Fall 2011 I N S T I T U T E RESEARCH

News Fall 2011 I N S T I T U T E RESEARCH

Photo: John Kelly J. Michael Egan President, Chief Executive Officer Steadman Philippon Research Institute 2006 - 2011

Istituten INsight INSIDE u Page 3 A Legacy of Excellence — Institute Research Recognized at International Conference A Vision for the Future u Page 3

PHILIPPON State-of-the-art Biomechanics Lab “He had the highest level of integrity of anyone I’ve ever offers new insights known,” says Richard Steadman, M.D., Managing Partner and u Page 8 Patients in the News: Founder of The Steadman Clinic and Founder-Chairman of Skiing’s rising stars shoot for the Steadman Philippon Research Institute. 2014 Olympics u Page 10 “Unmatched integrity and leadership,” says Marc Philippon, Research Update: M.D., Managing Partner of The Steadman Clinic and a mem- Researchers confirm new ber of the Steadman Philippon board of directors. treatment option for osteoarthritis in the shoulder “Excellence, honesty, integrity, and friendship,” says Marc u Page 10 Prisant, Executive Vice President, Chief Financial Officer, and Sports and Wellness: Secretary of the Institute. Keep yourself and ankles in the game u Page 12 “High ethics and the ability to thoughtfully thread three Sports and Wellness: needles with a frayed piece of string,” says Steven Read, a Keeping kids in the game for life STEADMAN member of the Steadman Philippon board of directors and u Page 15 co-chairman of Read Investments. Meet our Visiting Scholars u Page 23 Students get a close-up look at (continued on page 2) medical research

An International Center for Research and Education—Keeping People Active SM Board of Directors J. Richard Steadman, M.D. In Memoriam: Founder and Chairman STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011 The Steadman Clinic J. Michael Egan Vail, Colo. President and Chief Executive Officer The Steadman Philippon Research Institute H.M. King Juan Carlos I of Spain Vail, Colo. Honorary Trustee The Honorable Jack Kemp Adam Aron Chairman and Founder Mike’s company, Concept, was the first Chief Executive Officer Kemp Partners Philadelphia 76ers. Washington, D.C. corporate donor to the Foundation (now Philadelphia, Pa. Emeritus the Institute). Howard Berkowitz Harris Barton Chairman and Chief Executive Officer Managing Member Mike eventually agreed to join the Insti- BlackRock HPB HRJ Capital New York, N.Y. Woodside, Calif. tute in December 2006, bringing with him 28 Robert A. Bourne Jack Ferguson Vice Chairman Founder and President years of experience in medical technology, CNL Financial Group, Inc. Jack Ferguson Associates Orlando, Fla. Washington, D.C. entrepreneurship, and fund raising. He had Lodewijk J.R. de Vink George Gillett served as chairman and board member for Blackstone Healthcare Partners Chairman Avon, Colo. Booth Creek Management Corporation private and public companies and had held Julie Esrey Vail, Colo. CEO and senior management positions. Trustee Emeritus H. Michael Immel Duke University Executive Director (retired) Though he had no previous experience Vail, Colo. Alabama Sports Medicine and Stephanie Flinn Orthopaedic Center running nonprofit organizations, he knew Hobe Sound, Fla. Lafayette, La. Arch J. McGill one important thing–it needed to be treated Earl G. Graves, Sr. President (retired) Chairman and Publisher AIS American Bell like any other business. Mike quickly put Earl G. Graves, Ltd Scottsdale, Ariz. New York, N.Y. programs and initiatives into motion that Betsy Nagelsen-McCormack Ted Hartley Professional Tennis Player (retired) would propel the work of the Institute to Chairman and Chief Executive Officer Orlando, Fla. RKO Pictures, Inc. new levels. But he didn’t do this alone. Los Angeles, Calif. Frank Krauser (continued from page 1) He recognized and ignited the power of President and CEO NFL Alumni (retired) and Pro Legends, Inc. The man these friends and colleagues the team. Ft. Lauderdale, Fla. are talking about is J. Michael Egan. What the Steadman Philippon team and Greg Lewis President Mike served as President and Chief those who generously support the Institute Greg Lewis Communications Basalt, Colo. Executive Officer of the Steadman Philip- have done together reflects his ability to Thomas A. Mars pon Research Institute for four and a half lead. Here are a few highlights: Executive Vice President and Chief Administra- tive Officer years before his untimely death in a tragic • A plan for succession was established and Walmart Rogers, Ark. cycling accident in June of this year. a rebranding of the Foundation imple- John G. McMillian Chairman and Chief Executive Officer (retired) “I had known Mike since the early mented, both of which resulted in chang- Allegheny & Western Energy Corporation Coral Gables, Fla. 1980s,” Dr. Steadman recalls. “I was ing the name to the “Steadman Philippon Peter Millett, M.D., M.Sc. always impressed with his knowledge and Research Institute.” The Steadman Clinic Vail, Colo. the way he was able to bring people to- • Revenues from all sources, including cor- Larry Mullen, Jr. gether in the implementation of projects. porate and public donations, increased by Founder, Partner U2 “When my wife, Gay, brought up his more than 100 percent. Dublin, Ireland Cynthia L. Nelson name as a potential CEO of the Institute • The Imaging Research Department was Cindy Nelson LTD (then the Foundation), I didn’t think he established, a director was named, state- Vail, Colo. Mary K. Noyes would come to Vail,” says Dr. Steadman. of-the-art magnetic resonance imaging Freeport, Me. “Why don’t you ask him?” she replied. was installed, and a corporate partnership Al Perkins Chairman Emeritus In fact, Mike did come to Vail to speak was initiated. Rev Gen Partners Denver, Colo. with Dr. Steadman about the position, • The Biomechanics Research and Surgical Marc J. Philippon, M.D. and why wouldn’t he? In the 1980s, The Steadman Clinic (continued on page 4) Vail, Colo. Senenne Philippon Vail, Colo. Cynthia S. Piper Trustee IRA Charitable Rollover Giving Expires December 31, 2011 Hazelden Foundation Long Lake, Minn. Last December, President Obama signed into law the Tax Relief, Unemployment Insurance Steven Read Co-Chairman Reauthorization, and Job Creation Act of 2010, which allowed gifts to be made directly from an IRA Read Investments to a charity. That opportunity expires December 31, 2011. Lafayette, Calif. The following will supply answers to some of the important questions about IRA rollover gifts as Damaris Skouras Global Reach Management Company you consider your year-end giving. New York, N.Y. Gay L. Steadman Who qualifies? Individuals who are at least age 70½ at the time of the contribution. Vail, Colo. Stewart Turley How much can be transferred? Each plan owner can contribute up to $100,000. Chairman and Chief Executive Officer (retired) Jack Eckerd Drugs Bellaire, Fla. What type of retirement accounts qualify for transfers? Transfers must come from traditional IRAs directly Norm Waite to the Institute. Gifts of retirement assets in 401(k) and 403(b) plans do not qualify; however, you can discuss Vice President certain steps with your advisor for making gifts with these assets. Booth Creek Management Corporation Vail, Colo. Can these transfers fund life-income gifts such as charitable remainder trusts or charitable gift annuities? No, these types of gifts are not eligible to be funded through this gift mechanism. Can I make a transfer to my donor advised fund or supporting organization? No, these are not eligible. What are the tax benefits? Because the gift transfers directly from the IRA to the Institute, you do not have

2 Steadman Philippon STEADMAN PHILIPPON UPDATE Research Institute’s State-of-the-Art Bio- Publications, Presentations mechanics Laboratory and Research Offers New Insight Institute Research Leads the World into Orthopaedic Joint Research Project Recognized at Repair International Conference Institute unveils multi-million ISAKOS Ranks Institute Research Paper in the dollar orthopaedic research facility Top 10 for pioneering research in joint Outcomes of Treatment of Acute Grade III Isolated and preservation and reconstruction Combined Posterolateral Knee Injuries: A Prospective Case Series, techniques. was awarded as a top 10 e-poster out of more than 1,000 submitted at the eighth biennial meeting of The International Society of he Steadman Philippon Research Institute Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine T(SPRI) has completed construction of its (ISAKOS) held in Rio de Janeiro, Brazil, May 15-19. The authors, highly anticipated multi-million-dollar, state- Robert LaPrade, M.D., Ph.D., Chief Medical Research Officer for the of-the-art Biomechanics and Surgical Skills Steadman Philippon Research Institute, and Andrew G. Geeslin, facilities. The principal goal for these unique M.D., University of Minnesota Medical School (who helped write research facilities is to understand how inju- up the study while on a medical student research rotation at the ries occur and what the demands on joints Institute) investigated whether acute grade III posterolateral knee are for specific sports or motions. This high- injuries are best treated with repairs, reconstruction, or a hybrid tech research space has been the vision of of both. the Institute for more than two decades. Vail The purpose of the research was to report on the subjective Valley Medical Center, a long-term supporter and objective outcomes of acute treatment with a combined ana- of the Institute, was a significant financial tomic repair and/or reconstruction of these injuries, often referred partner in the endeavor. to as “the dark side” of the knee because it is recognized as the “We are very appreciative of their sup- most complex and difficult to treat when injured. In effect, this port and help in building this new laboratory,” remarked Dr. Richard Steadman, A B Chairman and Founder of SPRI. “This new eyelet pin enters (continued on page 5) at popliteus tendon attachment site Iliotibial and exits medially band (split and to report any taxable income; therefore, you are retracted) not eligible for a federal income tax deduction. We encourage you to talk with your advisors about your individual state tax law as it may influence the most cannulated reamer tax-wise method for giving in order to receive a state tax benefit.

Can the transfer qualify for the minimum required popliteus distribution? Yes, if you have reached age 70½ and tendon are taking required annual minimum distributions FCL from your retirement plan, your IRA rollover to the Institute will qualify toward your minimum required distribution. How do I effect an IRA rollover? Simply call your Copyright 2011 Journal of Bone and Joint Surgery plan provider and request a transfer from your IRA A: Photograph of a right knee showing sutures placed in the femoral attachment of directly to the Institute. If you would like a sample the avulsed popliteus tendon (arrow) in preparation for a recess procedure. letter for your IRA plan provider, please contact B: Illustration depicting the popliteus recess procedure. The cannulated reamer is John McMurtry, Vice President, Program Develop- shown producing a recess for femoral fixation of the popliteus tendon. FCL = fibular ment, at 970-479-5781 or [email protected]. collateral ligament. (continued on page 21) 3 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

Mike had a very special way of dealing with people Marc Prisant: “Mike was a person I knew and worked with daily for 19 years. Dur- and creating a positive atmosphere in any ing this long history together, he never did anything that he didn’t think was the right conversation he was having. He was a remarkable thing to do. His integrity and values were such that he was more than willing to take person whose high level of enthusiasm was ideas from any person, if it met the desired goal. And when he did take and act on ad- contagious among his colleagues. vice from someone else, he would give credit where credit was due. It was also about J. RICHARD STEADMAN, M.D. teamwork.”

