NOVEMBER/DECEMBER 2010
www.sportsmed.org
N E W S L E T T E R O F T H E A M E R I C A N O R T H O P A E D I C S O C I E T Y F O R S P O R T S M E D I C I N E
Grandfather Optionfor SubspecialtyCertification EndingTraveling FellowshipTour RecapVolunteer for the Society
NON-CONTACTACLINJURIES
CO-EDITORS
EDITOR William N. Levine MD
EDITOR Daniel J. Solomon MD
MANAGING EDITOR Lisa Weisenberger
ISSUE EDITOR Kristi Overgaard
PUBLICATIONS COMMITTEE
Daniel J. Solomon MD, Chair
Kenneth M. Fine MD
Robert A. Gallo MD
Richard Y. Hinton MD
David M. Hunter MD
Grant L. Jones MD
John D. Kelly IV MD
William N. Levine MD
Brett D. Owens MD
Kevin G. Shea MD
Brian R. Wolf MD, MS
BOARD OF DIRECTORS
PRESIDENT Robert A. Stanton MD
PRESIDENT-ELECT Peter A. Indelicato MD
VICE PRESIDENT Christopher R. Harner MD
SECRETARY Jo A. Hannafin MD, PhD
SECRETARY-ELECT James P. Bradley MD
TREASURER Robert A. Arciero MD
TREASURER-ELECT Annunziato Amendola MD
UNDER 45 MEMBER-AT-LARGE David R. McAllister MD
UNDER 45 MEMBER-AT-LARGE Mininder S. Kocher MD
OVER 45 MEMBER-AT-LARGE Mark E. Steiner MD
PAST PRESIDENT James R. Andrews MD
PAST PRESIDENT Freddie H. Fu MD
COUNCIL OF EDUCATION Andrew J. Cosgarea MD
COUNCIL OF RESEARCH Constance R. Chu MD
COUNCIL OF COMMUNICATIONS Daniel J. Solomon MD
EX OFFICIO COUNCIL OF DELEGATES Patricia A. Kolowich MD
JOURNAL EDITOR, MEMBER EX OFFICIO Bruce Reider MD
AOSSM STAFF
EXECUTIVE DIRECTOR Irv Bomberger
MANAGING DIRECTOR Camille Petrick
DIRECTOR OF FINANCE Ken Hoffman
EXECUTIVE ASSISTANT Sue Serpico
ADMINISTRATIVE ASSISTANT Mary Mucciante
DIRECTOR OF CORPORATE RELATIONS Debbie Cohen
DIRECTOR OF RESEARCH Bart Mann
DIRECTOR OF COMMUNICATIONS Lisa Weisenberger
COMMUNICATIONS ASSISTANT Joe Siebelts
DIRECTOR OF EDUCATION Susan Brown Zahn
SENIOR ADVISOR FOR CME PROGRAMS Jan Selan
EDUCATION & FELLOWSHIP COORDINATOR Heather Heller
EDUCATION & MEETINGS COORDINATOR Pat Kovach
MANAGER, MEMBER SERVICES & PROGRAMS Debbie Turkowski
EXHIB ITS & ADMIN COORDINATOR Michelle Schaffer
AOSSM MEDICAL PUBLISHING GROUP
MPG EXECUTIVE EDITOR AND AJSM EDITOR Bruce Reider MD
AJSM SENIOR EDITORIAL/PROD MANAGER Donna Tilton
SPORTS HEALTH EDITORIAL/PROD MANAGER Kristi Overgaard
SPORTS MEDICINE UPDATE is a bimonthly publication of the American Orthopaedic Society for Sports Medicine (AOSSM). The AmericanOrthopaedic Society for Sports Medicine—a world leader in sports medicine education, research, communication, and fellowship—is a nationalorganization of orthopaedic sports medicine specialists, including national and international sports medicine leaders. AOSSM works closely withmany other sports medicine specialists and clinicians, including family physicians, emergency physicians, pediatricians, athletic trainers, andphysical therapists, to improve the identification, prevention, treatment, and rehabilitation of sports injuries.
This newsletter is also available on the Society’s Web site at www.sportsmed.org.
