july-august: skin care in athletes

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JULY/AUGUST 2010 www.sportsmed.org NEWSLETTER OF THE AMERICAN ORTHOPAEDIC SOCIETY FOR SPORTS MEDICINE Research Grant Deadlines Approaching Become a STOP Sports Injuries Supporter 2010 Annual Meeting Recap SKIN CARE IN ATHLETES

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Page 1: July-August: Skin Care in Athletes

JULY/AUGUST 2010

www.sportsmed.org

N E W S L E T T E R O F T H E A M E R I C A N O R T H O P A E D I C S O C I E T Y F O R S P O R T S M E D I C I N E

Research GrantDeadlinesApproachingBecome aSTOP Sports InjuriesSupporter2010 AnnualMeeting Recap

SKINCARE INATHLETES

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CO-EDITORS

EDITOR William N. Levine MD

EDITOR Daniel J. Solomon MD

MANAGING EDITOR Lisa Weisenberger

PUBLICATIONS COMMITTEE

Daniel J. Solomon MD, Chair

Kenneth M. Fine MD

Robert A. Gallo MD

Richard Y. Hinton MD

David M. Hunter MD

Grant L. Jones MD

John D. Kelly IV MD

William N. Levine MD

Brett D. Owens MD

Kevin G. Shea MD

Brian R. Wolf MD, MS

BOARD OF DIRECTORS

PRESIDENT Robert A. Stanton MD

PRESIDENT-ELECT Peter A. Indelicato MD

VICE PRESIDENT Christopher R. Harner MD

SECRETARY Jo A. Hannafin MD, PhD

TREASURER Robert A. Arciero MD

UNDER 45 MEMBER-AT-LARGE David R. McAllister MD

OVER 45 MEMBER-AT-LARGE Mark E. Steiner MD

SECRETARY-ELECT James P. Bradley MD

TREASURER-ELECT Annunziato Amendola MD

COUNCIL OF EDUCATION Andrew J. Cosgarea MD

RESEARCH Constance R. Chu MD

COMMUNICATIONS Daniel J. Solomon MD

MEMBERS EX OFFICIO (MEMBERSHIP) John D. Kelly IV MD

MEMBER-AT-LARGE Mininder S. Kocher MD

PAST PRESIDENT James R. Andrews MD

PAST PRESIDENT Freddie H. Fu MD

MEMBER EX OFFICIO COUNCIL OF DELEGATES

Patricia A. Kolowich MD

JOURNAL EDITOR, MEMBER EX OFFICIO Bruce Reider MD

AOSSM STAFF

EXECUTIVE DIRECTOR Irvin Bomberger

MANAGING DIRECTOR Camille Petrick

DIRECTOR OF COMMUNICATIONS Lisa Weisenberger

DIRECTOR OF RESEARCH Bart Mann

DIRECTOR OF DISTANCE LEARNING Susan Zahn PhD

DIRECTOR OF CORPORATE RELATIONS Debbie Cohen

DIRECTOR OF FINANCE Ken Hoffman CPA

EDUCATION AND MEETINGS COORDINATOR Patricia Kovach

EDUCATION AND FELLOWSHIP COORDINATOR Heather Heller

EXHIB ITS AND ADMINISTRATIVE COORDINATOR

Michelle Schaffer

MANAGER OF MEMBER SERVICES AND PROGRAMS

Debbie Turkowski

EXECUTIVE ASSISTANT Susan Serpico

ADMINISTRATIVE ASSISTANT Mary Mucciante

AOSSM MEDICAL PUBLISHING GROUP

MPG EXECUTIVE EDITOR AND AJSM EDITOR Bruce Reider MD

SENIOR AJSM EDITORIAL/PRODUCTION MANAGER Donna Tilton

SPORTS HEALTH EDITORIAL/PRODUCTION MANAGER

Kristi Overgaard

SPORTS MEDICINE UPDATE is a bimonthly publication of the American Orthopaedic Society for Sports Medicine (AOSSM). The AmericanOrthopaedic Society for Sports Medicine—a world leader in sports medicine education, research, communication, and fellowship—is a nationalorganization of orthopaedic sports medicine specialists, including national and international sports medicine leaders. AOSSM works closely with manyother sports medicine specialists and clinicians, including family physicians, emergency physicians, pediatricians, athletic trainers, and physicaltherapists, to improve the identification, prevention, treatment, and rehabilitation of sports injuries.

This newsletter is also available on the Society’s Web site at www.sportsmed.org.

TO CONTACT THE SOCIETY: American Orthopaedic Society for Sports Medicine, 6300 North River Road, Suite 500, Rosemont, IL 60018, Phone:847/292-4900, Fax: 847/292-4905.

1 From the President

6 Research News

8 Research Awards

10 Society News

12 Dual Certification

14 STOP Sports Injuries

15 Annual Meeting Recap

19 Hall of Fame Inductee

20 Upcoming Meetingsand Courses

2 Team Physician’s CornerSkin Care in Athletes

JULY/AUGUST 2010

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As a community based orthopaedic surgeon who remainsconnected to residency training and who also cares forcollegiate, professional, and international athletes, I havea special appreciation for the breadth of the Society’sconstituency. It is a special privilege for me to serve as theAOSSM’s president at this point in time when we are thrivingas a profession and expanding our collaboration within theorthopaedic and sports medicine communities.Every president has the daunting task of following in

the footsteps of legends, such as Jack Hughston, MD, JackKennedy, MD, Robert Leach, MD, and the many otherpresidents who are such a significant part of our history.But nobody up to now has had the task of following JamesAndrews, MD, who has brought a whole new level ofleadership to our organization. I congratulate him for a jobwell done and particularly for his tireless efforts in developingand launching the STOP Sports Injuries program. Fewindividuals could coalesce such broad support or providethe level of visibility this initiative enjoys. I am grateful thatJim has agreed to continue leading the STOP Sports Injuriescampaign as we continue to reach out to the public, athletes,and the business community. His involvement will ensurethe program will benefit patients for years to come, and itrightfully will reflect Jim’s legacy within our profession.Equally impressive was the 2010 Annual Meeting held in

Providence. This issue of SMU reviews many of the educationaland social high points provided through the leadership of Jim

and his Program Chair, Neal ElAttrache, MD. Of special notewas the AOSSM-ISAKOS pre-conference surgical skills coursewhich included live surgical demonstrations from renownedorthopaedic leaders. The sponsors of this unique educationalexperience deserve special recognition for making this aspectacular part of our meeting: Arthrex, Biomet SportsMedicine, ConMed Linvatec, DePuy Mitek, Smith &Nephew, and Stryker.While Jim has opened new opportunities for the Society

and our profession, I know our continued success as anorganization will depend on balancing these new activitieswhile carefully evaluating our opportunities for organizationalgrowth. A blessing and unique challenge of our success is thatit exponentially increases the requests for AOSSM supportand involvement. As wise stewards of our resources—time,energy, and finances—the Society leadership will need tocarefully assess and select our opportunities for involvement.During my term as president, my priority will be to engagethe Society in strategic planning so that we remain a vibrant,effective world leader in orthopaedic sports medicine education,research, communication, and fellowship. I welcome youropinions about the future direction of the AOSSM.Thank you for the honor of serving as the 39th

AOSSM president.

July/August 2010 SPORTS MEDICINE UPDATE 1

FROM THE PRESIDENT

ONE OF AOSSM’S STRENGTHS is that our organization—and profession—was founded toserve all orthopaedic surgeons with an active interest in sports medicine. Our membership and leadership

is comprised of educators, researchers, and clinicians who share a commitment to improving the care of

athletes, whether they be young or old, amateur or professional.

