Athletic Pubalgia

NEWSLETTER OF THE AMERICAN ORTHOPAEDIC SOCIETY FOR SPORTS MEDICINE

FALL 2016 UPDATE

TEAM PHYSICIAN XS AND OS What’s with the cups? STOP Sports Injuries Research Grants and Awards

ATHLETIC PUBALGIA

www.sportsmed.org AOSSM Corporate Partners AOSSM gratefully acknowledges the following companies for their generous 2015 – 2016 support of our mission!

Platinum Elite $100,000 and above

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The Aircast Foundation Ferring Pharmaceuticals Tissue Regenix Breg Flexion Therapeutics Orthopedics Topical Gear

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AOSSM_2016_Thank_sponsor_v1_print.indd 1 6/10/16 5:11 PM CO-EDITORS EDITOR C. David Geier, Jr., MD EDITOR Grant L. Jones, MD MANAGING EDITOR Lisa Weisenberger TEAM PUBLICATIONS COMMITTEE PHYSICIAN’S C. David Geier, Jr., MD, Chair CORNER 3 Jonathan F. Dickens, MD Lee H. Diehl, MD Alexander Golant, MD Grant L. Jones, MD Michael S. Khazzam, MD Michael J. Leddy, III, MD Alexander K. Meininger, MD Arun J. Ramappa, MD Athletic Seth L. Sherman, MD Christopher J. Tucker, MD

BOARD OF DIRECTORS Pubalgia PRESIDENT Annunziato Amendola, MD PRESIDENT-ELECT CHARLES A. Bush-Joseph, MD Groin Pain in Athletes VICE PRESIDENT Neal ElAttrach, MD SECRETARY Rick D. Wilkerson, DO TREASURER Andrew J. Cosgarea, MD UNDER 45 MEMBER-AT-LARGE Joseph H. Guettler, MD UNDER 45 MEMBER-AT-LARGE Robin Vereek West, MD OVER 45 MEMBER-AT-LARGE Jeffery Dugas, MD PAST PRESIDENT Robert A. Arciero, MD PAST PRESIDENT Allen F. Anderson EX OFFICIO COUNCIL OF DELEGATES Christopher C. Kaeding, MD EX-OFFICIO NON VOTING Greg Dummer, CAE EX-OFFICIO NON VOTING Bruce Reider, MD

MEDICAL PUBLISHING BOARD OF TRUSTEES CHAIR Robert A. Stanton, MD PRESIDENT Annunziato Amendola, MD TREASURER Bernard R. Bach, Jr., MD PAST PRESIDENT Allen F. Anderson, MD PAST PRESIDENT Robert A. Arciero, MD MEMBER-AT-LARGE Champ L. Baker, Jr., MD MEMBER-AT-LARGE Diane L. Dahm, MD MEMBER-AT-LARGE Dean C. Taylor, MD EXECUTIVE EDITOR, MEDICAL PUBLISHING BOARD OF TRUSTEES Bruce Reider, MD AOSSM CHIEF EXECUTIVE OFFICER Greg Dummer, CAE

Contents FALL 2016 AOSSM STAFF EXECUTIVE DIRECTOR Greg Dummer, CAE 2 From the President 9 Society News 12 AOSSM Member MANAGING DIRECTOR Camille Petrick EXECUTIVE ASSISTANT Sue Serpico Hall of Fame Donors 6 Team Physician ADMINISTRATIVE ASSISTANT Mary Mucciante Traveling Fellows Xs and Os 14 Washington Update DIRECTOR OF RESEARCH Kevin Boyer, MPH DIRECTOR OF COMMUNICATIONS Lisa Weisenberger What’s with the cups? 10 William C. Allen, MD, WEB & SOCIAL MEDIA COORDINATOR Joe Siebelts Obituary 15 Research Update 8 STOP Sports Injuries DIRECTOR OF EDUCATION Heather Hodge, MEd Names in the News 16 Upcoming Meetings Submit Your Abstract MANAGER, CONTINUING MEDICAL EDUCATION Heather Heller 11 Education Update & Courses MANAGER, CONTINUING MEDICAL EDUCATION Julie Ducey SENIOR MANAGER, MOC AND FELLOWSHIP EDUCATION Meredith Herzog MANAGER, MEETINGS & EXHIBITS Pat Kovach SPORTS MEDICINE UPDATE is a bimonthly publication of the American Orthopaedic Society for Sports Medicine (AOSSM). The American Orthopaedic MANAGER, MEMBER SERVICES & PROGRAMS Debbie Czech Society for Sports Medicine—a world leader in sports medicine education, research, communication, and fellowship—is a national organization of orthopaedic ADMINISTRATIVE COORDINATOR Michelle Schaffer sports medicine specialists, including national and international sports medicine leaders. AOSSM works closely with many other sports medicine specialists and AOSSM MEDICAL PUBLISHING GROUP clinicians, including family physicians, emergency physicians, pediatricians, athletic trainers, and physical therapists, to improve the identification, prevention, MPG EXECUTIVE EDITOR & AJSM EDITOR-IN-CHIEF treatment, and rehabilitation of sports injuries. Bruce Reider, MD This newsletter is also available on the Society’s website at www.sportsmed.org. AJSM SENIOR EDITORIAL/PROD MANAGER Donna Tilton TO CONTACT THE SOCIETY: American Orthopaedic Society for Sports Medicine, 9400 W. Higgins Road, Suite 300, Rosemont, IL 60018, SPORTS HEALTH/OJSM EDITORIAL & PRODUCTION MANAGER Phone: 847/292-4900, Fax: 847/292-4905. Colleen Briars EDITORIAL ASSISTANT Hannah Janvrin

FALL 2016 SPORTS MEDICINE UPDATE 1  FROM THE PRESIDENT “But it’s not just about me. It has to be about the boat.” —Daniel James Brown, The Boys in the Boat: Nine Americans and Their Epic Quest for Gold at the 1936 Berlin Olympics

AOSSM Past President Jo Hannifin, MD, We have always had all the elements for Education PhD, mentioned the book The Boys in success in our purview and our community n Extending of our live surgical the Boat by Daniel James Brown, in her has consistently come together in the spirit skills courses in the state-of-the art presidential speech in 2014. It makes of teamwork to achieve these results. So it Orthopaedic Learning Center (OLC): sense that Jo would love this book. It is is with great anticipation that I am looking —Osteotomy Around the Knee a true story about a very special rowing forward to our collective efforts to deliver a chaired by Elizabeth Arendt, MD, team from the University of Washington medal worthy experience for members this Alan Getgood, MD, and Robert that overcame tremendous odds to win year. Our fiscal year began August 1 and LaPrade, MD, PhD; and Gold in the 1936 Olympics. Jo works the Board dutifully approved a well-vetted —The Athlete’s Hip: New Trends, with the current US Rowing Team, financial plan, and our member leaders Evaluation and Surgical Management, and the women’s 8 boat won their third are off-and-running, working hand-in- co-chaired by Brian D. Busconi, MD, consecutive gold medal at the 2016 hand with AOSSM staff to deliver an and Marc R. Safran, MD Olympics in Rio de Janeiro, Brazil. unprecedented year of initiatives, including: n Continuing our commitment to other With all of the recent excitement of the high-profile educational initiatives such Research Olympics I did start thinking about as the Board Review Course, Specialty n Evaluating and updating our IKDC the importance of teams and how now Day, Advance Team Physician Course, SKF at the University of Pittsburgh. more than ever we need to recognize and and our newly launched Fellowship Led by Dr. James Irrgang, this study celebrate the value of working together. course. Not to mention our online will lead to the development of a Ours is a unique community, founded offerings, including the AOSSM computerized adaptive version. in the spirit of teamwork through team Self-Assessment Examinations which n Further developing our Early Sports sports. I am always humbled and lifted help members fulfill their MOC Specialization and Return to Play up by the members of this organization— self-assessment and CME requirements. initiative. The Research Committee, led our past and present accomplishments, n Planning for AOSSM 2017 in Toronto, by our new chair Matthew Provencher, and our grasp on building for the future. Canada. This September, I went MD, will drive this program by hosting To this end, together our leadership, on a thorough site visit and began a research workshop at the Annual program committee, and faculty, led by developing the game plan for another Meeting in Toronto next summer. Kurt Spindler, MD, and the AOSSM staff exhilarating and educational meeting. n Adding more grant programs. More to delivered a gold medal performance at Our program planning meeting will come soon on new ways for members to the Annual Meeting in Colorado Springs, take place in mid-November. enhance their research funding through Colorado. The scores are in, and the These are just some of the numerous our grant programs, but for now current feedback was overwhelmingly positive: initiatives we are working on for the next research grant deadlines are approaching year. We have a lot on our proverbial n 1,489 attendees (1,117 physicians) with complete information available plate, but together, through our collective n 614 abstract submissions at www.sportsmed.org. energy and commitment to each other, (an all-time record) Publishing I have no doubt we will deliver and n 126 exhibit booths n Expanding AJSM as it will grow from achieve our goals throughout the year. n 55 peer-reviewed posters 12 to 14 issues next year. More issues, n 27 instructional courses more manuscripts, more content for n 20 corporate sponsors our members. n 10 new interactive round-table sessions n Sports Health and our online journal n 4 live surgical demonstrations OJSM continue to flourish. Annunziato Amendola, MD

