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Hospital for Special Surgery: Specialists in Mobility Spring 2005 2004 Annual Report

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Hospital for Special Surgery: Specialists in Mobility Spring 2005 2004 Annual Report HOSPITAL FOR SPECIAL SURGERY: SPECIALISTS IN MOBILITY SPRING 2005 Horizon 2004 ANNUAL REPORT Horizon IN THIS ISSUE: Achieving a Lifetime of Mobility 1 Generations on the Go: Freedom of Movement at Every Age 8 HSS Patients: Then and Now 28 Friends for Life: Ensuring the Future of HSS 32 2004 Leadership Report 34 Financial Report 42 Professional Staff, Management, and Volunteers 45 Contributing Friends 51 Benefactors of the Campaign for Research 61 Officers and Board Members 72 The Gift of a Lifetime 73 Executive Editorial Board Design On the cover: Stephen A. Paget, MD Arnold Saks Associates From the very young to the Aldo Papone, Chairman Printing young at heart, and from John R. Reynolds Monroe Litho Deborah M. Sale grandchildren to grandparents, Thomas P. Sculco, MD Cover and Major Photography so many of life’s pleasures Robert Essel occur while in motion. At HSS, Editor-in-Chief Josh Friedland Other Photography clinicians and scientists confront Brad Hess the myriad musculoskeletal Managing Editor Linda Errante problems that threaten to Horizon is published twice impair mobility at any stage of Assistant Editor a year by the Development life and embrace the personal Rachel Olszewski Department, Hospital for Special and professional goals of patients Surgery, 535 East 70th Street, whose paramount desire is to New York, NY 10021. remain action-oriented. rom the moment of birth, each person embarks on a Flifetime journey of growth and change. The ability to maintain mobility and independence is integral to the enjoyment of each phase of that journey – from infancy, through childhood, middle age, and the later years. Every day – through medical advances, surgical innovations, and cutting-edge research – the skilled physicians and health care professionals of Hospital for Special Surgery pursue a singular mission: to restore quality of life to all who seek our care for musculoskeletal problems. From Infancy to Older Adulthood: Achieving a Lifetime of Mobility ® Achieving a Lifetime Birth to 5 of Mobility Taking Steps in the Right Direction An amazing number of functional milestones occur in the early years. In the first year, a baby can sit up and crawl. As they become toddlers, Cerebral Palsy they are able to walk alone and climb stairs. Cerebral palsy is a functional By age 3, they can ride a tricycle. With increased disorder caused by damage to motor ability at 5, a child can skip and get the immature brain during pregnancy, delivery, or shortly dressed. But when musculoskeletal conditions after birth. Characterized by interfere with these milestones, HSS physicians • movement disorders, such as offer expert care for the child and kindness spasticity, purposeless move- ments, and lack of balance, for the families. children with cerebral palsy may also experience seizures, Spina Bifida abnormal speech, hearing Spina bifida is a congenital, and visual impairments, and neurological condition in mental retardation. • which part of the spinal cord – normally protected within the Osteogenesis Imperfecta vertebral column – develops • Osteogenesis Imperfecta (OI) – outside of the body, causing commonly known as the loss of sensation and severe “brittle bone” disorder – is a muscle weakness in the lower genetic condition character- part of the body. This condi- ized by bones that break tion is often associated with an easily, often from little or no abnormal buildup of pressure apparent cause. A child with of spinal fluid in the brain OI can break a rib while that can result in retardation coughing, or a leg by rolling unless surgically treated. over in his or her sleep. Clubfoot Developmental Dysplasia Clubfoot is a congenital defor- of the Hip mity that occurs in about one Developmental dysplasia of in every 1,000 births in the the hip (DDH) is a congenital • U.S. The affected foot tends to • condition where the hip joint be smaller than normal, with of a newborn baby is dislocated the heel pointing downward or prone to dislocation. In a and the forefoot turning inward. baby with DDH, the hip The heel cord (Achilles ten- socket is abnormally shallow, don) is also tight, causing the which prevents a stable fit of heel to be drawn up to the leg, the femur, or thigh bone. Slack making it impossible to put ligaments may also allow the the foot flat on the ground. femur to slip out of joint. 