Robert A. Stanton, MD

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2 SPORTS MEDICINE UPDATE July/August 2010

Sports provide an excellent environment for thespread of infection. Athletes are in close contact on a regularbasis and often share equipment, water bottles, clothing, andtowels. Cutaneous infections represent the most commonlyreported athletic-related infections.1 Direct contact, as well asindirect contact (sharing of equipment, etc.), between athletesfacilitates the transmission of cutaneous infections. Commonsports-related trauma to the skin, such as abrasions andlacerations, provide a pathway for infection.

SKIN CARE IN ATHLETES

T E A M P H Y S I C I A N ’ S C O R N E R

ALEC A. MACAULAYWILLIAM N. LEVINE, MDThe Center for Shoulder, Elbowand Sports MedicineThe New York Orthopaedic HospitalColumbia University College ofPhysicians and SurgeonsNew York, New York

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Poor hygiene, which is the norm in manyteam locker rooms, allows these infectionsto perpetuate and spread to others.Outbreaks of infections have been reportedon teams and at sport camps.2 Contactsports, such as football, basketball, wrestling,and rugby, appear to be the most conduciveto these outbreaks.1-3

There are a number of simple, universalprevention tactics that can be implementedto help protect athletes from the commoncutaneous infections. Hand hygiene,preferably with liquid anti-microbial soapand not bar soap, is the first step to preventinfection transmission. Paper towels shouldbe used to dry the hands and not clothtowels. Mandating showers after practiceand games is another important step. Thesharing of equipment, clothing, and towelsshould be discouraged. Athletic clothesand towels should be laundered daily andequipment that cannot be laundered, suchas headgear or protective pads, should bedisinfected regularly. Other high-trafficsurfaces, such as locker room benches,training tables, weight room equipment,and wrestling mats, should be disinfecteddaily. Lastly, all skin lesions should bepromptly reported to the team physician,training staff, or coach in an attempt toprevent the spread of the infection.3-5

Team physicians play an important role innot only treating athletes with an establishedinfection, but also in preventing the spread ofthe infection to teammates and competitors.In this article, the diagnosis, treatment, andprevention of the most common cutaneousinfections encountered in athletes will bediscussed. The infections are broken downinto fungal, bacterial, and viral. For eachpathogen the ICE-T approach is presented:� Identify: Identification of the offendingpathogen is important for treatment andto prevent the spread of the infection.

� Contain: The infection must becontained so as not to spread to otherareas of the body or to other athletes.

� Educate: It is important to educateathletes and coaches about thetransmission of these infectionsand easy preventative measures.

� Treat: Treatment of the infection isimportant for the afflicted athlete andto prevent the spread of the infectionto others.

Fungal InfectionsTinea� Identification: These infections tend tolocalize to warm, moist areas of the body.They are named based on their anatomicallocation: tinea capitis (head), tineacorporis (body, commonly known asringworm), tinea cruris (groin, commonlyknown as jock itch), and tinea pedis (feet,commonly known as athlete’s foot).They present as scaly, erythematouslesions with raised borders. Diagnosisis usually clinical. If needed, cultures oflesion scrapings are the gold standardfor diagnosis or KOH preparationsvisualized with microscopy can be usedto look for the presence of hyphae.6

� Containment: Athletes with a tineainfection should be withheld fromparticipation for three days followingthe initiation of topical treatment.Lesions should be covered whenparticipation is resumed.4

� Education: Transmission can occur bydirect contact or via fomites. Thoroughshowering and adequate drying ofwarm, moist bodily areas can helpprevent the infection. Using showersandals, clean socks, clean underwear,and dry shoes are also valuablepreventative measures.

� Treatment: A topical antifungal shouldbe applied to the lesion at least twicea day. Oral antifungal medicationscan be added to the topical treatmentif necessary.4

Bacterial InfectionsImpetigo� Identification: Impetigo can be causedby either Streptococcus or Staphylococcus.The lesions are well-defined, erythematousblisters.7 After rupture, these blistersbecome crusted over and are classicallydescribed as “honey-colored.” Impetigotypically affects the area around the noseand mouth. Cultures and antibioticsensitivities should be obtained.

� Containment: For bacterial infections it isimportant to not just cover the lesions andallow a return to sporting activities. Threedays of antibiotics, no new lesions for atleast 48 hours, and no further drainage orexudates from the lesions should all occurbefore a return to sport is considered withappropriate coverage of the lesion.4,6

� Education: The main mode oftransmission is direct contact; howeverfomites may play a role and thus athleticgear should be laundered or disinfected.8

� Treatment: Topical antibiotics are used,preferably based on the culturesensitivities. Oral antibiotics are oftenused as well to prevent more seriousand widespread infections.9

Folliculitis, Furuncles, and Carbuncles� Identification: These entities represent aspectrum of Staph aureus infected hairfollicles. They typically present in hairyareas of high friction and perspiration,especially if the area has been shaved,taped, or abraided.4 Small papules andpustules are seen in folliculitis. Furunclesand carbuncles are larger, deeper, andmore inflamed.

� Containment: These lesions should becultured to rule out MRSA infection.Return-to-play guidelines are the sameas for impetigo.6

� Education: Cosmetic body shavingshould be avoided as it increases therisk for these infections.

� Treatment: For smaller lesions, a warmcompress can be used to promote drainage.More serious lesions, such as furuncles andcarbuncles, may require incision anddrainage as well as systemic antibiotics.9

July/August 2010 SPORTS MEDICINE UPDATE 3

Tinea

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MRSA� Identification: This highly antibiotic-resistant strain of Staphylococcus aureuscan present as a skin infection with2–3 cm erythematous lesions with apurulent center. Cellulitis can also bepresent or these lesions can grow intoabscesses. MRSA skin infections areusually seen on the extremities or at thesite of an abrasion or laceration.5 Culturesof the lesion, along with antibioticsensitivities, should be obtained.

� Containment: Any equipment that wasexposed should be thoroughly cleanedand disinfected. As long as there areno systemic symptoms (fever, malaise)return-to-play guidelines are the sameas for impetigo.4-6 It may be helpful tohave teammates of an infected athleteshower with chlorhexidine to decreaseasymptomatic carriage.5

� Education: Excellent hygiene practicesand avoidance of draining lesions isimperative to prevent the spread of MRSA.Isolating infected athletes from the restof the team and disinfecting possiblefomites are other important precautions.3

� Treatment: Empiric oral therapy withciprofloxacin, clindamycin, rifampin,tetracyclines, or Bactrim can be used forthe treatment of less virulent forms ofcommunity-acquiredMRSA.2 More seriousinfections necessitate the use of vancomycin,which requires IV administration. Anotheroption is linezolid, which has beenshown to be as effective as vancomycinand can be taken orally.10 Incision anddrainage or debridement of necrotictissue may be necessary for some ofthese skin lesions.

4 SPORTS MEDICINE UPDATE July/August 2010

MRSA infection

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July/August 2010 SPORTS MEDICINE UPDATE 5

1. Turbeville SD, Cowan LD, Greenfield RA. Infectious diseaseoutbreaks in competitive sports: a review of the literature.Am J Sports Med. 2006. 34(11): p. 1860-5.

2. Marcotte AL and Trzeciak MA. Community-acquired methicillin-resistant Staphylococcus aureus: an emerging pathogen inorthopaedics. J Am Acad Orthop Surg. 2008. 16(2): p. 98-106.

3. Kirkland EB and Adams BB. Methicillin-resistant Staphylococcusaureus and athletes. J Am Acad Dermatol. 2008. 59(3): p. 494-502.

4. Zinder S, Basler RSW, Foley J, Scarlata C, Vasily DB. NationalAthletic Trainers’ Association Position Statement: Skin Diseases.Journal of Athletic Training. 2010. 45(4): p. 411-428.