 2 SPORTS MEDICINE UPDATE FALL 2016 TEAM PHYSICIAN’S CORNER

ATHLETIC PUBALGIA: GROIN PAIN IN ATHLETES BY LEE DIEHL, MD

he understanding of what causes athletic pubalgia continues to evolve. The term designates activity related to or limiting pain, primarily in the area of the anterior pelvis, which is outside of the actual hip joint. Athletic pubalgia incorporates a distinct composition of focal anatomic problems, including osteitis pubis T and tendon pathology of the lower abdomen and upper thigh.

FALL 2016 SPORTS MEDICINE UPDATE 3  Successful surgical treatment, historically performed by general surgeons, has revolved around inguinal hernia repair procedures. This led to the common use of the term “sports hernia.” Since no true structural herniation has been commonly identified, and this problem more practically represents a spectrum of stress related injury about the pelvis, the term “athletic pubalgia” has been suggested. This term can encompass multiple entities designated variously in past literature, including Gilmore’s groin, hockey groin, athletic or sports hernia. Experience over the last couple decades has begun to unify this spectrum of pathology around a common theory of causation. During sport there are large magnitude, rotational forces constantly occurring around the pelvis. Dr. W. C. Meyers has described the composite area of the anterior pelvis as the “pubic joint” and relating the required balance of the complex stabilizing function of all the attached muscles to the spectrum of pathologies seen in athletic pubalgia.4 This concept helps providers to understand how the various structures must work together to provide core stabilization and function during intense sporting activities. While the list of combinations of involved structures continues to grow with experience, surgical treatments have typically focused on weakness of the posterior wall in the inguinal canal, distal rectus insertion disruption—causing superior and medial displacement of the rectus muscle—thereby increasing tension at the pubic bone, perineural fibrosis of branches of the genitofemoral nerve and proximal adductor tendinosis. Athletes describe recurring or chronic lower abdominal or groin pain, occasionally radiating to the proximal inner thigh or ischium. The pain is commonly made worse with sport specific activities and it may improve or resolve with rest—especially between seasons. However, the same activity limiting

 4 SPORTS MEDICINE UPDATE FALL 2016 symptoms often recur when they return strength and conditioning to “re-balance” Return to Sport to sport. While some athletes may be able pelvic stabilizers. Categories of operative to play through the discomfort, they are treatment include hernia repair techniques often less effective and others are simply with or without mesh reinforcement, unable to continue play. tendon releases and neurotomy. While Athletic pubalgia has been recognized non-operative treatment has potential in many common team sports, including to help athletes return to sport, one soccer, ice and field hockey, rugby, study reported successful outcomes with football, baseball, and basketball, as well as surgical treatment of greater than 90% 90% tennis, martial arts, swimming, dance, and compared to only 27% with non-operative distance running.3 While most commonly treatment.5 seen in males, the incidence is increasing Athletic pubalgia can overlap with in females likely paralleling their increased other pathology. Some feel this supports with surgical treatment involvement in competitive athletics. the “imbalance theory.” They postulate Typical exam findings include for example that muscle stabilization tenderness near the pubic ramus/ compensating for intra-articular pubic tubercle, inferior margin of the hip pathology, may lead to strain or rectus insertion, inguinal floor, and symptomatic imbalance of the pubic joint. proximal adductor insertion. Pain is A study from the NFL has reported the typically exacerbated or reproduced with association of rectus abdominis, proximal performing an abdominal “crunch,” or thigh adductor, and hip joint pathology resisted sit-up, or resisted hip adduction. termed the “sports hip triad.”1 Another 27% Imaging, like physical exam, is used study reported on the combined treatment to help rule out hip joint or other of intra-articular hip pathology and extra- pathology. Plain X-rays of the pelvis can articular athletic pubalgia, in a subset rule out evidence of bony pathology or of competitive athletes, which facilitated with non-operative treatment degenerative change. MRI is increasingly a high return to sporting activity.2 used, with recognition of a group of common findings including rectus Summary abdominis insertional injury, adductor Accurate diagnosis of athletic pubalgia taking into account, age, degree tendinopathy, and inflammatory signal in comes from an understanding of the of functional disability, and desired level the bone of the anterior pelvis including pathology, a good patient history, of competition. Athletic pubalgia is better osteitis pubis.6 focused exam, and appropriate imaging recognized now than ever before and Non-operative treatment usually to narrow the differential diagnosis. effective treatments are available to focuses on rest, followed by progressive Surgical treatment may be indicated help keep athletes in the game.

References 1. Freeley BT, et al. AJSM. 2008.36:2187-2195. 2. Larson CM, et al. Arthroscopy. 2011. 27(6):768-775. 3. Litwin D, et al. Clin Sports Med. 2011. 30:417-434. 4. Meyers WC, et al. Oper Tech Sports Med. 2012.20:33-45. 5. Paajanen H, et al. Surgery. 2011.150:99-107. 6. Preskitt JT. Proc (Bayl Univ Med Cent). 2011.24(2);89-91. 7. Zoga AC, et al. Radiology. 2008. 247 (3): 797.

FALL 2016 SPORTS MEDICINE UPDATE 5  TEAM PHYSICIAN XS AND OS

What’s with the Cups? By Christopher W.V. Schumacher, MD, Josh H. Fallin, ATC, Michael T. Freehill, MD