Steven Read: “He had a very keen sense of listening as it related to the needs of the organization. He had the Richard Steadman (continued from page 2) touch, the Marc Philippon touch, the John Skills facilities were re-shaped, remodeled, McMurtry touch. How can I help you? How and expanded. can I make your life easier and better? That’s • In Clinical Research, the collection of data who Mike was. It was a perfect fit.” and entering the information into the database was digitized, reducing the Leadership amount of paper used and vastly stream- Richard Steadman: “Mike had a very lining the data collection process. special way of dealing with people and cre- • Fellowship programs were added in imag- ating a positive atmosphere in any conversa- ing research and foot and ankle. tion he was having. He was a remarkable • The Visiting Scholars program was estab- person whose high level of enthusiasm was lished for international participants. contagious among his colleagues.” • Collaborative research efforts were forged with corporations, institutions, universities, Marc Philippon: “Mike was able to and individuals around the world. maximize everyone’s skills to make the team With these and many other accomplish- work efficiently and with positive results. He ments, the awareness of the Institute knew every person at the Institute and was was increased locally, nationally, and able to bring all of them together to work internationally. toward the common goal of excellence.” Mike led by example and took the Insti- Marc Prisant: “He wouldn’t have tute’s mission of “Keeping People Active” to acknowledged achievements as his own. heart. As a young man he was a college and He would have referred to them as ‘our’ minor league ice hockey player. Throughout achievements. Mike was a very strong pro- his adult life he was a skier, hiker, cyclist and ponent of the team approach to work. No yoga practitioner. one does it alone; everyone does it together. But those who knew him best remember From the moment I first began working with his personal qualities—integrity, leadership, Mike, the common theme was ‘there’s no excellence, and vision. “I” in team.’ ”

Integrity Steven Read: “Great leaders are people who empower you. Mike was quiet, care- Richard Steadman: “He personified ful, deliberate, and very disciplined, but he integrity. I think that’s why we became such made people feel comfortable and allowed good friends over the years. He always did them to realize the potential they possessed. what he said he would do. He never tried to For the Steadman Philippon Research bend the truth to make a point.” Institute, he was the right leader at the Marc Philippon: “Unmatched integrity right time.” and leadership. As I got to know Mike over the years, I had the utmost respect for him. He became one of my best friends.”

4 Excellence Richard Steadman: “Mike had sought excellence in all the businesses he had been involved with and he brought that same spirit to the Institute. I think it matched up with his lifelong desire for excellence.”

Marc Philippon: “Mike always had a plan and a goal. He said that our goal was to be the best in the world at what we did. He wanted to see a synergy between our evidence-based medicine and the clinical application of our research to provide better care for patients.”

Marc Prisant: “His overriding goal was excellence. He wanted everyone coming to work to strive to be number one, every day. His philosophy was, let’s be the best we can be, whether it was an intern or himself.” Photo: John Kelly

Steven Read: “He wanted us to continue (continued from page 3) to build the research capacity of the Institute research facility will help us continue our that drives the value and the excellence of role as a world leader in validating new sur- the Clinic.” gical procedures and in understanding injury mechanisms and injury prevention.” Vision SPRI’s ongoing research on the hip, ankle, hand, elbow, shoulder, knee and Richard Steadman: “Mike understood, spine has significantly impacted the treat- as well as or better than anyone, the goals ment of joint disorders worldwide. Patients of the Institute—whether to create opera- with severe or complex injuries and those tions and procedures that will improve the with degenerative joint disease look to SPRI health and fitness of every patient—are for the innovative treatments developed very important.” by the Institute’s world-class scientists and The Steadman Clinic physicians conducting Marc Philippon: “Our mission now is to biomechanics and clinical research. Their continue the vision he created. That will be findings have become crucial for delaying done because he put the structure in place “last-step” surgeries such as joint replace- very successfully. Losing Mike has been dif- ment procedures. ficult for all of us, but he inspired us with his Located at the base of Vail Mountain charisma, and that will stay with us forever.” in Vail Valley Medical Center, the facilities Steven Read: “Mike was the igniter of host three specific areas: a BioMotion Labo- potential that has been carefully built over ratory, a Biomechanical Testing Laboratory the past 20 years. His dream and what we with robotics, and a Surgical Skills Labora- are left with is the opportunity to accelerate tory used for surgeons to demonstrate and that process.” practice techniques. Inside the BioMotion Laboratory, staff Marc Prisant: “Only his character as a scientists and engineers have constructed an person overshadows the accomplishments artificial ice-rink for studying athlete move- achieved during his tenure at the Institute. ments. Injuries to the hip, for example, are His integrity, leadership, insistence on excel- common in hockey players. Researchers will lence, and vision are attributes to which the be able to visually scrutinize body rotation Steadman Philippon Research Institute will and function, along with the forces gener- always aspire.” ated, that contribute to injuries. The floor of By Jim Brown, Editor, SPRI News the rink has been constructed so that it can uuuu be converted to turf for other sports such as (continued on page 6)

5 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

Under the direction of Biomechanics Research Department Director and Senior Staff Scientist Coen A. Wijdicks, Ph.D.; Director of BioMotion Eric Giphart, Ph.D.; and Kelly Adair, Surgical Skills Manager, these laboratories will benefit orthopaedists and patients worldwide by facilitating the development, enhancement, and training that allow patients to keep their own joints while maintaining their desired activity levels for as long as possible. uuuu

Advancing Orthopaedic Surgery with the Latest Techniques and Tools in Our Newly

Photo: John Kelly Renovated Surgical Robotics Engineer Mary (continued from page 5) Goldsmith operating the Skills Laboratory KUKA KR60 robot. golf, soccer, and tennis. The motion analysis By Kelly Adair, Surgical Skills Manager system used for this research is similar to that used for creating movies such as The nnovation has arrived at the Steadman Matrix and other video games with athletes’ IPhilippon Research Institute’s Surgical Skills signature moves. Laboratory with one of the most advanced The motion analysis section of the new laboratories in North America. Amid recent facility will house some highly advanced renovations, thanks to many generous con- technologies not yet used in orthopaedics, tributions from private donors and industry, including a one-of-a-kind dual-plane fluoros- as well as our continued partnership with copy system that records 3-D x-ray movies Vail Valley Medical Center, the SPRI labora- rather than 2-D still shots at frame rates up tories are at the peak of advancing ortho- to 1,000 per second. Researchers will use this paedic medical education. The new Surgical technology, two x-ray machines working in Skills lab has been off to a great start. We concert, to analyze the motion of joints in have hosted several different labs for visit- three-dimensions. There are only a handful ing surgeons, scholars, fellows and medical of these types of machines in the world companies. right now. Medical education is at a high point The Biomechanical Testing Laboratory in the industry and continually increasing utilizes a robot manufactured by KUKA throughout the world. Companies have Robotics, specifically developed to meet the private laboratories at their headquarters Institute’s specifications. Using this novel and staff dedicated specially to managing technology, the department will be able to and operating multiple courses annually. test joints in a manner that will enhance and The more hands-on cadaver labs we have for validate joint reconstruction techniques. surgeons, the better the outcomes for the The expanded Surgical Skills Laboratory future. Practically, the labs will further inno- will be used for teaching. It will consist of vation and advance less-invasive procedures 10 fully equipped surgical skill operating that will benefit every patient in the long stations for visiting clinicians, scholars, and run by creating more reproducible, highly fellows. trained surgeons throughout the world. Since February, a total of 20 outside company labs have been held at our facili-

6 ties and more are expected. The goals of Institute’s 10-station surgical skills laboratory with various company labs range from physician arthroscopic video towers. training to product development. Large multi-station surgeon training courses provide a highly valuable, hands-on experience for both orthopaedic sports medicine fellows and newly experienced surgeons to practice techniques with our Institute’s highly respected surgeons. Product development labs provide a unique “brain- storming” setting with the goal of helping to further advance the design of orthopaedic-related implants and products. Surgical Skills labs allow for practice and reproduc- Two arthroscopic stations ibility of surgical techniques, eventually with our custom drop-down panels. increasing patient safety. We have hosted labs in all major joints of the human body, such as the knee, hip, shoulder, elbow, foot and ankle, and hand and wrist, significantly increasing continu- ing education opportunities for physicians. For example, we hosted a two-day course for Small Bone Innovations, Inc., attracting surgeons throughout the country to practice Scandinavian Total Ankle Replacement (S.T.A.R). We have also continued to host several hip arthroscopy courses with Smith and Nephew. Medi- cal education courses continue to attract visiting clinicians from all over the world and allow them the opportunity to further advance and master their surgical skills. Live demonstration of a The Institute has hosted labs for, among 5-station arthroscopic hip lab. others, Conmed/Linvatec; Arthrex, Inc.; KFx Medical; Memometal, Inc. (Stryker); Wright Medical; Sonoma Orthopedics; and BioMet Sports Medicine. Additionally, the more revenue we can generate from labs, the more we can independently support our Fellowship program, research and education, and continue to be the world leader in research into the causes, prevention, and treatment of orthopaedic disorders. We anticipate A group of surgeons participating in a Total having up to 1,000 surgeons visit our lab Ankle Replacement Medical annually. The more surgeons we can reach Education Course. out to, the better the outcome for the patients in the operating room. Thus, we are able to advance SPRI’s mission of “Keeping People Active.” uuuu

