INSIDE

u page 3Preventing Shoulder Injuries

u page 5Staying Active

u page 6Early Intervention May PreventHip Arthritis

u page 8Two Fellows:Different Paths, Same Destination

u page 11Meet Our Staff

u page 12NFL Charities and GenzymeFund Research

u page 13Vail Cartilage SymposiumLive at www.vailcartilage.com

u page 14Frequently Asked Questions

u page 15Join Us This Summer forFoundation Events

PATIENTS IN THE NEWS

Adele Igersheim: The Knee, thePackage, and the GiftBy Jim Brown, Ph.D., Executive Editor, UCLA Arthritis Update; SportsPerformance Journal

S ix years ago Adele Igersheim was moving full speed ahead — a living blueprint for the busy, talented,

successful American woman. Born, raised, and educated in Pennsylvania, she graduated from the University ofPittsburgh, where she met her future husband Roy on ablind date. Now married 37 years, they raised three sons, atelecommunications executive (Daniel) in Virginia, a marinebiologist (Brian) in Hawaii, and the youngest trader (Kevin)at the Chicago Board of Trade. Roy founded ManagementSystems Services, an information technology company basedin Rockville, Maryland.

Along the way, Adele earned a master’s degree inEnglish, became a professor of composition and rhetoric, and taught at the University of Maryland and MontgomeryCollege. In 1985, she founded her own company, Writers’Bloc Consultants, Ltd., which specializes in business and tech-nical writing, and provides training, editing, and consultingservices to help clients “unblock” business communications.

THE KNEEIn 1998, Adele was bumped off her personal fast track.

During a trip to Vail she fell during a skiing lesson, injured

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Foundation NewsS u m m e r 2 0 0 6

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her left knee, and not surprisingly, got rightup and continued skiing. Back in Maryland,however, she knew something was wrong.The pain in her knee wasn’t going awayand her mobility was limited. A tornmeniscus was the problem, and surgery toremove part of the shock-absorbing struc-ture was supposed to be the solution. Itwasn’t. There was more pain, even lessmobility, buckling of her knee, and eventu-ally, a full-blown case of osteoarthritis—notan unusual development following manycases of knee surgery. Solution #2: anotherknee operation. It helped the bucklingproblem, but not the mobility, and she hadextensive scar tissue as well as moreadvanced osteoarthritis.

During a physical therapy session, herpersonal trainer said, “The next time yougo to Vail, you ought to see a doctornamed Richard Steadman at the Steadman-Hawkins Clinic. He’s the ‘big guru’ (hiswords, not hers) on knee problems.” Adeletook that advice, scheduled an appointment,and went back to Colorado in the summerof 2005.

THE PACKAGE“Dr. Steadman said my doctors had

done what needed to be done, but that hethought we could go further and give mebetter mobility and less pain,” recalls Adele.“He had developed a technique that wasbeing performed only at Steadman-Hawkinsor by SteadmanuHawkins ResearchFoundation Fellows around the world.”What Adele didn’t know was that Dr.Steadman’s procedure was gaining interna-tional recognition as “The Package,” andshe was about to receive it.

The Package is a series of arthroscopicprocedures conducted during one opera-tion. In Adele’s case, the first was chon-droplasty, in which a motorized shavingdevice smoothed out irregular joint surfaces.The second, called lysis of adhesions,removed scar tissue while minimizing bleed-ing. Two down, two to go. The third part of The Package was a menisectomy. Dr.Steadman removed what was left of hertorn meniscus. The final procedure was asynovectomy—removal of inflamed tissuethat lined the joint of her arthritic knee.“I had surgery in the morning and at 2 p.m.someone was in my room and manipulatingmy leg,” says Adele. “At 8 o’clock the nextmorning I was downstairs in physical therapy.They didn’t give my knee one minute to try to form scar tissue. In my previous twosurgeries back East there had been as muchas a week before therapy had begun.” Shealso noticed that the focus of her post-opexercises seemed to be more on mobilitythan on strength training.

Less than a year later, Adele is back ontrack. She is more “pain-free.” No morebuckling. She walks, stretches, and exercisesregularly. To say she is more mobile is anunderstatement. In May, she added EasternEurope to a travel itinerary that, in pastyears, has included Australia, New Zealand,Peru, the Galapagos Islands, Turkey, Greece,and points in the American West. “I don’tplan on skiing downhill anymore, but I’llsnow-shoe or ski cross-country.”

THE GIFTDuring her office visits in Vail, Adele

began reading the SteadmanuHawkinsResearch Foundation’s newsletters. “It wasinteresting to learn about the researchbeing funded and conducted by the

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“It was interesting to learn about the research

being funded and conducted by the Foundation.

Much of what was done on my knee was a direct

result of that research.”

Roy and Adele Igersheimshare a toast during theirtravels in Eastern Europe.

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Foundation. Much of what was done on myknee was a direct result of that research.”

She suggested to her husband that they find a way to support the Foundation.Philanthropy is not a new idea for theIgersheims. Their family foundation hasprovided computers to a non-profit organi-zation in Maryland and an ambulance, aplayground, and a greenhouse—all in Israel.Helping the people of New Orleans rebuildafter Katrina is on their short list of potentialprojects.

