JULY/AUGUST 2011

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

STOP SportsInjuriesCampaignWins AwardResearchAwards2011 AnnualMeeting Recap

ADOLESCENTTHROWINGINJURIES

CO-EDITORS

EDITOR Brett D. Owens MD

EDITOR Daniel J. Solomon MD

MANAGING EDITOR Lisa Weisenberger

PUBLICATIONS COMMITTEE

Daniel J. Solomon MD, Chair

Kevin W. Farmer, MD

Kenneth M. Fine MD

Robert A. Gallo MD

Robert S. Gray, ATC

Richard Y. Hinton MD

David M. Hunter MD

John D. Kelly IV MD

Brett D. Owens MD

Kevin G. Shea MD

Michael J. Smith, MD

BOARD OF DIRECTORS

PRESIDENT Peter A. Indelicato MD

PRESIDENT-ELECT Christopher R. Harner MD

VICE PRESIDENT Jo A. Hannafin MD, PhD

SECRETARY James P. Bradley MD

TREASURER Annunziato Amendola MD

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

UNDER 45 MEMBER-AT-LARGE Matthew Provencher MD

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

PAST PRESIDENT James R. Andrews MD

PAST PRESIDENT Robert A. Stanton MD

COUNCIL OF EDUCATION Andrew J. Cosgarea MD

COUNCIL OF RESEARCH Constance R. Chu MD

COUNCIL OF COMMUNICATIONS Daniel J. Solomon MD

EX OFFICIO COUNCIL OF DELEGATES Marc R. Safran MD

JOURNAL EDITOR, MEMBER EX OFFICIO Bruce Reider MD

AOSSM STAFF

EXECUTIVE DIRECTOR Irv Bomberger

MANAGING DIRECTOR Camille Petrick

EXECUTIVE ASSISTANT Sue Serpico

ADMINISTRATIVE ASSISTANT Mary Mucciante

FINANCE DIRECTOR Richard Bennett

DIRECTOR OF CORPORATE RELATIONS Debbie Cohen

DIRECTOR OF RESEARCH Bart Mann

DIRECTOR OF COMMUNICATIONS Lisa Weisenberger

COMMUNICATIONS ASSISTANT Joe Siebelts

STOP SPORTS INJURIES CAMPAIGN DIRECTOR Michael Konstant

DIRECTOR OF EDUCATION Susan Brown Zahn

SENIOR ADVISOR FOR CME PROGRAMS Jan Selan

EDUCATION & FELLOWSHIP COORDINATOR Heather Heller

EDUCATION & MEETINGS COORDINATOR Pat Kovach

MANAGER, MEMBER SERVICES & PROGRAMS Debbie Turkowski

EXHIB ITS & ADMIN COORDINATOR Michelle Schaffer

AOSSM MEDICAL PUBLISHING GROUP

MPG EXECUTIVE EDITOR AND AJSM EDITOR Bruce Reider MD

AJSM SENIOR EDITORIAL/PROD MANAGER Donna Tilton

SPORTS HEALTH EDITORIAL/PROD 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 withmany other sports medicine specialists and clinicians, including family physicians, emergency physicians, pediatricians, athletic trainers, andphysical therapists, to improve the identification, prevention, treatment, and rehabilitation of sports injuries.

This newsletter is also available on the Society’s website 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

7 STOP Sports InjuriesReceives Award

8 Research Grants

9 Research Awards

11 Society News

12 Membership News

12 Names in the News

13 Coding Corner

14 2011 Annual MeetingRecap

20 Upcoming Meetingsand Courses

2 Team Physician’s CornerPitch Counts, Pitch Types, and PreventionStrategies in the Adolescent/Little LeagueBaseball Player

JULY/AUGUST 2011

July/August 2011 SPORTS MEDICINE UPDATE 1

FROM THE PRESIDENT

IT IS AN HONOR to be the 40th president of AOSSM, and a privilege to succeed Bob Stanton, MD.His leadership fostered collaboration among Society leaders and identified a fresh set of strategic priorities so thatwe can move forward in a thoughtful and deliberate manner. My objective as president is to facilitate the Board’soversight and direction as we apply the Society’s tremendous organizational, intellectual, and financial resourcestoward achieving our goals.

Peter A. Indelicato, MD

The Society has a solid and extensive foundation upon which tobuild. Education has always been the cornerstone of our activities,and our Annual Meeting in San Diego demonstrated that inmany different ways. Marlene DeMaio, MD, and the programcommittee did a superb job of providing a solid mix of cuttingedge research, special symposia, and instructional courses reflectingthe intellectual vigor and educational diversity that we embraceas an organization. In addition, the live surgical demonstrationsprovided a unique feature to our traditional meeting format whilemaintaining our commitment to solid, objective CME. We aregrateful to the generous support of Arthrex, ConMed Linvatec,DePuy Mitek, and Stryker for the workshop.

Equally important, the Annual Meeting reflected how theSociety is embracing technology to enrich our sense of communityand enhance our organizational efforts. The meeting featureda mobile app that allowed registrants to review and incorporatevolumes of printed material and many other handy features fromthe convenience of their smart phones, tablets, and laptops. TheSociety also launched its newly developed cellular response system,which enabled the audience to pose questions, respond to queries,and provide additional feedback on the educational content andexperience. We also previewed our new website which will powerour burgeoning Society activities. (Visit www.sportsmed.org tosee the new site.) Finally, the Board also transitioned to iPads forconducting Board business not just for its cost effectiveness andefficiency, but also to ensure the organization—and its leaders—are part of AOSSM’s digital migration.

The Annual Meeting also underscored the strength of ourrelationships with the broader orthopaedic community. Ourleadership had the opportunity to meet with representativesfrom ESSKA, EFOST, and GOTS to discuss ways that wecan collaborate. Similarly, our meetings with corporate leadersreaffirmed their deep support for AOSSM’s rigorous, objectiveapproach to education and research. While I had the opportunityto thank these individuals personally, I want to publicly thankthe companies who each provide more than $100,000 a yearas Elite Sponsors: Arthrex, Biomet, BioMimetic, ConMedLinvatec, DJO Global, DePuy Mitek, Genzyme Biosurgery,MTF Sports Medicine, OSSUR, RTI Biologics, Smith &Nephew, and Stryker.

Looking back, I realize our accomplishments are built ona strong succession of ideas and leaders who provide continuityand direction. Looking forward, I realize that AOSSM iswell-positioned to achieve its strategic objectives. I thank BobStanton and the AOSSM and Medical Publishing Boards for theirvision. I commit myself and the Society leadership to maintainingits focus in implementing these objectives so AOSSM remains aworld leader in orthopaedic sports medicine education, research,communication, and fellowship.

2 SPORTS MEDICINE UPDATE July/August 2011

Little league baseball started in Williamsport,Pennsylvania, in 1939, but was not prevalent nationwideuntil 1955 when it had more than 3,300 leagues in 48 states.Since that time, it’s popularity has continued to increase,and it is estimated that today more than six million adolescentsparticipate in organized baseball in the United States.Unfortunately, as little league baseball’s popularity hasincreased, so has the number of shoulder and elbow injuries.