7 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

Ptientsa in the News Ford’s schedule is hectic, but very carefully planned. He gets a little down time (or at least a change of pace) each year as a Tommy Ford, Tim student during a two-month spring semester Jitloff, and Tucker at Dartmouth. He steps up the intensity of his training regimen beginning in July. In August, Perkins: Skiing’s he was off to New Zealand with the U.S. Rising Stars Shoot for Ski Team. Then it will be back to the States, down to Chile, home again, and finally in 2014 Olympics Europe to get ready for the 2011-2012 World Cup competition. Steadman Philippon Research In- Tommy’s Olympic experience in Vancou- stitute sponsors Alpine and Free ver, British Columbia, was unique, he says. Ride skiers. He interrupted his training to attend the Opening Ceremonies, then flew back to the By Jim Brown, Editor, SPRI News States to get ready for his events. “Huge. Lots of energy and definitely a different kind of ant a preview of what you might see energy. It was quite the experience.” in the 2014 Winter Olympics? Remem- W As he prepares for the next Olympic ber these names: Tommy Ford, Tim Jitloff, Games in Russia, he is returning to the ap- and Tucker Perkins. These young men have proach he had earlier in his career of enjoy- established themselves as national champi- ing the sport and trying to perform well, re- ons in their sports and now they are official gardless of Olympic expectations. “My focus representatives of the Steadman Philippon will be on great racing with great energy,” he Research Institute. says, “not thinking so much about the Olym- Tommy Ford, an Alpine racer from pics specifically.” Bend, Oregon, was a member of the 2010 Tommy had known about The Steadman U.S. Olympic team, a three-time National Clinic and the Steadman Philippon Research Champion in 2010, and a two-time National Institute because many of his teammates had Champion in 2011. been treated there. Then he met SPRI’s Mike Tim Jitloff was named to the U.S. Egan, Marc Prissant, and Dr. Marc Philippon Development Team in 2005, the same year at a meeting in San Francisco and began he won a Junior World Championship. The to better understand the sports medicine Reno resident is now a three-time National research conducted at the Institute. He later Champion, a seven-year member of the U.S. became personally involved as a patient Ski Team, and has his sights set on the next when he was treated for a hip injury by Dr. Olympic games. Philippon. New Hampshire’s Tucker Perkins is a pro- “The physicians at Steadman have fessional free ride skier, a Halfpipe National worked with a lot of high-end athletes,” says Champion in 2010, and in April was named to Ford, “and the impact of their research has the first ever U.S. Freeskiing National Team. benefitted ski coaches and athletes at every Tommy Ford: Family Tradition level. I wanted to be an ambassador for them For Ford, skiing is a family tradition. His because I realize the importance of their mis- father was on the U.S. team in the late 1960s sion. At some point, most of us will benefit and early 1970s, and he later coached at from what they do.” Dartmouth. His mother, Mary Ellen, coached Tim Jitloff: It’s About the Team for the Mount Bachelor Ski Foundation and Most fans think of ski racing as a highly at the University of Vermont, and Tommy’s individual sport, but Tim Jitloff’s career, on brother, Tyson, was a college racer. and off the slopes, has been more about the Not surprisingly, Tommy was on skis team. He was on the U.S. Development Team by the time he was two or three years old. in 2005, is a member of the U.S. Ski Team Skiing came naturally. “I was almost more now, and hopes to be a member of the U.S. comfortable skiing than I was walking.”Ford Olympic Team (for the second time) when it joined the U.S. Development Team right out competes in Sochi, Russia, in 2014. of high school and has beenmoving up as a But Tim’s team orientation is equally impres- world-class Alpine skier ever since. His rise in sive apart from ski racing. “My mom is a the world of ski racing has been marked by breast cancer survivor,” he explains. “After winning and consistent improvement. her experience, the two of us decided to

8 get involved with Susan G. Komen for the G rand Prix events leading up Cure, an advocacy organization that supports to the Olympic Games, and the breast cancer research, education, and sup- top four Americans will make port programs. Our Komen Race for the Cure the squad. If Tucker continues team raised about $25,000 in the Reno area to perform as he has during the over a two-year period, and we will continue past few years, he will become an to support breast cancer awareness.” Olympian. Tim sees his new role with the Steadman My first encounter with the Philippon Research Institute as a continuation Institute and Clinic was when I of a team effort. “Some of the best surgeons was in Vail five years ago,” says in the world are at The Steadman Clinic,” Perkins. “Each of the procedures he says. “Anyone who is a ski racer knows they performed on me was about this Clinic and the Research Institute. added to the data they have Tommy Ford Photo: Eric Schramm This is where we go when we have an injury. obtained from patients for the Dr. Steadman and his colleagues have been past 20 years. That information involved with the U.S. Ski Team for a long helped me get the best care and time. For the athletes, it’s like we’re part of results possible. I like knowing the same team.” that my data points will con- After the next Winter Olympics, Tim will tribute to the evidence-based decide on whether to keep on skiing compet- medicine that helps others.” itively, to continue his studies in Germany (he Representing Steadman is fluent inG erman and lives there for part of Philippon the year) or the United States, or to do both. Skiing stardom has given He is interested in the business side of sports Tommy Ford, Tim Jitloff, and medicine. “I’m excited about the possibility of Tucker Perkins a platform to help working in a field that develops tools to help educate others. As spokes- people stay healthy or to heal after an injury. Tim Jitloff Photo: Joe Margolis men for the Steadman Philippon It would be great to do that and still be as- Research Institute, they will wear sociated with Steadman Philippon.” the SPRI logo, provide feedback There’s that team thing again. regarding their training and per- Tucker Perkins: Freeskiing Pioneer at 20 formance, contribute to research, “I grew up playing practically every- make appearances on behalf of thing,” says Perkins. “My parents gave me the Institute, and share their per- the opportunity to explore what I liked to do, sonal experience and knowledge and I played lacrosse, swam, and surfed.” of SPRI. Tucker, like Tommy Ford, was on skis at a “We want to shine a positive very young age. Later, he got his competitive light on the Institute and all the start in ski racing, then switched to mogols, great things its doctors and scien- tried slopestyle skiing, and by the time he tists have done for recreational was 14 began to focus on halfpipe. (The half- and professional athletes,” says pipe is a long half-cylinder of packed snow Tucker. “I’ve personally seen posi- where the athlete performs jumps, spins, tive outcomes among my friends, and maneuvers while moving from the start family members, and sports to the finish. Although only 20 years old, his superstars.” résumé reads like that of a veteran. “These three accomplished Perhaps his greatest honor yet was being athletes are great spokespersons named as one of the four men on the first for the Steadman Philippon Tucker Perkins U.S. Pro Halfpipe team. “When I got the call, Research Institute,” says John Mc- it was one of the most exciting days of my ca- Murtry, Vice President of Development and reer,” says Tucker. “Halfpipe has always been former U.S. Ski Team Coach and Alpine Direc- a very individual sport, but being named to tor. “They are living examples of what we the U.S. team gives me and my teammates stand for in orthopaedic research and what the opportunity to be part of something big- we want to be able to preserve in people of ger than ourselves.” all ages — making dreams come true and Making the team also opens the pos- keeping people active in all stages of life.” sibility of representing the United States in uuuu the 2014 Winter Olympics. The team will be selected based on the results of a series of

9 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

RESEARCH UPDATE advanced arthritis of the shoulder. In addition, older patients who wish to remain active were in need of other options in order to Researchers Confirm delay total joint replacement surgery.” New Treatment Option The CAM procedure was designed in stages over the course of five years with a for Osteoarthritis of specific focus of alleviating pain along the the Shoulder back and side of the shoulder. During the procedure, damaged cartilage and labral The Institute states that the tissue is removed and regenerated. Scarred ligaments and capsular tissues are released CAM procedure was designed to restore mobility. The most important to treat the symptoms of osteo- aspect of the procedure is the decompres- arthritis of the shoulder and is sion of the axillary nerve, which becomes best used for patients who are entrapped by scar tissue and bone spurs. Freeing up this nerve alleviates much of the too young, or too active, for joint pain associated with the osteoarthritis. replacement surgery. Osteoarthritis is often hereditary and can occur due to degenerative changes esearchers at the Steadman Philippon within the body, but it can also occur as a RResearch Institute (SPRI) have recently result of a prior sports or traumatic injury. validated a new treatment developed by While not many orthopaedic surgeons have Peter Millett, M.D., M.Sc., to help minimize adopted the CAM procedure to date, Dr. and alleviate the symptoms associated with Millett believes that with further study, re- osteoarthritis of the shoulder. In the initial search, and education through the Institute, study group that has undergone the CAM the technique can be shared, both nationally procedure, the vast majority has reported a and internationally, with other surgeons significant improvement in the pain, stiff- so that it can be offered to more patients. ness, and weakness related to the disease. The procedure requires a high degree of The initial data, collected and analyzed by technical skill and experience and therefore Dr. Millett and Marilee Horan, M.P.H., of the requires advanced training to perform SPRI Clinical Research Department, will be it safely. reported in Arthroscopy. Editors of this top uuuu medical journal have called the procedure “amazingly innovative!” SPORTS AND WELLNESS The U.S. Centers for Disease Control and Prevention estimates that in the next Keep Yourself and 25 years at least 71 million Americans will have some form of arthritis, a degenerative Your Ankles in the condition of the joints, creating pain, swell- Game ing, and limited movement for sufferers. Osteoarthritis is one of the most debilitating forms of arthritis and is characterized by Understanding and preventing the deterioration of articular cartilage the most common orthopaedic accompanied by changes in the subchondral injury: Ankle Sprains (below the cartilage) bone and soft tissue of the joint. By Thomas O. Clanton, M.D. Dr. Peter J. Millett, an orthopaedic Foot and Ankle Specialist The Steadman Clinic shoulder surgeon and sports medicine specialist with The Steadman Clinic in Vail, is the y experience with ankle sprains includes pioneer of the CAM procedure. CAM stands over 30 years as a team physician caring for Comprehensive Arthroscopic Manage- M for high school, college, and professional ment. According to Dr. Millett, “The CAM athletes in Houston, including the Rice Uni- procedure was developed because we began versity Owls, the Houston Rockets, and the to see a higher occurrence in younger Houston Texans. Their ankle sprains occurred patients—predominantly athletes—with through similar mechanisms to what you or 10 I might do while hiking June Creek or fly- Photo 3 – Band exercises are an excellent method to fishing the Eagle River. One wrong step strengthen all muscle groups can cause the foot to turn inward and around the ankle. the outside of the ankle to roll under (see photo 1). Anthony Rendon was an exceptional college baseball player I treated while acting as team doctor for the Rice Owls. In 2008, he was the Freshman Player of the Year in NCAA Division I Baseball. Sadly, in the last game of that season, he completely tore all his ligaments and dislocated his ankle. In the spectrum of ankle sprains, his was clearly Photo 4 – Balance exercises among the worst. Fortunately, most ankle provide both strength and sprains are far less severe and can be man- position sense to the ankle. aged with the typical R.I.C.E. formula of rest, ice, compression, and elevation.

Photo 1 – Rice baseball player Anthony Rendon turning right ankle in season-ending injury.