TO CONTACT THE SOCIETY: American Orthopaedic Society for Sports Medicine, 6300 North River Road, Suite 500, Rosemont, IL 60018,Phone: 847/292-4900, Fax: 847/292-4905.
1 From the President
6 STOP Sports InjuriesSprints Ahead to 2011
8 Membership News
9 T. David Sisk Awardsfor Research Excellence
9 Society News
11 Research News
11 Names in the News
12 Traveling FellowshipTour Recap
14 Volunteer for AOSSM
16 Upcoming Meetingsand Courses
2 Team Physician’s CornerNon-Contact ACL Injuries: The Importanceof Axial Compressive Forces
NOVEMBER/DECEMBER 2010
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November/December 2010 SPORTS MEDICINE UPDATE 1
FROM THE PRESIDENT
SPORTS MEDICINE IS A TEAM ENDEAVOR, and our Society has worked hard over the years tostrengthen and expand the interdisciplinary nature of the profession. Sports Health: A Multidisciplinary Approach, underthe editorial guidance of Ed Wojtys, MD, is emerging as not just a strong benefit for AOSSM members, but also aninvaluable educational resource for our colleagues in other professions. Several recent developments are especially worthnoting for their clinical significance, as well as for their benefit to you as members.
Robert A. Stanton, MD
Concussion Data
The November/December issue of Sports Health: A MultidisciplinaryApproach generated considerable attention with the publicationof Twelve Years of National Football League Concussion Data.Concussion is one of the pre-eminent issues in all of contact sports,and this epidemiological study contains the most comprehensiveand expansive data to date on this issue, covering two successive6-year periods between 1996 and 2007. This is important data,and the authors’ decision to publish it in Sports Health is atestament to the publication’s multidisciplinary reach throughits 25,000 readers and its reputation as a rigorous, balancedpeer-reviewed journal.
T. David Sisk Excellence in Research Awards
Sports Health was launched to provide a broad scientific forumto debate the latest clinical science in sports medicine. This was thevision of the AOSSMMedical Publishing Board under the leader-ship of T. David Sisk, MD, and the concussion study is but oneof many examples illustrating how Sports Health is fulfilling thatvision. To help maintain that vision, the Society and the MedicalPublishing Board have established the T. David Sisk Excellence inResearch Awards in basic science, clinical science, and internationalpapers. Each year, these three prestigious awards will be presented tothe best paper in each category that was published in Sports Health.
Those who worked with or studied under David know thathe had the most exacting standards for quality research andpublication, and we want these awards to not just honor thatspirit but to set the bar for quality education in Sports Healthfor the entire sports medicine community. David was a mentorand inspiration to me. It is a great honor to announce thisaward to commemorate his vision.
Sponsored Subscription for ATCs
As AOSSM members, you receive Sports Health as a benefit ofmembership, along with many other benefits, such as the AmericanJournal of Sports Medicine.While athletic trainers may purchaseSports Health through the National Athletic Trainers’ Association(NATA) at a special price, the cost is still an obstacle to many ofthese professionals at the community level, especially if they arenot affiliated with a university that has extensive library scienceresources. Therefore, we are rolling out a program—exclusive toAOSSM members—in which you can purchase gift subscriptionsfor athletic trainers in your community at a fraction of thenormal subscription price. The special rate of $45 for a 1-yearsubscription ($7.50 per issue) allows you to give one or moresubscriptions to athletic trainers in your community. Just go tothe AOSSM website and complete the online subscription form.
I can think of no better way to show your support for ourATC colleagues by providing them with current, scientific, andpractical information in caring for athletes. A sponsored SportsHealth subscription is an economical, thoughtful gift that willkeep on giving each time the journal publishes a new issue.
As president, I take great satisfaction realizing that with onlytwo years of publication, Sports Health is already fulfilling thevision of T. David Sisk and providing critical scientific informationthat will enable our profession to flourish. Recognizing andpublishing the most important research will strengthen ourclinical practice, and sharing that information with our ATCcolleagues can only strengthen the fabric of the sports medicinecommunity—a benefit not just for AOSSM, but for all!