5. Matava M, Geier CD. Methicillin-Resistant StaphylococcusAureus Skin Infections in Athletes. The American OrthopaedicSociety for Sports Medicine, Sports Medicine Update. 2008: p. 1-4.

6. Pecci M, Comeau D, and Chawla V. Skin conditions in theathlete. Am J Sports Med. 2009. 37(2): p. 406-18.

7. Adams BB. Dermatologic disorders of the athlete. Sports Med.2002. 32(5): p. 309-21.

8. Adams BB. Sports dermatology. Dermatol Nurs. 2001. 13(5):p. 347-8, 351-8, 363.

9. Bernard P. Management of common bacterial infections of theskin. Curr Opin Infect Dis. 2008. 21(2): p. 122-8.

10.Stevens DL, et al. Linezolid versus vancomycin for the treatmentof methicillin-resistant Staphylococcus aureus infections.Clin Infect Dis. 2002. 34(11): p. 1481-90.

11.Belongia EA, et al. An outbreak of herpes gladiatorum ata high-school wrestling camp. N Engl J Med, 1991. 325(13):p. 906-10.

References

Viral InfectionsMolluscum Contagiosum� Identification: Molluscum manifestsas small (a few millimeters in diameter),flesh colored lesions that have adimpled center and an otherwiseglossy appearance. They can be solitaryor clustered. Lesions are typically foundon the trunk or extremities.4

� Containment: Molluscum is spreadby direct contact or via fomites. Allpossible fomites from an affectedathlete should be cleaned. Once thelesions are removed, a covering shouldbe applied to the site of the lesion andreturn to sport is permissible.4 Frequentchecks for more lesions should beperformed since the lesions do notall arise at the same time.

� Education: Molluscum is caused by themolluscum contagiosum virus, a poxvirus.It is a self-limited, superficial viralinfection. In addition to direct skin-to-

skin transmission, sharing of towels,clothing and equipment with an infectedindividual can lead to transmission.

� Treatment: Although molluscumlesions will self-resolve over months toyears, athletes should see a dermatologistto have the lesions removed by curettage.Medication has not proven to beeffective at curing these lesions.4

Herpes Simplex� Identification: After a three- to ten-dayincubation period of the herpes simplexvirus (HSV) there is a prodromal phasethat can vary from mild to flu-like.Following the prodrome, clusters ofvesicles appear on an erythematousbase, and eventually evolve into dry,crusted lesions. The head, neck andupper extremities are the most commonsites of infection.7 Recurrent outbreakswithin an individual tend to be lesswidespread. If the clinical diagnosisis unclear, a Tzanck smear can beperformed to look for giant cells ora culture can be obtained.

� Containment: It is important not tosimply cover active lesions and allow areturn to sport. Resumption of activitiescan be allowed when there are no newvesicles for at least three days, all lesions

have crusted over, and antivirals havebeen used for at least five days.4,6

� Education:Wrestlers seem to beat a particularly high risk for HSVinfection.1,11 The infection lies latentin dorsal root ganglia and can reactivateleading to recurrent cutaneous outbreaks.Recurrent outbreaks may be precededby pain or tingling at the site of theoncoming lesions. Athletes with recurrentHSV can shed the virus intermittentlybetween episodes, even in the absenceof lesions.6

� Treatment: It is not possible to cureHSV but oral antivirals, such asvalacyclovir, can shorten the durationof an attack if started early. The useof antivirals can also decrease thechance of transmission.6

ConclusionCutaneous infections are common inathletes. Vigilance is important on thepart of athletes, trainers, coaches andteam physicians to make sure that aninfection in one athlete does not lead to awidespread outbreak. There are a numberof simple strategies that can be used toincrease the hygiene of athletes and teams,thus helping to prevent the spread ofcutaneous infections.Molluscum Contagiousm

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6 SPORTS MEDICINE UPDATE July/August 2010

This conference is a follow-up toan NIH-funded meeting in 2008and will focus on considerationsand requirements for a multi-centerclinical study of human subjectsfollowing anterior cruciate ligamentinjury for the possible developmentof a clinical initiative in this area.Similar to the 2008 conference,

the small conference size withfocused agenda and ample discussionopportunities promote directdiscussion and contributions frommultiple experts working in relatedareas but who bring differentperspectives to the table. Theobjectives of the conference are:1. To determine the state-of-the-art in multi-center orthopaedicand osteoarthritis research;

2. To determine the current andemerging clinical outcomemeasurements potentially suitablefor multi-center clinical study ofthe post-ACL injured knee; and

3.To develop recommendationsfor study design, study siterequirements, and assessmentmethods for a possible multi-center

clinical initiative studying theacute and longitudinal changesto articular cartilage (imaging),joint health (biochemicalbiomarkers), joint function(kinematics), and patientoutcomes following ACL injury.To view a preliminary

agenda for this meeting, visitwww.sportsmed.org and click onthe “Research” tab. There are slotsreserved for approximately 20individuals who will not presentbut who can actively contribute tothe discussions. These attendanceslots will be competitive. If you areinterested in being considered asa participant, please send your CVand a cover letter explaining yourclinical and research experience(e.g., record of publication,presentations, or research in OAand/or cartilage) that pertain to theconference topics to Bart Mann,[email protected]. Researchers andclinicians who are under 42 yearsold, women, minorities, andpeople with disabilities areespecially encouraged to apply.

AOSSM Post-Joint InjuryOsteoarthritis Conference IIApplications Due Soon

AOSSM is holding a scientific conference that will explore thestrong association between joint injury and the developmentof osteoarthritis. The meeting will be held at the Ritz-Carltonin New Orleans on December 2–5, 2010.

R E S E A R C H N E W S

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July/August 2010 SPORTS MEDICINE UPDATE 7

The Arthroscopy Association of North America (AANA) ResearchCommittee has initiated a research study to determine the incidenceof complications in knee and shoulder arthroscopy. As the Center forMedicare and Medicaid Services (CMS) continues to refuse paymentfor treating what they consider “Never Events” following surgery,it is important to document the actual incidence of these and othercomplications. Furthermore, this data base will potentially assistorthopaedic surgeons in a medicolegal setting. The goal is to includeat least 150,000 arthroscopic surgeries in the study.Participation in the study would involve inputting data into a

secure independent data base with surgeon and patient informationvia a simple, short questionnaire. All information will be de-identifiedand not accessible by anyone except an independent researchadministrator who is not affiliated with AANA. Data would be inputpostoperatively at weeks two, four, and six then at six-week intervalsover the initial six months post-operative period. This informationwould be input by a surgeon or designated representative (fellow,resident, research assistant, etc.). If you are willing to participate inthis project, simply supply AANA with some basic contact informationat www.zoomerang.com/Survey/WEB22ABRK9YTL3. You will beasked for your name, e-mail address, and the approximate numberof arthroscopies you perform monthly. The data will only be usedto contact you with further information as the study progresses.If you have any questions, please contact the AANA Research

Committee Chair, Julie Dodds, at [email protected].

AOSSM Members Neededfor Young Pitchers StudiesAOSSM is conducting tworesearch projects this yearthat focus on elbow andshoulder problems in youngpitchers (9–18 years old).The first is a survey-basedstudy that assesses theextent in which youngpitchers engage in typesand levels of throwingthat may put them at riskfor overuse injuries. Thesecond project will targetpitchers who seek treatmentfrom an orthopaedic surgeon and explore therelationships among pitching variables, elbowand shoulder overuse injuries, and adaptivechanges to the elbow and shoulder.