When Dr. Steadman invited me to join The Steadman Clinic in 2009, the opportunity to join a world-class sports medicine clinic was very attractive. An added bonus was the presence of our two married daughters in the Vail Valley, along with two grandchil- Photo 2A – The simple exercise of a heel raise can be a dren. So while I am not running onto base- good way to start building ankle strength. ball diamonds, basketball courts, or football fields to evaluate twisted ankles any longer, I am certainly seeing the effects of the incredibly active lifestyle that is practiced by most residents of the Vail Valley. That is what contributes to the fact that lateral ankle sprains are the most common injury causing lost playing time in sports around the world. That’s right–it is the ankle and not the knee or the shoulder! If the ankle is so susceptible to injury, is there anything that can be done to keep you or me from becoming another victim? Photo 2B - A more advanced heel raise exercise with Reducing risk is the answer. This can be done added weight and more elevation can be the next step. by strengthening the leg and ankle muscles Photos: Thomas O. Clanton, M.D. (continued on page 12) 11 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

(continued from page 11) injuries. The most common issues that through exercise. A few regularly performed predispose people to injury are: heel raises and band exercises in the comfort • Time skiing/snowboarding without rest of your home may be all you need (see pho- • Skiing/snowboarding above ability level tos 2 and 3). Balance exercise is also helpful • Improper/faulty equipment for ankle stability (see photo 4). • Inadequate adjustment to altitude Those who ski and snowboard know • Dehydration/fatigue that we spend a lot of time and money find- • Skiing/snowboarding off trail or in closed ing the right boots and insoles or orthotic areas devices so that our performance can be • Failure to observe posted warning signs by maximized during the winter season. Don’t the mountain responsibility conduct code fail to take the same precautions for your What are some of the most common summer season by finding the right shoes skiing /snowboarding injuries? and orthoses and perhaps even an ankle The wide range of skiing and snow- brace, if you need the additional support. boarding injuries involves many areas of the The good news for Anthony Rendon is body, including: that his ankle recovered well enough after • Anterior cruciate or collateral (ACL) surgery and rehabilitation that he won the ligament injuries Dick Howser Award as the Player of the Year • Shoulder dislocations or fractures in 2009, and he is now one of the top col- • Shoulder separations lege players projected to be drafted in the • Lower extremity fractures first round of this summer’s Major League • Spinal injuries Baseball draft. With this as an example, if • Closed head injuries you happen to injure your ankle, make sure • Wrist, hand, or thumb injuries you get proper care, particularly if you can’t put weight on it or you are tender over the How are skiing/snowboarding bone itself. While surgery is reserved only injuries treated? for the most severe cases, professional treat- Fortunately, most snowsport injuries are ment of an ankle injury may keep you from minor and can be treated with rest, bracing, losing playing time. nonsteroidal anti-inflammatory medication, and avoidance of secondary injury. However, To learn more, visit thesteadmanclinic.com. some fractures and ligament injuries may uuuu require surgical intervention where recovery periods vary from three to six months or pos- STOP Sports Injuries — sibly more.

Keeping Kids in the How can snowsport injuries be Game for Life prevented?

By Peter J. Millett, M.D., M.Sc. Proper Instruction and Equipment Director of Shoulder Surgery Instruction prior to getting on the slopes Shoulder, Knee, Sports Medicine is important in preventing injuries. Instruc- The Steadman Clinic and tors can educate beginners on the impor- Trevor R. Gaskill, M.D. tance of a good warm-up and cool-down, Dr. Gaskill was a 2010–2011 Fellowship Surgeon at properly fitted equipment, and safe skiing the Steadman Philippon Research Institute and is now techniques. These same principles hold true practicing orthopaedics at the Bone and Joint Sports for snowboarders. They can also determine Medicine Institute, Naval Medical Center, Portsmouth, Virginia. at what point it is appropriate for beginners to progress to more advanced levels of What Causes Skiing and Snowboard- terrain. ing Injuries? Appropriate equipment is critical to Most snowsport injuries are traumatic, being safe. Poorly functioning or improperly caused by being on dangerous terrain, adjusted equipment is a frequent cause of lift accidents, falls, and collisions. In many injuries. Bindings that are too loose or too instances, fatigue after a long day on the tight, as well as equipment that is improp- slopes or poor judgment can be blamed for erly sized or used on improper terrain, can cause injury.

12 Preventative equipment such as helmets EDUCATION can help you avoid disastrous and even fatal accidents, even though resorts do not uni- versally require them. Only about 48 percent Dr. Henry Ellis Prepares of U.S. skiers and snowboarders routinely for Future in Pediatric wear helmets. In terrain parks, wrist guards and elbow and kneepads are also recom- and Adolescent Sports mended. The use of protective equipment Medicine has been associated with a 43 percent decrease in the rate of head, neck, and face he number of sports injuries among injuries. “Tpediatric and adolescent athletes has increased five times in the past ten years,” Parental Oversight says Henry Ellis, M.D., a member of the Parents play an important role in edu- 2010-2011 class of Fellows at the Steadman cating their children about safe skiing and Philippon Research Institute. “This huge snowboarding practices. They should help increase has resulted in more interest and their children avoid terrain that is beyond research into causes, treatment, and their ability and encourage professional prevention of sports injuries.” instruction and routine rest breaks with Dr. Ellis has spent the past decade rehydration. It is also important to caution preparing to make pediatric and adoles- children against improper speeds and the cent sports medicine the focus of his career. risks of skiing/snowboarding out-of-bounds. “Over the next five to ten years, we need to develop additional information on injury Common Sense Precautions prevention, especially on the hip,” he says, Most injuries occur after lunch and “and I hope to be able to contribute to a when fatigued. Be sure to stay adequately better understanding of the problem in that hydrated throughout the day and stop age group.” to rest every couple of hours. In addition, changing snow and ice conditions can dra- Off to a Great Start matically increase the complexity of terrain During his undergraduate studies at quickly. Abiding by the signs and warnings is the University of Texas, he spent a summer imperative for your safety and the safety of (continued on page 14) others.

National Ski Areas Association Responsibility Code for Reducing Risk • Always stay in control. • People ahead of you have the right-of-way. • Stop in a safe place for you and others. • Whenever starting downhill or merging, look uphill and yield. • Use devices to help prevent runaway equipment. • Observe signs and warnings, and keep off closed trails. • Know how to use the lifts safely.

Sports Tips provide general information only and are not a substitute for your own good judgment or consultation with a physician. To order multiple copies of this fact sheet or learn more about sports injury prevention, please visit www. STOPSportsInjuries.org. uuuu Dr. Henry Ellis performing arthroscopic surgery.

13 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

(continued from page 13) here. Steadman Philippon has always been internship at what was then the Steadman a well-known institution, and now it really Hawkins Sports Medicine Foundation (now has an international presence. Orthopaedic the Steadman Philippon Research Institute). surgeons around the world recognize its He enjoyed the experience so much that he research excellence and innovation. returned after graduation for a year as a “One thing that hasn’t changed is the research intern. feeling shared by everyone associated with Two people have been especially influ- the Research Institute,” observes Dr. Ellis. ential regarding Dr. Ellis’s decision to become “There has always been a coordinated ef- a physician and orthopaedic surgeon. One fort—without self-promotion—among all of was his grandfather, Dr. John Ellis, a general the departments. Everyone is trying to deter- practice physician in Sherman, Texas. “He mine the best way to keep people on their practiced medicine the way it used to be feet and getting back into physical activity done, making house calls and devoting and sports.” himself to the entire community.” The other person was Dr. Richard One More Stop Steadman, founder of The Steadman Clinic Dr. Ellis has one more stop in his prepa- and SPRI.“ My particular interest in sports ration for a career in pediatric sports medi- and sports medicine started during that first cine before joining an orthopaedic group internship back in 1997. I spent the summer in Dallas. In August, he began a six-month in the biomechanics lab and learned about fellowship in pediatric orthopaedics at treatment, analysis, and how to keep people the Hospital for Sick Children (SickKids) active. I was also able to talk with Dr. Stead- in Toronto. SickKids is recognized as one of man and learn more about what he and the world’s foremost pediatric healthcare his colleagues were doing at the Clinic and institutions. Institute. That really motivated me.” When he and his wife, Kacy, and their Dr. Ellis graduated from the University daughter, Wynn, finally settle in Dallas (once of Texas Medical School in San Antonio, a Texan, always a Texan), he will continue where he was a member of the Alpha to practice and research, and he will teach Omega Medical Honor Society. During his interns and fellows at UT Southwestern. orthopaedic residency at the University of Much of his research will be conducted at Texas Southwestern in Dallas, he assisted the Children’s Medical Center. It is the only with sports medicine coverage for high academic healthcare system in Dallas-Fort school and college teams. As chief resident, Worth dedicated solely to the comprehen- he was honored with teaching and academic sive care of children from birth to age 18. awards, including the W. Brandon Carrell Distinguished Physician Award. “During my Unique Perspective training at the Texas Scottish Rite Hospital After serving at three different times in Dallas,” says Dr. Ellis, “I was really influ- and in three different capacities at Stead- enced by the number of sports injuries we man Philippon, he has a perspective based saw. That exposure also had an effect on my on experience. “The Institute is as strong as involvement in pediatric sports medicine.” it has ever been. It keeps progressing, keeps improving, and continues to enhance its role Third Time Around as a world leader in sports medicine. Then he was back at SPRI for a third “The Fellowship program has given time. (“Can’t get enough,” he says.) For the me exposure to highly specialized surgical past year he has been a Fellow at Steadman techniques and patient management,” he Philippon. “I really didn’t plan on returning, concludes. “More important is Dr. Stead- but once I started looking at sports medicine man’s philosophy of how to treat patients programs, it was clear to me that this from the time they walk through the was the best one in the country. It was an door to the time their treatment, physical easy decision.” His research focus at SPRI therapy, and recovery are complete. That has been pediatric and adolescent hip has been the highlight of my experience at arthroscopy. Steadman Philippon.” “There have been tremendous changes uuuu in the Foundation/Institute since I first came