Adele and Roy decided to fund one of the six Steadman-Hawkins Fellows for ayear. Fellows spend a year refining skills andlearning new surgical techniques, and theyparticipate in research with Foundation scientists. “We liked the idea of supportinga Fellow who will be trained in Steadman-Hawkins methods and who can take his orher skills to others around the world whohave knee and arthritis problems like mine.We will go to Vail in August and meet the Fellow we are sponsoring, and he willstay in touch with us during his stay atSteadman-Hawkins.”

Adele Igersheim has a message for others who might read her story. “TheSteadmanuHawkins Research Foundationis doing wonderful research and they are putting it to use. By supporting theFoundation, all of us may someday enjoy alifestyle as active as we would like it to be.”

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SPORTS AND WELLNESS

Cuffing Shoulder ProblemsHow to stretch, strengthen,and repair one of golf’smost critical areas.By Theodore F. Schlegel, M.D. Dr. Schlegel, a Board-Certified Orthopedic Surgeon trained in Sports Medicineas a Steadman-Hawkins Fellow, practices with partnersMartin Boublik, M.D., and Thomas Noonan, M.D., at the Steadman-Hawkins Clinic-Denver.

W hether you drive it into orbit or arejust trying to keep it in the fairway,

the ability to swing a golf club is in partdetermined by a group of muscles that cannot be seen. Rotator cuff muscles—made up of four distinct muscles(supraspinatus, infraspinatus, teres minorand subscapularis) that join together intoone tendon attached to the upper arm—hide deep below the powerful deltoid andpectoralis muscles. Even though they aresmaller and often not the focus of personaltrainers’ programs, rotator cuff muscleshold the key to your success as a golfer.Once injured, they will become the biggesthazard that you face on the golf course.

The rotator cuff muscles are critical instabilizing the shoulder in all phases of thegolf swing. You activate them every time

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you swing, making them very susceptible toinjury from overuse. The average profes-sional golfer hits about 3,000 balls everyweek. Even if you hit one-tenth that many,you can imagine the toll on your shoulderover the years. We know that the incidenceof rotator cuff problems increases dramati-cally each decade of life after the age of 50, and 50 percent of people over the ageof 80 now have rotator cuff tears. The incidence among golfers of all ages is evenhigher. Therefore it is critical for one to beproactive in trying to prevent these problems.

This can best be accomplished byunderstanding the biomechanics of the golfswing and designing preventive exercises.First, an overall golf conditioning programis essential. As we age, we tend to be lessflexible and less able to recover frominjuries. Poor flexibility and strength willlead to improper hip and trunk rotation.That, in turn, leads to overcompensation ofthe smaller, weaker muscles of the arm andshoulder—eventually spelling disaster forthe rotator cuff. Once this structure isinjured, it may not only impair your abilityto play golf but also to perform simpleactivities of daily living such as washingyour hair.

A comprehensive training programblends flexibility and strength. Beforebeginning sessions, it is important to warmup with five to ten minutes of cardiovascularexercise. Stretching exercises are extremelyimportant to increase the amount and quality of the motion of the joint. Staticstretching involves gently easing and holdingthe muscle past its normal range of motion.Hold static stretches for 20 to 30 seconds,then repeat and try to push a little further.Some active stretches can also double asstrengthening exercises.

STRETCH IT OUTFor the shoulder, stretching should

focus on improving the flexibility of theposterior, or back part, of the joint capsule.This tissue will frequently be tight, creatingincreased pressure on the rotator cuff ten-don and eventually making it susceptible toinjury. The cross-arm stretch is a simple wayto stretch the back part of the shoulderjoint. Stand with your feet shoulder-widthapart or sit in an erect position. To stretchyour left arm, pull it across your body,

pulling your elbow toward your right shoul-der. You will feel the stretch in the back inyour left shoulder. Hold for a count of 15and repeat two to three times. Left-handedgolfers should stretch their right arm. Keepyour elbow straight as you stretch to get inthe habit of keeping the arm straightthrough the entire back swing.

SHOULDERING THE LOADThe strengthening exercises specific to

the shoulder focus on the rotator cuff andthe scapular muscles. This is most safely andeffectively accomplished with resistanceexercises using a sport cord. For the rotatorcuff, attach the device to a doorknob andstep away from the door until the cord istaut. For outward strengthening, standwith your feet shoulder-width apart andyour “resting shoulder” facing the door.Hold the handle at hip level with your“exercise hand” and exercising arm acrossyour body. Begin a slow outward rotationof the forearm while keeping the elbowstationary at the hip to 90 degrees. Returnslowly to this position. Repeat with theother arm. Inward rotation exercises can be performed in a similar manner. In thiscase, the exercising shoulder is towards thedoor. A slow, inward rotation of the fore-arm is performed while keeping the elbowstationary on the hip.

The scapular strengthening exercisesinclude upright and seated rows, alongwith a forward punch. Perform the uprightrows while standing with your feet togetheron the sport cord. Grasp the handles withboth hands at waist level and position themso that they are flat to the chest and notpointed out. Hold the handles toward thechin, slowly returning to the same position.Repeat the exercise.