AOSSM members who have ties with youthleagues or teams in their communities and thosewho treat 20 or more young pitchers each yearare needed to help conduct these studies. Ifyou are interested in participating or would likeadditional information, e-mail AOSSM Directorof Research, Bart Mann at [email protected].

Osteoarthritis Grants AvailableAOSSM, in partnership with Genzyme Biosurgery,is pleased to announce a new research grantprogram to fund investigations related to earlyosteoarthritis (OA) and/or prevention of OAprogression. Two separate grants will be offered.One will provide a $50,000 per year renewablegrant, subject to an annual progress review, forthree years ($150,000 total) to support a clinicalresearch study. The second will be a one-timeaward of $50,000 to support a lab/basic scienceproject to separate investigators over successivethree years. The submission deadline for both theclinical and basic science grants is August 1, 2010.For more information contact Director of Research,Bart Mann at [email protected]. Additional informationand application materials can also be found underthe “Research” tab at www.sportsmed.org.

AANA Knee and Shoulder ArthroscopyComplications Study Participants Needed

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In order to recognize and encourage cutting-edge research in key areas of orthopaedic sports medicine, the AOSSMpresented eight research awards and two grants during its Annual Meeting, July 15–18 in Providence, Rhode Island.As a leader in orthopaedic sports medicine, AOSSM annually provides more than $150,000 to research initiativesand projects around the country. Highlights of this year’s award recipients include:

8 SPORTS MEDICINE UPDATE July/August 2010

2010 Young Investigators GrantThe Young Investigator Grant (YIG) isspecifically designed to support youngresearchers who have not received priorfunding. This year’s winner, DemetriosDelos, MD, is currently an orthopaedicresident at the Hospital for SpecialSurgery in New York City. His studywill evaluate the effects of platelet richplasma (PRP), on skeletal muscle healingin the rat, utilizing a validated musclecontusion model. The aims of the studyare three-fold: (1) evaluate the contractileand histologic effects of locally admin-istered PRP versus saline versus noinjection on skeletal muscle contusionhealing; (2) evaluate the effect of delayedtreatment in this model; and (3) explorethe effect of PRP on the post-injuryinflammatory response.

2010 Sandy Kirkley ClinicalResearch Outcome GrantThe Kirkley Grant provides start-upsupplemental funding for an outcomeresearch project or pilot study in theamount of $20,000. This year’s winneris Daniel B. Whelan, MD, MSc,FRCSC, Assistant Professor for theDivision of Orthopedics at St. Michael’sHospital, University of Toronto. Dr.Whelan’s study Emergent Immobilizationin External Rotation in the Managementof Acute Anterior Dislocations of the

Shoulder (EERAADS) is actually thesecond of a two-stage investigation toevaluate the effectiveness of externalrotation (ER) immobilization followingfirst time shoulder dislocations. TheERRAADS trial will attempt to answerthe question of whether emergentapplication (i.e. within hours of dislo-cation) of an ER brace might be morebeneficial. The study will be conductedat a number of Canadian centers.

Aircast Award for Basic ScienceVoted by the AOSSM FellowshipCommittee, this year’s recipients areFrank A. Petrigliano, MD, VolkerMusahi, MD, Musa Citak, MD,Eduardo Suero, MD, and AndrewPearle, MD, for their paper titled:“The Effect of Meniscal Loss on

Knee Stability After Single-BundleACL Reconstructions: A CadavericExperiment.” The study looked atthe effects of meniscectomy on kneestability following single-bundleACL reconstruction as measured bya navigated pivot shift examination.

Aircast Award for Clinical ScienceVoted on by the AOSSM’s FellowshipCommittee, awardees receive $1,500.This year’s winners are Jocelyn R.Wittstein, MD, Robin Queen, PhD,Alicia Abbey, BS, ATC, Alison P. Toth,MD, and Claude T. Moorman III,MD, for their paper titled: “SubjectiveOutcomes, Isokinetic Strength, andEndurance Following Biceps Tenotomyversus Tenodesis.” The purpose of thisstudy is to determine whether biceps

Prestigious Research AwardsAOSSM Presents Prestigious Research Awards at 2010 Annual Meetingin Providence, Rhode Island

Jocelyn R. Wittstein, MD,accepts Aircast Awardfor Clinical Science fromScott Rodeo, MD.

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July/August 2010 SPORTS MEDICINE UPDATE 9

tenotomy (division of a bicep tendon)or biceps tenodesis (moving theattachment of the biceps tendon to aposition that is out of the way of theshoulder joint) results in superior subjec-tive outcomes, strength, and endurance.

Cabaud Memorial AwardGiven to the best paper researchinghard or soft tissue biology, this awardis selected by the AOSSM AwardsSubcommittee with awardees receiving$500. This year’s winner is VolkerMusahl, MD, of the University ofPittsburgh for his paper, “A Comparisonof Single and Double Bundle ACLReconstructions on Pivot ShiftKinematics in ACL and MeniscusDeficient Knees.” Dr. Musahl investigatedwhether anatomic double bundle ACLreconstruction would better restore kneemovement in an ACL meniscus injurymodel when compared to two commonsingle bundle ACL reconstructions.

Excellence in Research AwardThis award is selected by the AOSSMAwards Subcommittee with principalinvestigators receiving $1,000 and $1,500for the sponsoring institution.MatthewV. Smith, MD, of the WashingtonUniversity is this year’s recipient for hispaper, “The Effect of Acetabular LabralTears on Hip Stability and Labral Strainin a Joint Compression Model.” Dr.Smith’s research analyzes whether ina joint compression model, radial and

circumferential acetabular labral tearssignificantly decrease hip stability andif the tears significantly alter strainpatterns in the anterior and anterior-superior acetabular labrum.

O’Donoghue AwardThis award is given to Bruce S. Miller,MD, of the University of Michiganfor his paper, “When Do RotatorCuff Repairs Fail? Serial UltrasoundExamination after Arthroscopic Repairof Large and Massive Rotator CuffTears.” The awardee is selected by theAOSSM Awards Subcommittee withrecipients receiving $2,500. Dr. Miller’spaper investigates the timing of structuralfailure of surgically repaired large andmassive rotator cuff tears and theassociation between recurrent tears andclinical outcome after rotator cuff repair.

The NCAA Research AwardThis award is given to the best paperpertaining to the health, safety, andwell-being of collegiate student-athletes.The award is selected by the AOSSMAwards Subcommittee with awardeesreceiving $500. This year’s awardee isMark V. Paterno, PT, MS, SCS, ATC,of the Cincinnati Children’s HospitalMedical Center. His paper titled,“Biomechanical Measures duringLanding and Postural Stability PredictSecond Anterior Cruciate LigamentInjury After ACL Reconstruction andReturn to Sport,” investigates whetherneuromuscular control and posturalstability measures after an ACLreconstruction will predict relativeincreased risk for a second ACL injury.

Hughston AwardThis year’s recipients of the HughstonAward are K. Donald Shelbourne,MD, and Tinker Gray, MA, of theShelbourne Knee Center, Indianapolis,Indiana. The award is given to the

most outstanding paper published inthe American Journal of Sports Medicineand is chosen by a panel of AJSM editorsand reviewers and receives $5,000.Dr. Shelbourne’s paper, “Minimum10-Year Results After Anterior CruciateLigament Reconstruction Howthe Loss of Normal Knee MotionCompounds Other Factors Relatedto the Development of OsteoarthritisAfter Surgery,” discusses whetherpatients with normal knee motionwill have less than normal motion10-years post ACL reconstruction.