PITCH COUNTS, PITCH TYPES, AND PREVENTIONSTRATEGIES IN THE ADOLESCENT/LITTLE LEAGUE

BASEBALL PLAYER

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

GRANT JONES, MDThe Ohio State UniversityColumbus, Ohio

Continued on page 3

In research performed by Dr. JamesAndrews, the percentage of ulnar collateralreconstructions on high school pitcherscompared to college level or above pitchershas increased over three consecutive 4-yeartime periods: from 8 percent between1995 and 1998, to 17 percent between1999 and 2002; and, finally, to 24 percentbetween 2003 and 2006.1

A study by Lyman et al2 followed481 youth baseball pitchers during onespring season to determine risk factorsfor shoulder and elbow injury. The studyshowed significant associations betweenthe number of pitches thrown and shoulderand elbow pain. The investigation alsofound associations between the curveballand increased shoulder pain and the sliderand increased elbow pain. Since this study,many recommendations have been maderegarding pitch counts and types of pitchesfor youth pitchers. In 2004, the USABaseball Medical & Safety AdvisoryCommittee developed guidelines for youthpitcher safety.3 In 2007, Little LeagueBaseball replaced older recommendationsof inning limits with pitch counts. Thenin 2009, Little League Baseball addedrules prohibiting an athlete from playingpitcher and catcher in the same gameto further reduce the risk of overuse.

Some of the original pitchingrecommendations have been supportedwith more recent scientific evidence whileothers have been refuted or brought intoquestion. This article reviews the currentscientific evidence regarding pitch counts,pitch types, pitch biomechanics, andprevention strategies.

Pitch CountsBeginning with the Lyman et al2 study,the literature has clearly supported the beliefthat as the number of pitches thrownduring a game, season, and/or year increases,so does the number of injuries. Intuitively,this makes sense since most of these injuriesare due to repetitive microtrauma. So asthe number of pitches increases, there area greater number of microtraumatic insultsto the shoulder and elbow structures.

Furthermore, as the pitch count increases,fatigue occurs in all parts of the kineticchain, which makes the shoulder and elbowjoints even more susceptible to injury.4-6

Lyman et al2 also did a 10-yearperspective study looking at injury ratesin this cohort of athletes.7 The overall riskof a youth pitcher sustaining a seriousthrowing injury within 10 years was5 percent. Those athletes who pitched morethan 100 innings in a year were 3.5 timesmore likely to be injured than those whopitched less than 100 innings. In addition,those pitchers who also played catcherwere injured more frequently, presumablysecondary to the increased number ofthrows a catcher makes during a gamecompared to infielders or outfielders.However, this did not reach statisticalsignificance. So, these investigatorsrecommended that a youth pitcher shouldnot throw more than 100 innings in ayear and should avoid also playing catcherin the same game they had pitched.

In a comparison of 95 adolescentpitchers who had shoulder and elbowsurgery and 45 adolescent pitchers whohad not, Olsen et al8 found that the injuredgroup pitched significantly more monthsper year (8 months average in injuredgroup versus 5.5 months in the controlgroup), games per year, innings per game(6 versus 4 innings), pitches per game(88 versus 66 pitches), pitches per year,and warm-up pitches before a game. Also,the injured pitchers were more frequentlystarters, pitched in more showcases(4 versus 1 career showcase), pitched with ahigher velocity (88 versus 83 mph fastballspeed), and pitched with arm pain andfatigue. Taller and heavier pitchers also

had an increased risk of having to havesurgery. Adolescent throwers who pitchedmore than eight months per year were fivetimes more likely to be injured comparedto those who pitched less. Pitchers whothrew more than 80 pitches per game hadalmost four times the increased risk ofinjury. Throwers whose fast pitch velocitywas greater than 85 mph were at 2.6 timesincreased risk of injury requiring surgery.

Based on their findings, Olsen et al4

recommended that adolescent pitchersshould not pitch with arm fatigue or pain.The authors also suggested that thesepitchers should avoid pitching more than80 pitches per game, pitching competitivelymore than eight months per year, andpitching more than 2,500 pitches incompetition per year. In addition, pitcherswith the following characteristics shouldbe monitored closely for injury:

� Pitchers who regularly useanti-inflammatory medicationsor ice to prevent injury

� Regularly starting pitchers

� Pitchers who throw greater than 85 mph

� Taller and heavier pitchers

� Pitchers who warm up excessively

� Pitchers who participate in showcases

Kaplan et al9 studied 50 uninjuredhigh school pitchers from a warm-weatherclimate (WWC) and 50 from a cold-weatherclimate (CWC). The WWC group pitchedmore months per year than the CWC, withthe number of months pitched having anegative impact on internal rotation motionand external rotation strength. The WWCpitchers had significantly lower externalrotation strength and external/internalrotation strength ratios. Significant externalrotation weakness10 and internal rotationloss11,12 has been associated with throwingarm injury in pitchers. Therefore, theincreased number of months pitching in theWWC group may predispose these pitchersto biomechanical changes in the shoulderand subsequent injury. These authorsconcluded that the recommendations

July/August 2011 SPORTS MEDICINE UPDATE 3

Continued on page 4

for the maximum number of months ofpitching per year proposed by Olsen et al4

should be followed.

Restriction on Pitch TypesSince the 1970s, sports medicine expertshave warned that throwing curveballs at ayoung age can lead to elbow injury.13 Thetheory was that there is more stress placed onthe elbow with the curveball than with otherpitches and that the immature elbow cannottolerate this increased stress. Lyman et al2

found associations between the sliderand increased risk of elbow pain and thecurveball and increased risk of shoulder pain.However, there was no long-term follow-upon these athletes at the time the paper waswritten to determine whether the pain theathletes were experiencing was an earlyindicator for significant injury. However, in a10-year prospective study on this cohort, theauthors discovered that throwing curveballsbefore the age of 13 did not increase thepitchers’ risk of throwing injuries.7

Other studies have substantiated thefinding that throwing the curveball maynot increase one’s risk of injury. Olsen et al8

found that pitch type frequency and age atwhich pitch types were first thrown werenot predictive of the need for shoulderand elbow surgery in adolescent baseballplayers. Furthermore, biomechanicalstudies have shown that the curveball maynot result in increased shoulder and elbowforces and torques compared to the fastball.In a biomechanical evaluation of 29 youthbaseball pitchers, Dun et al1 reported thatelbow and shoulder loads were greatestin the fastball and least in the change-up,with the curveball falling in between thetwo. Similarly, Nissen et al14 studied 33adolescent baseball pitchers and found thatmoments on the shoulder and elbow weresignificantly less when throwing a curveballthan when throwing a fastball. Theseauthors stated that the magnitude of themoments at the glenohumeral and elbowjoints directly correlated with ball velocity.

Biomechanical studies on collegiatelevel and above pitchers have had similar

4 SPORTS MEDICINE UPDATE July/August 2011

Continued on page 5

July/August 2011 SPORTS MEDICINE UPDATE 5

findings. In a kinetic comparison amongthe fastball, curveball, change-up, and sliderin collegiate baseball pitchers, Fleisig et al15

reported that the resultant joint loads weresimilar among the fastball, curveball, andslider and significantly less for the change-up.They concluded that breaking pitches arenot particularly dangerous for collegiatelevel pitchers. Similarly, Elliot and Grove16

compared the biomechanics of the fastballand curveball in six Australian nationalpitchers and found that the kinematicsbetween the two pitches were similar.

Based on the current literature, it doesnot appear that breaking pitches, such asthe curveball, result in increased stressesand increased risk of injury to the upperextremity compared to the fastball. Itappears that the most important factorin the amount of stress the shoulder andelbow experience is not the type of pitchone throws, but how hard one throws it(pitch velocity). This is best demonstratedin the Olsen et al8 study where taller,heavier pitchers who pitched with highervelocities were more prone to shoulder andelbow injuries, but pitch type frequencydid not affect injury rate. Increased pitchvelocity has also been associated withelbow injury in professional baseballpitchers.17 Another conclusion that canbe drawn from these studies is that thechange-up may be the safest pitch froman injury standpoint and should, perhaps,be used more frequently, particularlyin youth pitchers to prevent injury.

Effect of Range of Motionand Strength on InjuryIn the mature pitcher, decreased externalrotation strength10 and decreased internalrotation range of motion (ROM)11,12

has been associated with increased riskof throwing arm injury.

