific Perturbation Training - p. 273 55. 41. Chronic Ankle Instability - p. 275 56. 42. Syndesmotic Injuries - p. 278 57. 43. Inferior Heel Pain (Plantar Fasciitis) - p. 281 58. 44. Achilles Tendinopathy - p. 290 59. 45. Achilles Tendon Rupture - p. 299 60. 46. First Metatarsophalangeal Joint Sprain (Turf Toe) - p. 303 61. Section 5. Knee Injuries - p. 307 62. 47. Anterior Cruciate Ligament Injuries - p. 308 63. 48. Perturbation Training for Postoperative ACL Reconstruction and Patients Who Were Nonoperatively Treated and ACL Deficient - p. 322 64. 49. Gender Issues in ACL Injury - p. 326 65. 50. Functional Testing, Functional Training, and Criteria for Return to Play After ACL Reconstruction - p. 334 66. 51. Functional Performance Measures and Sports-Specific Rehabilitation for Lower Extremity Injuries: A Guide for a Safe Return to Sports - p. 341 67. 52. Treatment and Rehabilitation of Arthrofibrosis of the Knee - p. 353 68. 53. Posterior Cruciate Ligament Injuries - p. 359 69. 54. Medial Collateral Ligament Injuries - p. 367 70. 55. Meniscal Injuries - p. 372 71. 56. Patellofemoral Disorders - p. 376 72. 57. Medial Patellofemoral Ligament Reconstruction - p. 389 73. 58. Hip Strength and Kinematics in Patellofemoral Syndrome - p. 393 74. 59. Overuse Syndromes of the Knee - p. 397 75. 60. Patellar Tendon Ruptures - p. 400 76. 61. Articular Cartilage Procedures of the Knee - p. 405 77. 62. The Arthritic Knee - p. 411 78. 63. Total Knee Replacement Protocol - p. 417 79. Section 6. Hip Injuries - p. 421 80. 64. Hip Injuries - p. 422 81. 65. The Arthritic Hip - p. 432 82. 66. Total Hip Replacement Rehabilitation: Progression and Restrictions - p. 436 83. 67. Groin Pain - p. 443 84. 68. Hamstring Muscle Injuries in Athletes - p. 447 85. 69. Athletic Pubalgia - p. 462 86. 70. Femoro-acetabular Impingement: Labral Repair and Reconstruction - p. 466 87. Section 7. Spinal Disorders - p. 478 88. 71. Whiplash Injury: Treatment and Rehabilitation - p. 479 89. 72. Therapeutic Exercise for the Cervical Spine - p. 487 90. 73. Treatment-Based Classification of Low Back Pain - p. 496 91. 74. Core Stabilization Training - p. 498 92. 75. McKenzie Approach to Low Back Pain - p. 514 93. 76. Rehabilitation Following Lumbar Disc Surgery - p. 523 94. 77. Chronic Back Pain and Pain Science - p. 532 95. 78. Spinal Manipulation - p. 541 96. 79. Neurodynamics - p. 553 97. 80. Spondylolisthesis - p. 563 98. 81. Lumbar Spine Microdiscectomy Surgical Rehabilitation - p. 571 99. Section 8. Special Topics - p. 576 100. 82. Running Injuries: Etiology and Recovery-Based Treatment - p. 577 101. 83. Running Injuries: Shoes, Orthotics, and Return-to-Running Program - p. 588 102. 84. Tendinopathy - p. 601 103. Index - p. 605

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