This summer in Rio, several Olympic Traditionally, the suction effect was athletes had well-defined purple circles created by heating the inside of the cups across their backs, arms, and chests. A with various combustible materials and wider scope of attention and rampant quickly placing them on the skin. Recent speculation across American media and advances in mechanical methods such as social media ensued. balloons and pumps have been employed to These perfectly circular bruises were create the desired suction effect, eliminating the result of a practice called “cupping,” the most common complication risk which is gaining popularity throughout the of burns.1 While cupping is proposed training and rehabilitation worlds. Perhaps to alleviate musculoskeletal pain, theories it is more accurate to say that cupping is of the mechanism vary widely. re-gaining popularity, as its origins can be The mechanical effects of cupping are traced back thousands of years.1 Similar straightforward and have been demonstrated Cupping is performed on an athlete to help to acupuncture, cupping has long been in soft tissue models. The negative pressure aid injury healing. utilized in traditional Chinese and Eastern created inside the cup is transmitted through chronic neck or back pain. Although medicine, but has only somewhat recently the skin and subcutaneous tissues down limited in subject number, initial results come into the conscious mainstream of to the muscle layer as a tensile force under demonstrate improved patient reported treatment modalities in the United States. the center of the cup and as a compressive pain and function scores.6,7 Cupping has not been extensively studied force under the rim of the cup.4 The force In addition, complications of cupping and currently there are more theories of transmitted to the soft tissues increases therapy are uncommon with the most its beneficial mechanism than literature with larger cup diameters, higher pressure, frequently reported being superficial proving its efficacy. However, limited and longer duration of treatment. The skin burns and blistering. While there evidence does exist suggesting cupping resulting physiological effects are less are case reports of severe blistering and is a safe and maybe even effective adjunct understood and have explanations even arterial dissection, the complication in the practice of sports medicine. ranging from vasoconstriction with rate appears low when performed by an For simplicity, this brief overview neurotransmitter release to the alteration experienced practitioner.8 focuses on dry cupping, as opposed to wet of life forces and the flow of energy. In summary, cupping appears to be an cupping, which involves cutting the skin Regardless of mechanism, a few studies exciting, potentially beneficial treatment to cause bleeding.2 Dry cupping therapy is have found cupping to be effective, modality, with gaining subjective success, a non-invasive treatment involving small especially for musculoskeletal pain.5 and a relatively low-risk profile for cups (usual diameter approximately 50mm), Randomized control trials by Kim et al musculoskeletal pain. More investigation typically made from glass, ceramic, or plastic and Markowski et al compared cupping and literature support is needed, but dry which creates focal areas of suction over to other treatment modalities, such as cupping appears to be a useful adjunct to the a desired musculoskeletal target region.1,3 heating pad therapy, for patients with practice of non-operative sports medicine.

References 1. Rozenfeld E, Kalichman L. New is the well-forgotten old: The use of 6. Kim TH, Kang JW, Kim KH, Lee MH, Kim JE, Kim JH, Lee S, Shin dry cupping in musculoskeletal medicine. J Bodyw Mov Ther. 2016. MS, Jung SY, Kim AR, Park HJ, Hong KE. Cupping for treating neck Jan 20(1): 173-8. Epub 2015 Dec 1. pain in video display terminal (VDT) users: a randomized controlled 2. Sajid MI. Hijama therapy (wet cupping)—its potential use to pilot trial. J Occup Health. 2012; 54(6): 416-426. complement British healthcare in practice, understanding, evidence 7. Markowski A, Sanford S, Pikowski J, Fauvll D, CImino D, Caplan and regulation. Complement Ther Clin Pract. 2016. May; 23: 9-13. S. 2014. A pilot study analyzing the effects of Chinese cupping as Epub 2016 Feb 1. an adjunct treatment for patients with subacute low back pain on 3. Mehtaa P, Dhapte V. Cupping therapy: A prudent remedy for relieving pain, improving range of motion, and improving function. a plethora of medical ailments. J Tradit Complement Med. 2015. J Altern Complementary. 2014; 20(2): 113-117. Jul; 5(3):127-134. PMCID: PMC448856. 8. Choi JY, Huh CW, Choi CH, Lee JI. Extracranial vertebral artery 4. Tham LM, Lee HP, Lu C. Cupping: from a biomechanical rupture likely secondary to “cupping therapy” superimposed on perspective. Journal of Biomechanics. 2006; 39(12): 2183-93. spontaneous dissection. Interventional Neuroradiology. 2016 Aug 1. 5. Cao H, Li X, Yan X, Wang NS, Bensoussan A, Liu J. Cupping therapy for pii: 1591019916659264. (Epub ahead of print) acute and chronic pain management: a systematic review of randomized clinical trials. J Trad Chinese Med Sciences. 2014. Jul; 1(1): 49-61.

 6 SPORTS MEDICINE UPDATE FALL 2016 Orthopaedic Sports Medicine and Arthroscopy Match AANA and AOSSM are pleased to announce that the following sports medicine/arthroscopy fellowship programs are participating in the Orthopaedic Sports Medicine and Arthroscopy Match for 2017.