Byram et al10 noted a significantassociation between weakness insupraspinatus strength and external rotationstrength and increased risk of throwingrelated injury requiring surgical interventionin professional baseball pitchers. It has been

theorized that an imbalance between theover-strengthened internal rotators andweakened external rotators causes damageto shoulder muscle and connective tissue,given the important role of the externalrotators in arm deceleration and the internalrotators in acceleration. The weakenedexternal rotators cannot decelerate the armas well, placing more stress on the staticconstraints of the joint including theposterior joint capsule and placing moredemand on the other shoulder musclegroups. In addition, an appropriatebalance between the internal and externalrotators is required to stabilize the jointduring the throwing motion. As a result,Wilk et al18 developed the “Thrower’sTen Program” to maximize activationof the posterior shoulder musculatureto counteract the strong internal rotators.

Muscle imbalance has also been shownto contribute to throwing related pain andinjury in adolescent pitchers. Trakis et al19

studied the muscle strength and ROM of23 adolescent pitchers, 12 of whom hadthrowing-related pain. Dominant versusnon-dominant muscle strength was lowerfor the pain group versus the non-paingroup for the middle trapezius andsupraspinatus and higher for the internalrotators, thus demonstrating a muscleimbalance between the weak posteriormusculature and the strong internalrotators. They concluded that thethrowing-related pain in this populationmay be related to the inability of the weakposterior musculature to tolerate the stressplaced on it by the strengthened, anteriorpropulsive musculature, resulting ininjury to the posterior musculature andcontracture of the posterior joint capsule.These authors recommended a selectiveposterior shoulder strengthening programfor injury prevention and rehabilitativeprograms in adolescents.

Pitching Technique and BiomechanicsImproper pitching mechanics have beenshown to place more torque and load onthe shoulders and elbows of youth and

adolescent baseball players. Davis et al20

evaluated the ability of 169 baseballpitchers (aged 9–18) to perform fivecorrect biomechanical pitching parameterswhile throwing a fastball. The authorsutilized a quantitative motion analysissystem and a high-speed video to measurehumeral internal rotation torque, elbowvalgus load, and pitching efficiency.The five parameters studied included:� leading with the hips (pelvis leading

the trunk toward home plate duringthe early cocking phase),

� hand-on-top position (the throwinghand is on top of the ball as it comesout of the glove during the earlycocking phase),

� arm in throwing position (elbow reachingits maximum height—glenohumeralabduction—by stride foot contact),

� closed-shoulder position (lead shoulderin a closed position, pointing towardhome plate at stride foot contact),

� and stride foot toward home plate(stride foot pointed toward homeplate at stride foot contact).Adolescent pitchers (aged 14–18) were

found to be much more likely to performthe five parameters correctly, which maybe a function of being more physiologicallydeveloped and being progressed further intheir pitching skills. There was much morevariability in the ability to perform thecorrect parameters in the youth pitchers(aged 9–13). Youth pitchers who performedthree or more parameters correctly showedlower humeral internal rotation torque,

A youth pitcher should not throw morethan 100 innings in a year and shouldavoid also playing catcher.

Continued on page 6

6 SPORTS MEDICINE UPDATE July/August 2011

1. Dun S, Loftice J, Fleisig GS, Kingsley D, and Andrews JR.A biomechanical comparison of youth baseball pitches: Is thecurveball potentially harmful? Am J Sports Med. 2008. 36: 686-692.

2. Lyman S, Fleisig GS, Andrews JR, Osinski ED. Effect of pitchtype, pitch count, and pitching mechanics on risk of elbow andshoulder pain in youth baseball pitchers. Am J Sports Med. 2002.30: 463-468.

3. Kerut EK, Kerut DG, Fleisig GS, Andrews JR. Prevention of arminjuries in youth baseball players. J La State Med Soc. 2008.160:95-98.

4. Olsen SJ, Fleisig GS, Dun S, Loftice J, Andrews JR. Risk factorsfor shoulder and elbow injuries in adolescent baseball pitchers.Am J Sports Med. 2006. 34: 905-912.

5. Escamilla RF, Barrentine SW, Fleisig GS, Zheng N, Takada Y,Kingsley D, Andrews JR. Pitching biomechanics as a pitcherapproaches muscular fatigue during a simulated baseball game.Am J Sports Med. 2007. 35: 23-33.

6. Mullaney MJ, McHugh MP, Donofrio TM, Nicholas S. Upperand lower extremity muscle fatigue after a baseball pitchingperformance. Am J Sports Med. 2005. 33: 108-113.

7. Fleisig GS, Andrews JR, Cutter GR, Weber A, Loftice J,McMichael C, Hassell N, Lyman S. Risk of serious injury foryoung baseball pitchers. Am J Sports Med. 2011. 39: 253-257.

8. Olsen SJ, Fleisig GS, Dun S, Loftice J, Andrews JR. Risk factorsfor shoulder and elbow injuries in adolescent baseball pitchers.Am J Sports Med. 2006. 34: 905-912.

9. Kaplan KM, ElAttrache NS, Jobe FW, Morrey BF, Kaufman KR,Hurd WJ. Comparison of shoulder range of motion, strength,and playing time in uninjured high school baseball pitchers whoreside in warm- and cold-weather climates. Am J Sports Med.2011. 39: 320-328.

10. Byram IR, Bushnell BD, Dugger K, Charron K, Harrell FE,Noonan TJ. Preseason shoulder strength measurements inprofessional baseball pitchers: Identifying players at risk forinjury. Am J Sports Med. 2010. 38: 1375-1382.

11. Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM.Glenohumeral range of motion deficits and posterior shouldertightness in throwers with pathologic internal impingement.Am J Sports Med. 2006. 34: 385-391.

12. Wilk KE, Marcrina LC, Fleisig GS, Porterfield R, Simpson CD,Harker P, Paparesta N, Andrews JR. Correlation of glenohumeralinternal rotation deficit and total rotational motion to shoulderinjuries in professional baseball pitchers. Am J Sports Med. 2011.39: 329-335.

13. Andrews JR, Fleisig GS. Preventing throwing injuries. J OrthopSports Phys Ther. 1998. 27: 187-188.

14. Nissen CW, Westwell M, Ounpuu S, Patel M, Solomito M, Tate J.A biomechanical comparison of the fastball and curveball inadolescent baseball players. Am J Sports Med. 2009. 37: 1492-1498.

15. Fleisig GS, Kingsley DS, Loftice JW, Dinnen KP, Ranganathan R,Dun S, Escamilla RF, Andrews JR. Kinetic comparison amongthe fastball, curveball, change-up, and slider in collegiate baseballpitchers. Am J Sports Med. 2006. 34: 423-430.

16. Elliot BC, Grove JR. A three-dimensional cinematographic analysisof the fastball and curveball pitches in baseball. Int J Sports Biomech.1986. 2: 20-28.

17. Bushnell BD, Anz AW, Noonan TJ, Torry MR, Hawkins RJ.Association between pitch velocity and elbow injury inprofessional baseball pitchers. Am J Sports Med. 2010. 38: 728-732.

18. Wilk KE, Meister K, Andrews JR. Current concepts in therehabilitation of the overhead throwing athlete. Am J Sports Med.2002. 30: 136-151.

19. Trakis JE, McHugh MP, Caracciolo PA, Busciacco L, Mullaney M,Nicholas SJ. Muscle strength and range of motion in adolescentpitchers with throwing-related pain: Implications for injuryprevention. Am J Sports Med. 2008. 36: 2173-2178.

20. Davis JT, Limpisvasti O, Fluhme D, Mohr KJ, Yocum LA,ElAttrache NS, Jobe FW. The effect of pitching biomechanicson the upper extremity in youth and adolescent baseball pitchers.Am J Sports Med. 2009. 37: 1484-1491.