To perform seated rows, attach thesport cord to the doorknob, face a chair sixto seven feet from the door, sit in it withyour feet in a wide, flatfooted position, andposition your lower back flat against thechair back. Hold a handle in each hand withyour arms extended in front of your body.With your hands almost together at waistlevel, slowly pull the arms back (keepingthem away from the same level with arolling motion until the hands reach eachother on the other side of the chest). Slowlyreturn to the starting position.

Rotator Cuff Stretch.

Forward Punch.

Internal Rotation.

The Cross-Arm Stretch.

Seated Rows.

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For the forward punch, attach the sportcord in the same way as the row, but facingthe chair away from the door. Stand in astride position with one foot in front of the other, holding a handle in each hand.Start with the arm at the waist level, handsat the side of the body and the elbows bent slowly. Punch forward where the armextends and simulate a straight-out punch-ing motion.

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HEALTH MATTERS

Staying Active, ExercisingCan Stave Off Aches, PainBy David C. Karli, M.D. Dr. Karli is a spinal physical medicine and rehabilitation specialist at the Steadman-Hawkins Clinic.

Everyone has heard the saying, “Don’tget old!” Unfortunately, aging is a

natural process that we all must endure.Despite advances in modern health

care that push active and healthy lifestylesfurther than ever, everyone will reach apoint where he or she recognizes the agingprocess at work. Perhaps our endurance isdeclining during our favorite run or bikeride. Maybe it takes longer to recover froma strenuous workout. How about a pickupbasketball game, where the realization of a younger, stronger opponent becomesapparent as the game progresses? Do youfind yourself avoiding that double black ski run?

Yes, we age, slow down, and don’t look quite as good as we once did. Despitethese inevitable truths, I’ve been consistentlyimpressed with people who adapt to thisprocess. Many of you wrestle with pain and stiffness and continue to participate in outdoor activities. That is deserving ofmy congratulations.

As a physician who deals with problemsof muscles, bones, and joints, I can’t beginto say how much easier my job becomeswhen patients can’t wait to get back to anactivity they have been forced to miss. Iliken our aging system to a car with 70,000miles on it. When taken care of, it still runsgreat, but in order to do so, a little extramaintenance is required. Our bodies arethe same way.

I often joke with our back pain patientsthat they are cursed to have to exercise forthe rest of their lives. Well, that’s not such a bad thing, is it? In the past our medicalcommunity literally put arthritic and degen-erative joint problems to bed. Patients weretold to stop using that arthritic knee or toseek bed rest for back pain.

We have since recognized that “use itor lose it” is often the more appropriatepath to combating these problems. This, ofcourse, requires the realization that we maynot be able to perform like we did 20 or 30years ago.

This idea holds many applications, butit has particular relevance to our agingspines. So often, the main recommendationfor back or neck pain is physical therapy, usually leading to an individual home exer-cise program. Like the rest of our joints, thediscs of our spines take a great deal of wearand tear. They lose some of their structuralstrength. As that process continues, webegin to rely more and more on the sup-portive muscles that surround our spines.Keeping these areas strong can often bethe difference in allowing us to stay out onthe ski hill or hiking trail.

Stay with the exercise! Think of it astuning up the high-mileage car. Prepareyour body for the activity you’re going tothrow at it, and you will be rewarded withthe ability to continue much longer thanyou may have expected.

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RESEARCH UPDATE

Impingement Can Leadto Arthritis in the HipEarly intervention may leadto prevention.

By: Marc J. Philippon, M.D., Mara Schenker, and DavidKuppersmith. Dr. Philippon is an orthopaedic surgeon atthe Steadman-Hawkins Clinic who specializes in treatinghip injuries.

A pproximately 120,000 hip replacementsare performed every year in the United

States. This invasive, open technique is rec-ommended for individuals with extensiveosteoarthritis. We use a minimally invasivearthroscopic technique that may delay theneed for this procedure by slowing the progression of hip osteoarthritis.

A significant cause of osteoarthritis inthe hip is thought to be femoroacetabularimpingement (FAI). FAI occurs when abnor-mally shaped bones of the hip repetitivelybump into each other during movement. As a result, soft tissue structures of the hip,including the acetabular labrum and thearticular cartilage, are often entrapped andinjured. Impingement is particularly com-mon in hip flexion and internal rotation, aposition frequently encountered duringactivities of daily living. Difficulty with put-ting on shoes and socks, and getting intoand out of a car are common complaints inpatients with extensive impingement.

There are two distinct types offemoroacetabular impingement — cam and pincer. Most commonly, patients have a combination of the two types. Camimpingement results from excess bonelocated on the femoral neck. Pincerimpingement results from excess bone onthe acetabulum. The precise cause of theimpingement is unknown. However, it likelyhas both developmental and activity-related(contact in sports, for example) components.

In both types of impingement, theabnormal contact between the femoralhead and acetabulum during movementcauses injury to the labrum and articularcartilage. Injuries to the labrum lead toincreased movement of the femoral headwithin the acetabulum, resulting in anunstable joint. Also, tears of the labrumresult in increased contact forces betweenthe femoral head and the acetabulum.With these increased forces, damage to thearticular cartilage may result. Injuries to thecartilage over time may increase in size anddepth, and ultimately result in bone-on-bone contact. At this point in the disease,the only current solution is a total hipreplacement.