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2 SPORTS MEDICINE UPDATE November/December 2010
The key to optimizing ACL injury preventionstrategies is an understanding of the mechanisms of non-contactACL injury because the majority (70 percent) of ACL injuries fallinto this category.1,2 An important concept that has been overlookeduntil recently is that axial compressive forces on the lateral aspect ofthe joint are critical to the non-contact injury.3,4 Thus, the purposeof this article is to describe how axial impulsive forces lead to ACLdisruption by buckling the leg and that valgus forces and quadriceps’compressive-anterior forces may contribute to injury by loweringthe force threshold for this disruption.
NON-CONTACT ACL INJURIES: THEIMPORTANCE OF AXIAL COMPRESSIVE FORCES
T E A M P H Y S I C I A N ’ S C O R N E R
BARRY P. BODEN, MDThe Orthopedic CenterRockville, MD
JOSEPH S. TORG, MDTemple UniversityPhiladelphia, MD
FRANCES T. SHEEHAN, PHDThe National Institutes of HealthBethesda, MD
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Axial/Compressive ForcesHsu and Torg were the first to hypothesizethat an axial compressive force on theknee may result in non-contact ACLinjury.5 Histologically, such compressiveforces cause occult microcracks at theinterface between cartilage and subchondralbone consistent with ACL bone bruisesfound on MRI after injury. In a cadavericstudy, Meyer and colleagues3 confirmedthat the dominant factor leading to ACLfailure was a compressive force actingon the posterior tibial slope which resultsin posterior displacement of the femoralcondyle on the tibial plateau. Theseexcessive joint compressive forces resultprimarily from inadequate absorption ofthe ground reaction forces by the lowerleg during an impact landing, but bothquadriceps and hamstring contractionlikely contribute as well.
Current literature supports the conceptthat adding a compressive force to theknee joint, during the transition fromnon-weight-bearing to weight-bearing,results in anterior translation of the tibia,relative to the femur. Several authors havedemonstrated that an axial weight-bearingcompressive force combined with increasedtibial posterior slope produces increasedanterior tibial translation and force inknees with intact or deficient ACLs.
Whole Body DynamicsWhen an individual performs a one-leggedlanding maneuver that results in anon-contact ACL injury, the joint segmentsof the leg are not effective in synergisticallydampening ground reaction forces (GRFs)in an accordion-like fashion. A recentvideo-based analysis by Boden et al.4
demonstrated key dynamic elements associ-ated with non-contact ACL rupture and wasable to identify a “safe” and a “provocative”single leg landing position (Figure 1).Although there was a trend toward less kneeflexion in the injured athletes, this studyrevealed no significant difference in kneeflexion angle between subjects and controls.Injured athletes initially contacted theground with the hindfoot or with a flatfoot,whereas the athletes that did not rupturetheir ACL landed on their forefoot. Thisresulted in the ACL-ruptured subjectsreaching the flatfoot position significantlysooner (50 percent) than controls.4
This shorter time span for decelerationincreases the impulsive force acting on theknee. The impulsive force is directly relatedto the change in velocity and inverselyrelated to the time required for the change.Thus, if it is assumed that both the injuredand control athletes experience the samechange in velocity and have the same mass,then the shorter stopping time for the
injured athletes results in a higher impulsiveforce. An analogy is a head-on car accident.The crumple zone of a car, as well as adeployed airbag, slow the time of impact,resulting in lower forces reaching thedriver. In addition, the reduced timefor deceleration decreases the ability ofthe calf muscles to contract and perform
November/December 2010 SPORTS MEDICINE UPDATE 3
Figure 1. Initial foot contact with groundof an injured (A) and uninjured (B) athletedemonstrating dangerous (A) and safe (B)landing posture (Reprinted with permissionfrom Boden BP, Torg JS, Knowles SB,Hewett TE. Video Analysis of AnteriorCruciate Ligament Injury Abnormalitiesin Hip and Ankle Kinematics. Am J SportsMed. 37(2): 252-259, 2009).