References

lower elbow valgus torque, and higherpitching efficiency than those whoperformed two or less correctly. The authorsstate that the safest and most efficienttransfer of energy from the lower extremity,through the trunk, and into the upperextremity depends on the correct timingand sequence of movements (glenohumeralabduction, scapular positioning, humeralexternal rotation) as much as the actualquality of the motions (degree of pelvicrotation or humeral external rotation).Appropriately performing the timing andsequence of these movement decreasestorque on the shoulder and elbow jointswhich may, in turn, help prevent shoulderand elbow injuries in youth pitchers.

ConclusionsAs the popularity of youth baseball hasincreased, so have the number of injuries.So, it is important to develop injuryprevention strategies. Physicians shouldencourage coaches to familiarize themselveswith the most recent guidelines publishedby Little League Baseball or the USABaseball Medical and Safety AdvisoryCommittee. Based on the most currentliterature, monitoring and limiting thenumber of pitches per game and per year,the number of months playing baseball,and the number of higher velocity pitches(substituting more change-ups for fastballs)may aid in the prevention of upperextremity injuries. The curveball has

not been shown to be associated withincreased injury compared to the fastball,but it has been shown to place moretorque and load on the elbow andshoulder joints than the change-up.So, it should still be used with caution.Next, initiating a physical therapyprevention program emphasizingstrengthening of the posterior shouldermusculature and stretching of theposterior capsule may help prevent upperextremity injury in young pitchers. Finally,proper mechanics should be emphasizedto assure the appropriate transfer of energythrough the body during the pitchingcycle to decrease torque and loads onthe shoulder and elbow joints.

July/August 2011 SPORTS MEDICINE UPDATE 7

Become a SupporterIf you have not become a collaboratingsupporter yet and would like informationon how to become involved, e-mail STOPSports Injuries Campaign Director, MikeKonstant at michael@stopsportsinjuries.org,or visit www.STOPSportsInjuries.org andclick on the “Join Our Team” link.

Campaign Hits the RoadPart of the strategy to grow the STOPSports Injuries campaign is spreading itsmessage into the community. CampaignDirector Mike Konstant has taken thatstrategy to heart and made it a point to getout and participate in local communityevents while promoting the campaign.These opportunities have not only helpedspread the message of the campaign toathletes, parents, coaches, and healthcareprofessionals, but they have also providedMike with first hand experience thatcan be shared with other individualsand organizations. Give Mike a call at847/655-8623 to discuss further or e-mailhim at michael@stopsportsinjuries.org.

Recent events have included:

NeuroSpine Institute Foundation 1st AnnualCelebrity Reception and Golf Tournament,May 15–16, Orlando, FloridaApproximately 120 people attendedand a percentage of the proceeds wentto supporting the campaign.

Providence Sports Care Center-Kids DayHealth Fair with Portland Timbers SoccerGame, May 25, Portland, OregonApproximately 3,000 children cameto the game where there was a staffedtable with campaign materials.

Fox Valley Orthopedics/Kane County CougarsPack the Park for Prevention, June 11,Batavia, IllinoisA collaboration was announced with MikeKonstant on the field before the game.The STOP Sports Injuries campaignhad a table set up with materials andit generated 200 completed pledgesby children and parents.

Virtua Center for Athletic Performance FootballProgram, June 29–30, Cherry Hill, New JerseyThis week-long football camp and clinicwas for youth in grades 6–12. DePuyMitek, one of our sponsors, was alsoa sponsor of the event.

Cleveland Clinic Sports Health, Continental CupInternational Youth Sports Festival, OpeningCeremonies, June 30–July 1, Cleveland, OhioMike attended the opening ceremoniesof this team sporting event that attracted6,000 attendees. The STOP SportsInjuries campaign co-branded materialswere featured at the health safety booths.

1st Annual STOP Sports Injuries CommunityEvent, July 9, Canyon Crest Academy inSan Diego, CaliforniaThis interactive educational event wasfor athletes, parents, coaches, and athletic

directors and featured AOSSM presidents,local area orthopaedic surgeons andathletic trainers, and two former NFLplayers. This event provided educationalpresentations and campaign materials.

Texas Girls Coaches Association 2011Summer Clinic, July 12–14, Austin, TexasAOSSM member, Randy Williamsof East Texas Orthopaedic Clinic, securedcomplimentary exhibit space for thisconference that drew 4,000 individuals.Dr. Williams gave a presentation onpreventing ACL injuries and helpedpromote the campaign.

As the STOP Sports Injuries campaigncontinues to grow, more and more youthsports safety events are popping up acrossthe country. If you are hosting an event,post your event on the website and thene-mail the highlights and any photosto Joe Siebelts at joe@aossm.org forthe next issue of SMU!

STOP Sports Injuries Campaign Wins Award

The STOP Sports Injuries campaign recently won recognition in two leading national awards programs for creativeexcellence in the communications field. The campaign won the Communicator Award of Distinction for a Not-for-ProfitIntegrated Campaign and the TELLY Bronze Award. In addition, the campaign’s video “In the Game for Life” won theCommunicator Award of Distinction for a Public Service Commercial. These awards affirm the campaign’s visionand the substantial outreach efforts of all the members of the STOP Sports Injuries campaign. Congratulations!

8 SPORTS MEDICINE UPDATE July/August 2011

AOSSM organized two conferences in 2008and 2010 that focused on post-traumaticosteoarthritis (OA). One outgrowth of thosemeetings is a potential initiative by AOSSMto conduct an Early ARthritis THerapies(EARTH) multi-center clinical studyinitiative involving human subjects withoutsubstantial joint degeneration but who areat risk for rapid progression of OA due tojoint injury. The goal of EARTH wouldbe to evaluate acute intervention strategies(the specific strategies are currently underconsideration) following ACL tears thataim to delay or prevent the onset of post-traumatic osteoarthritis. The underlyinghypotheses are that joint injury initiatesa series of events resulting in more rapidjoint degeneration culminating in earlydisabling OA, and that early interventionprior to the development of irreversiblechanges may modify the disease course.

An important initial step beforelaunching such a project is to establishthe feasibility of obtaining sufficientnumbers of patients who presentto orthopaedic surgeons within thehypothesized window during whichchondroprotective interventions are mostlikely to be effective, i.e., within one weekof injury. All interested AOSSM membersare invited to participate in this feasibility

study. Participation would involverecording some very basic informationabout all patients who you see for an initialACL injury within a three month period.The information to be recorded would be:� date of ACL injury,� date of initial visit,� date of surgery (if operative case),� concomitant injuries to index knee,� prior injuries and surgeries to knee, and� patient age, gender, height, and weight.

This study would thus evaluate thenumber of patients who are seen withinone week of injury and would helpcharacterize patients. This will also helpidentify sites and surgeons who mightbe willing to participate in a futureSociety-organized clinical trial involvingchondroprotective intervention in acuteACL-injured patients.

Data collection for the feasibilitystudy will begin in August but interestedmembers can begin data collection anytime after. Currently, the infrastructurefor the study is being developed includinga Web-based data entry system (a paperversion will also be available).

If you are willing to participate inthe feasibility study or if you would likeadditional information, please contactBart Mann at bart@aossm.org.

R E S E A R C H

AOSSM/Smith & NephewInnovative OutcomesAssessment Grant:$25,000 grant to supportnovel approaches to measuringthe effects of surgicalprocedures in orthopaedicsports medicine. Deadline forapplications is April 18, 2012.

AOSSM/ConMed LinvatecYoung Investigator Grants:$40,000 grants for studiesconducted by individuals in theearly stages of their careers.Deadline for pre-reviewsubmissions is August 15,2011. Final applicationsdeadline is December 1, 2011.