A recent study conducted at theSteadmanuHawkinsResearch Foundationshowed that FAIdirectly correlates tolarge articular carti-lage injuries of theacetabulum. Hips with

With cam impingement, the burr, a small cuttinginstrument, is used to remove excess bone fromfemoral neck.

With pincer impingement,the burr, a small cuttinginstrument, is used toremove excess bone fromacetabulum.

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cam impingement proved more likely tohave large chondral defects compared tohips without cam impingement. This mayhasten the onset of hip osteoarthritis.Knowing the damage that can be caused tothe labrum and articular cartilage by FAI,two surgical options have been described to treat this disorder. The first is an opensurgical technique that requires a large skinincision and dislocation of the hip joint totreat the impingement. This approach hasshown good results, but it is a very invasiveprocedure. The second approach, which wedeveloped, uses two small arthroscopic inci-sions to remove the excess bone from thefemoral neck and the acetabulum. The goalof the arthroscopic procedure is to relievethe impingement and create joint clearanceto stop the bony abutment and soft tissuedamage. This may lessen the damage tocartilage and reduce the later need fortotal hip arthroplasty. With this technique,the patients do very well after surgery.Our recent study will be presented at theAnnual Meeting of the American Academyof Orthopaedic Surgeons, and it has shown

that professional athletes can return to elite sports following treatment with this procedure.

In conclusion, impingement leads to car-tilage damage, which causes osteoarthritis.Femoroacetabular impingement in the hipis a major cause of injury to the acetabularlabrum and articular cartilage, hip pain,reduced hip motion, and accelerated progression of hip osteoarthritis. By inter-vening early in this disorder, we are hoping to delay or prevent the onset of hiposteoarthritis and the need for total hipreplacement.

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A recent study conducted at the

SteadmanuHawkins Research Foundation

showed that impingement directly correlates

to the onset of hip arthritis.

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EDUCATION

A. Martin Clark, M.D.,and Mark Adickes, M.D.:Different Paths, SameDestination

By Jim Brown, Ph.D.

One was born in Minnesota and raised innorthern Virginia. The other was born

in Germany, the son of an Army chaplain,and grew up on military bases all over theworld. One did his undergraduate work atHarvard; the other earned a businessdegree at Baylor. One went to ColumbiaMedical School, then to New YorkPresbyterian for his residency; the other toHarvard Medical School at age 35, where hewas the second-oldest in his class, then tothe Mayo Clinic. Impressive résumés so far,but there’s more.

One played professional squash, wonfour U.S. National Championships, and represented the United States in the WorldGames and Pan American Games. The otherhad a ten-year career in professional foot-ball, including three with the WashingtonRedskins, where his team won a SuperBowl. One is newly married. The other has

been married 13 years and has five children. Who are these former sports stars andfuture orthopaedic superstars, and how didtheir paths finally converge as Steadman-Hawkins Fellows?

WHY STEADMAN-HAWKINS?“I started hearing about Steadman-

Hawkins when I was a resident in NewYork,” recalls A. Martin Clark, M.D., “notonly because of its reputation as one of the premier clinics in the world but alsobecause of the volume of research conductedat the Foundation and published in scientificjournals.”

Mark Adickes, M.D., heard aboutSteadman-Hawkins when he was a player inthe United States Football League and theNational Football League, and later whenhe began his medical studies. “You havethese incredibly accomplished surgeons outthere who are also brilliant scientists andworld-class researchers. Almost everybody I knew wanted to get in as a Steadman-Hawkins Fellow, but only a few are invited.(Six per year out of approximately 120applicants, to be exact.) “I did well in medschool and on my MCAT, but I was still nervous about my chances.”

RESEARCH INTERESTIn addition to clinical, operating room,

and educational responsibilities, eachFellow at the SteadmanuHawkins ResearchFoundation participates in research efforts.Clark is looking into the differences inresults of two kinds of ACL surgery, workingon hip arthroscopy papers with Dr. MarcPhilippon, and writing a book chapter onrotator cuff repairs with Dr. Peter Millet.

Adickes is investigating the outcomesof arthroscopic knee and hip surgery onNFL players, and he is reviewing 130 video-tapes of microfracture procedures to com-pare the results performed on those withdegenerative knee conditions to patientswho suffered traumatic knee injuries. SaysClark, “The Foundation generates so manyideas for research, there is never a lack ofprojects from which to choose.” Adickesadds that, although the staff makes youthink the research was your idea, theyprobably knew what needed to be done

D.r Clark (left) assists Dr. Steadman.

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all along and were waiting for the rightperson to come along.

One way those who are interested cansupport the Foundation is by sponsoring aSteadman-Hawkins Fellow (see Patients inthe News, page one). During their August-to-July terms, each Fellow is asked to stay in touch with his or her sponsors. Clark,Adickes, and their colleagues write letters,talk on the phone or in person, and keeptheir sponsors informed about their workand their plans.

LOOKING BACKNow that both men are completing

their one-year Fellowship programs, theycan look back at their experiences with aperspective that lived up to their expecta-tions. “When you are not part of theSteadman-Hawkins family, you sort of won-der why their outcomes are so good,” saysClark. “But once you are there, you beginto understand that there is a magic aboutthe Clinic and the Foundation and the waythe whole thing works. I soaked it up andhave enjoyed every minute. It is one year inyour life when you get to train with thebest orthopaedic surgeons in the world, aswell as spending time with your family andenjoying the surroundings.”