14 Olivier A. J. van der Visiting Scholar Meijden, M.D. — The European Visiting 2010-2011 Arthrex Scholar, developed and European Visiting sponsored by Arthrex, Inc., has become the model for Scholar our Visiting Scholars pro- Knee injuries change gram. The Visiting Scholars program is sponsored by career goal from profes- corporate and individual sional athlete to sports donors. Our program was Photo: John Kelly developed in conjunc- Dr. van der Meijden preparing a specimen for testing on medicine. the Instron Electropuls E10000. tion with Arthrex, Inc., an orthopaedic medical device By Jim Brown, Editor, SPRI News Dr. van der Meijden would also meet company. Arthrex’s founder Coen Wijdicks, Ph.D., Director of Biomechan- and president, Reinhold our goal is to become a professional ics Research, and Dr. Robert LaPrade, Chief Yathlete. Your talent and drive give you Medical Research Officer at SPRI, at an Schmieding, has had a long- a good chance of achieving that goal. Then international sports medicine conference in time interest in education. two things happen, both before the age of Oslo, Norway. Reinhold approached us 20. You tear the anterior cruciate ligament This meeting and eventually an offer with an idea for educating in one knee when you are 15, and you tear to join the SPRI staff as a Visiting Scholar a European orthopaedic the ACL in the other knee at 19. changed the normal order of orthopaedic surgeon with interest in Those kinds of injuries have a way of training for Dr. van der Meijden. After com- research, committed to changing your perspective in terms of a pleting his medical degree, he gained expe- funding it, and the Visiting career, and that’s what happened to Olivier rience for a year as a non-training physician Scholars program was A. J. van der Meijden, M.D., a citizen of The in general and orthopaedic surgery with created. Reinhold Schmied- Netherlands and the 2010-2011 Arthrex the goal of advancing into the orthopaedic ing commented, “Arthrex European Visiting Scholar at the Steadman residency program afterwards. is pleased to contribute Following his time in Vail, he will return Philippon Research Institute. annually to the Institute. The to The Netherlands and begin a six-year “I had a dream of becoming a profes- sponsoring of a European residency in orthopaedic surgery. His goal sional soccer player,” he says, “but that research fellow exempli- dream faded pretty quickly after the second now is to become a private practice orthopaedic surgeon specializing in the shoulder fies Arthrex’s commitment injury. Since I couldn’t be a professional ath- to orthopaedic research to lete myself, I wanted my profession to have and knee. The European Visiting Scholars program advance knowledge of the some connection to sports,” he recalls. “The that sponsors Dr. van der Meijden and other global medical community second injury really increased my interest in young physicians was developed in con- and to helping surgeons sports medicine.” junction with Arthrex, Inc., an orthopaedic treat their patients better.” medical device company. It reflects Arthrex’s Jorge Paulo Lemann is The Steadman Philippon Reputation commitment to orthopaedic research in supporting our Brazilian “The first time I heard of The Steadman advancing knowledge of the global medical Visiting Scholar. These Clinic and the Institute was in 2000 when community and to helping surgeons treat scholars learn new surgical Dr. Steadman performed surgery on one of their patients better. our famous soccer players,” says Dr. van der techniques and conduct research, which is submit- Meijden. “In due course, I heard more and Working, Adjusting ted for publication in leading more about the Clinic and the Institute. At SPRI, Dr. van der Meijden worked orthopaedic journals. “Shortly after I graduated at the Uni- closely with Dr. Millett on shoulder research, versity Medical Center in Uttrecht, I got in and he was involved with a variety of re- touch with Dr. Peter Millett through my search projects in the Biomechanics Research Dutch mentor in orthopaedics. From our Department with Dr. Wijdicks and other sci- correspondence the idea grew that it would entists/physicians. Under the direction of Dr. be a great opportunity for me to come to Millett, Dr. van der Meijden is researching SPRI and do research.” Previously, Olivier the enforcement of repairs of massive rota- had spent five weeks in Boston for an ENT- tor cuff tears. The investigation is nearing internship rotation, which intensified his completion and the findings will be submit- interest in returning to the U.S. and conduct- ted for publication in a professional journal. ing research. (continued on page 16)

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(continued from page 15) Brazilian Orthopaedic Dr. van der Meijden is not a novice when it comes to living in other countries Surgeon Dr. Bruno and adjusting to new environments. His Nogueira Joins father worked for Shell Oil, and as a child, Olivier lived in Nigeria, England, and Aus- Steadman Philippon tralia before his family moved back to The Netherlands. He speaks Dutch, English, and as Visiting Scholar “manageable” French and German. By Jim Brown, Editor, SPRI News “Vail was an all new wonder world,” he says. “Different culture, different style of n Tuesday, February 1, 2011, Bruno work, so many possibilities and options, both ONogueira, M.D., arrived in Vail ready to in research and in all the things you can do begin his work at the Steadman Philippon here in the mountains.” His knees are fine Research Institute. The official temperature now, and his two primary recreational sports was -4 degrees Fahrenheit. are cycling and skiing. He had come from Forteleza, a sprawl- ing city of 2.4 million people on the north- SPRI Observations east coast of Brazil, where the average On physician/patient relationships: temperature in February is 87.7°F and where “Physicians seem to have a close rela- the highs can reach 100°F. tionship with their patients. This is a good “What am I doing here?” he briefly thing and something I will strive for when I thought to himself. What he was doing in mid-winter Colo- begin my practice.” rado was beginning a one-year of intensive On patient care: training and research as a Visiting Scholar. “World-famous athletes and normal pa- He was chosen from among the 10,000 prac- tients are treated the same way. If you didn’t ticing orthopaedic surgeons in Brazil after recognize the names or faces, you wouldn’t an application and selection process that know who was famous and who was not.” included written and oral tests, interviews, and a review of his résumé, presentations, On the spirit of collaboration: and publications. “The collaboration among The Stead- Before he came to Vail, Dr. Nogueira had man Clinic, Howard Head Sports Medicine already completed six years of medical school (physical therapy center), and the Steadman and four years of residency in his home coun- Philippon Research Institute is like a ‘golden try, as well as additional training at hospitals triangle’ of sports medicine treatment, in Miami and Chicago. rehabilitation, and research. It’s great that people from all over the world come here Adjusting to a New Environment to see how things are done, how they can “That first week was really hard,” says collaborate with each other, and how they Dr. Nogueira, “but I knew that adjusting to can contribute.” my new environment was just a matter of time and that everything was going to be On being a Visiting Scholar: okay. I got a great welcome from the entire “There is always a lot going on, and staff at Steadman Philippon. They treat with both the Clinic and Institute’s emphasis people really well and made me feel right on training and education, it is also a great at home.” learning opportunity. We never run out of Dr. Nogueira is the third in a series of work. I’m very grateful for the opportunity Visiting Scholars from Brazil, all of whom Dr. Millett and the Research Institute gave received support from a program sponsored me to be here.” by famed Brazilian businessman Jorge Paulo On ever playing competitive soccer Lemann. These physician/scholars (and their again: counterparts in the European Visiting “I could, but I won’t. I still have some Scholars Program) spend 12 months at years ahead of me, and I’ll need my knees to Steadman Philippon learning new surgical do other things.” techniques and conducting research that uuuu is submitted for publication to leading orthopaedic journals. “Being named a Visiting Scholar at Steadman Philippon is the best award I’ve

16 and teaching other orthopaedic surgeons at the Federal University of Ceara. But his focus will be surgery, specifically hip arthroscopy. “This year of serving as a Visiting Scholar with the best people and in the best facilities in the world will be a tremendous boost to my career. I will be able to take what I am learning here to benefit patients, students, and physicians in an area of South America where it is desperately needed.” uuuu

Photo: John Kelly Welcome 2011-2012 Dr. Bruno Nogueira with the KUKA KR60 robot. Fellows won in my entire life,” says Dr. Nogueira. “I really wanted to come here and couldn’t Eight New Physicians believe when I was told I had been accepted into the program. I knew that it would allow Introduced me to learn from the very best sports medicine surgeons and scientists. ach year, eight young orthopaedic sur- “I work under the supervision of Dr. Egeons are selected from a field of more Marc Philippon, who I believe is the foremost than 160 to participate in 12 months of hip surgeon in the world,” says Dr. Nogueira. vigorous training in the Steadman Philippon “He is an artist in the way he conducts Sports Medicine Fellowship Program. Our surgical procedures. His surgical skills and goal is to prepare them to be leaders in the his ability to perform labrum reconstruction field of orthopaedic sports medicine for the are two of the attributes that set him apart remainder of their careers. Many go on to from other great physicians. Hip arthroscopy hold high-level faculty positions at top is very, very difficult, but he makes it medical schools. look easy.” In 2010, we added two Fellows to our Dr. Nogueira’s schedule at the Institute is program when we welcomed the Institute’s packed. On Mondays, Tuesdays, and Thurs- first Foot and Ankle Fellow and the world’s days he observes and assists Dr. Philippon in first Sports Medicine Imaging Research Fel- surgery. During the rest of the week he is low. In addition, we now have three Visiting busy attending meetings, seeing patients, Scholars, who are in essence research fel- conducting research, and writing. Two areas lows from overseas. All eleven (Fellows and of emphasis are femoroacetabular impinge- Visiting Scholars) are being given a unique ment (FAI) and hip arthroscopy. Hip arthros- opportunity to perform research in their copy in professional tennis players is respective areas of interest, including Biome- a particular interest. chanics Research, Clinical Research, Imaging When he has a little free time and Research, and Basic Science Research. the weather is warmer, he enjoys playing Once every 18 months after that, they tennis and cycling “on a very good bike.” will return with other past Fellows for further education and to exchange the ad- Returning to Brazil ditional knowledge they have gained since When Dr. Nogueira returns to Brazil completion of Fellowship training. The Insti- in 2012, he will be one of only four or five tute currently maintains a network of more orthopaedic surgeons trained in hip arthros- than 180 Fellows in communities around the copy in the entire country. In addition to his world who serve in academic positions at surgical skills, he will also be able to use his experience gained in the SPRI Biomechanics leading universities and in private practices. Research Department and other areas of the Institute. “The Biomechanics Lab is one of 2011-2012 Steadman Philippon Fellows the best facilities of its kind—anywhere,” he says. Adam W. Anz, M.D. Dr. Nogueira plans to continue conduct- Dr. Anz spent his first 18 years of life ing research, sharing his research through in Auburn, Alabama. He graduated summa professional journals and in presentations, cum laude from Vanderbilt University with (continued on page 18)