AOSSM/BioMimeticTherapeutics Sandy KirkleyClinical Outcome ResearchGrant: $20,000 to supportpilot or small-scale clinicaloutcome research projects.Deadline for pre-reviewsubmissions is August 15,2011. Final applicationsdeadline is December 1, 2011.

Visit www.sportsmed.org andsearch “Research” for moreinformation about each grantand for instructions on how toapply. Information on additionalgrant-related resources isalso available on the websiteor you can contact Bart Mann,Director of Researchat bart@aossm.org.

MULTITUDE OFAOSSM GRANTRESOURCESAVAILABLE

Participate in AOSSM Osteoarthritis Feasibility Study

July/August 2011 SPORTS MEDICINE UPDATE 9

2011 AOSSM/ConMed LinvatecYoung Investigators GrantsThe Young Investigator Grants (YIG)are specifically designed to support youngresearchers who have not received priorfunding. This year AOSSM selected twowinners: Austin V. Stone, MD, WakeForest University, “Molecular Mechanismsin Meniscus Injury that Contribute toSubsequent Osteoarthritis,” which willstudy how to better define the molecularpathways activated by meniscal injurythat result in meniscal degenerationand contribute to the development ofpost-traumatic OA. The second winneris Elizabeth M. Dulaney-Cripe, MD,Wright State University. She will bestudying how adipose tissue-derived stemcells may improve tendon-to-bone repair.

2011 AOSSM/BioMimetic Sandy KirkleyClinical Research Outcome GrantTo honor the memory and spirit ofDr. Kirkley, AOSSM established a grantof $20,000 that provides start-up, seed,or supplemental funding for an outcomeresearch project or pilot study. This year’srecipient is J. Robert Giffin, MD, FowlerKennedy Sport Medicine Clinic/Universityof Western Ontario. His winning project,“Does Usual Rehabilitation Result in BetterOutcomes than Staged Rehab Post ACLSurgery?” will analyze an alternative approachto rehabilitation with patients receivingminimal supervision for the first 12 weekspost-ACL reconstruction, such that they

have the means to participate in supervisedphysiotherapy later on when strengthening,coordination, and sport-specific exercisesare the focus of rehabilitation.

2011 AOSSM/Smith & NephewInnovative Outcomes Assessment GrantNew in 2011, this grant was initiatedto support development of innovativeapproaches to measuring the effects ofsurgical procedures in orthopaedic sportsmedicine. This $25,000 grant is meantto advance the evaluation of clinicaloutcomes related to surgery by encouragingnovel approaches, techniques, and/ormethodology that will facilitate andenhance clinical research. StephenLyman, PhD, and his colleagues fromthe Hospital for Special Surgery wereselected for their project, “Validationof Electronic Knee Specific PatientReported Outcome Instruments.”

2011 AOSSM/Genzyme Osteoarthritis GrantLee D. Kaplan, MD, University of Miami,won the inaugural AOSSM/GenzymeOsteoarthritis (OA) Basic ScienceResearch Grant for his project:“Articular Cartilage Epigenetics FollowingImpact Injury.” The AOSSM/GenzymeOsteoarthritis Grant funds investigationsrelated to early osteoarthritis and/orprevention of OA progression. Thisone-year award of $50,000 supports

a lab/basic science project and is chosenby the AOSSM Research Committee.

Aircast Award for Basic ScienceVoted by the AOSSM FellowshipCommittee, this year’s winning paperis “Effect of Acetabulum Rim Recessionon Anterior Rim Angle: A CadavericStudy,” by Michael Salata, MD, KatherineManno, BS, Chris Gross, MD, James S.Williams, PhD, Walter Virkus, MD,Charles A. Bush-Joseph, MD, Shane JayNho, MD, Rush University MedicalCenter, Chicago, Illinois; Vamshi Yelavarthi,Boston Medical College; and Joseph U.Barker, MD, Raleigh Orthopaedic Clinic,Raleigh, North Carolina.

Aircast Award for Clinical ScienceVoted on by theAOSSM’s FellowshipCommittee, awardeesreceive $1,500.The paper entitled:

“Graft Size and Patient Age are Predictorsof Early Revision Following ACLReconstruction with Hamstring Autograft”included authors from Duke SportsMedicine: Robert A. Magnussen, MD,Ryenn L. West, BS, Alison P. Toth, MD,Durham, North Carolina; Dean C. Taylor,MD, William E. Garrett Jr., MD, PhD,and John Todd R. Lawrence, MD, PhD,from Children’s Hospital of Philadelphia,Philadelphia, Pennsylvania.

In order to recognize and encourage cutting-edge research in key areas of orthopaedic sports medicine, theAOSSM presented 14 research awards and grants during our Annual Meeting in San Diego, California,this year. As a leader in orthopaedic sports medicine, AOSSM annually provides more than $350,000to research initiatives and projects around the country. Highlights of this year’s award recipients include:

Prestigious Research Awards Presented at Annual Meeting

Continued on page 10

Cabaud Memorial AwardGiven to the bestpaper researchinghard or soft tissuebiology, this awardis selected by theAOSSM Awards

Subcommittee with awardees receiving$2000. This year’s winning paper is “TheEffect of Axial Tibial Rotation and VarusLoading on ACL Strain During a SimulatedJump Landing,” by authors Youkeun K.Oh, PhD, University of Michigan, DavidB. Lipps, MS, James A. Ashton-Miller,PhD, and Edward J. Wojtys, MD.

Excellence in Research AwardThis award isselected by theAOSSM AwardsSubcommitteewith principalinvestigators

receiving $2,000. This year’s winningpaper was from the University ofMichigan and titled, “Surgical Treatmentof Femoroacetabular ImpingementImproves Hip Kinematics: A Computer-Assisted Model.” Authors included:Asheesh Bedi, MD, Mark Dolan, MD,Iftach Hetsroni, MD, Erin Magennis,MSc, Joseph Lipman, MSE, RobertBuly, MD, and Bryan T. Kelly, MD.

O’Donoghue Sports Injury Research Award

This award is given annually to the bestoverall paper that deals with clinical basedresearch or human in-vivo research.

In 2011 it is given to authors: KanuGoyal, MD, University PittsburghMedical Center, Scott Tashman, PhD,Joon Wang, MD, Kang Li, PhD, AlbertLin, MD, Xudong Zhang, PhD, andChristopher D. Harner, MD, for theirpaper, “In Vivo Analysis of the IsolatedPosterior Cruciate Ligament-DeficientKnee During Functional Activities.”The awardee is selected by the AOSSMAwards Subcommittee with recipientsreceiving $2,000.

The NCAA Research AwardThis award is given to the best papersubmitted that pertains to the health,safety, and well-being of collegiatestudent-athletes. The award is selectedby the AOSSM Awards Subcommitteewith awardees receiving $2000. Thisyear’s winning paper is from WashingtonUniversity doctors: Robert H. Brophy,MD, Jeffrey J. Nepple, MD, MatthewJ. Matava, MD, and Rick W. Wright,MD. The paper is titled: “Previous KneeSurgery a Risk Factor for Knee ArticularCartilage Lesions Among CollegeFootball Athletes in the NFL Combine.”

Hughston AwardThis year’s recipientsof the HughstonAward are KatrinaNilsson-Helander,MD, Karin G.Silbernagel, PhD,

PT, ATC, Roland Thomee, Eva Faxen,Nicklas Olsson, Bengt I. Eriksson,and Jon Karlsson, MD, PhD, for theirpaper, “Acute Achilles Tendon Rupture:A Randomized, Controlled StudyComparing Surgical and NonsurgicalTreatments Using Validated OutcomeMeasures.” The award is given to themost outstanding paper published inthe American Journal of Sports Medicine

and is chosen by a panel of AJSM editorsand reviewers and receives $5,000.

