The Acute Knee A Handbook for Sports Medicine Physicians by Mark F. Sherman MD

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The Acute Knee:
A Handbook for Sports Medicine Physicians

By Mark F. Sherman, MD
Edited by Seth L. Sherman, MD

The Acute Knee Book

About The Acute Knee

This handbook presents a concise, practical approach to the physical examination and diagnosis of acute injuries of the knee. While radiological diagnostic tools like CT and MRI are important tools for orthopedic and sports medicine injuries, the skills of history taking and an accurate physical exam are no less important in educated decision-making when it comes to injury management. 
The goal of this book is to make it easier for a beginning knee practitioner to take an educated history and then perform a thorough physical examination. This will invariably steer them to the course of the correct diagnosis. The focus here is on a consistent and thorough examination, including taking a full history of the injury, utilizing common physical tests, and limiting differential diagnoses. To this end, the book opens with a review of these general considerations. Subsequent chapters discuss these considerations across a number of acute knee injuries to the patella, ACL, MCL, PCL, meniscus, and multiligamentous and extensor mechanism injuries and conditions. Additional chapters describe osteochondral injuries and mimickers such as PVNS and tumors. Video clips demonstrating examination techniques are included throughout the text. 
While The Acute Knee is aimed primarily at younger practitioners, it is an excellent resource for any orthopedic surgeon or sports medicine physicians looking to refamiliarize themselves with the “lost art” of physical examination for the acute knee.

About The Author

Dr. Mark F. Sherman

Dr Mark F. Sherman was born in Brooklyn, New York. His father, Dr. Ben Sherman, was one of the country’s leaders of Sports Medicine. He originated the concept of free medical care for every Public Scholl Athletic League (PSAL) athlete in New York city. For over 50 ye;ars Dr. Ben was the team physician for Lafayette High School. The Lafayette field is named after him (one of the few fields in the country named after a team physician). From the age of five, Dr. Mark Sherman was on the sidelines with his father and this was his inspiration to become an orthopedic sports medicine physician. Dr. Sherman graduated Summa Cum Lauda from Brooklyn College. In 1975, he graduated form New York University Medical school, and was a member of the scholarship society of Alpha Omega Alpha. In !979, he completed the NYU- Bellevue hospital orthopedic surgery residency program. In 1980, he completed the prestigious Sports medicine fellowships at the Hospital for Special Surgery (HSS). (At that time there were very few sports medicine fellowships in the country). He became officially Board certified in orthopedic Surgery in 1984. Since 1980, Dr. Sherman has been in private practice. This practice, Staten Island Orthopedics and Sports Medicine P.C. is based in Staten Island, New York City. Since 1980 he is a Clinical Associate in Sports medicine staff member at the Hospital for Special Surgery. In this capacity, he has been a co-director of the PSAL sports medicine clinic and maintains surgical privileges at that institution. In 1983, he became the Director of Sports Medicine at the St. Vincent’s medical center of Manhattan, a position he held until !993. Presently, Dr Sherman is an Attending orthopedic surgeon at the Richmond university Medical Center (RUMC). For 45 years he has been an integral member of the Staten Island medical community. He continues his activities as an official PSAL consultant for the city of New York, taking care of numerous schools in Staten island and Brooklyn. Personally, he has medically covered a 1000 football games. In 1980, Dr Sherman introduced arthroscopic surgery to the Staten Island community. In the past 42 years, he has performed over 8000 arthroscopic procedures, which includes over 2000 Anterior Cruciate Ligament (ACL) procedures, and a similar amount of shoulder procedures. He has performed approximately 1000 total knee replacements. His academic accomplishments include numerous sports medicine publications and academic presentations. His research on the repair of the ACL is internationally recognized. His one-year training fellowship for young orthopedic surgeons was one of the only certified Arthroscopy fellowships in the country, not based in a major university center. Dr Sherman was the host of a TV show, entitled “The Sports Doc”, which won a prestigious Telly award in 1999. Throughout his career, Dr. Sherman has received numerous honors, recognizing his medical, community and humanitarian efforts. In 2010, after the catastrophic earthquake in Haiti, Dr. Sherman, his brother Dr Gary Sherman and his son Dr. Seth Sherman, voluntarily led a team of physicians to Haiti.  In less than ideal circumstances, they performed multiple surgical procedures on the victims of this horrible event. For his community services, He has received numerous accolades and honors from the YMCA, the Catholic Youth Organization and the Jewish Community Center of Staten Island.  Dr Sherman and his dear friend Jacob Carey are the co-founders of the Unity Games. This educational, multi-cultural basketball two-day event has positively influenced the lives of over 3000 children in the metropolitan area and has received national recognition. Dr Sherman feels that the Unity Games is his proudest accomplishment. The Unity Games aspires to spread to other cities in the USA. Dr Sherman has three children. His son Seth is an accomplished Sports Medicine physician at Stanford University. His daughter is a public-school teacher. His son Sean is a Federal Prosecutor for the state of New Jersey.  He is happily married to his wife Pia who has brought her two children into his family unit. Tatiana is a public-school teacher and Chloe is studying to be a surgical technician. He has four granddaughters and one grandson.  His three brothers are practicing physicians. He is a passionate fresh and saltwater fly-fisherman. The entire Sherman family is world renown for their fly-fishing accomplishments. Dr. Sherman is often asked, “Are you still practicing?”   His prompt response is, “I don’t practice anymore, I know what I’m doing”. Dr. Sherman has dedicated his life to his sports medicine practice his family, friendships, community and education. He hopes to continue this for many years to come.
  • American Board of Orthopedic surgery 1984
  • Hospital for Special Surgery Sports Medicine Fellowship  July 1979- July 1980
  • New York university – Bellevue   1976-1979
  • NYU School of medicine    1975
  • Richmond University Medical Center
  • HSS
  • AAOS
  • AANA
  • ACL Study Group
  • “THE ACUTE KNEE”, Springer-Velag
  • “The Wedge “  ACL Fixation device
  • The “Sherman Patella tendon retractor”

