Final-Spring/Summer 2000
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N SteadmanSPORTS MEDICINE FOUNDATION VHawkinsOLUME 7 SPRING/SUMMER 2000 An International Center for Research and Education — Keeping People Active PATIENTS IN THE NEWS: SPORTS AND WELLNESS: Spring Back Dave Wyman and Scott Cauchois: By J. Richard Steadman, M.D., Julie Frank, M.S., P.T. and Sean McEnroe, P.T. and the staff of the A Tale of Two Athletes Howard Head Sports Medicine Centers. Until it hurts, most of us don’t think Editor’s Note: The following profiles are based on interviews by much about our backs. However, by Dick Needham. Mr. Needham is Editor of the skier newsletter “Inside Tracks” and Senior Contributing Editor of “Ski Magazine”. middle age, almost everyone has Some athletes have seen their best days. experienced some form of back pain. Others are experiencing their best days. Health care costs related to back And when competing at the highest levels, pain exceed $25 billion annually in the potential for injury has always been — the U.S. alone — and most of this and always will be — there. money is spent on treatment, rather Former pro linebacker Dave Wyman suf- than prevention. fered a knee-ripping, blind-side cut while It’s time to take charge of your life an All-American playing with John Elway at with a fresh look at preventing back Stanford University. It was severe, leading injuries, rather than facing the pain Stanford doctors to wonder if he would and frustration of treating the problem ever walk, let alone play, again. Thanks to after it occurs. Even if you already Dr. Richard Steadman and his team at (Continued on page 8) Steadman-Hawkins, Wyman went on to star with the Seattle Seahawks and Denver Broncos, playing once again with his old STEADMAN HAWKINS RESEARCH pal and teammate John Elway. But there UPDATE were nine knee surgeries along the way. Shoulder Injuries: Scott Cauchois, who went to the Surgery or Rehab? University of Berkeley (Calif.) on a soccer Oratec Heat Probe Found to Correct scholarship, joined an indoor soccer Shoulder Instability league after graduation and tore his ACL By Richard J. Hawkins, M.D. on artificial turf, suffering not only signifi- The shoulder joint has the greatest cant cartilage damage but injury to his range of motion of all joints in the femur as well. Prognosis: Future sports body. Despite the circle of stabilizing participation doubtful. He, too, headed for PHOTO COURTESY OF JOHN KELLY. tissue around the shoulder joint, the Dr. Steadman. extreme range of motion that the shoulder Though it would be a stretch to consider can perform predisposes it to be the most soccer and football the same fields of endeavor, IN THIS ISSUE unstable joint in the body. The gleno- the common denominator in this case was a humeral joint consists of a large humeral new surgery called microfracture. Pioneered International Cartilage head that rotates on a small, shallow gle- by Dr. Steadman in the mid-Eighties, microfrac- Symposium In Vail noid. A circle of stabilizing tissues that ture involves the use of an arthroscopic shaver consist of capsular ligaments, rotator cuff to remove cartilage remnants and surgical awls Kirsch Foundation Supports tendons and muscles surrounds the to make perforations through the subchondral New Website: www.shsmf.org shoulder joint. Capsule laxity is present bone plate, thus allowing access to stem cells to varying degrees in the normal shoulder and promoting important healing factors. and is needed for normal range of motion. NFL Charities To Fund Research Shoulder instability is a condition where (Continued on page 11) the shoulder comes out of the joint and Knee Brace Provides Stability For ACL Injuries (Continued on page 7) 2 SPRING/SUMMER 2000 TOPPER HAGERMAN JOINS FOUNDATION AS COO Drs. Sabick and Shelburne Join Biomechanics Former Director of U.S. Olympic Sports Laboratory Physiology Labs to Head Day-to-Day Operations Michelle Sabick, Ph.D., and Kevin B. Shelburne, Ph.D., have been named senior staff scientists in the Foundation’s Biomechanics Topper Hagerman, Ph.D., Research Laboratory. Dr. Sabick will focus her research on upper- sports medicine con- extremity mechanics, rehabilitation and computer modeling. Dr. sultant to the Shelburne will focus his engineering talents on creating and improving SteadmanNHawkins both upper- and lower-extremity computer models. Sports Medicine Dr. Sabick graduated summa cum laude from Case Western Reserve Foundation and University in 1992. She earned a B.S. degree in biomedical engineering, Steadman-Hawkins with a specialty in biomechanics, later pursuing graduate studies in bio- Clinic has been named mechanics at the University of Iowa. In 1994, Dr. Sabick received her MS Chief Operating Officer degree in biomedical engineering, with specialties in sports biomechan- of the Foundation. Dr. ics and geriatric engineering. In 1996, she led a student design team that Hagerman joined Dr. won first place in the United States Olympic Committee’s Sport Science Steadman in South and Technology Design Contest. She completed her Ph.D. in biomedical Lake Tahoe, Calif. in engineering with a specialty in biomechanics