AJSM Systematic Review AwardVerity Pacey, BAS, of the PhysiotherapyDepartment, The Children’s Hospitalat Westmead in Australia has beengiven the AJSM Systematic ReviewAward for her paper, “GeneralizedJoint Hypermobility and Risk ofLower Limb Joint Injury DuringSport, A Systematic Review WithMeta-Analysis.” Ms. Pacey and herteam reviewed whether individualswith generalized joint hypermobility(joints that stretch further than normal)have an increased risk of lower limbjoint injury when undertaking sportingactivities. The winning paper ischosen by a panel of AJSM editorsand reviewers and receives $5,000.For more information on AOSSM

research projects and awards pleasevisit www.sportsmed.org and clickon the “Research” tab.

Matthew Smith, MD, acceptsExcellence in Research Awardfrom Constance Chu, MD.

Bruce Miller, MD, MS, acceptsO’Donoghue Sports Injury ResearchAward from Scott Rodeo, MD.

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10 SPORTS MEDICINE UPDATE July/August 2010

Become a SurgicalSkills InstructorThe AOSSM Education & Industry

Relations Committee is developing

a database of potential instructors

for future AOSSM Surgical Skills

courses. If you would like to be

considered for a future knee and/or

shoulder course, please visit

www.surveymonkey.com/s/GF2FSWX

to access a brief survey of your areas

of expertise and your preferred surgical

equipment/product set-up for a

cadaver course. We anticipate

the survey will take approximately

five minutes to complete.

Japanese Orthopaedic Societyfor Sports MedicineThe Society is pleased to announce itscollaboration with the Japanese OrthopaedicSociety for Sports Medicine (JOSSM) for the3rd Combined Meeting of the Japanese andAmerican Orthopaedic Societies for SportsMedicine. The meeting will be held in Englishfrom March 26–29, 2011, at the GrandWailea in Maui, Hawaii. It will feature notedfaculty and scientific papers on the overheadthrowing athlete and sports medicine. “Themeeting is a replication of a similar exchangebetween Japan and the U.S. in the early1990s, and it affords AOSSM members witha unique educational and cultural exchangein an unparalleled setting,” Robert Stanton,MD, AOSSM President noted.Abstracts can be submitted August 1–

October 20, 2010. Early Bird registrationends January 7, 2011. For more information,visit www.congre.co.jp/3jaossm/. We lookforward to seeing you there.

S O C I E T Y N E W S

No Lines@ AOSSMOnline Library

If you haven’t visited the AOSSM Online Library lately,check it out! You can search the AOSSM’s educationalresources quickly and efficiently with our improved search.If you need an image for an upcoming presentation, youcan now download it easily from the Image Library. Inaddition, you can grab research abstracts and articles,and online meeting presentations with just a click. Visitwww.sportsmedlibrary.org today.

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This year the AOSSM hosted the Traveling Fellowsfrom the Pacific Rim. The Godfather, chosen byAPOSSM, was Dr. Russell Tregonning fromWellington, New Zealand. The fellows traveling withDr. Tregonning were: Dr. Justin Roe from Sydney,Australia, Dr. Jose Antonio (Tony) San Juan fromCebu, Philippines, and Dr. Jeffrey Tedjajuwanafrom Jakarta, Indonesia.

Institutions hosting these fellows were:� UCLA/Kerlan-Jobe Orthopedic Clinic,Los Angeles, California

� UCSF, San Francisco, California� Slocum Center, Eugene, Oregon� University of Michigan, Ann Arbor, Michigan� American Sports Medicine Institute,Birmingham, Alabama

� Boston University, Boston, Massachusetts

The fellows also attended two meetings thisyear, including the Magellan Society Meeting inNewport, Rhode Island, and the AOSSM AnnualMeeting in Providence, Rhode Island.The AOSSM and the Traveling Fellowship

committee would like to congratulate all the TravelingFellows on their selection to the AOSSM/APOSSMtour and thank all of the hosts of this tour for theirsupport. In addition, AOSSM and the TravelingFellowship committee would like to thank DJOfor their continuedsupport of theTravelingFellowshipProgram.

2010 AOSSM/APOSSM Traveling Fellowship

Dr. RussellTregonning

Dr. Justin Roe

Dr. JoseAntonioSan Juan

Dr. JeffreyTedjajuwana

July/August 2010 SPORTS MEDICINE UPDATE 11

Submit Your Ideafor a 2011Annual MeetingInstructionalCourse

AOSSM is currently

accepting proposals for the

AOSSM 2011 Instructional

Courses being held at the

Manchester Grand Hyatt

in San Diego, California,

July 7–11, 2011. Please

visit the AOSSM Web site

at www.sportsmed.org

to submit a proposal online.

You will need to provide

your course title, course

objectives, and faculty

suggestions and course

description. Submission

deadline is August 31, 2010.

Any questions can be

directed to Patricia Kovach

at [email protected].

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Page 14: July-August: Skin Care in Athletes

12 SPORTS MEDICINE UPDATE July/August 2010

he American Board of Orthopaedic Surgery (ABOS) was founded in 1934as a private, voluntary, nonprofit, autonomous organization. The goals ofABOS include “serving the best interests of the public and of medicalprofession by establishing educational standards for orthopaedic residentsand by evaluating the initial and continuing qualifications and knowledge

of orthopaedic surgeons.” Two recent developments in ABOS processes offer anoutstanding opportunity for AOSSM members: the Maintenance of Certification(MOC) program which allows orthopaedic surgeons to maintain their boardcertification in 10-year cycles and the Subspecialty Certification (SSC) processwhich allows orthopaedic surgeons to demonstrate additional qualifications andobtain board certification in the field of orthopaedic sports medicine. This DualCertification option enhances the subspecialty of orthopaedic sports medicine

and is valuable for individual surgeons, for the educationalprocess of our fellows, and for the AOSSM.The initial pathway to board certification in orthopaedic surgery

involves the Part I Written Examination, taken after the completion of anorthopaedic surgery residency program, and the Part II Oral Examination,taken after two years in the practice of orthopaedic surgery. Orthopaedicsurgeons who successfully navigate the application and credentialing processesthat allow them to sit for and pass those two examinations become Diplomates,holding 10-year certificates in orthopaedic surgery (“Board Certified”).MOC is the process through which diplomates of the ABOS can maintain

their primary certificate in orthopaedic surgery. It is a method that allowsphysicians to document that they are maintaining the necessary competenciesand continue to provide quality patient care. The American Board of MedicalSpecialties (ABMS) has defined the general “competencies” of a competentphysician. These include:� Medical knowledge� Patient care� Interpersonal and communication skills� Professionalism� Practice-based learning and improvement� Systems-based practice.

DUAL CERTIFICATION—Valuablefor You, Valuable for the AOSSMMaintenance of Certification and Subspecialty Certification

TBY DAVID F. MARTIN, MD

CHRISTOPHER D. HARNER, MDSHEPARD R. HURWITZ, MD

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July/August 2010 SPORTS MEDICINE UPDATE 13

The ABMS has identified four ofthese components as necessary in theMOC process. These components are:� Evidence of Professional Standing� Evidence of Life-long Learningand Self-Assessment

� Evidence of Cognitive Expertise� Evidence of Performance in Practice

The ABOS MOC program wasdeveloped with input from an AAOS/ABOSTask Force with the goal of compliancewith ABMS requirements, representingthe interests of the public, and offeringa quality improvement model for ABOSDiplomates. The ABOS satisfies each pieceof the MOC puzzle in the following ways:

I. Evidence of Professional StandingLicensure Status

Admitting Privileges

II. Evidence of Life-long Learningand Self-AssessmentContinuing Medical Education

Self-Assessment Exams

III. Evidence of Cognitive ExpertiseA Secure Examination(Computer or Oral)

IV. Evaluation of Performancein PracticeCase List Submission

Peer Review

This process has been developed byorthopaedic surgeons for orthopaedicsurgeons and the ABOS is committed tocontinuing to review and refine the process tomake it value-added to practicing orthopaedicsurgeons. The ABOS will continue to lookfor new resources that assist orthopaedicsurgeons in navigating the MOC processand improving quality of care. MOC allowsorthopaedic sports medicine physicians theability to maintain orthopaedic board certifi-cation—the first essential piece of dualcertification—and a designation available toonly two subspecialty groups in orthopaedics:hand surgery and sports medicine.