Allegheny General Congress Medical Massachusetts General Rush University Medical University at Buffalo University of Rochester Hospital Program Associates Program Hospital/Harvard Medical Center Program Program Medical Center Program Sam Akhavan, MD Gregory J. Adamson, MD School Program Nikhil N. Verma, MD Leslie J. Bisson, MD Michael D. Maloney, MD Pittsburgh, PA Pasadena, CA Luke S. Oh, MD, MS Chicago, IL Buffalo, NY Rochester, NY Boston, MA American Sports Medicine Detroit Medical Center San Diego Arthroscopy & University of California University of South Florida Institute (St. Vincent’s) Program Mayo Clinic (Rochester), Sports Medicine Program (Davis) Program Morsani Program Program Stephen E. Lemos, MD, PhD College of Medicine James P. Tasto, MD James Van den Bogaerde, MD Charles C. Nofsinger, MD Jeffrey R. Dugas, MD Warren, MI Program San Diego, CA Sacramento, CA Tampa, FL Birmingham, AL Aaron John Krych, MD Doctors Hospital/UHZ Rochester, MN Santa Monica Orthopaedic University of California University of Tennessee - Andrews Research and Sports Medicine Institute & Sports Medicine Group San Francisco Program Campbell Clinic Program Education Foundation Program Methodist Hospital Program Brian T. Feeley, MD Frederick M. Azar, MD James R. Andrews, MD John W. Uribe, MD (Houston) Program Bert R. Mandelbaum, MD San Francisco, CA Memphis, TN Gulf Breeze, FL Coral Gables, FL David M. Lintner, MD Santa Monica, CA Houston, TX University of Chicago University of Texas Aria Health Program Duke University Hospital SOAR Sports Medicine Sherwin S.W. Ho, MD Health Science Center at Arthur R. Bartolozzi, MD Program Mississippi Sports Fellowship Program Chicago, IL Houston Sports Medicine Langhorne, PA Dean C. Taylor, MD Medicine & Orthopaedic Michael F. Dillingham, MD Fellowship Durham, NC Center Program Redwood City, CA University of Cincinnati Christopher D. Harner, MD ASMI/Trinity/Lemak Larry D. Field, MD Medical Center Inc. Houston, TX Sports Medicine Program Emory University Jackson, MS Southern California Angelo J. Colosimo, MD Lawrence J. Lemak, MD Orthopaedic Sports Orthopaedic Institute Cincinnati, OH University of Texas Health Birmingham, AL Medicine Fellowship New England Baptist Program Science Center at Program Hospital Program Richard D. Ferkel, MD University of Colorado San Antonio Program Banner Good Samaritan Spero G. Karas, MD Mark E. Steiner, MD Van Nuys, CA Health Science Center David R. Schmidt, MD Medical Center Program Atlanta, GA Boston, MA Program San Antonio, TX Evan S. Lederman, MD Sports Clinic Laguna Hills Eric C. McCarty, MD Phoenix, AZ Fairview Southdale Northwestern University Program Boulder, CO University of Utah Hospital/MOSMI Program - McGaw Medical Center Wesley M. Nottage, MD Program Barton/Lake Tahoe Sports Christopher M. Larson, MD Fellowship Program Laguna Hills, CA University of Connecticut Patrick E. Greis, MD Medicine Fellowship Minneapolis, MN Michael A. Terry, MD Program Salt Lake City, UT Program Chicago, IL Stanford Orthopaedic Robert A. Arciero, MD Keith R. Swanson, MD Henry Ford Hospital/ Sports Medicine Farmington, CT University of Virginia Zephyr Cove, NV Wayne State University NSLIJ/Hofstra North Fellowship Program Program Program Shore - LIJ School of Marc R. Safran, MD University of Illinois at Stephen F. Brockmeier, MD Baylor College of Medicine Patricia A. Kolowich, MD Medicine at Lenox Hill Redwood City, CA Chicago - Center for Charlottesville, VA Program Detroit, MI Hospital Program Athletic Medicine Program David M. Green, MD Stephen J. Nicholas, MD Steadman Hawkins Clinic Preston M. Wolin, MD University of Wisconsin Houston, TX Chicago, IL Hoag Orthopedic New York, NY - Denver Program Program Institute Sports Medicine Theodore F. Schlegel, MD John F. Orwin, MD Beacon Orthopaedic Fellowship Program NYU Hospital for Joint Greenwood Village, CO University of Iowa Madison, WI Research & Education Carlos A. Prietto, MD Diseases Hospitals & Clinics Foundation, Inc. Program Irvine, CA Laith M. Jazrawi, MD Steadman Hawkins Clinic Program USC Sports Medicine Timothy E. Kremchek, MD New York, NY of the Carolinas Program Carolyn M. Hettrich, MD, Fellowship Program Sharonville, OH Hospital for Special John M. Tokish, MD MPH George F. Rick Hatch III, MD Surgery/Cornell Medical Ochsner Clinic Foundation Greenville, SC Iowa City, IA Los Angeles, CA Boston University Medical Center Program Program Center Program Anil S. Ranawat, MD Deryk G. Jones, MD Steadman Philippon University of Kentucky Vanderbilt University Robert Nicoletta, MD New York, NY Jefferson, LA Research Institute Program Sports Medicine Program Program Boston, MA Marc J. Philippon, MD Scott D. Mair, MD Charles L. Cox III, MD Hughston Foundation Ohio State University Vail, CO Lexington, KY Nashville, TN Brigham & Women’s Program Hospital Program Hospital, Harvard Medical Champ L. Baker, Jr., MD Christopher C. Kaeding, MD Taos Orthopaedic Institute University of Wake Forest University School Program Columbus, GA Columbus, OH and Research Foundation Massachusetts Program School of Medicine Scott D. Martin, MD Program Brian D. Busconi, MD Cristin M. Ferguson, MD Chestnut Hill, MA Indiana University School Orlando Health James H. Lubowitz, MD Worcester, MA Winston Salem, NC of Medicine Program Daryl C. Osbahr, MD Taos, NM Brown University Program Arthur C. Rettig, MD Orlando, FL University of Michigan Washington University Paul D. Fadale, MD Indianapolis, IN The Orthopaedic Founda- Program Program Providence, RI OrthoCarolina Sports tion for Active Lifestyles Bruce S. Miller, MD, MS Matthew J. Matava, MD Jackson Memorial Medicine, Shoulder & Sports Medicine Fellowship Ann Arbor, MI Chesterfield, MO Children’s Hospital Hospital/Jackson Health Elbow Program Kevin D. Plancher, MD (Boston) Program Systems Program James E. Fleischli, MD Stamford, CT University of Missouri William Beaumont Lyle J. Micheli, MD Michael G. Baraga, MD Charlotte, NC at Kansas City Program Hospital Program Boston, MA Miami, FL Thomas Jefferson Jon E. Browne, MD Kyle Anderson, MD Orthopaedic Research University Program Leawood, KS Royal Oak, MI Cincinnati Sports Kaiser Permanente of Virginia Program Michael G. Ciccotti, MD Medicine & Orthopaedic Southern California Shannon Wolfe, MD Philadelphia, PA University of Missouri Center Program (Orange County) Program Richmond, VA -Columbia School of Frank R. Noyes, MD Brent R. Davis, MD TRIA Orthopaedic Medicine Program Cincinnati, OH Irvine, CA Penn State Milton S. Center Program James P. Stannard, MD Hershey Medical Center Gary B. Fetzer, MD Columbia, MO Cleveland Clinic Kaiser Permanente Program Bloomington, MN Foundation Sports Southern California Wayne J. Sebastianelli, MD University of New Mexico Medicine Program (San Diego) Program State College, PA UCLA Medical Center Program Lutul D. Farrow, MD Najeeb Khan, MD Program Daniel C. Wascher, MD Cleveland, OH Albuquerque, NM El Cajon, CA Pennsylvania Hospital David R. McAllister, MD of the University of Los Angeles, CA Columbia University - Kerlan-Jobe Orthopaedic Pennsylvania Ortho Sports University of Pittsburgh/ New York Presbyterian Clinic Program Medicine Program Union Memorial Hospital UPMC Medical Education Hospital Program Neal S. ElAttrache, MD Brian J. Sennett, MD Program Program William N. Levine, MD Los Angeles, CA Philadelphia, PA Richard Y. Hinton, MD, Volker Musahl, MD New York, NY MPH, MEd, PT Pittsburgh, PA Baltimore, MD  Sports Safety Tips Made Easy Sharing sports injury prevention information is easier than ever. Our site offers visitors a fresh, easy-to-navigate, and mobile-friendly environment while exploring injury prevention materials, which have also been expanded. Visit www.STOPSportsInjuries.org to see all the new site has to offer, and be sure to share with your patients!

Come Grow with STOP Sports Injuries Did you know more than 1,000 organizations currently collaborate with STOP Sports Injuries? The program was founded on the idea that grassroots efforts could help spread awareness and information about preventing overuse and trauma injuries in young athletes— and that certainly seems to be the case. This number includes over 800 sports medicine practices, which hold local events and share our injury prevention information with patients. If you have not already signed up, be sure to visit www.STOPSportsInjuries.org and click “Get Involved” to learn more.

Welcome to Our New Collaborating Organizations! Thank you to the newest STOP Sports Injuries collaborating organizations for their commitment to keeping young athletes safe. Interested in having your practice or institution listed in the next SMU? Head over to www.STOPSportsInjuries.org and click “Join Our Team” to submit an application!

MEDICAL INSTITUTIONS SPORTS MEDICINE Columbia Orthopaedic Group Kinetics Performance Therapy Quint Chiropractic Columbia, Missouri Zachary, Louisiana Wilmington, North Carolina HSHS St. John’s Therapycare PRACTICES Chatham, Illinois Advanced Therapy Solutions Encore Sports Medicine Life Physiotherapy Soost Outdoor Fit Biz Spartanburg, South Carolina & Rehabilitation Glasgow, Scotland Gillette, Wyoming Fayette, Alabama SPORTS & RECREATION Mission Sports Medicine Specialists Health System ORGANIZATIONS Athens Institution of Preventive and Reconstructive Frederick Sport and Asheville, North Carolina Shreveport, Louisiana Spine Clinic 1P410 Sports Sports Medicine Optimum Performance Sports Rehabilitation Frederick, Maryland Performance, LLC Athens, Greece Physical Therapy Unlimited The Woodlands, Texas Center for Orthopaedics Great Plains Health Warwick, New York Middleton, Massachusetts Orthopaedics Allegro Volleyball Club and Sports Medicine Performance Sports Therapy The Spine and Health North Platte, Nebraska Denville, New Jersey Tysons Corner, Virginia Ballasalla, Isle of Man Center of Montvale Inspire Physical Therapy, Montvale, New Jersey C4 Performance Training Central Jersey Sports PHYSIO.coza Pediatric Orthopedics and Wayne, Pennsylvania and Spine UHS Sports Medicine Sports Medicine Johannesburg, South Africa Somerset, New Jersey Binghamton, New York Beaverton, Oregon ProMotion Rehab and Sports Medicine Lake City, South Carolina