17 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

Thank you (continued from page 17) he completed an Outward Bound Course in a degree in mathematics and was also a Colorado and Utah, focusing on mountain- member of Phi Beta Kappa and Sigma Chi. eering and canyoneering. He then received A special “thank you” He was awarded an Alabama Merritt Schol- his medical degree from Vanderbilt Uni- to our sponsors who make arship for medical education and attended versity, where he was elected president of the Fellowship program the University of South Alabama College the Alpha Omega Alpha Honor Society and possible. We’d like to of Medicine, where he graduated Alpha vice-president of his medical school class. Dr. recognize those individuals Omega Alpha and second in his class. His or- Boykin completed residency training in the and foundations that sup- thopaedic residency training was performed Harvard Combined Orthopaedic Residency port the entire Fellowship at Wake Forest University in Winston-Salem, Program, where he served as administrative Class through the sponsor- North Carolina, with research that included chief resident for the Massachusetts General ship of Academic Chairs. 3-D CT reconstruction for identification of Hospital. His research interests include nerve Chair sponsors of the mild hip dysplasia and a biomechanical proj- injuries and trauma of the shoulder, which 2011/2012 Steadman ect involving pitchers and elbow injuries. have yielded numerous publications and Philippon Fellowship Class Dr. Anz’s strongest interest has been in presentations. After a fellowship in Vail, he are Mr. and Mrs. Law- cartilage regeneration, for which he trav- plans to travel to Annecy, France, to work rence Flinn, Mr. and Mrs. eled to Malaysia for three weeks and aided with Dr. Laurent Lafosse studying shoulder surgery at the Alps Surgery Institute. Brian P. Simmons, Mr. and a recent publication of a case series utiliz- Mrs. Peter Kellogg, Mr. ing a novel method with peripheral blood Mark R. Geyer, M.D. and Mrs. Al Perkins, and progenitor cells. He has been working at Wake Forest to initiate a randomized con- Dr. Geyer graduated summa cum laude Mr. and Mrs. Steven Read. trolled trial involving this method, including from Baylor University, where he earned a Fellowship Benefac- the acquisition of safety and quality data bachelor of arts degree in philosophy and tors fund the research of for preparation of an Investigational New membership in Phi Beta Kappa. He gradu- one Fellow for one year. Device application from the FDA. ated medical school from Baylor College Each benefactor is as- of Medicine. He completed an orthopaedic signed a Fellow, who pro- B. Christian Balldin, M.D. surgery residency at Duke University and vides written reports and Dr. Balldin graduated summa cum laude helped provide team coverage for local high updates of his or her work. and a Brother Daniel Lynch Scholar from St. school and collegiate athletes at Duke Uni- We extend our gratitude Edward’s University with a bachelor of arts versity and North Carolina Central University. to the following individuals degree. He also graduated magna cum laude Dr. Geyer has been published in the Journal for their generous support: from University of Texas at San Antonio with of the American Academy of Orthopaedic Mr. and Mrs. Milledge a bachelor of science degree. He played Surgeons, among other journals, and has Hart, the Fred and Elli NCAA soccer his entire collegiate career and co-authored two book chapters. His inter- Iselin Foundation, Mr. and was involved in developing youth soccer tal- ests include open and arthroscopic shoulder Mrs. S. Robert Levine, Mr. ent throughout his college years. He attend- reconstruction in addition to ACL reconstruc- Tim McAdam, Mr. and Mrs. ed the University of Texas Medical School tion and rehabilitation. Jay Precourt, and Mr. and in Houston, where he was named a Merck Mrs. Stewart Turley. Scholar, and then performed his orthopaedic Jeffrey R. Padalecki, M.D. residency at the University of Texas South- Dr. Padalecki graduated magna cum western Medical Center in Dallas. During laude from St. Mary’s University, where his time in Dallas, Dr. Balldin covered local he was named a presidential scholar and schools and teams during athletic events. His captain of the basketball team in his final research interests have included the biome- season. He completed medical school at the chanical testing of fixation techniques in University of Texas Medical School at Hous- tendon transfers. ton. During his orthopaedic residency at the University of Texas Southwestern, he served Robert E. Boykin, M.D. as assistant team physician to local high Dr. Boykin graduated as a Morehead school, collegiate, and semi-professional ath- Scholar with highest distinction and Honors letes. While in residency, he was elected by from the University of North Carolina at Southwestern faculty to attend the Ameri- Chapel Hill, where he received a bachelor of can Orthopaedic Association Resident Lead- science degree in biology and was a member ership Forum. Dr. Padalecki has co-authored of Phi Beta Kappa. While an undergraduate, publications in the Journal of Orthopaedic Trauma and the Journal of the American

18 Front row from left to right: Thomas O. Clanton, M.D.; Benjamin M. Petre, M.D.; Mark R. Geyer, M.D.; Robert E. Boykin, M.D.; B. Christian Balldin, M.D.; Jeffrey R. Padalecki, M.D.; Adam W. Anz, M.D.; Peter J. Millett, M.D.; M.Sc. Back row from left to right: J. Richard Steadman, M.D.; Norman E. Waldrop, M.D.; Marc J. Philippon, M.D.; Randy W. Viola, M.D.; Robert F. LaPrade, M.D., Ph.D.; Eric K. Fitzcharles, M.D.

Academy of Orthopaedic Surgeons. His the biomechanics of triceps tears, and micro- research efforts have been presented at processor applications in orthopaedics. American and Canadian orthopaedic trauma meetings, as well as at the Texas Orthopae- Foot and Ankle Fellow dic Association annual meeting. Norman E. Waldrop III, M.D. Benjamin M. Petre, M.D. Originally from Mobile, Alabama, Dr. Dr. Petre graduated from Colgate Uni- Waldrop earned his bachelor of arts degree versity. He earned a degree in biology and in chemistry from the University of Virginia. studied for a semester at the National Insti- Following graduation, he returned to Ala- tutes of Health. Following his undergradu- bama, where he earned his medical degree ate training, Dr. Petre performed biophysics from the University of Alabama School of research in the department of cell biology at Medicine in Birmingham. He completed his Harvard Medical School. He attended medi- residency in orthopaedic surgery at Carolinas cal school at University of Rochester School Medical Center in Charlotte, North Carolina. of Medicine and Dentistry and then went on Dr. Waldrop’s research interests include dam- to complete his internship and residency at age control orthopaedics, as well as applica- Johns Hopkins Hospital. While at Hopkins, tions and complications of circular thin wire Dr. Petre was selected as the Administrative external fixation frames used in foot and Chief Resident by his faculty and peers and ankle surgery. He has presented research was also honored by the Journal of Ortho- at the American Academy of Orthopaedic paedic Trauma as the “Best Orthopaedic Surgeons, Orthopaedic Trauma Associa- Teaching Resident” in 2009. His research has tion, and American Orthopaedic Foot and been broad and includes geriatric outcomes, Ankle Society national meetings. His other research interests include sports-related injuries of the foot and ankle. After completing

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19 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

Where Are (continued from page 19) Vail and Denver High his fellowship at The Steadman Clinic under They Now. . ? Dr. Clanton, he will return to Birmingham, School Teams Partici- where he will join Andrews Sports Medicine The graduating class and Orthopaedic Center. pate in the Steadman of 2010/2011 Steadman Philippon Research Philippon Fellows are busy Sports Medicine Imaging Fellow establishing new careers Institute Golf Classic in orthopaedics. Eric K. Fitzcharles, M.D. at Sanctuary Dr. Fitzcharles is a graduate of the James Ames, M.D. University of Kansas, earning a B.S. in chemi- Proceeds to benefit ongoing Dr. Ames is practicing at cal engineering, with highest distinction, the Dartmouth-Hitchcock in 1988. He competed on the Kansas Crew orthopaedic research, including Medical Center in Hanover, rowing team during college. Following New Hampshire. exploration into the prevention two years of work as a consulting engineer of youth sports injuries in Washington, D.C., he attended medical Henry Ellis, M.D school at the University of Virginia, graduat- (see page 13). he 8th annual Vail Valley Medical Center In August, Dr. Ellis ing in 1994, and completed his diagnostic radiology residency at the University of Iowa TSteadman Philippon Research Institute began a six-month fellow- Golf Classic presented by RE/MAX, LLC, ship in pediatric ortho- in 1998. held on August 18, paired two high school paedics at the Hospital for Following residency, Dr. Fitzcharles Sick Children in Toronto. In worked in a Lexington, Kentucky, private foursomes, Valor Christian High School of February, he will settle in practice for nine years as an outpatient radi- Highlands Ranch and Battle Mountain High Dallas, where he will prac- ologist specializing in MRI, PET-CT, and other School of the Vail Valley. Proceeds from the tice, research, and teach cross-sectional imaging modalities. Four day-long fundraiser benefited orthopaedic at the University of Texas years ago, he founded Lexington Radiology, research and educational programs Southwestern. PLLC, a consulting office-based and teleradi- conducted at the Steadman Philippon ology business with clients from throughout Research Institute. Trevor Gaskill, M.D. the country. He is a volunteer faculty mem- Sanctuary, a stunning course designed Dr. Gaskill is practicing at ber in the department of neurology at the by renowned course architect Jim Engh, was the Bone and Joint Sports University of Kentucky. again the official site for the tournament. Medicine Institute at the uuuu Naval Medical Center in Portsmouth, Virginia.

John McDonald, M.D. Dr. McDonald is establishing a practice at the Texas Orthopaedics, Sports, and Rehabilitation Center in Austin.

Douglas Nowak, M.D. Dr. Nowak has moved to Mukiteo, Washington, and is practicing at the Everett Bone and Joint Clinic.

Paul Rath, M.D. Dr. Rath is now in Tyler, Texas, practicing sports medicine at Mother Francis Hospital Trinity Clinic.

Cliff Willimon, M.D. Dr. Willimon is establishing his sports medicine practice at Children’s Orthopaedics Valor Christian High School and Battle Mountain High School teams. of Atlanta. Left to right: Chris Aubel, Michael Thompson, Kevan Aubel, Grant Verlinde, Christian (CJ) Andrews, John Galgano, Blake Patterson, Josh Gardella, Mathieu L‘Esperance, and John Hibben.

20 “There is a growing epidemic (Steadman Philippon Update, continued from page 3) of preventable youth sports injuries that is disrupting children’s athletic hopes and dreams at an early age.”

Marc Prisant, Executive Vice President and chief financial officer of the Institute.

Located near Sedalia, just south of Denver, Copyright 2011 Journal of Bone and Joint Surgery it is ranked as one of the top 100 courses in the U.S. Anteroposterior varus stress radiographs (at 20º of knee flexion) of a patient with an The Valor team was sponsored by John injury to the posterolateral corner of the left knee.

Hibben of Clinical Trial Site Solutions, and A and B: Preoperative radiographs of the right and left knees showing a side-to-side Battle Mountain was sponsored by Xerox difference of 7 mm.

