Knee

Question 1

ACL

Answer 1

Pederson - Delaware-Oslo ACL cohort study - good outcomes following their protocol, no difference between surgery / delayed surgery / non operative

Question 2

Meniscal

Answer 2

Van de Graff 2018 ESCAPE trial - Physio same outcome long term as operative management for non obstructive meniscal tears

Question 3

PFPS

Answer 3

Willy 2019 - combined hip and knee strength (A), patella taping in combination with exercises short term (B), prefabricated orthoses for patients with greater pronation short term (A), gait retraining forefoot strike / increase cadence / dec hip adduction (C)

Question 4

Patella tendinopathy

Answer 4

Breda 2021 - progressive loading superior to eccentric exercise
Bohm 2015 - HSR > 70% 1RM for 6 seconds on alternate days (for tendons generally)

Question 5

Knee OA

Answer 5

Abbot 2013 MOA trial - RCT; MT and exercise both provided sustained benefit (but no extra benefit with combination)
Bannuru 2019 OARSI guidelines - education / structured land based exercise +/- weight management. Topical NSAIDs (1A). IA CSI + hydro exercises (1B).