Figure 2. Illustration of tibialplateau as leg transitionsfrom safe to provocativeposition demonstratesmore vertical tibial plateauin the provocative position(Adapted with permissionfrom Boden BP, Breit I,Sheehan FT. Tibiofemoralalignment: ContributingFactors to NoncontactAnterior Cruciate LigamentInjury. J Bone Joint SurgAm. 91: 2381-2389, 2009).
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their force absorption function, allowing agreater percentage of the GRF to reach theknee. In contrast, the plantarflexed anklein the safe position protects the ACL byincreasing the time to dissipate the forces.Maximum peak vertical GRFs experiencedby one-leg landings after jumping maneuvershave been estimated to range from two toeighteen times body weight. Since landingforces can easily exceed 3500 N, if the calfmuscles do not absorb a large portion ofthese forces, the threshold to tear the ACL(2160 N) can easily be exceeded. Thereforelanding on the forefoot may be one of themost crucial aspects of preventing ACL injury.
Tibiofemoral KinematicsAn MRI study in normal subjects byBoden et al. demonstrated that thelimb alignment differences between theprovocative position and the safe positiontended to place the tibiofemoral jointinto a position where ACL injury is morelikely.6 Specifically, as knee extension andhip flexion increases in the provocativeposition, the angle between the tibialplateau and the femoral shaft increases orchanges from horizontal to more vertical(Figure 2). This effective increase in theposterior tibial plateau in the provocativeposition may promote an anterior tibialshift, thereby straining and potentiallytearing the ACL. Decreasing the posteriortibial slope has been demonstrated toconvert an anterior tibial thrust to aposterior tibial shift with an axialweight-bearing load.
The MRI study also reveals that as theleg moves toward the provocative position,6
the point of contact on the lateralcompartment moves closer to the sulcuson the lateral femoral condyle, and thepoint of contact moves from the rounder,posterior portion of the lateral femoralcondyle to the flatter, anterior portion ofthe lateral femoral condyle, which has agreater radius of curvature. Hence, in theprovocative position when contact occursbetween the flatter anterior portion of thelateral femoral condyle and the convexlateral tibial plateau, sliding (pivot shift) is
favored over rolling (Figure 3). In the safeposition and with additional knee flexion,the contact point moves to the rounderposterior aspect of the lateral femoralcondyle and rolling is favored over sliding.The anatomic configuration of the medialcompartment of the knee (round condyleon a concave tibial plateau) is inherentlymore stable than the lateral compartmentand favors rolling over sliding.
Knee Abduction (Valgus)The contribution of valgus forces to ACLdisruption has been controversial. Markolfet al. demonstrated that valgus moment didnot significantly load the ACL and thatvalgus rotation was not associated with ACLinjury.7 Further, valgus rotation associatedwith non-contact ACL injury, as documentedin previous studies, may only occurpost-injury.1,4 However, Hewett et al.
4 SPORTS MEDICINE UPDATE November/December 2010
Figure 3. Illustration of (A) medial compartment demonstrates medial plateau is concave(left), thus the femur fits with the tibia as “ball” fitting into a “cup.” The femur could sliderelative to the tibia, but it runs up against the cup, so it tends to roll instead (right).(B) The cup is flatter on the lateral tibial plateau (left), resulting in lesser forces when thefemur tries to slide (right) In this figure, the lateral femoral condyle is assumed circular,which it is not. C: In full extension, the anterior side of the femur, which is much flatterthan the posterior aspect is in contact with the tibial plateau (left). Thus, there are two“flat” surfaces riding against each other. For the femur to roll on the tibia, its posteriorside must rise, which costs energy. Thus, it is more likely to slide (right). (Reprintedwith permission from Boden BP, Torg JS, Knowles SB, Hewett TE. Noncontact AnteriorCruciate Ligament Injuries: Mechanisms and Risk Factors. JAAOS. 18(9):520-527, 2010.)
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1. Boden BP, Dean GS, Feagin JA, Jr., Garrett WE, Jr. Mechanismsof anterior cruciate ligament injury. Orthopedics. 2000;23:573-578.
2. Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuriesin female athletes: Part 1, mechanisms and risk factors. Am J SportsMed. 2006;34:299-311.