High Country Copiers. C: Radiograph of the left knee at the final follow-up evaluation. Following recon- Chris Aubel, owner of Xerox/High Coun- struction of the posterolateral corner and the anterior cruciate ligament and repair try Copiers, consistently looks for opportuni- of the lateral meniscus and the lateral capsular ligament, the side-to-side difference was –1 mm. ties each year that will promote sports in the Vail Valley. “Sponsoring a group of local research represents the culmination of over a decade of work and athletes in the tournament was a great way over 50 peer-reviewed publications by Dr. LaPrade. to deliver on our commitment, as well as The paper was also published in The Journal of Bone and Joint supporting research on youth sports injuries,” Surgery, the premier peer-reviewed orthopaedic journal, on Sep- said Chris. tember 21, 2011 | Vol. 93, Issue 18. The local Battle Mountain team con- The study elicited the following discussion points: sisted of Kevan Aubel, Mathew L‘Esperance, • Acute repairs of avulsed structures and reconstructions of Michael Thompson and Grant Verlinde. The non-repairable acute grade III PLC injuries showed significantly front-range Valor team included Christian improved objective and subjective patient outcomes. (CJ) Andrews, John Galgano, Josh Gardella, • Concurrent reconstructions of concomitant cruciate ligament and Blake Patterson. The scratch golfers of tear(s) are both possible and also are recommended without the Valor team won the youth championship, any risk of increase in patient complications or postoperative scoring a low net of 59. stiffness. More than 92 golfers participated in • Early postoperative motion and functional activities within the the tournament to support the orthopaedic limits of “safe zone” motion determined by the surgeon not research and educational programs of the only results in improved patient outcomes but also does not Institute. Institute scientists are giving more result in the surgical treatment stretching out over time. This is specific attention to injury prevention in a major advancement in the treatment of this particular injury youth. because many centers cast or immobilize patients for 3-6 weeks “There is a growing epidemic of prevent- after surgical treatment due to concerns that early motion may able youth sports injuries that is disrupting result in failure of the repair. children’s athletic hopes and dreams at an ISAKOS was established to develop, support and promote early age,” said Marc Prisant, Executive charitable, scientific and literary works that disseminate and fur- Vice President and CFO of the Institute.” ther the increased knowledge of arthroscopy, knee surgery and He added, ”These early injuries have also orthopaedic sports medicine. ISAKOS works with regional and been shown to lead to the development local societies that share similar goals, providing a larger arena of osteoarthritis very early in life for these where these national societies and continental organizations can young athletes.” combine their strengths in an international forum. uuuu (continued on page 22)

21 STEADMAN PHILIPPON R E S E A R C H I N S T I T U T E FA L L 2 0 1 1

(Steadman Philippon Update, continued from page 21) Dr. Marc J. Philippon Named Award-Winning Research to be Presented at member of U.S. Ski and Snow- American Academy of Orthopaedic Surgeons board Team Foundation’s Annual Meeting “Arthroscopic Transcapsular Axillary Nerve Decom- Board of Trustees pression,” by Peter Millett, M.D., has been acknowledged as an award-winning research abstract and will be pre- Renowned hip surgeon sented at the Academy’s 79th Annual Meeting to be held joins Dr. Steadman on February 7-11, 2012, in San Francisco. The video of the the Ski Team Board abstract will be included in the Academy’s Orthopaedic Dr. Philippon, Manag- Surgery Video Library. ing Partner of The Stead- The Academy provides education and practice man- man Clinic and director of agement services for orthopaedic surgeons and allied the Steadman Philippon health professionals. The Academy also serves as an ad- Research Institute, has been vocate for improved patient care and informs the public named to the U.S. Ski and about the science of orthopaedics. Founded as a non- Snowboard Team Founda- profit organization in 1933, the Academy has grown from tion’s Board of Trustees. The a small organization serving less than 500 members to announcement was made the world’s largest medical association of musculoskeletal by the U.S. Ski and Snow- Photo: John Kelly Marc J. Philippon, M.D. specialists. The Academy now serves more than 34,000 board Association’s (USSA) members internationally. President and CEO Bill Marolt. Philippon, who is one of the world’s leading orthopae- Steadman Philippon Research Institute Team Gather dic hip surgeons, joined The Steadman Clinic in 2005 after in Brazil for a Special Awards Evening serving at the University of Pittsburgh Medical Center, Several physicians and scientists from the Steadman where he was Director of Sports Related Hip Disorders and Philippon Research Institute (SPRI) visited Brazil to partici- Director of the UPMC Golf Medicine Program. pate in the eighth biennial meeting of The International “Marc’s knowledge can play an integral role in fur- Society of Arthroscopy, Knee Surgery, and Orthopaedic thering the work of our athletic organization in sports Sports Medicine (ISAKOS) held in Rio de Janeiro, May 15- medicine,” said Marolt. “His enthusiasm and knowledge 19. Among others, the group included Dr. Peter Millett, of both our sport and how to best treat our athletes will Dr. Robert F. LaPrade, and Dr. Marc Philippon. prove to be very important in achieving our Best in the During their visit, the SPRI team attended an awards World vision.” dinner where three Brazilians who received the Jorge Known internationally for performing hip joint preser- Paulo Lemann Scientific Research Prize were recognized: vation techniques, Dr. Philippon treats painful joint injuries • Bruno Schoeder de Sousa, from Minas Gerais State in high-level athletes. He is a consultant to teams in the • Leandro Ejnisman from Sao Paulo National Hockey League, National Football League, Na- • Francisco Bruno Gruz from Ceara tional Basketball Association, and Major League Baseball. The Jorge Paulo Lemann award is a full research He is also a consultant to the NHL Players Association. scholarship for highly qualified Brazilian doctor-research- Dr. Philippon is an active member with the American ers that allows them to develop, for one year, their Orthopaedic Society for Sports Medicine and the Arthros- knowledge in biomechanics and hip arthroscopy at the copy Association of North America. He is a fellow with the Steadman Philippon Research Institute. The only require- American Academy of Orthopaedic Surgeons, a Master ment is that upon returning to Brazil, they must share, Instructor with the Arthroscopy Association of North publish, and demonstrate all the knowledge gained. America - Masters Experience Hip Course, and a member uuuu of the Herodicus Society. “I am honored to be a part of this Board,” said Philippon. “After treating numerous USSA athletes I am extremely impressed with the caliber of person and athlete the USSA supports. I am very proud to be a part of this team and to help athletes optimize their training and medical care.” Dr. Philippon lives with his family in Vail, where they are active skiers at Vail and Beaver Creek. uuuu

22 part of the Eagle County School District’s “Eagle Program” for gifted and talented kids—a look at what leading- edge researchers do. And it all starts with the scientific method. Robotics engineer Mary Goldsmith put the students through a quick exercise about how the Institute’s robots—one of which worked in the auto industry in a former life—can help test a hypothesis. goldsmith laid out a fairly simple exercise—how a research intern might determine the effectiveness of ligaments of various sizes in knee surgery—then asked the students how they might arrange their work in terms of sample size, number of categories, and other factors. Dr. Coen Wijdicks, the Institute’s Director of Biome- chanics, then showed the students a model of a knee and explained how the model, along with the Institute’s robots, can help researchers answer questions about what surgical methods might produce the best results for patients. After talking with Goldsmith in the robotics lab, the students met Erik Giphart, who talked about how the Institute uses imaging that also helps create video games to examine athletes’ motion and how it might lead to injury. “This is incredibly useful,” teacher Deb Harrison said. “These kids are getting exposure to cutting-edge research in their own back yard.” The students on this trip had all listed an interest Photo: John Kelly in robotics, engineering, or medicine on the individual learning plans all “Eagle Program” students complete. For Barnett, the demonstrations helped reinforce her In the Media goal of becoming a physical therapist. “It was really cool,” she said. “I really liked the X-ray A Close-Up Look at Medical motion capture.” Research in Vail (continued on page 24)

Students from local middle and high schools see what the scientific method can do

Scott N. Miller, Vail Daily

Like many high school students, Jamie Barnett has often wondered if the scientific method is good for anything besides homework and test questions. Recently, she got an up-close look at the scientific method in action. Barnett, a 15-year-old Battle Mountain High School student, was part of a group of local middle and high- school students who got an up-close look at some of the research going on at the Steadman Philippon Research Institute at Vail Valley Medical Center. The students got a good look at some of the work local cardiologist Larry Gaul is doing, too. Dominique Taylor / [email protected] But in the far corners of the hospital building, the Steadman Philippon Research Institute Director of Biomechanics Coen Wijdicks, Ph.D., left, shows local students a model of a knee that the people at Steadman Philippon gave these students—all research department’s robot can mimic for knee surgery research. The students, part of the Eagle County School District’s “Eagle Program,” toured the Institute and other parts of Vail Valley Medical Center.

23 STEADMAN PHILIPPON R E S E A R C H I N S T I T U T E FA L L 2 0 1 1

(Steadman Philippon Update, continued from page 23) Steadman Clinic and Institute Physicians Named Top Doctors

Orthopaedic surgeons Richard Steadman, Marc Philippon, Peter Millett, and Tom Clanton of The Steadman Clinic and Steadman Philippon Research Institute have been named to the nation’s Top Doctors list by U.S. News & World Report in collaboration with Castle Connolly Medical Ltd., publisher of America’s Top Doctors and other consumer health guides. The free searchable directory, available at www.usnews. com/top-doctors, lists nearly 30,000 peer-nominated physicians across the country. Consumers can search for a Top Doctor by location, hospital affiliation, and a full Dominique Taylor / [email protected] Battle Mountain student Trexler Hirn, 15, left, tries out an EMG system range of specialties and subspecialties. that senses muscle activity as Erik Giphart, right, director of the Steadman Each of the four Steadman Clinic physicians listed Philippon Research Institute’s BioMotion Laboratory, explains how it can earned the distinction as a “high performing” doctor. be used to help with injury rehabilitation during a student tour of the lab. In addition, Steadman, Philippon, and Millett were ranked among the top one percent of doctors in their Fellow Battle Mountain student Trixler Hirn was specialties. also impressed. To assemble the Top Doctors roster, Castle “I know what I’d be getting into,” he said. Connolly sought nominations from physicians in aca- Barnett said going through the morning exercise demic medical centers, specialty and regional hospitals, with Goldsmith gave her a look at what the proofs, and physicians in private practice. Its research team math, and other work in school might lead to. then reviewed each nominee’s training, achievements “You go through school and think, ‘How are we go- and appointments, among other credentials. ing to use this?’” she said. “It really will come in handy.” Robert LaPrade, M.D., Ph.D., was recently selected Jaime Trudeau is still in seventh grade at Gypsum as Best Doctor for 2011 – 2012. Based in Boston, Best Creek Middle School, so she hasn’t had the kind of work Doctors was founded in 1989 by physicians affiliated in math and science the high schoolers have. At least not with the Harvard Medical School to provide expert yet. But she saw some of the work she’ll need to do if she medical consultation services. The Best Doctors in wants to achieve her goal of working in sports medicine America list includes the nation’s most respected in Vail. specialists and outstanding primary care physicians. “I need to work more on the scientific method,” The list represents the top five percent of doctors in Trudeau said. the U.S. among more than 46,000 doctors in over 400 uuuu specialties and subspecialties across the country. The list is the result of over two decades of work conducting the largest continuous independent survey of the medical profession. Dr. LaPrade was also recognized in April as one of America’s Most Compassionate Doctors by Patient’s Choice. This award is based on reviews written by hundreds of thousands of patients. Only a select few physicians receive praise about the compassion that accompanied their care. Of the nation’s 720,000 active physicians, less than three percent were accorded this honor by their patients in 2010. PatientsChoice.org provides in-depth information on doctors who have been recognized and awarded for outstanding patient care and expertise. uuuu Fifth-graders from the Vail Mountain School sent “thank you” notes following their tour of the new biomechanics laboratory this past May.