Subspecialty CertificationThe subspecialty certification processinvolves an online application withsubmission of a hard copy signature pageaccompanied by appropriate letters ofrecommendation. Candidates also submitan online list consisting of all sportsmedicine cases in a one year period,with a minimum of 125 cases (at least75 arthroscopic cases and at least10 non-surgical cases). The list is limitedto cases that “treat injuries or conditionsthat are related to or interfere with exercise,sports participation or a physical lifestyle.”A list of acceptable CPT codes is availableon the ABOS Web site, www.abos.org.The initial requirement window with

regards to cases and fellowship completionhas been kept wide. As we continue toobtain case list data, the acceptable CPTcode list will be modified. Through 2011,no fellowship requirement exists. Afterthe 2011 examination, candidates will be

required to have completed an AccreditationCouncil on Graduate Medical Education(ACGME) accredited Sports MedicineFellowship to sit for the examination. Theapplication for that last exam not requiringan accredited fellowship will be availableon the ABOS Web site in August 2010and will be due in March 2011. This fiveyear “grandfather” period is an opportunityfor those sports medicine physicians whodid not complete a fellowship to demonstratetheir sports medicine prowess and expertise.This process will improve patient care andadd value to a sports medicine practice.

In the coming years,dual certificationin orthopaedicsurgery andorthopaedicsports medicinewill provide value-added benefits to sportsorthopaedic surgeons. Thisopportunity is one that should notbe missed! The subspecialty certificationprocess will be linked to the MOCprocess so that both orthopaedic surgerycertification and orthopaedic sportsmedicine certification will be combined.In other words, a surgeon will be ableto renew both certificates with a singleapplication/examination.Throughout the last three years,

the ABOS has conferred SubspecialtyCertification in Orthopaedic SportsMedicine to 1,140 highly qualifiedindividuals. Those surgeons comprise a

varied and talented group—in terms of age,practice type, background, and geography.But they do have one valuable thing incommon: dual certification. If you are oneof those individuals, congratulations! If youare involved in the process, good luck! Ifyou are not, consider it! And if you arenot involved and have not completed anaccredited fellowship, your “grandfather”period is ending next year and you needto begin the application process now!Dual Certification—good for you, goodfor your patients, good for your practice,and good for our subspecialty.

AFTER THE 2011 EXAMINATION, candidates willbe required to have completed an Accreditation Council onGraduate Medical Education (ACGME) accredited SportsMedicine Fellowship to sit for the examination.

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14 SPORTS MEDICINE UPDATE July/August 2010

Join the STOPSports InjuriesMovement—Becomean Official Supporter

STOP SPORTS INJURIESOFFICIAL SUPPORTINGORGANIZATIONS ANDINSTITUTIONSas of July 24, 2010

Dixie Softball, Inc.Birmingham, AL

Association ofIndependent Camps (AIC)Munford, AL

Youth FootballCoaches Association

Athletic RepublicSt. Louis, MO

Premier Physical TherapyNorth Charleston, SC

University Orthopaedic CenterHackensack, NJ

East Texas Orthopaedic ClinicLongview, TX

USC Sports MedicineColumbia, SC

Easton Orthopaedic GroupBethlehem, PA

Santa Monica Orthopaedic &Sports Medicine ResearchFoundationSanta Monica, CA

Western Orthopaedics& Sports MedicineGrand Junction, CO

Northtown OrthopaedicsAmherst, NY

Henry Performance LabLafayette, LA

High PerformanceSports MedicineBeverly, MA

Athlete Orthopedicsand Sports MedicineBloomington, IN

Good Shepherd Medical CenterLongview, TX

College of New Jersey

Andrews Paulos Research &Education InstituteGulf Breeze, FL

Children’s Hospital of WisconsinMilwaukee, WI

Henry Ford Hospital SystemDetroit, MI

Henry Ford Health SystemDetroit, MI

St. Vincent HospitalBirmingham, AL

University of Michigan Boneand Joint Injury Preventionand Rehabilitation CenterAnn Arbor, MI

Exeter Hospital andCore PhysiciansExeter, NH

Nathan Littauer Hospitaland Nursing HomeGloversville, NY

National Cheer Safety

Pediatric OrthopaedicSurgeons of North America

California Athletic TrainersAssociation

Academy for Sports DentistryGloversville, NY

FOUNDING MEMBERSOF THE STOP SPORTSINJURIES CAMPAIGN

American Orthopaedic Societyfor Sports Medicine

American Academy ofOrthopaedic Surgeons

American Academy of Pediatrics

American Medical Societyfor Sports Medicine

National Athletic Trainers’Association

National Strength andConditioning Association

SAFE Kids USA

Sports PhysicalTherapy Section

The STOP Sports Injury campaign continuesto gain speed and now we need your help tospread the word even further.Visit the website at www.STOPSportsInjuries.org

and click on the “About” tab and then “AdditionalSupporters” to fill out the simple online form to have

your practice, institution, sports organization or sportsleague listed on the site as an official supporter. Once we getyour agreement, you can also post a specialized logo and linkon your site for increased awareness. If you have questions orneed additional information, please send an e-mail to LisaWeisenberger, Director of Communications at [email protected] would also like to thank Depuy Mitek, Smith &

Nephew and new champion level supporter, Arthrex for theirsupport of the STOP Sports Injuries campaign.

Get involved and help us spread the word aboutkeeping kids on the playing field and out of theoperating room! Send your stories or outreachefforts to Lisa Weisenberger at [email protected].

Be sure to follow the latest developments of theSTOP Sports Injuries campaign on Facebookand Twitter too!

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AOSSM 2010 ANNUAL MEETING

July/August 2010 SPORTS MEDICINE UPDATE 15

or the first time ever, AOSSM invited members to Providence,Rhode Island for our Annual Meeting and the end result wasa huge success. With more than 1,400 attendees, the meetingproved to be one of the largest ever.

Providence, Rhode Island | July 15–18

FAttendees were in for a unique educationalexperience from the very start with thepre-conference surgical skills course takingplace on Wednesday, July 14. More than125 individuals joined co-chairs FrederickM. Azar, MD, Felix H. Savoie III, MD,Annunziata Amendola, MD, and StephenS. Burkhart, MD, for a series of live surgicaldemonstrations on the latest sports medicinetechniques from the world leaders in thefield. The pre-conference was jointlysponsored by AOSSM and ISAKOS.

Also, on Wednesday, the Sports PhysicalTherapy Society (SPTS) and AOSSM heldtheir combined session with more than 70attendees. One of the highlights of the meetingwas Dr. Barbara Hoogenboom’s discussion onACL injuries in women and how they can beprevented. This hot topic provided interestinginteractions between attendees.The meeting began bright and early on

Thursday morning with eight instructionalcourses on a variety of topics from surgicalmanagement of failed ACL surgery to stress

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management for the sports medicinespecialist. AOSSM President, James R.Andrews, MD and Program Chair, NealS. ElAttrache, MD, welcomed everyone tothe official start of the meeting and beganthe morning’s session with an interestingdiscussion on the team physician and gametime pain management. A variety of othertopics were presented, including concussion,maintenance of certification, foot andankle injuries and hip impingement.During the business meeting on

Thursday, new members were accepted andseveral individuals confirmed as new additionsto the Board of Directors, including:� Christopher D. Harner, MD,Vice President

� David R. McAllister, MD,Under 45 Member at-Large

� Mark E. Steiner, MD,Over 45 Member at-Large

� James P. Bradley, MD, Secretary-Elect� Annunziato Amendola, MD,Treasurer-Elect

� Andrew J. Cosgarea, MD, Chair,Education Council

� Constance R. Chu, MD, Chair,Research Council

� Daniel J. Solomon, MD, Chair,Communications Council

� John D. Kelley, IV, MD, new member,Membership CommitteeThe first day concluded with a wonderful

welcome reception in the Rhode IslandConvention Center, supported by Breg, Inc.,with excellent food and drink for boththe adults and children in attendance.Individuals were also treated to someinteresting entertainment from a localmagician and a specialist in origami.