3. Meyer EG, Baumer TG, Slade JM, Smith WE, Haut RC.Tibiofemoral contact pressures and osteochondral microtraumaduring anterior cruciate ligament rupture due to excessivecompressive loading and internal torque of the human knee.Am J Sports Med. 2008;36:1966-1977.
4. Boden BP, Torg JS, Knowles SB, Hewett TE. Video analysis ofanterior cruciate ligament injury: abnormalities in hip and anklekinematics. Am J Sports Med. 2009;37:252-259.
5. Hsu V, Stearne D, Torg JS. Elastic instability, columnar buckling,and non-contact anterior cruciate ligament ruptures: a preliminaryreport. Temple University Journal of Orthopaedic Surgery and SportsMedicine. 2006;1:21-23.
6. Boden BP, Briet I, Sheehan F. Tibiofemoral alignment: contributingfactors to noncontact anterior cruciate ligament injury. J Bone JointSurg Am. 2009;91:2381-9.
7. Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, FinermanGA, Slauterbeck JL. Combined knee loading states that generate highanterior cruciate ligament forces. J Orthop Res. 1995;13:930-935.
8. Hewett TE, Myer GD, Ford KR, Heidt RS, Jr., Colosimo AJ,McLean SG, van den Bogert AJ, Paterno MV, Succop P.Biomechanical measures of neuromuscular control and valgus loadingof the knee predict anterior cruciate ligament injury risk in femaleathletes: a prospective study. Am J Sports Med. 2005;33:492-501.
9. Chaudhari AM, Andriacchi TP. The mechanical consequences ofdynamic frontal plane limb alignment for non-contact ACL injury.J Biomech. 2006;39:330-338.
10. Chappell JD, Creighton RA, Giuliani C, Yu B, Garrett WE.Kinematics and electromyography of landing preparation in verticalstop-jump: risks for noncontact anterior cruciate ligament injury.Am J Sports Med. 2007;35:235-241.
11. van Eijden TM, de BW, Weijs WA. The orientation of the distalpart of the quadriceps femoris muscle as a function of the kneeflexion-extension angle. J Biomech. 1985;18:803-809.
References
November/December 2010 SPORTS MEDICINE UPDATE 5
demonstrated a reduced risk of sustainingan ACL injury with training programsfocused on lowering the knee abductionmoments.8 In addition, Chaudhari andAndriacchi9 demonstrated that increasingthe valgus alignment by 2° lowered thecompressive load threshold for ACL injuryby 1 body weight. Therefore the higherQ-angle and abduction moments in femaleathletes likely increase the axial forces onthe lateral aspect of the knee lowering thethreshold for ACL rupture, thus explainingwhy female athletes have a higher incidenceof ACL injury than male athletes.
Quadriceps ForceChappell et al. postulated that the anteriorvector of the quadriceps is the primarycontributing force to ACL injury, as it isone of the primary producers of anteriorknee force at or near full knee extension.10
However, due to the shallow angle ofthe patellar tendon (10 to 25 degrees atfull extension),11 the quadriceps primarilygenerates a compressive tibio-femoral jointforce and the anterior force is only a minorcomponent (Figure 4). The compressivevector of a quadriceps contraction is atleast twice that of the anterior shear vectorwith the knee close to full extension.11
In addition, the bone bruises seen on
MRI after non-contact ACL injury aremore consistent with an impaction injurythan the application of excessive anteriorforce. Therefore, it is more likely thata quadriceps contraction contributes toACL injury by increasing the compressiveloads on the tibiofemoral joint ratherthan through the introduction of alarge anterior force.
Summary and ConclusionsIn conclusion, the authors propose thatthe primary force resulting in non-contactACL injury is an external impulsive axialforce. The provocative position of initialground contact in or close to a flatfootedposition (reduced ankle plantarflexion)and increased hip flexion predisposes theknee to an ACL disruption by reducingthe legs damping capabilities and by placingthe lateral tibial compartment closer tothe subluxed position. Knee abduction(valgus) also may play a role, especiallyin female athletes, by potentially reducingthe compression force threshold toproduce a non-contact ACL injury.While anterior shear forces from thequadriceps may play a role in disruptionof the ACL, it is more likely that aquadriceps contraction lowers the axialthreshold of injury by increasing thecompressive force on the knee. Therefore,it is probable that the mechanism causingnoncontact ACL injury simulates thepivot shift test in ACL deficient patients.Although further research is necessaryto understand the importance of thevarying components of ACL injury, themechanism of non-contact ACL injuryis becoming clearer and should resultin enhanced preventive strategies.