AJSM Systematic Review AwardThe winning paper is chosen by a panelof AJSM editors and reviewers andreceives $5,000. Carmen E. Quatman,Carolyn M. Hettrich, MD, Laura C.Schmitt, MD, and Kurt P. Spindler, MD,received the award for their work entitled,“The Clinical Utility and DiagnosticPerformance of MRI for Identification ofEarly and Advanced Knee Osteoarthritis:A Systematic Review.”

T. David Sisk Award for ResearchExcellence in Basic Science

The winners wereselected from thebest papers in basicscience submittedto Sports Health:A Multidisciplinary

Approach. The award will include a $2,500cash prize and a plaque. This year’s winnerin basic science is “The Basic Science ofArticular Cartilage: Structure, Composition,and Function.” Authors are Alice J. SophiaFox, MD, Asheesh Bedi, MD, and ScottA. Rodeo, MD.

T. David Sisk Award for ResearchExcellence in Clinical ScienceThe winners were selected from thebest papers in clinical science submittedto Sports Health: A MultidisciplinaryApproach. The award will include a$2,500 cash prize and a plaque. Thisyear’s recipient is Jeffrey S. Kutcher,MD, for his paper, “Management of theComplicated Sports Concussion Patient.”

For more information on AOSSMresearch projects and awards, please visitwww.sportsmed.org and click on the“Research” tab or contact Bart Mann,Director of Research at bart@aossm.org.

10 SPORTS MEDICINE UPDATE July/August 2011

Prestigious Research Awards Presented at Annual Meeting continued—

July/August 2011 SPORTS MEDICINE UPDATE 11

S O C I E T Y N E W S

Self Assessment2011 Now AvailableThe newversion of SelfAssessment isnow available.It includes 125new questions,provides Maintenanceof Certification credit, andis online only. To purchaseyour Self Assessment,visit the website atwww.sportsmed.organd click on “MedicalProfessionals” then“Educational Resources.” For anyadditional questions, contact SusanBrown Zahn at susan@aossm.org.

AJSM Top of the Class AgainThomson Reuters has just released its2010 Journal Citation Reports, andthe American Journal of Sports Medicine’simpact factor has increased to 3.821—up from 3.605—in the two year index.AJSM’s impact factor is second amongthe 61 orthopaedic journals and fifthamong the 79 sports science journals in the two year index.

More impressive, AJSM’s ranking in the five year is 4.801.This is the highest among all orthopaedic journals and secondamong all sports science journals. This reflects both the qualityand longevity of AJSM articles over the past five years.Congratulations to executive editor, Bruce Reider, MD,and the rest of the AJSM editorial team and staff!

Submit Proposals for AOSSM 2012 Annual MeetingInstructional Courses OnlineAOSSM is currently accepting instructional course proposalsfor the AOSSM 2012 Annual Meeting in Baltimore, Maryland,July 12–15, 2012. Please visit the AOSSM website atwww.sportsmed.org to submit a proposal online. Submissionsrequire a course title, course description, and confirmed faculty.Deadline is August 31, 2011. Questions can be directed toPatricia Kovach at pat@aossm.org.

Got news we could use? We want to hear from you!Sports Medicine Update welcomes members’ news items (e.g., awards, academicappointments). Send information to Lisa Weisenberger, AOSSM Director ofCommunications, at lisa@aossm.org, fax to 847/292-4905, or call the Societyoffice at 847/292-4900. High resolution photos are always welcomed.

12 SPORTS MEDICINE UPDATE July/August 2011

Schickendantz Garners New PositionThe Cleveland Clinic recently announced that AOSSM member,Mark Schickendantz, MD, has been named Director of theCenter for Sports Health. Dr. Schickendantz has been a teamphysician for the Cleveland Indians since 1992, serving as HeadTeam Physician since 2003. He is also Head Team Physician

for the Cleveland Browns, serving in that role since 2010. He is currentlyPresident of the Major League Baseball (MLB) Team Physicians Associationand a member of the MLB Medical Advisory Committee. Congratulations!

Laurencin Elected to Prestigious AcademyAOSSM member and bioengineering expert, Dr. Cato T. Laurencin, VicePresident for Health Affairs at the University of Connecticut Health Centerand Dean of the UConn School of Medicine, was recently elected to theAfrican Academy of Sciences, a prestigious organization that honors Africanscience and technology leaders and promotes science-led development inthe continent. Since its founding in 1986, membership has been extendedto scientists throughout the world. Laurencin is one of three Americanswho are fellows of the Academy. Selection is based on academic and researchachievements, as well as the impact fellows have made in their respective fields.

2012 AOSSM membership dues will be sent soon. Due to the increasing cost of postage,the Society Office has decided to send notices about dues via e-mail. Remember that duesare to be paid within 30 days of receiving your notice. You should see your dues noticearound August 1 in your inbox. Please contact the Society Office if you have recentlychanged your e-mail or wish to have it sent to a different address. Any questions canbe sent to Debbie Turkowski, Manager, Member Services at Debbie@aossm.org.

S O C I E T Y N E W S

Check Outthe NewAOSSMWebsite >>Visit www.sportsmed.orgto see a new easier touse AOSSM website. Youcan now easily register forupcoming meetings, paydues, order and view patientmaterials, and so much more!

Are You a Fan or a Follower?AOSSM, AJSM, and Sports Health are nowall on Facebook. Learn about the latest newsand articles from AJSM and Sports Health.Stay up to date on Society happenings anddeadlines at AOSSM. Join the conversationand become a fan or follower:

Facebook

www.facebook.com/AOSSM

www.facebook.com/American-Journal-of-Sports-Medicine

www.facebook.com/SportsHealthJournal

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Twitter

Twitter.com/AOSSM_SportsMed

Twitter.com/Sports_Health

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N A M E S I N T H E N E W S

2012 AOSSMMEMBERSHIP

DUES

M E M B E R S H I P N E W S

July/August 2011 SPORTS MEDICINE UPDATE 13

he Five Year Review processfor the Center of Medicareand Medicaid Services (CMS)generates a list of codes that areboth frequent and potentiallyover-valued, or rarely under-valued. The review targeted

three high frequency arthroscopic codes:� 29826 (Arthroscopy, shoulder, surgical;

decompression of subacromial spacewith partial acromioplasty, withor without coracoacromial release),

� 29880 (Arthroscopy, knee, surgical; withmeniscectomy [medial AND lateral,including any meniscal shaving]),

� and 29881 (Arthroscopy, knee, surgical;with meniscectomy [medial OR lateral,including any meniscal shaving]).29826 was noted by CMS to be listed

with other codes over the 75 percentthreshold, thus threatening to consider ita part of the other codes. Because it is listedwith several other codes the decision wasmade to make 29826 an “add-on” code.Thus for 2012, 29826 = acromioplasty,must be added to an index code/procedure.Example: 29827, (Arthroscopy, shoulder,surgical; with rotator cuff repair) wouldbe the index code and 29826 would be thesecondary, add-on code. No modifier willbe required for 29826 as it will always bean add-on code and will not be able to belisted alone. Unfortunately, the previousRVU level has been decreased to 3.00(pending the CMS final rule for 2012).The RVU work value was previously 9.16.Since it is a second procedure many privateinsurers would reimburse 50 percent ofthe work value or 4.58 RVUs. CMS onthe other hand reimburses by subtracting

the value of a diagnostic arthroscopyfrom the procedure in question. 29805(Arthroscopy, shoulder, diagnostic, with orwithout synovial biopsy [separate procedure])has a work RVU of 6.03. Thus the valueof 29826 for CMS is 9.16 – 6.03 = 3.13.Despite the AAOS/AOSSM/AANArepresentatives passionate presentation theRelative Value Update Committee (RUC)would not be swayed to either the 3.13or even a more appropriate 4.58 value.