 8 SPORTS MEDICINE UPDATE FALL 2016 SOCIETY NEWS

Exciting Changes for AJSM Join an AOSSM Committee We are excited to announce that the American Journal of Sports Medicine (AJSM) will be Committee applications will be available increasing its publication to 14 issues in 2017. Currently published monthly (12 issues/ at www.sportsmed.org in late October. Committees make a vital contribution year), the two additional issues will be mailed in March and July; watch for them in to the Society and your participation your mailbox. The journal has seen a steady increase in submissions over the past couple is encouraged. Deadline for submission of years, and we want to remain at the forefront of publishing the industry-shaping of applications is February 15, 2017. You research our members and colleagues are performing. The additional issues will allow will be notified regarding your participation by May 31. Please contact Camille Petrick for a 5 percent increase in pages published, with the added benefit of making each at [email protected] with any questions. issue more manageable in size. This increase will occur at no cost to members, as your subscription to the journal is part of your AOSSM membership. Questions? Contact Colleen Briars at [email protected]. Submit a Name for the AOSSM Hall of Fame Do you have a mentor or know of Become a Traveling Fellow another outstanding member of the sports medicine community who should Applications are currently being accepted for the 2017 be part of the AOSSM Hall of Fame? AOSSM Traveling Fellowship Tours. Tentative tour dates Applications to submit a nomination for the APKASS (Asia) tour will be April 6–29, 2017. Tentative will be available in late October at tour dates for the SLARD (Latin America) tour will be July 28–August 20, 2017. www.sportsmed.org. The Hall of Fame honors members of the orthopaedic During the tour fellows will have the opportunity to view surgical procedures, visit sports medicine community who have surgical and rehabilitation facilities, attend local sports events, and connect socially contributed significantly to the specialty and professionally with regional experts in sports medicine. Deadline for fellowship and set themselves apart. Being inducted applications is October 15, 2016. Apply at www.sportsmed.org or contact Debbie into the Hall of Fame is one of the Czech, Manager of Member Services, at [email protected] for more information. highest honors given to a Society member. Deadline for submissions is AOSSM gratefully acknowledges DJO Global for their continued support of the January 25, 2017. Questions? Contact Traveling Fellowship program. Camille Petrick, Managing Director, at [email protected].

Don’t Miss Out on Keep Your Patients In Motion Your AOSSM Benefits In Motion is available to be personalized with your own Have you paid your AOSSM dues? Any practice name and logo. For just $300, you will receive four member who has not made their dues personalized issues (Spring, Summer, Fall, Winter) and the payment by November 15 will lose their AOSSM benefits, including access to high and low resolution PDFs to send to a patient’s inbox, put AJSM and Sports Health. To pay or check on your website, or print out and place in your waiting room. your status, login at www.sportsmed.org. For more information, contact Lisa Weisenberger, Director If you did not receive a dues payment of Communications, at [email protected]. notice or have questions, please e-mail Debbie Czech, Manager, Member Services, at [email protected].

Be a Part of the Sports Medicine Conversation Got News We Could Use? Join our youth sports injury prevention TweetChats held monthly the second Sports Medicine Update Wants to Hear from You! Wednesday of the month at 9 PM ET/8 PM CT at #SportSafety. AOSSM, AJSM, Have you received a prestigious Sports Health, and OJSM are also all on social media. Learn about the latest news award recently? A new academic and articles and stay up to date on Society happenings and deadlines. appointment? Been named a team physician? AOSSM wants to hear Facebook Twitter from you! Sports Medicine Update www.Facebook.com/AOSSM www.Twitter.com/AOSSM_SportsMed welcomes all members’ news items. www.Facebook.com/American-Journal-of-Sports-Medicine www.Twitter.com/Sports_Health Send information to Lisa Weisenberger, www.Facebook.com/SportsHealthJournal www.Twitter.com/SportsSafety Director of Communications, at www.Facebook.com/STOPSportsInjuries www.Twitter.com/AJSM_SportsMed [email protected]. High resolution www.Facebook.com/TheOJSM www.Twitter.com/OJSM_SportsMed (300 dpi) photos are always welcomed.

FALL 2016 SPORTS MEDICINE UPDATE 9  SOCIETY NEWS

AOSSM Past President William C. Allen, MD, Passes Away Tribute contributed by James P. Stannard, MD

AOSSM Past President, Department of Orthopaedics where he president of the MAOA from 1991–1992. William C. Allen, MD, served as Chair for 22 years. His focus He was affectionately called the “Czar of Professor Emeritus at the included biomaterials, biomechanics Education” by the MAOA board members University of Missouri of the musculoskeletal system, intra- because of his love of education and of Department of Orthopaedic articular meniscal suture techniques, joint teaching residents. Surgery, passed away on Monday, replacement, and sports medicine. Dr. Dr. Allen has been honored with September 12, 2016 surrounded by Allen was a co-founder of the University numerous awards and honorary family. Dr. Allen graduated from the of Missouri Orthopedic Association in memberships through the years, and he University of Chicago School of Medicine, 1980 which supports resident research and generously established an annual lectureship was a resident at Stanford University, education and humanitarian activities. in 1996. Dr. Jimi Cook, MU’s department’s completed a biomechanics fellowship During his tenure, he was a founding research director, has been graciously at Case Western Reserve University, and member of the American Orthopaedic endowed by Dr. Allen since 2004 and is the served in the US Army Medical Corps. Society for Sports Medicine (AOSSM) William & Kathryn Allen Distinguished He was board certified by the American and served as President of the AOSSM in Professor in Orthopaedic Surgery. Board of Orthopaedic Surgery in 1968. 1984–1985. He hosted an international Dr. Allen was devoted to his family and Coming from the University of Florida sports medicine symposium in 1985 at is survived by his wife, Kathryn, and their in Gainesville, where he served as the MU featuring the AOSSM European three children, Elizabeth (Ricardo Restrepo), director of the residency program, Dr. Traveling Sports Medicine Fellows. Matthew (Sarah Vernon, MD), and Allen joined the faculty at the University The AOSSM honored Dr. Allen as the Benjamin (Marguerite “Peggy” Fitch, PhD), of Missouri (MU) in late 1976 as Chief Godfather of the AOSSM Pacific Rim and two grandchildren, Lucia and Wynne. of the Division of Orthopaedic Surgery. Traveling Fellows in 1997 and as Mr. Dr. Allen will be greatly missed and He was a much respected, greatly admired, Sports Medicine in 2004. He was also will be remembered for his leadership, and critical figure in the foundation and one of the organizers of the Mid-America exemplary service, and dedication to history of the University of Missouri Orthopaedic Association and served as patient care.

NAMES IN THE NEWS

Bach and Verma Assume New Roles at Midwest Orthopaedics as the athletic department’s primary team physician. While being Congratulations to Past President Bernie Bach, MD, on his asked year after year to serve teams on the professional and NCAA new role as Professor Emeritus at Midwest Orthopaedics at Rush division I level, Dr. Nitz has remained dedicated to catering to University Medical Center. Bach has held the position of Division the needs of athletes at Central State University. In addition to his Director for 30 years and Fellowship Director for 28 years. During duties as the physician, Dr. Nitz has been instrumental in a number Dr. Bach’s tenure, the Division grew exponentially from one of athletic initiatives including the success of the Marauders’ fall individual in 1986 to nine orthopaedic sports attendings and six football camp and integral improvements to athletic facilities. primary care sports medicine attendings currently. Dr. Bach will still continue to actively provide mentorship and leadership at Midwest Getelman Recognized As Healthcare Champion Orthopaedics along with clinical practice. AOSSM member, Nikhil Southern California sports medicine physician and Verma, MD, will be the new Director of the Division of Sports AOSSM member, Dr. Mark Getelman has been Medicine and Director of the Sports Medicine Fellowship. named “2016 Champions in Healthcare Specialist Physician” by the Pacific Coast Business Times. Dr. Getelman Nitz Inducted into Hall of Fame received this honor for his experience, expertise, and history in Congratulations to Dr. Paul Nitz for being inducted into the forging successful partnerships to make healthcare accessible and Central State University Athletic Hall of Fame. Nitz has been to improve patient outcomes in the Tri County region including serving Central State University near Dayton, Ohio, since 1992 Ventura, Santa Barbara, and San Louis Obispo Counties.