24 SPRI Principals Coen Wijdicks, Institute Awarded Research Ph.D.; Peter Millett, M.D.; and Grant to Study Hip Injuries in David Karli, M.D., Present a Ice Hockey Goalies

Three-Part Series on Health The proposed study, Femoroacetabular Impingement and Wellness to the Vail Prevention in Hockey Goaltenders: A Biomechanical Analysis on Protective Sports Equipment, has been accept- Symposium. ed for funding by the Hockey Equipment Certification Council. The principal investigator is Coen A. Wijdicks, In September, the Vail Symposium’s Health and Ph.D., and the co-investigators are Justin Stull; J. Erik Wellness series examined current trends in sports Giphart, Ph.D.; Marc J. Philippon, M.D.; and Robert F. medicine and injuries. Topics included how we can keep LaPrade, M.D., Ph.D. athletes and people of all ages healthy for life and why The purpose of the study is to investigate the effect some people stay well throughout their lifetime while of ice hockey pads on hip motions to determine whether others do not. The programs each featured renowned the width of leg pads could have an impact on the health medical and scientific authorities. of goalies’ hips. The investigators believe that we will see “This series fits perfectly with the goals of our that the width of the goalie pads has a relationship with community and those of the Symposium, and it is a very the degree of “at risk” positioning of the hip as well as important part of what our Valley is about,” said Vail force generated when going into the butterfly position Symposium board member Jamie Stone. “Our goal this for ice hockey goalies. According to Dr. Wijdicks, there year is to give the people in the Valley and visitors from does not appear to exist an epidemiological study that is beyond a taste of what is to come on this topic in limited to a specific anatomical region or mechanism of the future.” injury for ice hockey goaltenders. The series kicked off with “Keeping the Body uuuu Healthy for Life.” In this program Dr. Coen Wijdicks and Dr. David Karli discussed breakthroughs in sports medicine and how we can help keep bodies of all ages Ephraim Gildor Climbs healthy for life. Coen Wijdicks, Ph.D., is the Director of Mt. Everest the Biomechanics Research Department at the Stead- man Philippon Research Institute. David Karli, M.D., is a On May 20, 2011, Spine, Rehabilitation, and PRP Therapy Specialist at The Institute patient, Steadman Clinic. and friend, Ephi “This program hits the core of life in the Vail Valley,” Gildor (see Steadman said Vail Symposium board member John Stone. It Philippon Research addresses the basics of how our bodies work and how Institute News, to keep them active.” Patient in the News, The series continued with a program that was a Spring 2011) reached must-attend for coaches and parents of young athletes. Ephi Gildor standing on the summit of the 29,035-foot Everest, Friday morning, May 20, 2011. In “Staying in the Game for Life,” Peter Millett, M.D., summit of the M.Sc., Director of Shoulder Surgery and shoulder, knee world’s highest mountain, Mt. Everest. Mr. Gildor, a and sports medicine specialist at The Steadman Clinic, patient of Dr. Peter Millett, is in the process of climbing spoke on how sports injuries among our young athletes the most famous peaks in the world. They are known as have become an epidemic. More than 30 million chil- the “Seven Summits,” the highest mountains on each of dren and adolescents participate in youth sports in the the seven continents. He has already logged ascents on U.S. each year. It is estimated that more than 3.5 million Denali, Aconcagua, Mt. Vinson, Elbrus, and Carstensz, kids under age 14 receive medical treatment for sports and has only Mt. Kilimanjaro left to climb. injuries annually, a large majority attributed to overuse. uuuu uuuu

25 STEADMAN PHILIPPON RESEARCH INSTITUTE FALL 2011

FREQUENTLY ASKED QUESTIONS Americans will have some form of arthritis, a degenerative condition of the joints, cre- What are the core focus areas of ating pain, swelling and limited movement the Institute? for sufferers. Osteoarthritis is the most The Steadman Philippon Research Insti- significant cause of disability in the U.S., tute (SPRI) is committed to solving orthopae- moving ahead of low back pain and heart dic problems that limit an individual’s ability disease. By the year 2020, more than 60 to maintain an active life. This includes: million Americans will be affected by some • Joint Restoration and Preservation degree of osteoarthritis of just the knee. – Restoring and preserving joints for as Osteoarthritis of other joints will raise this long as possible is preferable to joint re- number significantly. It was estimated that placement. Research is focused in this area osteoarthritis alone consumed more than because these procedures are generally $89 billion of direct and indirect costs to less invasive and have better outcomes by the American public in 2010. allowing patients to resume their previous Accelerated by overuse and injuries to activity level and regain their full range of joints, osteoarthritis prevention is a key motion. Research includes harnessing the area of interest for the Institute. All new body’s own ability to heal itself. techniques and treatments developed and • Youth Sports Injury Prevention and optimized at SPRI are focused not only on Treatment – As youth sports injuries improving the direct outcome of repairing rise to epidemic proportions due to early specific injuries but also on minimizing the specialization and extensive practicing, predisposition to osteoarthritis that may the Institute is researching conditions and result from the injury and wear and tear injuries commonly associated with specific later in life. sports. Injuries in growing children may • Education – Considered one of the most cause unforeseen complications during prominent and rigorous academic pro- adulthood such as an early onset of os- grams in orthopaedic sports medicine, our teoarthritis. The Institute is committed to Fellowship and Visiting Scholars Programs developing early intervention techniques are at the core of the Institute’s education- to reduce the predisposition to osteoarthri- al effort. Each year, 11 young orthopaedic tis and to maintain peak activity levels into surgeons are chosen from more than 160 adulthood. candidates for these programs. They are • Osteoarthritis – The U.S. Centers for with us for an intensive 12-month training Disease Control and Prevention estimates period to refine their skills in orthopaedic that in the next 25 years, at least 71 million surgery and to conduct research into the causes, prevention, and cures of degenerative arthritis, as well as the treatment and prevention of injuries. The education department also supports educational programs and medical confer- ences, and coordinates academic sessions for school-age students. • Publications and Presentations – The Institute collects data and publishes clinical research results on knees, hips, shoulders, feet, ankle, and spine in the top-tier, peer-reviewed orthopaedic journals— approximately 35 articles annually. In addition, SPRI gave more than 200 presentations to medical and scientific audiences world-wide in 2010. SPRI has become one of the most published and one of the most innovative organizations in sports medicine research and education. Photo: John Kelly uuuu

26 SAVE THE DATE course architect Jim Engh, Golf Digest’s first-ever “Architect of the Year” in 2003, designed the course that protects a private Steadman Philippon oasis of 220 acres, effectively complement- Golf Tournament ing the 40,000 surrounding acres of dedicated open space. The Vail Valley Medical Center Golf Digest listed Sanctuary as the best 2012 Steadman Philippon Research new private course in 1997. Gary McCord, Institute Golf Classic Presented CBS golf analyst and senior PGA tour by RE/MAX International Set for professional, has said, “Sanctuary is simply August 16, 2012 the most spectacular golf course I have ever seen.” roceeds will support the orthopaedic The Steadman Philippon Research Presearch and educational programs of Institute is grateful to Dave and Gail Liniger, the Steadman Philippon Research Insti- owners and co-founders of RE/MAX Inter- tute. Known throughout the world for its national, who built this course and created research into the causes, prevention, and this unique fundraising opportunity for the treatment of orthopaedic disorders, the Institute to develop and enhance relation- Institute is committed to solving orthopaedic ships with those who support our mission. problems that limit an individual’s ability to Sponsorship opportunities and team maintain an active life. slots are available now. More information The team event will include a shotgun can be obtained by visiting our website start with a modified scramble. The tourna- (sprivail.org) under “Upcoming Events,” ment is open to the public. Sanctuary orga- or by calling the Development office at nizes and hosts charitable events to support (970) 479-5781. To request an invitation or organizations devoted to the arts, children, for more information on other upcoming health care, and crisis management. events, please contact John McMurtry at the Since 2004, the Institute has raised more Steadman Philippon Research Institute, than $1.1 million from this golf tournament (970) 479-5781. to support its research programs. Renowned uuuu

27 Non-profit Org. U.S. Postage Paid Ft. Collins, CO 181 West Meadow Drive Permit #266 Suite 1000 Vail, Colorado 81657 970-479-9797 970-479-9753 FAX http://www.sprivail.org

Steadman Philippon Research Institute is a tax-exempt 501 (c) (3) charitable organization dedicated to keeping people active.

The Steadman Philippon Research Institute is dedicated to keeping people of all ages physically active through orthopaedic research and education in the Mark Your Calendar: areas of arthritis, healing, rehabilitation, and injury prevention. ADMINISTRATION J. Erik Giphart, Ph.D. Marc Prisant Senior Staff Scientist AUGUST 16, 2012 Director, Bio Motion Laboratory Executive Vice President and Chief Financial Officer Vail Valley Medical Center 2012 Steadman Amy Ruther Mary Goldsmith, M.Sc. Manager, Human Resources and Accounting Manager Robotics Engineer Philippon Research Institute Golf Classic, Kyle Jansson, B.S. DEVELOPMENT Research Engineer presented by RE/MAX International John G. McMurtry, M.A., M.B.A. Frank Martetschlaegar, M.D. Vice President for Program Advancement at Sanctuary, Sedalia, Colo. European Visiting Scholar BASIC SCIENCE Bruno Nogueira, M.D. For more information, contact John McMurtry William G. Rodkey, D.V.M. Brazilian Visiting Scholar Director and Chief Scientific Officer at (970) 479-5781 or [email protected]. Kerry Costello SURGICAL SKILLS LABORATORY Intern Kelly Adair Justin Stull Surgical Skills Manager Intern CLINICAL RESEARCH Chris Zirker Karen K. Briggs, M.B.A., M.P.H. Intern Director IMAGING RESEARCH Theodore Fagrelius Intern Charles P. Ho, Ph.D., M.D. Director Mackenzie Herzog Intern Eric Fitzcharles, M.D. Imaging Fellow Marilee Horan, M.P.H. Research Associate Erin Lucas, M.Sc. Research Engineer Hannah Jarvis Intern Rachel Surowiec Intern Lauren Matheny Research Associate EDUCATION Diana Patterson Kelly Stoycheff Intern Coordinator Executive Editor: Casey Pierce OFFICE OF INFORMATION SERVICES Intern John Hibben Jim Brown, Ph.D. BIOMECHANICS RESEARCH LABORATORY Chief Information Officer Barry Eckhaus Coen A. Wijdicks, Ph.D. Coordinator Director Joe Kania Coordinator SPRI has a Facebook page! Search for “Steadman Philippon” on Facebook and click “like” on our page. Watch our wall for updates on our research as well as Your Legacy, Our Future. Please remember Steadman Philippon lecture series, orthopaedics in the news and more! Research Institute in your will, trust, or other estate plan.