Friday’s session began with Moderator,Claude T. Moorman III, MD, overseeingthe AMSSM exchange lecture on biologictherapies for tendon and ligament injuriesby Kimberly G. Harmon, MD. Anotherinteresting discussion occurred during thebiologics symposium moderated by JamesP. Bradley, MD. Additional educationalhighlights for Friday included Dr. JamesE. Tibone’s presentation on decisionmaking for arthroscopic versus openrepair for glenohumeral instability.In addition, AOSSM inducted Robert

P. Mack, MD, into the Hall of Fame andDr. Andrews’ presidential address,“Success in Your Sports Medicine Careerwith a Purpose Driven Life,” highlightedhow members can be successful in notonly their practice but in life.Members were on their own Friday

afternoon to explore Providence and thenearby seaside towns of Newport andeven Nantucket and Cape Cod. Some

individuals decided to take in a round ofgolf at The Montaup Country Club for the21st Annual Golf Tournament, sponsoredby DJO. The tournament raised more than$10,000 for sports medicine educationand research.After a relaxing Friday afternoon,

attendees packed the convention centerSaturday morning for an engagingeducational experience, including theHughston, Herodicus and O’Donoghueresearch award presentations. (Completedetails of the research awards can befound on page 8). One of the biggesthighlights of the meeting occurred onSaturday, during Presidential GuestSpeaker, Dale Brown’s speech discussinghis life philosophy, winning, and whatleadership truly entails.Following the speech, Champ Baker,

Jr., MD, of the Hughston Clinic receivedthe Robert E. Leach, MD, Mr. SportsMedicine Award, one of the Society’shighest honors, for his outstanding career.Dr. Andrews and his wife, Jenelle, thenpresented the presidential medallion andpin to incoming President, Robert A.Stanton, MD, and his wife, Debby,signifying Dr. Stanton’s inductionas the 2010–2011 AOSSM President.Awards were also given for outstanding

posters to the following individuals:� 1st Place ($750) — “Effect of MedialOpening Wedge Proximal TibialOsteotomy on Patellofemoral Contact”by Gregory J. Adamson, MD, PooyaJavidan, BS, Jennifer R. Miller, MD,Pierre Durand, Jr., MD, Patrick A.Dawson, MD, Marilyn Pink, PhD,MPT and Thay Q. Lee, PhD

16 SPORTS MEDICINE UPDATE July/August 2010

Photos from the Annual Meetingare available for viewing atwww.photographyg.com. Go to “ViewYour Event” in the lower right cornerof the site and then click “AOSSM.”Many photos of the scientificsessions, award presentations,and family fun are there for yourenjoyment and to purchase.

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The AOSSM Board of Directors thanks these committee members for their contributions to the Society’s goals and mission.Their terms of service expired in July 2010.

July/August 2010 SPORTS MEDICINE UPDATE 17

� 2nd Place ($500) — “Comparing theEffects of Lateral Meniscus Injury andMeniscectomy on Tibiofemoral JointMechanics In Vitro” by Diane Thi Tran,MD, Kanu Goyal, MD, Sam Dumpe,BS, Joon Ho Wang, MD, MadelynO’Farrell, MS, Brandon Bryant, MD,and Christopher D. Harner, MD

� 3rd Place ($250) — “Three DifferentComponents of the Superior Labrum-Histoanatomical Study for the NewEtiology of the Anterior SLAP Lesion” byRyuzo Arai, MD, Masahiko Kobayashi,MD, Yoshinobu Toda, PhD, Takashi

Miura, MD, PhD, Shinichiro Nakamura,MD, Takashi Nakamura, MDThe day ended with a magnificent event

at WaterFire. This one-of-a kind event,sponsored by AOSSM and BiomimeticTherapeutics was an experience of all one’ssenses with fires being lit along the river,music playing and a variety of other activitiesfor attendees and the public to enjoy.At the AOSSM tent, kids of all ages wereentertained by the local puppets of BigNazo, a button maker and finger printartist. A magnificent blue starfield sponsoredby Smith & Nephew and numerous

individual donations helped support theSTOP Sports Injuries campaign.The meeting concluded on Sunday with

presentations on thrower’s shoulder, injuriesin young athlete, literature interpretationthat can affect your practice and the NATAExchange Lecture, given by Reed Ferber,PhD, on biomechanical factors associatedwith running-related injuries.AOSSM would like to thank our sponsors

and exhibitors for their ongoing AnnualMeeting support. The next AOSSM AnnualMeeting will be in San Diego, July 7–10.Join us for all of the sun, sand and fun.

Hall of FamePeter A. Indelicato, MDWalton W. Curl, MDKenneth E. DeHaven, MDEdward M. Wojtys, MD

Board of DirectorsWilliam N. Levine, MDBernard R. Bach, Jr., MDAllen F. Anderson, MD

Medical PublishingBoard of TrusteesBernard R. Bach, Jr., MD

Budget and FinanceFreddie H. Fu, MD

BylawsMichael W. Moser, MDTerry L. Thompson, MDJoe P. Bramhall, MD

Committee onCommitteesJames R. Andrews, MD

EducationAugustus D. Mazzocca, MD, MSAndrew J. Cosgarea, MDBarry P. Boden, MDDarren L. Johnson, MDMichael G. Ciccotti, MD

Education CouncilNeal S. ElAttrache, MDJo A. Hannafin, MD, PhDAugustus D. Mazzocca, MD, MSThomas M. DeBerardino, MDMichael G. Ciccotti, MD

Enduring EducationJo A. Hannafin, MD, PhDWalton W. Curl, MDRick W. Wright, MDRobert M. Shalvoy, MD

Fellowship MatchCommitteeRobert E. Hunter, MDPeter Jokl, MDDouglas W. Brown, MD

MembershipKurt P. Spindler, MD

NominatingWilliam G. Clancy, Jr., MDBradley J. Nelson, MDDavid R. Diduch, MDRichard D. Parker, MDChamp L. Baker, Jr., MDBernard R. Bach, Jr., MD

ProgramBrian J. Cole, MD, MBA

PublicationsBarry P. Boden, MD

ResearchJoseph H. Guettler, MDScott A. Rodeo, MDSteven P. Arnoczky, DVMBruce D. Beynnon, PhD

Research CouncilScott A. Rodeo, MD

TechnologyDamon H. Petty, MDJohn C. Langland, MDEvan Schwartz, MDAndrew H. Smith, MD

Traveling FellowshipMarc R. Safran, MD

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During the 2010 Annual Meeting, the AOSSMleadership recognized the service of Camille Petrick,AOSSM Managing Director, who completed 20years of service to the Society. As Managing Director,Camille’s influence over day-to-day operations isinstrumental to AOSSM’s success and makes hera trusted executive to the Board of Trustees, anindispensable advisor to and collaborator with

the executive director and a source of direction and support to staff. Her expertise andperspective transcend nearly every facet of the Society’s activities and allow her to fulfillher many responsibilities with unparalleled efficiency and grace. AOSSM thanks Camillefor her service and commitment, and we look forward to many years of her continuedleadership. Those who have had the benefit and pleasure of working with Camille areencouraged to send her a note of appreciation to [email protected].

