Orthopedic Surgery Carlsbad, Encinitas Practice Identifies Model to Predict Risk of Knee Dislocations

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American Orthopaedic & Sport Medicine (AOSM)’s research accepted for presentation at the American Academy of Orthopaedic Surgery conference in February 2012.

Orthopedic Surgery Carlsbad, Encinitas practice, American Orthopaedic & Sports Medicine (AOSM), today announced identification of a model, in collaboration with other researchers at UCSD and Kaiser Permanente that assesses a patients’ risk of knee dislocations through use of MRI imaging. Their study showed that MRI imaging reveals significant topographical differences between patients whose patella, the thick bone known as the knee cap, moves out of position (technically referred to as “patellofemoral instability”) and those who have no evidence of such movement in the knee cap. This research has recently been accepted for presentation at the American Academy of Orthopaedic Surgery conference in San Francisco, CA in February 2012.

“We are pleased to be recognized for our work in the very important field of knee injury. What this means to our patients is the ability for us to better counsel patients with respect to their risk for repeated knee cap dislocations based on our review of a simple MRI. This is exceptionally valuable for athletes who are training for competition as well as patients who enjoy an active lifestyle,” said Robert Afra, M.D., Partner in the Orthopedic Surgery Carlsbad, Encinitas practice American Orthopaedics & Sports Medicine, Assistant Clinical Professor in the USCD Department of Orthopaedic Surgery, and former team physician for the UCSD Athletic Department.

“Helping patients understand their risks for injury is an enormous benefit. This kind of predictive information guides us to recommend approaches from strength training to physical therapy for our patients to stay active and injury-free,” added William C. Holland, M.D., partner in American Orthopaedics & Sports Medicine, board certified Orthopaedic Surgeon with fellowship training in Sports Medicine, knee, and shoulder surgery and former Chief of Sports Medicine at the United States Naval Hospital – Balboa.

According to the research, CT-based and x-ray imaging were the first to establish measurements that evaluated patellar instability. To-date, research demonstrating MRI’s efficacy in evaluating these established measurements has been limited. The aim of the AOSM-led study is to identify form and structural differences on MRI imaging between normal knees and those with patellofemoral instability. Specifically, the study covered a retrospective review of 81 patients without history of patellofemoral joint issues and 40 patients with recurrent patellar instability. The resulting differences in these populations identified what MRI measurements are significant and the value at which each measurement signifies the origin, nature, and cause of the knee dislocation.

About Orthopaedic & Sports Medicine (AOSM)

American Orthopaedic & Sports Medicine is a multi-specialty practice serving the serious elite athlete, recreational sports enthusiasts, children, and seniors in North County San Diego to help them stay healthy, active and ‘on the go’. William C. Holland, M.D. is an experienced, board certified Orthopaedic Surgeon with fellowship training in Sports Medicine, Knee, and Shoulder surgery and former Chief of Sports Medicine at the United States Naval Hospital - Balboa. Robert Afra, M.D., is a board certified Orthopaedic Surgeon who recently served as Chief of Sports Medicine in the UCSD Department of Orthopaedic Surgery. Dr. Afra completed his fellowship training in sports medicine at Boston University where he treated athletes from men's ice hockey who have gone on to the NHL as well as athlete’s from other sports such as soccer, basketball, field hockey and lacrosse.

Founded in the 1980’s, AOSM’s Orthopaedic Doctors and Surgeons seek to deliver the highest quality Orthopaedic Medical Care and Sports Medicine to ensure the most rapid and complete recovery for their patients. AOSM is comprised of well respected, board certified physicians in orthopaedic surgery who specialize in the treatment of the hand, knee, spine, hip, foot and ankle, as well as physical medicine and rehabilitation and pain management. Providing a range of care including physical therapy, orthopedic surgery, and arthroscopic surgery, AOSM’s goal is to help patients get back to a fully active, pain-free lifestyle as quickly and safely as possible. For more information or to schedule an appointment, please call (760) 942-0565 or visit http://www.aosm.net.

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