Adickes shares that sentiment. “I amamazed at how collegial the Clinic andFoundation staffs have been. Dr. Steadmanis a truly humble man—and there are notmany humble surgeons—who cares deeplyabout patients. At Steadman-Hawkins theyonly hire people who treat colleagues andpatients the same way. It was like wearing apair of well-worn slippers—very comfort-able—right from the start. My wife, Jackie,is amazed that every person she meetsthere is so nice and so happy.”

WHAT’S NEXT?Dr. Clark and his wife, Maja, will be

moving to Phoenix this summer. He will bea sports medicine and hip arthroscopy spe-cialist at the Core Institute, a clinic andresearch facility with a structure closelyresembling that of the clinic in Vail and theSteadmanuHawkins Research Foundation.Dr. Adickes will join the staff at MemorialHermann Hospital in Houston as co-directorof a new sports medicine group that will,among its other programs, provide servicesto the Houston Rockets, Houston Comets,and Rice University.

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Dr. Adickes examines a patient.

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A PERSONAL MESSAGE What would Drs. Clark and Adickes tell

potential supporters of the Steadmanu

Hawkins Research Foundation? “You wouldbe investing your money in research that ismeant to help active people maintain anactive lifestyle,” says Clark.

“At Steadman-Hawkins, there is agroup of dedicated surgeons and Fellowswho take research that has been done, isbeing done, and will be done very seriously,”concludes Adickes. “The Foundation’sresearch will better the lives of people withorthopaedic problems. Your support will bemoney well spent.”

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Thank You, FellowshipSponsorsA special “thank you” to oursponsors who make theFellowship Program possible.

W e’d like to recognize those individualsand foundations that support the

entire Fellowship Class through the spon-sorship of Academic Chairs.

Chair sponsors of the 2005/2006Steadman-Hawkins Fellowship Class are Mr.and Mrs. Harold Anderson, Mr. and Mrs.Lawrence Flinn, Mr. and Mrs. Jay Jordan,Mr. and Mrs. Peter Kellogg, Mr. and Mrs. Al Perkins, and Mr. and Mrs. Steven Read.Mr. and Mrs. Roy Igersheim (see page one)will be Chair sponsors for the 2006/2007Fellowship Class.

Fellowship Benefactors fund theresearch of one Fellow for one year. Eachbenefactor is assigned a Fellow who pro-

“The Foundation’s research will better the lives of

people with orthopaedic problems. Your support

will be money well spent.”

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vides written reports and updates of his orher work. We extend our gratitude to thefollowing individuals for their generoussupport: Mr. Mitch Hart, the Fred and ElliIselin Foundation, Mr. and Mrs. John W.Jordan, Mr. and Mrs. S. Robert Levine, Mr.and Mrs. Kent Logan, Mr. Tim McAdam, Mr.and Mrs. Jay Precourt, and Mr. and Mrs.Stewart Turley.

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MEET OUR STAFF

Joe KaniaCoordinator of TechnicalResources and VisualServices

Joe Kania grew up near Detroit, Michigan,and attended Wayne State University. He

made the decision to move to Coloradowhile riding a chairlift on his first ski trip toColorado. Once there, he made his way into

the mountains asoften as possible,camera in tow. Hispassion for photog-raphy led him tofinish his degree atthe University ofColorado-ColoradoSprings, where hereceived his B.A. inCommunication.While attending

classes, he worked as a cameraman for theColorado College Tigers hockey broadcastsand also provided coverage for the AirForce Academy football coach’s show.

He took his newly acquired skills toSeattle, where he could satisfy his hungerfor the mountains in a larger market forvideo services. While there, he traveled thecountry producing live broadcasts of minorleague soccer, hockey, and baseball games,worked on crews making large-budgetcommercials, and assembled music videoprograms, as well as working on manyother smaller independent projects. Hisclimbing pursuits continued with ascents ofmany peaks in Washington State, includingMt. Rainier and Mt. Baker. After two years

What’s the differenceyou want to make?

You’ll be amazed at the“difference of a lifetime” youcan create – for others aswell as for you and your family. You can transformlives afflicted with arthritisby supporting our researchto prevent and treat this disease. You can enhancequality of life and restorehope. And you can provideincome for you and yourfamily – all with a single gift.

How you can make a difference for the future andfor your family? Contact JohnMcMurtry at (970) 479-5781or john.mcmurtry@shsmf.orgfor information on theincome and tax benefits of acharitable remainder trust.

in the rain, he returned to the gloriouspowdered slopes of Colorado, settling inVail. Not long after arriving, he found hisposition at the SteadmanuHawkinsResearch Foundation, where he has theopportunity to use the many skills he devel-oped in his years of photography, videoproduction, and graphic arts. At theFoundation he can be found filming surger-ies, running audio-visual equipment forlarge conferences the Foundation organizes,broadcasting live surgery via satellite, ortaking photos of nearly anything imaginablefor public relations, patient or physicianeducation, the newsletter, or website.