at The University of Iowa in 1984 to help develop fit- 1997. Her thesis was entitled “The Effects of Fall Direction and ness and rehabilitation Protective Responses on the Likelihood of Hip Fracture in Falls.” protocol for Dr. Foundation COO Dr. Sabick was awarded a National Research Service Award Post- Steadman’s patients. Topper Hagerman, Ph.D. Doctoral Fellowship to conduct research at the Orthopedic Biomechanics From 1982 to 1984 he was sports physiologist and trainer for the Laboratory at the Mayo Clinic in Rochester, Minn. Her research there U.S. Men’s Alpine Ski Team and the gold-medal-winning 1984 included studies of upper-extremity biomechanics in wheelchair propul- U.S. Olympic Alpine Ski Team. Between 1977 and 1982, he sion, muscle activation in golfers, and wrist-ligament functions. headed up the Sports Physiology Labs at the U.S. Olympic Dr. Shelburne received his B.S. degree in mechanical engineering Training Centers in Colorado Springs and Squaw Valley, Calif. from Texas A&M University in 1985. He was awarded his M.S. in He began his career as an assistant professor of Sports mechanical engineering in 1988 from Texas A&M, where he specialized Science at Syracuse University. in robotics. Before returning to graduate study at the University of Texas Said Dr. Steadman, “Topper brings a unique blend of at Austin, Dr. Shelburne spent three years working on the International research and practical application to the Foundation with his Space Station background in conditioning and rehabilitation. He has tested, project at coached and designed conditioning and rehabilitation programs McDonnell Douglas for more elite athletes in this country than anyone I know. One Space Systems. In of his greatest strengths is in building project-based teams and 1997, he received getting people to work toward a common goal. As an exercise his Ph.D. in physiologist, he understands the research process. Topper also mechanical engi- knows the staff and has been an integral part of the Foundation neering from the since its beginning in 1988.” University of Texas, Said Dr. Hagerman, “ I have seen the Foundation grow from specializing in bio- one employee in South Lake Tahoe to nearly 20 full-time mechanics. His employees today. This represents tremendous growth and Drs. Shelburne, Sabick and Biomechanics Research work focused on Laboratory Director Dr. Michael Torry. shows just how important the Foundation has been to the computer modeling Steadman-Hawkins Dream.” and the simulation A graduate of the University of Wisconsin-LaCrosse, Topper of human mechanics for the design of joint replacements, surgical received his B.S. Degree in 1968. In 1974, he received his M.A. procedures and rehabilitation protocols. and in 1976 his Ph.D. from Ohio State University. He is widely Prior to joining the Foundation, Dr. Shelburne was senior engineer for published in medical and sports medicine literature and has Lockheed Martin Astronautics, in Denver, Colo., and was responsible for authored a series of four books for Bantum: Efficiency Cycling, design and analysis of structures and mechanisms for NASA’s new Racquet Sports, Swimming, and Walk-Jog. I launch-vehicle development. SPRING/SUMMER 2000 3 Foundation to Host International Cartilage Pharmacia Corporation is a leading global pharmaceutical Symposium company created through the merger of Pharmacia & Upjohn with Monsanto Company and its G.D. Searle unit. Pharmacia The first International Cartilage Symposium in Vail, Colorado has a broad product portfolio, a robust pipeline of new medi- scheduled for August 18th-19th, 2000, will be hosted by the cines, and an annual investment of more than $2 billion in SteadmanNHawkins Sports Medicine Foundation and the pharmaceutical research and development. Steadman Hawkins Clinic. The three-day meeting will feature a Pfizer Inc is a research-based global pharmaceutical com- world-renowned, international faculty of orthopaedic surgeons, pany that discovers, develops, manufactures and markets each of whom has pioneered innovative procedures for treating innovative medicines for humans and animals. The company articular cartilage injuries. reported revenues of more than $16 billion in 1999 and spent Co-chairs of the event are Dr. J. Richard Steadman, founder of more than $3.2 billion on research and development. the SteadmanNHawkins Sports Medicine Foundation and princi- For further information, please contact Holly Horvath, pal of the Vail-based Steadman Hawkins Clinic, and Dr. Martin education coordinator for the SteadmanNHawkins Sports Boublik, principal of the Steadman-Hawkins Clinic's Denver office. Medicine Foundation at (970) 479-5788. I The two-day meeting for practicing orthopaedic surgeons will include academic sessions and cadaver laboratory demonstrations. Confirmed symposium faculty includes: STEADMAN-HAWKINS NAMED COLORADO ROCKIES’ • Dr. J. Richard Steadman, who will present a lecture/demon- TEAM PHYSICIANS stration on microfracture, a surgical procedure he has developed Foundation Research to Play Key Role that recruits stem cells from bone marrow to form new cartilage over areas in the joint where bare bone is exposed.