Editor’s Note

Dr. Seth L. Sherman

During residency, dad changed my life by teaching me the “Lachman exam” on an injured high school football athlete. His energy and passion for sharing the love of his craft was contagious. I am so proud to follow in his footsteps as a third-generation team physician and surgeon!

Dad’s book is a MUST READ for clinicians interested in a career in sports medicine. Through an easy-to-follow, multimedia, and entertaining format, dad teaches the importance of listening to patients, asking the right questions, and confirming diagnosis through focused physical examination.

Dad brings 40+ years of experience to orthopedic sports medicine. He highlights priceless lessons learned the hard way and pearls of wisdom in every chapter and video. As a member of the next generation, I am impressed by his ability to communicate this foundational knowledge through a contemporary lens. I challenge you to master the lost art of history and physical examination in your own practice. Dad’s book is a great way to embrace that worthy mission for your patients.

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"Mark Sherman’s The Acute Knee is a treasure, and a “must-read” for anyone taking care of knee injuries. Mark’s patient-centered approach is a breath of fresh air in a world dominated by electronic medical records and a reliance on technology over humanitarian care. Emphasizing concepts like HUMILITY, LISTENING, REHABILITY (a Sherman neologism) and CRU (a new and CRUcial way to think about ACL injuries), The Acute Knee synthesizes Dr. Sherman’s 40 years of experience in to a straight-forward, readable (and watchable, with complementary videos) manual that emphasizes the essentials of humanely diagnosing and treating knee injuries. This book entertainingly accomplishes its purpose – to get back to the basics and keep it simple – with keen insights for everyone."

Dean C. Taylor, MD

Professor of Orthopaedic Surgery, Duke University. President, American Orthopaedic Society for Sports Medicine.

"Dr. Sherman has created a fine book. Dr. Sherman is extremely knowledgeable, having started his career with the late Dr. John L Marshall at the Hospital for Special Surgery. They carried out numerous studies on the ACL injury. This book clearly defines issues and potential solutions. It nicely explains the options of your care and treatment. It is well worth the read."

Russell Warren, MD

Attending Orthopedic Surgeon, Hospital for Special Surgery. Professor of Orthopedic Surgery, Weill Cornell Medical College. Attending Orthopedic Surgeon, New York-Presbyterian Hospital.

"It is well documented that the musculoskeletal skeletal exam is poorly done in most medical schools. This handbook on the evaluation of the acutely injured knee by Dr. Sherman is extremely well done and much needed. I feel it is an excellent resource for all sports medicine physicians."

James Kinderknecht, MD

Assistant Attending Physician, Hospital for Special Surgery. Faculty, Weill Cornell Medical College.
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