18 SPORTS MEDICINE UPDATE July/August 2010

2010 Robert E. Leach, MD,Mr. Sports Medicine Award

This award honorsan individual whohas made a significantcontribution to theworld of sportsmedicine and includesa $5,000 donationto the winner’s charity

of choice. It is one of the top awards theSociety presents each year. This year’srecipient was: Champ L. Baker, Jr. MD.

Thomas A. Brady, MD,Community Service Award

This annual award isgiven to an individualwho has dedicatedhimself or herself tocommunity service. Thisyear’s recipient was:O. Thomas Johns, MD.

George D. Rovere AwardThis annual award is presented to memberswho have made a significant contributionto orthopaedic sports medicine education.This year’s recipient was: Champ L. Baker,Jr., MD.

Newest Member Inducted into2010 AOSSM Hall of Fame

In 2001, AOSSMestablished the Hall ofFame to honor membersof the orthopaedic sportsmedicine communitywho have contributedsignificantly to the

specialty. This is the Society’s highest accolade,reserved for only a select few individuals whoare outstanding leaders in sports medicine.Nominations are submitted by AOSSMmembers and reviewed by and selected by theHall of Fame Subcommittee. In November2009 the AOSSM Board of Directorsapproved the addition of Robert P. Mack,MD, into the AOSSM Hall of Fame.

Annual Meeting Awards 2010Each year AOSSM presents several members with awards for service and outstandingdedication. This year’s award winners include:

Camille Petrick Marks20 Years with AOSSM

The Society strives to provide you with the best educational experience possible. You will receive an e-mail from theSociety asking for your comments on the meeting and how we can improve for next year. Please be sure to take a fewminutes to fill this evaluation out, so we can continue to make our meetings the best in sports medicine. You shouldalso be receiving an email from the Society regarding your CME credit by the end of August. Thank you!

2010 COUNCILOF DELEGATESOutgoing DelegatesFerdinand J. Liotta, MD,Colorado, 2007–2010

Benjamin S. Shaffer, MD,Washington, D.C., 2007–2010

Thomas F. Murray, Jr., MD,Maine, 2007–2010

Thomas M. Matelic, MD,Michigan, 2007–2010

James W. O’Mara, Jr., MD,Massachusetts, 2007–2010

Brett W. Fischer, MD,Nebraska, 2007–2010

John A. Hurley, MD,New Jersey, 2007–2010

Robert C. Schenck, Jr., MD,New Mexico, 2003–2010

James S. Williams, Jr., MD,Ohio, 2007–2010

Kevin Hargrove, MD,Oklahoma, 2007–2010

David A. Alexander, Jr., MD,Tennessee, 2007–2010

David M. Lintner, MD,Texas, 2003–2010

Jesse C. DeLee, MD,Texas, 2007–2010

James R. Slauterbeck, MD,Vermont, 2007–2010

John R. Green III, MD,Washington, 2003–2010

COL Joachim J. Tenuta, MD, MIL,2007–2010

J. Robert Giffin, MD, FRCSC,Canada, 2005–2009

Incoming DelegatesArmando F. Vidal, MD, Colorado

Wiemi Douoguih, MD, Washington, D.C.

Stephen D. Katz, MD, Maine

Bruce S. Miller, MD, MS, Michigan

W. Todd Smith, MD, Massachusetts

W. Michael Walsh, MD, Nebraska

Raphael Longobardi, MD, New Jersey

James H. Lubowitz, MD, New Mexico

Christopher C. Kaeding, MD, Ohio

Brock E. Schnebel, MD, Oklahoma

Michael J. Pagnani, MD, Tennessee

Stephen S. Burkhart, MD, Texas

Peter F. Holmes, MD, Texas

Matthew J. Nofziger, MD, Vermont

Christopher J. Wahl, MD, Washington

Jerome G. Enad, MD, MIL

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July/August 2010 SPORTS MEDICINE UPDATE 19

Sports medicine leader and ski safetypioneer, Robert P. Mack, MD, wasinducted into the AOSSM Hall of Fame,Friday, July 16 during our Annual Meetingin Providence, Rhode Island.Robert P. Mack grew up in Canton, Ohio,

where he graduated from Canton-McKinley High School. Hegraduated from Princeton University in 1957 and attended CaseWestern Reserve University (CWRU) Medical School, completinghis orthopaedic training at University Hospitals in Cleveland,Ohio in 1966. Dr. Mack served two years in the U.S. Air Forcein Bitburg, Germany as Chief of Orthopaedic Surgery at the36th TAC Hospital. He returned to Cleveland, Ohio in 1968 asan Assistant Professor of Orthopaedics at CWRU and becameChief of Orthopaedics at Metropolitan General Hospital, wherehe was responsible for clinical care and residency training, aposition he held until 1977. In 1972, he founded the RainbowSports Medicine Center at University Hospitals in Cleveland.In June, 1977, Dr. Mack moved to Denver, Colorado to jointhe Denver Orthopaedic Clinic in full time private practiceand currently works with Orthopaedic Associates of Aspenand Glenwood Springs. He has contributed 24 publicationsand 133 presentations during his long orthopaedic career.

His laboratory research conducted in Cleveland resulted inthe development of an internationally accepted device for testingski bindings. Data from that research showed that not one of theexisting ski bindings were safe. This resulted in the formation ofthe ASTM (American Society of Testing and Materials) F-8 SkiSafety Committee that established safety standards for ski bindings.The net result of this research was the virtual elimination oftibia fractures in alpine skiing.Another unique program created and developed by Dr. Mack

and Rainbow Sports Medicine Center was the establishmentof a high school junior athletic trainer program where inner cityschools were covered by sideline trainers for athletic injuries.Dr. Mack joined AOSSM in 1974 and has served on multiple

committees, including membership and Council of Delegatesand as treasurer and member of the Board of Directors.Dr. Mack’s contribution as a team doctor is extensive,

continuously covering multiple high school teams throughouthis career. He served as team doctor for the Cleveland Crusaders/Barons from 1972–1977. Additionally, he served as an originalmember of the U.S. Ski Team Physician’s Group from 1972–1985.He and his wife Patty live in Carbondale, Colorado, and

La Quinta, California, where they spend time with their threechildren and nine grandchildren.

Ski Safety Pioneer,Robert P. Mack, MD,Inducted into AOSSM Hall of Fame

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20 SPORTS MEDICINE UPDATE July/August 2010

Upcoming Meetings and Courses

For more information and to register visit www.sportsmed.org and click on the “Education and Meetings” tab.

AOSSM/AAOS Board Review CourseChicago, IllinoisAugust 6–8, 2010

Advanced Team Physician CourseWashington, D.C.December 9–12, 2010

AOSSM Specialty DaySan Diego, CaliforniaFebruary 19, 2011

AOSSM 2011 Annual MeetingSan Diego, CaliforniaJuly 7–10, 2011

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Page 24: July-August: Skin Care in Athletes

Sports Medicine UpdateAOSSM6300 North River RoadSuite 500Rosemont, IL 60018

AOSSM thanks BREG for their generous support of Sports Medicine Update.

www.breg.com

AOSSM SupportersAOSSM gratefully acknowledges the following companies for their generous support this year.

LifeNet HealthZimmer, Inc.

ELITE SUPPORTER — $100,000 and Above

CONTRIBUTOR — Up to $24,999

PARTNER — $25,000–$49,999

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