“The Foundation is a convergence ofchallenging work, service to the community,and a healthy sense of fun. The staff is reallyfirst-rate, and that’s been a great inspira-tion to excel in my own department.”

Outside of work Joe enjoys trail running,mountain biking, climbing, skiing, snow-shoeing, and photography. An avid musicfan, he also plays guitar and takes advan-tage of the many live music venues in Vailand the Front Range.

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photo: John Kelly

photo: John Kelly

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STEADMAN-HAWKINS UPDATE

Publications, Presentations, andResearch

T he SteadmanuHawkins Research Foundation hasbeen a leader at major international orthopaedic

meetings this spring, with numerous papers beingaccepted by prestigious medical and scientific societiesand journals. For example, at the 2006 European Societyof Sports Traumatology, Knee Surgery and ArthroscopyAnnual Meeting, May 2006, in Innsbruck, Austria, ninepapers on the hip were accepted from around the worldfor presentation. Five were produced by the Foundation.

The European Society of Sports Traumatology, KneeSurgery, and Arthroscopy (ESSKA) promotes theexchange of information data covering research into thescientific and practical aspects of knee ailments. ESSKAaccepted the following three podium and four poster presentations for the annual meeting:

Four- to Six-Year Follow-up of Hip Arthroscopies in

Professional Athletes. Marc J. Philippon, M.D.; MaraSchenker; and Alston J. Stubbs, M.D.

The Log Roll Test for Hip Instability. Marc J. Philippon,M.D.; Mara Schenker; Karen K. Briggs, M.B.A., M.P.H.;and Alston J. Stubbs, M.D.

Demographics of Cam and Pincer Hip Impingement.

Marc J. Philippon, M.D.; Mara Schenker; Karen K. Briggs,M.B.A., M.P.H.; and Alston J. Stubbs, M.D.

PosterClinical Presentation of Hip Instability. Marc J. Philippon,M.D.; Mara Schenker; Karen K. Briggs, M.B.A., M.P.H.;and Alston J. Stubbs, M.D.

Clinical Presentation of Femoroacetabular Impingement.

Marc J. Philippon M.D.; Mara Schenker; Karen K. Briggs,M.B.A., M.P.H.; and Alston J. Stubbs, M.D.

A Three-Year Outcome Study of Hip Arthroscopy. Marc J.Philippon, M.D.; R.R. Martin; and Mara Schenker.

Factors Associated with Revision Hip Arthroscopy. MarcJ. Philippon, M.D.; Alston J. Stubbs, M.D.; MaraSchenker; and Karen K. Briggs, M.B.A., M.P.H.

GrantsIn 2006 the Foundation received two significantresearch grants.

NFL Charities Awards $125,000 Grant for OrthopaedicShoulder Research

For the 13th year, NFL Charities, the charitable foundation of the National Football League, has awardeda substantial research grant to the Steadmanu HawkinsResearch Foundation for new and continuing work onthe causes, treatments, and prevention of shoulderinjuries.

The research project, Understanding Three-

Dimensional Motion of the Shoulder Complex, will provide the scientific knowledge to develop more- effective approaches to shoulder rehabilitation andstrengthening. The new information will offer signifi-cant change in the health care provided to the shoulderpatient, allowing for better outcomes, as well as increasing quality of life in these patients.

Support from the NFL Charities is vital to theFoundation’s overall shoulder research program. Thismotion data is very important and numerous researchcenters around the world are anxiously awaiting theresults. The data will be instrumental in helping advanceand validate the Foundation’s computer model of theshoulder. “This validation process is no small task, as it iscomputationally very tedious. I have no doubt that thismodel will revolutionize our basic understanding of howthe shoulder really moves, and what muscles and liga-ments are involved,” stated Dr. Michael R. Torry, directorof the Biomechanics Research Laboratory.

The principal investigators are Takashi Yanagawa,M.A.; Marcus Pandy, Ph.D., University of Melbourne,Australia; Kevin Shelburne, Ph.D., assistant director; Dr. Torry; and Erik Giphart, Ph.D.

Dr. Steadman (right) is assisted by Fellow Dr. Dominic S. Carreira.

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NFL Charities is the cornerstone of the NationalFootball League’s commitment to community service. It awards sports-related medical research grants thatadvance the body of knowledge of sports medicine forprofessional and recreational athletes.

Genzyme Funds Osteoarthritis Research Awards $89,000 to Study Viscosupplementation

The purpose of the study is to document results following a viscosupplementation treatment protocol in which corticosteroid is used in addition to the initialSynvisc injection. Synvisc is a biomaterial used in thetreatment of knee pain caused by osteoarthritis.

The goal of viscosupplementation is to replenishsynovial fluid, which will improve patient symptoms and mobility for those suffering from osteoarthritis.Viscosupplementation of the knee with hyaluronic acidinjections has been shown to improve symptoms inpatients with osteoarthritis. Recent studies have shownthat this improvement may be highly variable, based onthe time from treatment, especially in the first 12 weeksfollowing treatment.

Genzyme, one of the world’s foremost biotechnologycompanies, is dedicated to making a major positiveimpact on the lives of people with serious diseases.Founded in Boston in 1981, Genzyme has grown from asmall start-up to a diversified enterprise with annual revenues exceeding $2 billion and more than 8,000employees in locations spanning the globe. GenzymeBiosurgery has been a corporate sponsor of theFoundation since 2003.