 10 SPORTS MEDICINE UPDATE FALL 2016 EDUCATION UPDATE

AOSSM Hosts Successful Fellows Course Another Touchdown for the Seventy-six AOSSM/AAOS Orthopaedic orthopaedic sports Sports Medicine Review Course medicine fellows, representing 37 Under the expert direction of co-chairs fellowship programs, Thomas J. Gill IV, MD, and Christopher convened in July C. Kaeding, MD, AOSSM and AAOS at the OLC in completed another successful Orthopaedic Rosemont, Illinois, Sports Medicine Review course in Chicago for the inaugural August 12–14, 2016. More than 170 AOSSM Kickoff to Your participants spent two and a half days hearing Orthopaedic Sports presentations from 17 faculty covering the Medicine Training sports medicine content areas included on Year course. Led by co-chairs Stephen F. Brockmeier, MD, Jeffrey R. Dugas, the subspecialty certification exam and the MD, and Kurt P. Spindler, MD, the course served as a welcome to the sports recertification exam. medicine fellowship year with an intense overview of what the fellows will see This course is not only an excellent in the ensuing year in the form of lectures and hands-on lab sessions. way to prepare for your exams but it also One of the goals was to provide standardized information to all fellows provides a tremendous overview of the field and to educate them on team coverage specifics at the advanced level expected of orthopaedic sports medicine. In addition, of a fellow or independent practitioner. More than 24 faculty covered key most attendees receive a complimentary copy topics such as sideline emergencies, cervical and lumbar spine injuries, and of the recent AOSSM self-assessment exam imaging/arthroscopy of the shoulder and knee along with providing an with their registration. educational platform to learn the principles of success for team coverage. The This course would not have been hands-on lab portion of the course covered meniscus tear, ACL repair, labrum possible without the generous support and and cuff. Sideline Guidelines, the free iOS app, was considered to be the commitment of our AOSSM corporate syllabus for the course. It is an educational and evidence-based app with partner, Arthrex, Inc. We sincerely thank more than 250 figures and references that connect directly to PubMed. them for their support. A huge thank you not only to the course chairs but also to Steven B. For those interested in viewing the Cohen, MD, AOSSM Education Committee Chair, and David R. Diduch, recordings from the course, they are available MD, AOSSM Fellowship Committee Chair, for their unwavering dedication for purchase. Visit www.sportsmed.org or call to ensuring the success of this course. This group did an amazing job of the AOSSM office at 847/292-4900. developing the agenda and identifying faculty in a just a few short months. This course would not have been possible without the generous support and commitment of our AOSSM corporate partners, including DePuy Synthes Mitek Sports Medicine, RTI Surgical, Stryker, and Vericel. Special thanks to Smith & Nephew, not only for their support of the course, but also for providing an additional lab experience for the fellows.

Vericel Don’t forget to register at For more information on next year’s Fellows Course, contact www.sportsmed.org for the Meredith Herzog at [email protected]. Advanced Team Physician L to R: Steven B. Cohen, MD; Course, December 8–11 at Jeffrey R. Dugas, MD; Stephen F. Brockmeier, MD; David R. Coronado Island, California. Diduch, MD; Kurt P. Spindler, MD

FALL 2016 SPORTS MEDICINE UPDATE 11  WHAT INSPIRES MEMBERS TO SUPPORT AOSSM each year?

Most AOSSM members experience enormous gratification from their practices each day. To Patti Kolowich, MD, an active AOSSM be able to serve in a pivotal role to help patients member and longtime donor, shares her insights on investing in AOSSM research, return to the game and/or their everyday lives and how these strategic investments make is incredibly rewarding. a profound impact in advancing the profession and enhancing patient care. It’s important that we all keep in mind that the clinical and surgical solutions we employ daily, have emanated “Like you, I take great pride and satisfaction in the from rigorous research initiatives that yielded good science, advances in treatment of our patients derived from the results of which have led to countless advancements AOSSM-funded research. Please make a tax-deductible in the profession. contribution to AOSSM’s 2016 Individual Giving Although research is time-intensive, and requires Campaign to foster research designed to answer important significant financial resources, it’s integral to the continued clinical questions. growth and integrity of our profession, and essential for us Your donation, along with that of your colleagues, allows to continue to meet the increasing needs and challenges the Society to support rigorous science to broaden the base of our expanding patient population. of orthopaedic sports medicine knowledge. Giving back through an AOSSM donation allows you The Research Mentoring Program, Young Investigator to invest in upcoming research that will positively impact Grants, Sandy Kirkley Clinical Outcome Research Grants, your practice and the lives of those you treat. and HA Predictor Study reflect just a few of the initiatives that have been funded through the years, thanks to support Be a part of our team. Step up to make an investment from members like you. this year, knowing that 100% of your contribution will These projects, along with many others, contribute to the be used to fund priority AOSSM research projects. Society’s continued success in developing and strengthening Make your donation using the envelope in this issue our professional growth to ensure we are well equipped to of SMU or by visiting www.sportsmed.org and clicking serve the increasing and diverse needs of our patients.” on the Support AOSSM link.