2 Achieving a Lifetime 6 to 12 of Mobility Helping Kids On the Go By 6 to 8, children can use a scissors and tie their shoelaces. Seven- to nine-year-olds learn to use their small muscle skills to print words and large muscle skills to catch a fly ball. By nine through 12, they are into sports, very active, and self-aware. When musculoskeletal conditions affect this age group, HSS staff are not only treatment experts, they are also attuned to issues of self-esteem. Juvenile Arthritis Juvenile arthritis is the term used for all the types of arthritis that affect children. The most Growing Pains prevalent form is juvenile • Growing pains refer to the pain rheumatoid arthritis – an in muscles or joints sometimes autoimmune disease in which experienced by children and the white blood cells lose the often attributed to rapid ability to tell the difference growth. Typically, they occur in between healthy cells and • children between ages three bacteria and viruses. The and eight years. Most often the immune system instead episode occurs a few hours releases chemicals that can after sleep, but can happen in damage healthy tissues. the middle of the night. Pain is almost always in a large joint, Limb Length Discrepancy such as the knee. The pain Differences between lengths of usually disappears within 10 to the arms or lower legs are 15 minutes and is gone in the called limb length discrepancy morning. The pains may disap- (LLD). The causes include a pear for months or a year, and previous injury, bone infection, then start up again during bone diseases, inflammation, another period of rapid growth. and neurological conditions. Previously broken bones may cause LLD by healing in a • shortened position. Other causes may include a break in a child’s bone through a growth center causing slower growth of the limb. 3 Achieving a Lifetime 13 to18 of Mobility Keeping Teens on Track During adolescence, a child experiences the greatest amount of growth. Teens will enter puberty and notice changes in their developing bodies as fat deposits and muscles change shape. Adolescents express a desire for privacy, concern about “fitting in,” and participate in more risk-taking behaviors. Sports play a huge role in many of their lives. At HSS, understanding these issues is key to preventing injury, treatment, and recovery. Sports Injuries Four million children under Scoliosis the age of 15 are hurt every Scoliosis is a condition in year, either playing on the which the spine curves to one playground or participating in side or the other in the tho- team sports. These injuries racic and/or lumbar areas. can include sprains, strains, Scoliosis may appear in more and fractures. However, the than one member of a family more rapidly children grow, in the same or different gener- the more susceptible they are ations. Most curves can be • to injury at bone growth sites (knee, heel, shoulder, elbow, treated nonoperatively if they • are detected before they hip, and back). If growth site become too severe. injuries are not diagnosed accurately and treated properly, Trauma they can lead to chronic pain, Orthopedic trauma is preva- traumatic arthritis, deformity, lent among teens, and can and stunted bone growth. include simple and complex fractures, soft-tissue injuries, and sprains resulting from • falls, automobile accidents, and sports participation. If not treated early and correctly, the injuries can result in severe arthritis at an early age. 4 Achieving a Lifetime 19 to 35 of Mobility Enhancing the Lives of the Young and Active During this period, an individual becomes an independent adult. Young men and women leave home for college or a career; many will start a family. Building bone mass, physical fitness, and attention to diet are key to remaining healthy. Helping to maintain active lifestyles for this age group is a priority for HSS physicians, surgeons, and health care professionals. Trauma Trauma injuries continue as a potential threat for this age group, resulting from sports participation, automobile acci- Sports Injuries dent, or job-related mishaps. • These can result from an The resulting complex frac- accident on the field or on the tures or severe back condi- slopes, poor training practices, tions can cause chronic pain improper equipment, lack of • and post-traumatic arthritis. conditioning, or insufficient warm-up and stretching. Back Pain Professional athletes and Eight out of 10 people will weekend warriors alike can experience back pain at some suffer injuries of the knee, point in their lives. Risk fac- shoulder, and other joints. The tors include age, heavy lifting, goal of treatment is to return obesity, poor posture, and • patients to pre-injury activi- repetitive movements. Pain ties or level of play, to help can come from muscles, them remain as active as ligaments, nerves, discs, or possible, and to prevent future bones. Symptoms include degenerative disease such as spasms and pain that radiates osteoarthritis. to the thighs, buttocks, or arms. 5 Achieving a Lifetime 36 to 65 of Mobility Promoting Peak Condition in the Prime of Life Middle age is marked by competence, maturity, and stability. This is the time when Lupus one wants to enjoy the success of a career An illness in which parts of and derive satisfaction from family and the immune system go awry, social life. At HSS, physicians and scientists lupus affects women nine times as often as men and are engaged in researching the causes of African-Americans four times and advancing the latest treatments for a • as often as whites.
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