In his right knee he’s missing a meniscus since 1981 and ruptured his Anterior Cruciate Ligament (ACL,) and tore his Medial Collateral Ligament (MCL), sometime between 1981 and 5 years ago.
His orthopedic surgeon elected not to repair, telling him “I’ll see you in about 10 years” for total knee replacement surgery. (?)
An important programming consideration for Lee is obviously the lack of frontal plane stabilization in the right knee.
But what about the altered relationship Lee’s right knee now has with the ground?
Force reduction and production, sagittal plane hip and ankle mobility, balance and proprioception are all likely to be altered because his ACL is not there.
Muscles and fascia normally involved with these processes now have added duty filling in on the elements noted above, pulling “double duty” to make up for the missing structure.
Even the relative alignment of his patella, as well as the tibia and fibula (maybe even his femur – think added issues in the hip) tell me his relationship with stabilization, movement and proprioception is altered.
So, when programming, try to think a little deeper. Consider how your athletes and clients connect to the world around them and what limitations may be created for them by elements like Lee’s unique knees.
Be of Service.