 12 SPORTS MEDICINE UPDATE FALL 2016 AOSSM gratefully acknowledges and thanks the following members for their 2015 donations – either directly or via OREF – in support of AOSSM Research! AOSSM gratefully acknowledges and thanks the following members for their 2015 donations— Davideither Abrutyn directly MD or via OREF—inJonathan supportF. Dickens MDof AOSSM Research!Lucas S. McDonald MD, PhD Dean C. Taylor MD Mark Alan Adams MD Carl A. DiRaimondo MD Thomas C. McLaughlin MD Samuel A. Taylor MD Sheila Algan MD Jeffrey R. Dugas MD William P. Meehan MD Stephen G. Taylor MD AnsworthDavid Abrutyn A. AllenMD MD Paul BrianD. Fadale T. Feeley MD MD Scott A.Shane Meyer Jay NhoMD MD, MS James E. DanielTibone C. Wascher MD MD ChristinaMark Alan R. Adams Allen MD MD JohnJames A. Feagin D. Ferrari Jr., MD MD Lyle J. RobertMicheli Nicoletta MD MD Fotios P. TjoumakarisThomas L. Wickiewicz MD MD Sheila Algan MD William C. Allen MD BrianGary T. FeeleyB. Fetzer MDMD David R.Barton Moore Nisonson MD MD Bradford JohnS. Tucker H. Wilckens MD MD Answorth A. Allen MD David A. Fischer MD Carl W. Nissen MD Rick D. Wilkerson DO David W. Altchek MD James D. Ferrari MD Martha M. Murray MD John E. Turba MD Christina R. Allen MD Brian Forsythe MD Gordon W. Nuber MD Riley J. Williams III, MD AnnunziatoWilliam C. Allen Amendola MD MD GaryKevin B. Fetzer B. Freedman MD MD Mark C.Brett Mysnyk D. Owens MD MD James C.Kevin Vailas A. Witte MD DO, MBA AllenDavid F. W. Anderson Altchek MD MD DavidFreddie A. Fischer H. Fu MD MD Brian NeffJonathan MD David Packer MD Geoffrey S.Corey Van A. ThielWulf MD MD, MBA ChristianAnnunziato Anderson Amendola MD MD BrianBalazs Forsythe Galdi MD MD BradleyChristopher J. Nelson W. MDPeer MD, MS Nikhil N. VermaAdam Blair MD Yanke MD JohnAllen A. F. Anderson MD MD, MSc KevinA. B.Gregory Freedman Geiger MD MD Shane MarkJay NhoD. Price MD, MD, MS PhD Peter VezeridisAlan L. ZhangMD MD KyleChristian Anderson Anderson MD MD FreddieBrian H. D. FuGiordano MD MD Robert MichaelNicoletta B. Purnell MD MD Armando F. Vidal MD JamesJohn A. R. Anderson Andrews MD, MScMD BalazsJohn Galdi P. Goldblatt MD MD Barton ArunNisonson J. Ramappa MD MD George A.2016 Wade AOSSM MD Donors MichaelKyle Anderson J. Axe MD MD A. GregoryBen K. Graf Geiger MD MD Carl W.Anil Nissen S. Ranawat MD MD Jon B. Wang(as of MD 8.1.16) BernardJames R. R. Andrews Bach MDJr., MD BrianDaniel D. Giordano W. Green MD MD GordonT. W. J. RasmussenNuber MD MD Daniel C. WilliamWascher C. Allen MD MD GeoffreyMichael J. Scott Axe MD Baer MD, PhD JohnRaymond P. Goldblatt Michael MD Greiwe MD Brett D.Scott Owens A. Rodeo MD MD Thomas L.Kyle Wickiewicz Anderson MD MD ChampBernard L. R. BakerBach Jr., Jr., MD MD Ben JoK. A.Graf Hannafin MD MD, PhD JonathanAnthony David A. Romeo Packer MD MD John H. WilckensJeremie M. MDAxe MD ChampGeoffrey L. Scott Baker Baer III, MD, MD PhD DanielWendell W. Green M.R. Heard MD MD ChristopherSeth Rosenzweig W. Peer MDMD, MS Rick D. WilkersonBruce E. Baker DO MD Champ L. Baker Jr., MD Ralph Frank Henn III, MD D. Daniel Rotenberg MD Robert A. Bane MD Raymond Michael Greiwe MD Mark D. Price MD, PhD Riley J. WilliamsKevin P. Black III, MDMD Champ L. Baker III, MD Elliott B. Hershman MD Lucien M. Rouse Jr., MD Craig H. Bennett MD Jo A. Hannafin MD, PhD Michael B. Purnell MD Kevin A. WitteRobert DO,S. Burger MBA MD Robert A. Bane MD Stephen W. Houseworth MD, FACS David L. Rubenstein MD Jay S. Cox MD John A. Bergfeld MD Wendell M.R. Heard MD Arun J. Ramappa MD Corey A. Wulf MD Craig H. Bennett MD Michael J. Hulstyn MD John Paul H. Rue MD Robert W. Frederick MD Eric M. Berkson MD Ralph Frank Henn III, MD Anil S. Ranawat MD Adam Blair Yanke MD John A. Bergfeld MD Stephen S. Hurst MD John B. Ryan MD Andreas H. Gomoll MD RobertEric M. L. Berkson Brand MD MD ElliottChristopher B. Hershman L. Ihle MD MD T. J. RasmussenMatthew J. Salzler MD MD Alan L. ZhangJoseph MD H. Guettler MD RobertRobert D.L. BrandBronstein MD MD StephenArlon H.W. Jahnke Houseworth Jr., MD Scott A.Thomas Rodeo S. SamuelsonMD MD 2016 AOSSMChristopher Donors D. Harner MD HowardRobert D. R. Bronstein Brown MD MD, MD,Darren FACS L. Johnson MD AnthonyMary A. LynnRomeo Scovazzo MD MD (as of 5.1.16)Stephen S. Hurst MD HowardFACS, R. FAAOS Brown MD, FACS, FAAOS MichaelVictor J. R. HulstynKalman DO MD Seth RosenzweigMatthew Scuderi MD MD William C.Robert Allen, E. LeachMD MD JonJon E. E. Browne Browne MD MD StephenLee D. S. Kaplan Hurst MD MD D. DanielRobert Rotenberg M. Shalvoy MD Bruce E. Baker,Vincent K.MD McInerney MD Peter G. Buck MD Ronald P. Karzel MD Clarence L. Shields Jr., MD Peter G. Buck MD Christopher L. Ihle MD Lucien M. Rouse Jr., MD Kevin P. Black,David S. MD Menche MD Charles A. Bush-Joseph MD Bryan T. Kelly MD Theodore Shybut MD Charles A. Bush-Joseph MD Arlon H. Jahnke Jr., MD David L. Rubenstein MD Robert W.Mark Frederick C. Mysnyk MD MD Paul R. Cain MD John D. Kelly IV, MD Paul J. Siatczynski MD Matthew T. Provencher MD Paul R. Cain MD Darren L. Johnson MD John Paul H. Rue MD Andreas H. Gomoll MD JohnJohn Cannizzaro Cannizzaro MD MD VictorPatricia R. Kalman A. Kolowich DO MD John B.Kenneth Ryan M.MD Singer MD Richard K.N. Ryu MD Seth A. Cheatham MD Jeffrey Kreher MD Mark A. Slabaugh MD Christopher D. Harner MD Seth A. Cheatham MD Lee D. Kaplan MD Matthew J. Salzler MD Kenneth M. Singer MD Nathaniel P. Cohen MD Robert E. Leach MD Jeffrey J. Soldatis MD Vincent K. McInerney MD Nathaniel P. Cohen MD Ronald P. Karzel MD Thomas S. Samuelson MD Jeffery J. Soldatis MD Steven B. Cohen MD Chunbong Benjamin Ma MD Jeffrey T. Spang MD David S. MencheJohn A. Steubs MD MD StevenBrian J. B. Cole Cohen MD, MBA MD BryanJeffrey T. Kelly A. Macalena MD MD Mary LynnKurt P.Scovazzo Spindler MD MD Jeffrey J. Soldatis MD BrianJerald J. L. Cole Cooper MD, MD MBA JohnJohn D. KellyD. MacGillivray IV, MD MD MatthewRobert Scuderi A. Stanton MD MD JeraldFrank A.L. CordascoCooper MD, MD MS PatriciaRobert A. P.Kolowich Mack MD MD Robert JohnM. Shalvoy A. Steubs MDMD Help AOSSM fund quality FrankAndrew A. J.Cordasco Cosgarea MD MD, MS JeffreyGregory Kreher B. Maletis MD MD ClarenceDouglas L. Shields J. Straehley Jr., MD MD AndrewJay S. Cox J. MDCosgarea MD RobertMichael E. Leach D. Maloney MD MD TheodoreMiho Shybut Jean Tanaka MD MD research by making a JayEileen S. CoxA. Crawford MD MD ChunbongFrank P. BenjaminMannarino MD Ma MD Paul J. SuzanneSiatczynski M. Tanner MD MD contribution today! www.sportsmed.org/ EileenRalph A.J. CurtisCrawford Jr., MD MD JeffreyAlan A. W. Macalena Markman MD MD KennethDean M. C. Singer Taylor MD MD AOSSMIMIS/Members/ RalphDiane J.L. DahmCurtis MD Jr., MD JohnRichard D. MacGillivray J. Mason MD MD Mark A.Samuel Slabaugh A. Taylor MD MD Fundraising/Donations.aspx DianeJoseph L. P. Dahm DeAngelis MD MD RobertMoira P. McCarthyMack MD MD JeffreyStephen J. Soldatis G. Taylor MD MD JosephJuliet DeCampos P. DeAngelis MD MD GregoryEric C. B. McCarty Maletis MD MD JeffreyJames T. Spang E. Tibone MD MD Kenneth E. DeHaven MD Lucas S. McDonald MD, PhD Fotios P. Tjoumakaris MD Juliet DeCampos MD Michael D. Maloney MD Kurt P. Spindler MD David T. Dellaero MD Thomas C. McLaughlin MD Bradford S. Tucker MD Kenneth E. DeHaven MD Frank P. Mannarino MD Robert A. Stanton MD Peter F. DeLuca MD William P. Meehan MD John E. Turba MD David T. Dellaero MD Alan W. Markman MD Marlene DeMaio MD Scott A. Meyer MD John A.James Steubs C. Vailas MD MD PeterNatasha F. DeLuca N. Desai MD MD RichardLyle J.J. Micheli Mason MD MD DouglasGeoffrey J. Straehley S. Van Thiel MD MD, MBA MarleneJonathan DeMaio F. Dickens MDMD MoiraDavid McCarthy R. Moore MDMD Miho JeanNikhil TanakaN. Verma MD NatashaCarl A. DiRaimondo N. Desai MD MD Eric C.Martha McCarty M. Murray MD MD SuzannePeter M. Vezeridis Tanner MD MD Jeffrey R. Dugas MD Mark C. Mysnyk MD Armando F. Vidal MD Paul D. Fadale MD Brian Neff MD George A. Wade MD John A. Feagin Jr., MD Bradley J. Nelson MD Jon B. Wang MD