Vail Cartilage Symposium Website Now LivePlease visit www.vailcartilage.com to view the website.Physicians around the world can access the site, watchthe webcast and earn continuing medical educationcredit.

In August 2005, the professionals and staff of theSteadmanuHawkins Research Foundation hosted theThird Vail Cartilage Symposium in Vail, Colorado. Thetwo-day meeting, funded by educational grants fromPfizer, Inc.; Genzyme Biosurgery; Innovation Sports, Inc.;and GlaxoSmithKline, featured a world-renowned, international faculty of orthopaedic surgeons, each ofwhom has pioneered innovative procedures for treatingarticular cartilage injuries.

With growing worldwide interest and concern overthe increase in degenerative arthritis, this seminar wastimely and relevant to both the orthopaedic world andlay community. A direct outcome of the symposium was

the production of an accredited continuing medical education online webcast and DVD. The symposium isavailable free of charge to physicians worldwide toaccess upon request, thus broadening the audience andmaking this unique educational opportunity available tomany who otherwise would not be able to participate.

Co-chairs of the event were Dr. J. Richard Steadman,founder of the SteadmanuHawkins Research Foundationand principal of the Vail-based Steadman-Hawkins Clinic, and Dr. Martin Boublik, principal of the Steadman-Hawkins Denver Clinic.

Newsletter Articles Now Available in AudioFormat

Now you can listen to the latest newsletter storiesand articles from the SteadmanuHawkins ResearchFoundation. Go to the Foundation website(www.shsmf.org), click on Newsletter Audio Files, andfollow the instructions. This new audio format can bedownloaded to computers, iPods, and media players.Each article will be 5-10 minutes — convenient for listening while you exercise, travel, or work.

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Earlier this spring, Steadman-Hawkins Fellow Dr. Stephen A. Huntdemonstrated arthroscopic knee surgery on a model to curious fifth-graders from Brush Creek Elementary School, Eagle, Colorado.

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STEADMANu HAWKINS RESEARCH FOUNDATION SUMMER 06

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FREQUENTLY ASKED QUESTIONS

WHAT DOES THE FOUNDATION ACTUALLY DO?

The Foundation is known throughoutthe world for its research into the causes,prevention, and treatment of orthopaedicdisorders such as arthritis. The goal is tokeep people active. The wave of the futureis to preserve joints through various resur-facing techniques. The research being donetoday by the Foundation is accomplishingthis goal and allowing people to perform at their highest level possible for as long as possible.

WHAT IS ARTHRITIS?

It is a chronic, debilitating disease thatbreaks down cartilage in the joints causingpain, stiffness, swelling, deformity, andsometimes outright disability.

HOW SERIOUS A HEALTH-CARE ISSUE IS ARTHRITIS?

According to the Centers for DiseaseControl and Prevention and the U.S.Department of Health and Human Services,arthritis is the nation’s leading cause of disability, limiting everyday activities formore than 16 million Americans.

America spends $65 billion annually ontreating arthritis, its complications, and thedisability it causes. This includes the indirectcosts associated with wage losses and anestimated medical bill of $15 billion eachyear for doctor visits and hospitalizations.

The painful effects of arthritis limitphysical activity more than cancer, heart disease, or diabetes, and it is the most fre-quent cause of lost wages in the country.

WHAT IS THE FOUNDATION DOING TO PREVENT AND

TREAT ARTHRITIS?

For arthritis caused by certain joint andcartilage disorders, the Foundation hasdeveloped and validated innovative andnow widely used surgical techniques thatenlist the body’s ability to grow “repair”cartilage in the knee. These procedures canbring significant relief from painful symp-toms. Early evidence shows this works inthe hip as well.

A recent Foundation study showed that the progression of arthritis in the hipmay be prevented or delayed with earlyintervention and a new arthroscopic proce-dure to relieve this condition.

The Clinical Research Department isleading the field in studying this treatment

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Habervision Is Here!

Spring has arrived and summer is just around thecorner. The Steadmanu

Hawkins ResearchFoundation would like tooffer all our supporters and their family and friendsthe opportunity to purchasethe new and exciting line of Habervision PolarizedEyewear products andaccessories at a 50 percentsavings! A portion of theproceeds from each salegoes to the Foundation.

The sunglasses and skigoggles incorporate thevery best polarized technol-ogy available. There issomething for everyone —go to www.habervision.com and enter AffinityMember Code: SH11559E or click on the link below.There is no expiration date.Share the code! Shop andenjoy.

Click on the Habervisionlink now and save 50 percent on all HabervisionPolarized Eyewear andAccessories while support-ing the research that bene-fits us all.

www.habervision.com/CodeResult.aspx?code=SH11559E

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Spectacular Sanctuary!

option, but further studies must be com-pleted to advance the procedure so thatpatients worldwide will eventually benefit.

With the aging of the American population, we fear the number of peoplesuffering from arthritis will increase dramatically. We want to change this.