Similar decreases have affected 29880and 29881. Because of two independent

surveys of times and intensities, theprevious levels of reimbursement were notsupported. The RUC made two importantdecisions: 1) to decrease the value of29880 and 29881 by approximately20 percent (the final value will bedetermined in the 2011 Final Rule)and 2) bundle 29877 with both 29880and 29881. For 2012, we will receivelower reimbursement for arthroscopicmeniscectomy and chondroplasty/debridement and it will be includedwith any/all meniscectomy(s).

C O D I N G C O R N E R

Lower Reimbursement for Menisectomies ConfirmedBy William Beach, MD, Chair, Health Policy and Ethics Committee

T

14 SPORTS MEDICINE UPDATE July/August 2011

Sand, Sun and SpectacularEducation Lead to

Outstanding 2011 Annual Meeting

AOSSM returned to San Diego for our 2011 Annual Meeting withgreat success! More than 1,200 attendees joined colleagues andtheir families for four days of sun, camaraderie, and educationfrom some of the best sports medicine specialists in the world.

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he meeting began on Wednesday,July 6 with a research pre-conferenceworkshop on clinical outcomes.More than 100 individuals attended

and learned about cutting-edge clinicaland evidence-based research principles,methods, and practice strategies. Keynotespeaker, Mohit Bhandari, MD, McMasterUniversity in Ontario, Canada, captivatedaudience members with his talks onclinical research’s importance and whyevidence-based medicine can be a goodguide for sports medicine practices.

Wednesday also included a pre-conference workshop, in collaboration withSPTS, on bringing the team approachto sports medicine. Speakers highlightedmanagement strategies for several typesof injuries and how to safely returnathletes to the playing field.

The meeting began in earnest earlyThursday morning with eight instructionalcourses on a variety of topics fromconcussion to foot and ankle injuries tocoding to masters athlete issues. AOSSMPresident, Robert A. Stanton, MD, andProgram Chair, Capt. Medical Corps, U.S.Navy, Marlene DeMaio, MD, welcomedeveryone to the official start of the meeting

July/August 2011 SPORTS MEDICINE UPDATE 15

Photos from the Annual Meetingare available for viewing athttp://www.photographyg.com/.Search for AOSSM under eventsand then create a new accountor if you viewed pictures fromthe 2010 Annual Meeting youcan simply sign in. Many photosof the scientific sessions, awardpresentations, and family funare there for your enjoymentand to purchase.

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Continued on page 16

16 SPORTS MEDICINE UPDATE July/August 2011

and began the morning’s session witha discussion on ACL reconstructionoutcomes. A variety of other topics werepresented, including patellar instability,avoiding knee surgery complications,concussion, and pediatric fractures.

During the business meeting onThursday, new members were accepted andtwo individuals confirmed as new additionsto the Board of Directors, including:

� Jo A. Hannafin, MD, PhDVice President

� Matthew Provencher, MDMember-at-Large

Patricia Kolowich, MD, was also electedto the Medical Publishing Board of Trustees.

One of the biggest highlightsof the day was the afternoon live surgicaldemonstrations on the shoulder andelbow. More than 200 people attendedthe workshop and were able to learnnew surgical skills and tips from topprofessionals, including Russell F. Warren,MD, Anthony A. Romeo, MD, Eric C.McCarty, MD, Felix H. Savoie III, MD,James R. Andrews, MD, Neal S. ElAttrache,Marc R. Safran, MD, Champ L. Baker Jr.,MD, William N. Levine, MD, Matthew L.Provencher, MD, John E. Kuhn, MD, andRichard K. N. Ryu, MD. AOSSM thanksArthrex, ConMed Linvatec, DePuy MitekInc., Stryker, Smith & Nephew, MTF,and RTI for their educational grantsor in-kind support for this workshop.

The first day concluded with theannual Welcome Reception held poolsideat the Manchester Grand Hyatt, andsupported by Breg, Inc. Outstanding foodand beverages were served highlightingtypical California cuisine along withgames for the kids.

Friday’s session began with thepresentation of the O’Donoghue Award toKanu Goyal, MD, University of PittsburghMedical Center, for his paper, “In VivoAnalysis of the Isolated Posterior CruciateLigament-Deficient Knee During FunctionalActivities.” The rest of the day’s presentationsfocused on shoulder outcomes, foot andankle issues, and the masters athlete.

Continued on page 17

In addition, AOSSM inducted ClarenceL. Shields, MD, Sandy Kirkley, MD,FRCSC, and René Verdonk, MD, intothe Hall of Fame. The Thomas A. BradyAward was given to John A. Bergfeld, MD,Cleveland Clinic, and the George D.Rovere Award was presented to Robert A.Arciero, MD, University of Connecticut.Dr. Stanton’s presidential addresshighlighted his career and how chanceevents in life can help create new

opportunities if you keep your eyes opento them. He also discussed AOSSM’sstrategic plan and the future of the Society.

Members were on their own Fridayafternoon to explore San Diego and all ithad to offer from the zoo and SeaWorld toCoronado Beach. More than 80 individualsdecided to take in a round of golf at theCoronado Municipal Golf Course for the22st Annual Golf Tournament, supportedby DJO Global.

After a relaxing Friday afternoon,attendees flocked back into the ManchesterBallroom on Saturday morning forengaging discussions and presentations onhip impingement issues, maintenance ofcertification issues, and what the office ofthe future will look like. One of the biggesthighlights of the meeting occurred onSaturday with Presidential Guest Speaker,Frank Deford’s hilarious speech, “Sports:The Hype and the Hypocrisy.” His talkon his adventures in sports reporting wasinsightful and funny for all who took part.

Following the speech, Lyle Micheli, MD,Boston Children’s Hospital, received theRobert E. Leach, MD, Mr. Sports MedicineAward, one of the Society’s highest honors,for his outstanding career in pediatricsports medicine. Dr. Stanton and his wife,

Debby, then presented the presidentialmedallion and pin to incomingPresident, Peter A. Indelicato, MD, andShannon Bishop Brouillette, signifyingDr. Indelicato’s induction as the2011–2012 AOSSM President.

Awards were also given for outstandingposters to the following individuals:

� 1st Place ($750): “Changes in SerumBiomarkers of Cartilage TurnoverFollowing ACL Reconstruction”by Steven J. Svoboda, MD, TravisHarvey, PhD, William Brechue, PhD,Brett D. Owens, MD, and Kenneth L.Cameron, PhD, ATC

� 2nd Place ($500): “TheChondrotoxicity of Single-Dose LocalAnesthetic Injections” by Jason L.Dragoo, MD, and Hilary Braun, BA

� 3rd Place ($250): “Gender HelpsDetermine Peak ACL Strain” byDavid B. Lipps, MS, Youkeun Oh,MS, James A. Ashton-Miller, PhD,and Edward M. Wojtys, MD

The day ended with a fun-filled eventat the San Diego Children’s Museum. Thisnewly redesigned museum allowed kidsof all ages to experience painting, ropeclimbing, bouncy tube, bubble blowing,drawing, and other interactive attractions.With freshly-made mini doughnuts andspecial cheesecake treats on a stick, everyonefinished off the evening happy andexhausted. AOSSM thanks BioMimeticfor their support of the family event.

The meeting concluded on Sunday withintriguing presentations from the NATAExchange Lecturer, Thomas Weidner, PhD,ATC, FNATA, on enhancing clinicalpractice. The AMSSM Exchange Lecturewas given by Eugene S. Wong, MD, ondepression and anxiety. In addition, JohnCherf, MD,MPH,MBA, presented a lectureon critical, practice-based information.