Figure 4. Figure demonstrating the angleof the patella tendon attaching to the tibialtubercle. Since the angle is low (less than45°) the compressive vector (Fc) is largerthan the anterior shear vector (Fas).(Reprinted with permission from BodenBP, Torg JS, Knowles SB, Hewett TE.Noncontact Anterior Cruciate LigamentInjuries: Mechanisms and Risk Factors.JAAOS. 18(9):520-527, 2010.)
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The STOP SportsInjuries campaignlooks forward togreat things inthe future whilelooking back atan exciting year.
In the few monthssince our spring launch,
13 national health organizations,17 medical institutions, 50 sports medicine practices, andadditional sports and recreation programs have joined thecause. The efforts of these groups are crucial in spreadingthe message across the country as we continue to grow innumbers. Thank you for the support! In keeping with thisgrowth, we have planned additional tip sheets, includinglacrosse, rowing, wrestling, figure skating, martial arts, andsoftball. Keep up-to-date on the release of these excitingnew resources by connecting with STOP Sports Injurieson Facebook and Twitter. Please contact Joe Siebelts [email protected] with questions or for more information.
Community InvolvementNew SupportersThe high school sports site SASports.com and sports medicinesurgeons from the San Antonio Orthopaedic Group showeda commitment to keeping kids in the game by joining theSTOP Sports Injuries campaign. At an area press conferenceon September 8, the two groups shared their goal of reachingout to the community with tips for young athletes to play safeand stay healthy. “The old adage ‘No pain, no gain,’ used withprior generations of athletes needs to be tempered, with ashift to one that says, ‘listen to your body’s warning signals,’”commented Brad Tolin, a sports medicine surgeon withthe San Antonio Orthopaedic Group. The San Antonio
Orthopaedic Group plans to distribute STOP Sports Injuriesresources in their seven clinics, and both groups will shareinformation on their Web sites.
We also welcome these new supporters:Carondelet Orthopaedics, Kansas City, MissouriGaston Rehab Associates, Inc., Gastonia,North CarolinaMUSC Sports Medicine, Charleston, South CarolinaSports Medicine Associates of San Antonio,San Antonio, Texas
Expert AdviceMike Mejia, founder and president of B.A.S.E. SportsConditioning, Inc. and a STOP Sports Injuries supporter,began regularly contributing posts to our blog site. Mejia’sbackground in youth athletic development makes him a wealthof information and a great resource for the campaign. Postson topics such as balanced training and the underappreciatedbenefits of good posture combine his passion for injuryprevention with a unique perspective. As we continue toadd new contributors, we welcome suggestions for topics.Please send your ideas to [email protected].
6 SPORTS MEDICINE UPDATE November/December 2010
STOP Sports InjuriesSprints Ahead to 2011
As a new campaign year begins, the Society thanks DePuyMitek, Inc. for it’s continued sponsorship of the STOPSports Injury campaign at the Champion level.
Brad Tolin, sports medicine surgeon with the San AntonioOrthopaedic Group and STOP Sports Injuries supporter,speaks at press conference.
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8 SPORTS MEDICINE UPDATE November/December 2010
M E M B E R S H I P N E W S
Candidate Members Receive FREE Starter PackageIncluding Application Fee and First-Year Membership Dues
For the fifth consecutive year, Ossur, has generously underwritten the AOSSMCandidate Member Starter Package for all fellows in ACGME-accredited sportsmedicine fellowships. This grant underwrites the $150 membership applicationfee as well as first-year Society dues of $250 for all sports medicine fellows inaccredited programs who apply for candidate membership. Interested fellowsmust submit their Candidate membership application and Candidate referenceforms by December 15, 2010. Society staff will review the application andensure the application has met all requirements. Applicants that meet theDecember 15, 2010 deadline and Candidate membership requirements willbegin immediately receiving the following benefits:� Complimentary registration for the AOSSM Annual Meeting;� Complimentary subscription to The American Journal of Sports Medicine;� Complimentary subscription to Sports Health: A Multidisciplinary Approach� Complimentary subscription to the Society’s newsletter, Sports Medicine Update;� Discounted registration fees for AOSSM-sponsored meetings and products;� Access to the “Members Only” features on the Society’s Web site,www.sportsmed.org.If you haven’t yet taken advantage of this opportunity and wish to do
so, please visit the Society’s Web site at www.sportsmed.orgor contact Debbie Turkowski, Manager of Member Servicesat [email protected].