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Save the Dates:

STEADMAN-HAWKINS SANCTUARY GOLFTOURNAMENT SET FOR AUGUST 17

The SteadmanuHawkins ResearchFoundation has been selected by RE/MAXInternational, a global real-estate firm, tohold the third Pepsi Steadman-HawkinsGolf Classic, Presented by REMAXInternational at the Sanctuary, a premiergolf resort located south of Denver nearSedalia. Proceeds from the tournament will support the development of new proce-dures and methodology to battle degenera-tive arthritis.The team event will include ashotgun start with a modified scramble.Thetournament is open to the public andincludes invitees from the Denver Broncos,local celebrities, and Colorado golf pros.Sanctuary organizes and hosts charitable

events to support organizations devoted tothe arts, children, health care, and crisismanagement. To date, more than 161 chari-ties have raised more than 28 million dol-lars to benefit the constituents they serve.

Renowned course architect Jim Engh,Golf Digest’s first-ever “Architect of theYear” in 2003, designed the course thatprotects a private oasis of 220 acres, effectively complementing the 40,000 surrounding acres of dedicated open space.

Golf Digest listed Sanctuary as the bestnew private course in 1997. Gary McCord,CBS golf analyst and senior PGA tour professional, has said, “Sanctuary is simplythe most spectacular golf course I have ever seen.”

The SteadmanuHawkins ResearchFoundation is grateful to Dave and GailLiniger, owners and co-founders of RE/MAXInternational, who created this uniqueopportunity for the Foundation to developand enhance relationships with those whosupport our mission.

To request an invitation or for moreinformation on Foundation events, please contact Rachele Palmer at theSteadmanuHawkins Research Foundation(970-479-5809).

FOUNDATION CELEBRATES COLORADOEVENING, PRESENTED BY WESTSTARBANK

A lifetime of excellence will be on display Saturday, August 19, in Vail, as theSteadmanuHawkins Research Foundationhosts the “Colorado Classic,” an eveningculinary extravaganza. The ColoradoEvening, Presented by WestStar Bank, willfeature superb cuisine, courtesy of some ofthe Vail Valley’s finest restaurants, award-winning wines from BR Cohn, and opportu-nities to bid on the dreams of a lifetime.

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With the aging of the American population, we fear the

number of people suffering from arthritis will increase

dramatically. We want to change this.

The SteadmanuHawkins Research Foundation is dedicated to keeping

people of all ages physically active through orthopaedic research

and education in the areas of arthritis, healing, rehabilitation and

injury prevention.

Non-Profit Org.US Postage

PAIDDenver, CO

Permit No. 4033

SteadmanuHawkinsResearch Foundation

181 West Meadow DriveSuite 1000Vail, Colorado 81657970-479-9797970-479-9753 FAXhttp://www.shsmf.org

SteadmanuHawkins Research Foundation is a tax-exempt 501 (c) (3) charitable organization dedicated to keeping people active.

Mark Your Calendar:

AUGUST 17 Pepsi 2006 Steadman-Hawkins Golf Classic,Presented by RE/MAX International at theSanctuary in Sedalia, Colorado. For more information, contact Rachele Palmer at(970) 479-5809, rachele.palmer@shsmf.org

AUGUST 19Steadman-Hawkins Colorado Evening, Presentedby WestStar Bank. Celebrate an evening of Vail Valley cuisine and theopportunity to bid on the dreams of a lifetime. Formore information, contact Rachele Palmer at (970) 479-5809, rachele.palmer@shsmf.org

DECEMBER 7-9 Thirteenth Annual SteadmanuHawkins ResearchFoundation Fellows Meeting. For more information, contact Greta Campanale at(970) 479-5782, greta.campanale@shsmf.org

To request an invitation, or for moreinformation on Foundation events, please contact Rachele Palmer at theSteadmanuHawkins Research Foundation(970-479-5809).

ADMINISTRATION

Norm WaiteChief Executive Officer

John Welaj, M.B.A.Chief Operations Officer

Amy RutherHuman Resources Manager

DEVELOPMENT

John G. McMurtry, M.A., M.B.A.Vice President for Program Advancement

Rachele PalmerDevelopment Coordinator

BASIC SCIENCE

William G. Rodkey, D.V.M.Director

CLINICAL RESEARCH

Karen K. Briggs, M.B.A., M.P.H. Director

Marilee HoranResearch Associate

Lauren MathenyResearch Associate

Sarah Kelly-SpearingResearch Associate

Aaron BlackResearch Intern

David KuppersmithResearch Intern

Nicole MaphisResearch Intern

Erin OlsonResearch Intern

BIOMECHANICS RESEARCH LABORATORY

Michael R. Torry, Ph.D.Director of Biomechanics Research Laboratory

Kevin B. Shelburne, Ph.D.Senior Staff Scientist

J. Erik Giphart, Ph.D.Staff Scientist

Takashi Yanagawa, M.A.Staff Scientist

Chris GorgaResearch Intern

Arvin Ramanujam, M.A.Research Intern

EDUCATION

Greta Campanale Director

Ashley KingEducational/Development Program Assistant

TECHNICAL RESOURCESVISUAL SERVICES

Joe KaniaCoordinator

Your Legacy, Our Future. Please remember Steadmanu

Hawkins Research Foundation in your will, trust, or other estate plan.