Evolution Sports Physiotherapy

Evolution Sports Physiotherapy www.EvolutionSportsPT.com With expertise ranging from manual therapy to sport specific training and

Evolution Sports Physiotherapy Provides Dry Needling, Concussion Management, Myofascial Decompression, Strength And Conditioning, Insurance To The Cockeysville, MD Area.

12/24/2025

Wishing everyone a safe and healthy 2026!

Wishing everyone the warmest holiday wishes from our Family to yours!
12/24/2025

Wishing everyone the warmest holiday wishes from our Family to yours!

12/23/2025

Morgan and Erin Johnson are here wishing y'all a wonderful holiday season!

The staff at Evolution Sports Physiotherapy would like to wish everyone a wonderful holiday with your loved ones. Thanks...
12/22/2025

The staff at Evolution Sports Physiotherapy would like to wish everyone a wonderful holiday with your loved ones. Thanks for being an important part of our Evolution Sports family!

12/21/2025

Warm wishes from Liv!

12/20/2025

Cassie Bevans here wishing everyone a Merry Christmas and wonderful New Year!

12/20/2025

wishing our Evolution Sports Community a wonderful holiday season!

12/17/2025

Kevin Rosofsky presents a brief overview of the current thoughts on what it means to recruit "core" muscles, what they are and how they should be utilized in a PT program. We will be presented more in depth content on assessing and training specific core mm groups in future posts. Be sure to follow us and like this content. Tag someone who suffers from low back pain, they'll be sure to thank you.

12/04/2025

🦵 MPFL explained: anatomy, who really needs surgery, and how smart rehab keeps your kneecap stable long term.

👇 Read More (anatomy → surgery decisions → rehab priorities)

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MPFL Basics (What It Actually Does)

The medial patellofemoral ligament keeps your kneecap from sliding out to the side — especially from 0–30° of knee flexion.
If it’s torn, you’ll often feel instability, shifting, or a “slip” toward the outside of the knee.

⸻

When MPFL Surgery Makes Sense

Outcomes are excellent when the injury is isolated (just the MPFL, clean anatomy).

Where things get more complicated:
• Shallow or abnormal trochlear groove
• Large tibial tubercle offset
• Arthritis or bony outgrowths

These structural differences change how the kneecap glides — and can affect how predictable surgery is.

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Early Rehab Priorities

After reconstruction, the knee wants to get stiff — and the quad likes to shut down. Early rehab keeps things moving safely.
• Protect the graft
• Get the knee moving
• Wake up the quad
• Avoid risky movements early

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Key Research Behind This Episode

Schneider DK et al. Outcomes After Isolated MPFL Reconstruction. AJSM, 2016.
Castagno C et al. Isolated MPFL Reconstruction Outcomes. The Knee, 2023.
Manske RC & Prohaska D. Rehabilitation Following MPFL Reconstruction. IJSPT, 2017.

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Image Credits

Northland Orthopaedic Surgeon — Knee Anatomy (front view)
Physio-Pedia — MPFL Anatomy
Physio-Pedia — Patellofemoral Joint
Sydney Knee Specialists — Knee Anatomy

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👋 Kevin Rosofsky, PT, DPT
Evolution Sports Physiotherapy — Knee Expert Series

📩 Direct questions or referrals:
Kevin.Rosofsky@EvolutionSportsPT.com

🔗 Learn more about our clinic:
www.evolutionsportspt.com

Address

10540 York Road, Suite F
Cockeysville, MD
21030

Opening Hours

Monday 7am - 8pm
Tuesday 7am - 8pm
Wednesday 7am - 8pm
Thursday 7am - 8pm
Friday 7am - 6pm

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