AOSSM would like to thank all of oursponsors and exhibitors for their ongoingAnnual Meeting support. The next AOSSMAnnual Meeting will be in Baltimore,Maryland, July 12–15, 2012. See you there!

July/August 2011 SPORTS MEDICINE UPDATE 17

The Society strives to provide you with the best educational experiencepossible. You should have received an e-mail from the Society asking foryour comments on the meeting and how we can improve for next year.Please be sure to take a few minutes to fill this evaluation out, so wecan continue to make our meetings the best in sports medicine. Youshould also be receiving an e-mail from the Society regarding your CMEcredit by mid-August. Thank you!

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18 SPORTS MEDICINE UPDATE July/August 2011

Thank YouCommittee Members!The AOSSM Board ofDirectors thanks thesecommittee members for theircontributions to the Society’sgoals and mission. Their termsof service expired in July 2011.

Education Committee

Anikar Chhabra, MD

George Davies, DPT

Bradley Nelson, MD

Jon Sekiya, MD

Enduring Education Committee

Thomas DeBerardino, MD

Warren Dunn, MD

Fellowship Match Committee

Doug Brown, MD

John Richmond, MD

Hall of Fame Committee

Patricia A. Kolowich, MD

George Mauerman, MD

Ed Wojtys, MD

Public Relations Committee

Robert Gray, ATC

Matthew Matava, MD

Brian Sennett, MD

John Uribe, MD

Publications Committee

Grant Jones, MD

William Levine, MD

Brian Wolf, MD

Research Committee

John Albright, MD

Lee Kaplan, MD

Jason Koh, MD

Christian Latterman, MD

Benjamin Ma, MD

Matthew Provencher, MD

Self Assessment Committee

Craig Bottoni, MD

Anikar Chhabra, MD

John Graham Jr., MD

Eric McCarty, MD

Leroy McCarty, MD

Scott Montgomery, MD

Ron Navarro, MD

Bradley Nelson, MD

Matthew Shapiro, MD

Nikhil Verma, MD

Stop Sports InjuriesSteering Committee

Evan Ekman, MD

Mary Lloyd Ireland, MD

David Martin, MD

Daniel Matthews, MD

Rick Wright, MD

Technology Committee

Ammar Anbari, MD

Fred Flandry, MD

Armando Vidal, MD

Traveling FellowshipCommittee

Thomas DeBerardino, MD

2011 OutgoingCouncil of DelegatesChristopher S. Ahmad, MD2008–11, New York

A. Herbert Alexander, MD2005–11, Idaho

Stephen Kenji Aoki, MD2008–11, Utah

Kyle R. Blickenstaff, MD2005–11, Arizona

Joseph A. Bosco III, MD2008–11, New York

Charles A. Bush-Joseph, MD2005–11, Illinois

Steven Chudik, MD2008–11, Illinois

Nancy M. Cummings, MD2008–11, Maine

Marlene DeMaio, MD2000–11, MIL

Patrick J. DeMeo, MD2008–11, Pennsylvania

Frederick C. Flandry, MD, FACS2008–11, Georgia

Stephen J. Franzino, MD2008–11, California

Robin Gehrmann, MD2008–11, New Jersey

Charles E. Giangarra, MD2005–11, West Virginia

Randeep Kalhon, MD2008–11, Delaware

James S. Keene, MD2005–11, Wisconsin

Anne M. Kelly, MD2008–11, New York

Scott D. Kuiper, MD2008–11, Kentucky

Brick A. Lantz, MD2005–11, Oregon

Edward R. McDevitt, MD2008–11, Maryland

Donald W. McGinnis2008–11, Oklahoma

Thomas C. Merchant, MD2008–11, California

Michael W. Moser, MD2008–11, Florida

George A. Paletta, MD2008–11, Missouri

Barry B. Phillips, MD2008–11, Tennessee

Continued on page 19

July/August 2011 SPORTS MEDICINE UPDATE 19

Daniel J. Prohaska, MD2008–11, Kansas

Lars C. Richardson, MD2008–11, Massachusetts

Mark Ritter, MD2008–11, Indiana

John-Paul H. Rue, MD2008–11, MIL

Marc R. Safran, MD2005–11, California

F. Harlan Selesnick, MD2008–11, Florida

Nicholas A. Sgaglione, MD2008–11, New York

Mark B. Silbey, MD2005–11, New Hampshire

Steven B. Singleton, MD2008–11, South Carolina

Kurt P. Spindler, MD2008–11, Tennessee

Timothy N. Taft, MD2008–11, North Carolina

John S. Theodoropoulos,MD, FRCSC2008–11, Canada

Edwin M. Tingstad, MD2005–11, Washington

Stephen C. Weber, MD2005–11, California

E. Carey Windler, MD2008–11, Texas

Brian R. Wolf, MD, MS2008–11, Iowa

John W. Xerogeanes, MD2008–11, Georgia

2012 IncomingCouncil of DelegatesSteven K. Ahlfeld, MDIndiana

Damian Andrisani, MDDelaware

Frederick M. Azar, MDTennessee

Harry A. Bade III, MDNew Jersey

James M. Banovetz, MD, PhDWisconsin

William R. Beach, MD – 2nd TermVirginia

Barry P. Boden, MDMaryland

Kelton M. Burbank Jr., MDMassachusetts

Walton W. Curl, MDNorth Carolina

Tal S. David, MDCalifornia

Hussein A. Elkousy, MDTexas

Gregory J. Folsom, MDKansas

Spencer H. Guinn, MDArizona

Sherwin S. W. Ho, MD, BAIllinois

Rudolf Hoellrich, MDOregon

Laith M. Jazrawi, MDNew York

Keith Kenter, MD – 2nd TermOhio

W. Ben Kibler, MDKentucky

Kirt M. Kimball, MDUtah

Michael Kissenberth, MDSouth Carolina

David Leffers, MDFlorida

Peter B. MacDonald, MD, FRCSCanada

Michael D. Maloney, MDNew York

E. Barry McDonough, MDWest Virginia

Jennifer R. Miller, MDIdaho

Douglas J. Moran, MDNew Hampshire

Bradley J. Nelson, MD – 2nd TermMinnesota

Claude E. Nichols III, MD– 2nd TermVermont

Brett D. Owens, MDMIL

Mark S. Pascale, MDOklahoma

Felix H. (Buddy) Savoie III, MD –2nd TermLouisiana

Todd A. Schmidt, MDGeorgia

Wayne J. Sebastianelli, MDPennsylvania

Mark F. Sherman, MDNew York

Domenick J. Sisto, MDCalifornia

Pietro Tonino, MD – 2nd TermIllinois

Daniel M. Veltri, MD – 2nd TermConnecticut

Winston J. Warme, MDWashington

Rick D. Wilkerson, DOIowa

Rick W. Wright, MDMissouri

20 SPORTS MEDICINE UPDATE July/August 2011

For more information and to register,visit www.sportsmed.org and click onthe “Education and Meetings” tab.Upcoming Meetings and Courses

Advanced TeamPhysician CourseDecember 1–4, 2011San Diego, California

Specialty DayFebruary 11, 2012San Francisco, California

Keep Your Edge: HockeySports Medicine in 2012Toronto, CanadaAugust 24–26, 2012

http://www.biometsportsmedicine.com

Sports Medicine UpdateAOSSM6300 North River RoadSuite 500Rosemont, IL 60018

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

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

Elite Supporter ($100,000 and Above)

Major Supporter ($75,000–$99,999)

Contributor (up to $24,999)

Ferring PharmaceuticalsLifeNet Health*

*AOSSM gratefully acknowledges educational grants or in-kind support from these companies for the AOSSM 2011 Annual Meeting.

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