April 14, 2019

SSRP – Education Program
Module 2
Anterior Cruciate Ligament
Sunday, April 14, 2019

Time	Component
8 am – 8:15 am	Dr. Brad Muir, FRCCSS(C) Outline of days activities
8:15 am – 10 am	Dr. Brad Muir, FRCCSS(C) Functional Assessment of the Lower Kinetic chain for Knee Valgus Loading Double leg squat, Active SLR, knee to chest, Sitback, Double ASLR
10 am – Noon	Dr. Duong Nguyen, Orthopedic Surgeon, CASEM Dr. Alex Lee, FRCCSS(C) ACL Injury – Assessment – Imaging – Surgery – Return to play
Noon – 1 pm	Lunch
1 pm – 2:30 pm	Mr. Frank Ammirato, DJO Global What’s new in ACL bracing technology and fitting.
2:30 pm – 3:30 pm	Dr. Brad Muir, FRCCSS(C) - Facilitating ACL Prevention and Rehabilitation
3:30 pm – 5:00 pm	Dr. Brad Muir, FRCCSS(C) Functional Assessment SI and T/L assessment, foot and ankle Spinal and Extremity Manipulative Therapy SI, T/L, Foot, ankle, knee

Location
CMCC
6100 Leslie Street, North York ON
Executive Board Room

To Bring:
Portable Table, Stool
Thuli Table (Toggle Boards)
IASTT Tools, Vibration units
Comfortable clothes – for treating/assessment/rehab

Pre-Study:
ACL Injury/Re-injury (Matt Jordan – from Train Smarter 2015) (PowerPoint)
MRI anatomy of the knee and ACL injury (PowerPoint – Dr. Pat Battaglia)

Resident Requirements Checklist:
Core Academic Curriculum Requirements
Residents may count hours toward option A or Option B (not both) depending on need.

Option A:
Sports Rounds and Observation with a Specialist
6.5 hours (Dr’s. Muir, Lee, Nguyen - Instructors)

Option B:
Advanced Imaging
2 hours (Pre-study)

High Performance Evaluation and Testing
3 hours (Dr. Muir)

Sports Injury Management
5 hours (Dr. Lee, Muir, Nguyen, Mr. Ammirato)

**Attendance and Observation of 1 Sport Surgical Procedure**

Fellows/Resident Requirements:
Ontario: CCO requirements 8 hours of structured CE
1 hour of spinal and extremity adjusting (Controlled Acts)

Recommended Reading:

Ardern CL, Ekås GR, Grindem H, Moksnes H, Anderson AF, Chotel F, Cohen M, Forssblad M, Ganley TJ, Feller JA, Karlsson J. 2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries. Br J Sports Med. 2018 Apr 1;52(7):422-38.

Hewett TE, Myer GD, Ford KR, Heidt Jr RS, Colosimo AJ, McLean SG, Van den Bogert AJ, Paterno MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. The American journal of sports medicine. 2005 Apr;33(4):492-501.

Lohmander LS, Östenberg A, Englund M, Roos H. High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 2004 Oct;50(10):3145-52.

Kvist J. Rehabilitation following anterior cruciate ligament injury. Sports Medicine. 2004 Apr 1;34(4):269-80.

Kyritsis P, Bahr R, Landreau P, Miladi R, Witvrouw E. Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. Br J Sports Med. 2016 Aug 1;50(15):946-51.

Padua DA, DiStefano LJ, Beutler AI, De La Motte SJ, DiStefano MJ, Marshall SW. The landing error scoring system as a screening tool for an anterior cruciate ligament injury–prevention program in elite-youth soccer athletes. Journal of athletic training. 2015 Jun;50(6):589-95.

Petersen W, Taheri P, Forkel P, Zantop T. Return to play following ACL reconstruction: a systematic review about strength deficits. Archives of orthopaedic and trauma surgery. 2014 Oct 1;134(10):1417-28.

Sugimoto D, Myer GD, Foss KD, Pepin MJ, Micheli LJ, Hewett TE. Critical components of neuromuscular training to reduce ACL injury risk in female athletes: meta-regression analysis. Br J Sports Med. 2016 Oct 1;50(20):1259-66.

van Melick N, van Cingel RE, Brooijmans F, Neeter C, van Tienen T, Hullegie W, Nijhuis-van der Sanden MW. Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus. Br J Sports Med. 2016 Dec 1;50(24):1506-15.

van Yperen DT, Reijman M, van Es EM, Bierma-Zeinstra SM, Meuffels DE. Twenty-year follow-up study comparing operative versus nonoperative treatment of anterior cruciate ligament ruptures in high-level athletes. The American journal of sports medicine. 2018 Apr;46(5):1129-36.

Zantop T, Petersen W, Sekiya JK, Musahl V, Fu FH. Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. Knee surgery, sports traumatology, arthroscopy. 2006 Oct 1;14(10):982-92.

Zachezewski Chapter 30: James Irrgang, Marc Safran, Freddie Fu – The Knee: Ligamentous and Meniscal Injury pg. 623 - 692