AOSSM_2016_Donor_Ad_SMU_v3.indd 1 6/27/16 1:32 PM Washington Update By Julie Williams, AAOS Senior Manager of Government Relations

of Surgeons (ACS), the National Athletic fee system, medical device companies Trainers’ Association (NATA), as well as pay fees to FDA when they register their sports industry groups and professional establishments and list their devices sporting leagues the bill is moving on to with the agency and when they submit the next step in the process with S. 689 applications or notifications to market being introduced by Senators John Thune a new medical device in the U.S. On (R-SD) and Amy Klobuchar (D-MN). August 22, 2016, the FDA and represen- Please take a minute and help us cross tatives from the medical device industry the finish line on this bill by contacting and laboratory community reached an your senator to encourage their support agreement on proposed recommendations. in passing this important legislation. Visit Under the new draft agreement, the FDA advocacy.aaos.org to find your Senator’s would be authorized to collect $999.5 name and contact information. million in user fees starting in October 2017, a 68 percent increase from the last AAOS Sends Letter to CMS Requesting reauthorization in 2012. Finalizing the 90-Day Reporting Period for Meaningful Use 1-Year Grace Period for ICD-10 Codes to End In a letter to Acting Administrator of CMS October 1, 2016 marks the end of a 1-year Andy Slavitt, AAOS along with 20 other grace period that the CMS established organizations, requested the agency expedite for new ICD-10 diagnostic codes and a 90-day reporting period over a full-year will no longer accept unspecified ICD-10 for 2016 for the meaningful use program. codes on Medicare fee-for-service (FFS) Following months of pressure from health claims when a specific one is warranted by Sports Medicine Licensure Bill Passes House care providers, CMS announced the change the medical record. Other major health On September 12, the House passed in a July proposed rule. The proposed insurers that also followed Medicare’s lead H.R. 921, the Sports Medicine Licensure change recommended the EHR reporting on leniency in coding are expected to get Clarity Act introduced by Reps. Brett period for any hospitals or eligible provider tougher, as well. There is a worry that the Guthrie (R-KY) and Cedric Richmond be any continuous 90-day period between end of the grace period could result in a (D-LA). The bill will clarify medical liability January 1, 2016 and December 31, 2016. wave of claims being rejected by Medicare rules to ensure team providers are properly In order to ensure eligible professionals and private insurers. Dr. Pfeifer, MD, who covered by their insurance while traveling (EPs) and eligible hospitals (EHs) are able to sits on the coding and reimbursement with athletic teams in another state. From take advantage of the flexibility associated committee of the AAOS was recently high school to college to professional levels, with the shortened reporting period, it quoted in Medscape Medical News saying, it is important that the men and women is imperative CMS finalize the rule and “The most important thing is what you who are trained to protect and care for make the necessary changes to prepare do for your patient. The second most athletes and who best know the players’ for the first Medicare Access and CHIP important thing is documenting what medical histories are able to engage in Reauthorization (MACRA) program year. you do. The third most important thing the treatment of injured athletes. is sending a bill out the door that gets Thanks to the efforts of many AOSSM MDUFA Reauthorization Update you paid for your work.” members and the support of the AAOS, Over the past year, the Federal Drug American Medical Society for Sports Administration (FDA) has hosted Surgeon General Writes to Physicians Medicine (AMSSM), the American Medical numerous meetings regarding the on Opioid Abuse Association (AMA), the American Academy reauthorization of the Medical Device U.S. Surgeon General Vivek Murthy of Neurology (AAN), American College User Fee Act (MDUFA). Under the user launched the nationwide campaign

 14 SPORTS MEDICINE UPDATE FALL 2016 RESEARCH UPDATE

AOSSM Research Grants Deadline Approaching

Three AOSSM grants fund up “Turn the Tide Rx” in an effort to end the to $120,000 to support research opioid epidemic. Surgeon General Murthy in orthopaedic sports medicine: has called on physicians to take a pledge The Steven P. Arnoczky Young Investigator to: 1) educate themselves to treat pain Grant provides up to $50,000 aimed at safely and effectively, 2) screen patients for providing “seed money,” or start-up funds, opioid use disorder and provide or connect for pilot projects. The grant is available to them with evidence-based treatment, and early career orthopaedic surgeons, fellows, 3) shape how the rest of the country sees or residents with interest in sports addiction by talking about and treating For complete medicine research. it as a chronic illness, not a moral failing. grant guidelines Application deadline: December 1, 2016 The opioid epidemic has been the subject and application instructions of much debate in Washington, D.C. and please visit The Sandy Kirkley Clinical Outcomes beyond. However, this recent action from www.sportsmed.org Research Grant provides up to $20,000 for Dr. Murthy is the first time in history a or e-mail Kevin Boyer, start-up, “seed,” or supplemental funding for surgeon general has sent a letter directly to Research Director, at [email protected]. an outcome research project or pilot study. American physicians. Application deadline: December 1, 2016 Open Payments Data Update The AOSSM/Sanofi Osteoarthritis Grant provides up to $50,000 for 2015 Open Payments data is public, but investigations related to early osteoarthritis (OA) and/or prevention of OA you can still review and dispute records progression through a clinical research study or a lab/basic science project. in the Open Payments system until Proposals do not need to relate specifically to sports injuries and applications December 31. Physicians should check with broad applicability to OA in the general population are encouraged. their data every year—even if they don’t believe there has been data reported on Application deadline: January 1, 2017 them. Drug or device companies can submit older data from previous years. Although the data is old, should it be the first time it has been published, they still Submit Your Manuscript for an AOSSM Research Award have until the end of the year to review and The AOSSM Research Committee The O’Donoghue Award is given dispute information if necessary. If there’s selects three manuscripts of original to the best manuscript submitted anything inaccurate, it is encouraged to research in these categories: concerning clinical based research dispute it quickly. This will let the drug The Excellence in Research or human in-vivo research. and device companies know there is Award is given to the best manuscript All manuscripts submitted by disagreement with their records and gives concerning any topic in sports October 10, 2016 are considered for them a chance to resolve the dispute. medicine research with a primary the 2017 Research Awards. Winners If help is needed with the data review author under the age of 40 at the time receive a $2,000 honorarium and an and dispute process, or if there are any of the AOSSM Annual Meeting. invitation to present their research at questions about how Open Payments works, The Cabaud Memorial Award the 2017 Annual Meeting in Toronto. e-mail the CMS Open Payments Help Desk is given to the best manuscript For complete Research Awards at [email protected]. Find step- submitted concerning hard or soft policies and submission instructions, by-step guidelines, including the review tissue biology, in-vitro research, visit our website at www.sportsmed.org and dispute guide, and more information laboratory or “bench-type” research, or e-mail Kevin Boyer, AOSSM at www.cms.gov/openpayments. or in-vivo animal research. Research Director, at [email protected].

FALL 2016 SPORTS MEDICINE UPDATE 15  UPCOMING MEETINGS & COURSES For information and to register, visit www.sportsmed.org.

2016 Advanced Team The Athlete’s Hip: New 18th Annual AAOS/AOSSM 2017 AOSSM Annual Meeting Physician Course (ATPC) Trends, Evaluation and Sports Medicine Course July 20–23, 2017 (REGISTRATION OPEN) Surgical Management (REGISTRATION OPEN) Toronto, Canada December 8–11, 2016 (REGISTRATION OPEN) February 8–12, 2017 Coronado, California February 10–12, 2017 Steamboat Springs, Colorado The Cutting Edge 2017: Rosemont, Illinois Arthroscopic and Open Specialty Day Shoulder Techniques in March 18, 2017 the Athlete’s Shoulder San Diego, California October 13–14, 2017 Rosemont, Illinois

 16 SPORTS MEDICINE UPDATE FALL 2016 You can imitate all you want, but you’ll never be me.

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AOSSM thanks for their support of Sports Medicine Update. 