AOSSM thanks Ossur for their support of sports medicine fellows.
Hall of Fame ApplicationsNow AcceptedThe 2010 Hall of Fame Nominationform will be mailed to all membersin December. Applications will alsobe available on the Society’s Website at www.sportsmed.org. Weencourage your nominations!
MembershipApplicationDeadlinesActive, Associate, andAffiliate MembershipNovember 1, 2010
Upgrade to Active orAssociate MembershipNovember 15, 2010
Candidate MembershipDecember 15, 2010
For more information or membershipapplications, visit www.sportsmed.orgor contact Debbie Turkowski [email protected] or call theSociety office at 847/292-4900.
Nominating CommitteeThe 2010–2011 members ofthe nominating committee are:
Freddie H. Fu, MD, ChairBernard R. Bach, Jr., MD, Past ChairElizabeth A. Arendt, MDThomas M. DeBerardino, MDStephen J. O’Brien, MDRick W. Wright, MD
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November/December 2010 SPORTS MEDICINE UPDATE 9
S O C I E T Y N E W S
T. David Sisk Awardsfor Research ExcellenceThe AOSSM is announcing the T. DavidSisk Awards for Research Excellence inclinical, laboratory, and international research.The winners will be selected from thebest papers in each category submitted toSports Health: A Multidisciplinary Approach.
These annual awards will include a $2,500 cash prize anda plaque. All manuscripts submitted through May 1, 2011,will be considered. Winners will be announced at the AOSSMAnnual Meeting in San Diego, California, July 7–10, 2011.Visit submit.sportshealthjournal.org to submit your manuscript.Contact Kristi Overgaard, Sports Health Editorial Manager,at [email protected], with any questions.
Papers Needed for AJSM SpecialIssue on Hip ArthroscopyThe American Journal of Sports Medicine(AJSM), with the support of ConmedLinvatec, is producing a special supplementon hip arthroscopy in the summer of 2011.Bruce Reider, MD, Editor-in-Chief, andguest editors Mark Safran, MD, and Mark
Hutchinson, MD, are issuing a call for papers. Submissionsshould report original clinical research or clinically-relevantlaboratory research. The deadline for manuscript submissionis February 28, 2011. Early submission in encouraged.
Don’t miss this exciting opportunity. Visit ajsm-submit.highwire.orgto submit your manuscript. Contact Donna Tilton, AJSMEditorial Manager, at [email protected], with any questions.
2011 Annual Meeting Abstract Deadline ApproachingBe sure to submit your abstract for the 2011 AOSSM Annual Meeting in San Diego. The deadline forsubmissions is November 15. Visit www.sportsmed.org and click on abstracts for details and requirements.At the time of submissions all clinical human studies must have approved IRBs and all animal studies musthave approved IACUCs in order to be considered for inclusion in any AOSSM educational program.
Sports Health and AJSM Calls for Papers
Grandfather Option for SubspecialtyCertification Ends on March 31, 2011If you did not attend an ACGME or Canadian Orthopaedic Association accreditedorthopaedic sports medicine fellowship, you must register with the American Board ofOrthopaedic Surgery (ABOS) by March 31, 2011, to take the subspecialty certificationexam. After this deadline, individuals who did not attend an accredited program willno longer be eligible to sit for the exam. This deadline is especially important becauseafter 2011 a combined written recertification exam will only be offered to individualswho hold a general certificate and a subspecialty certificate.
The 2011 exam will be offered on November 3, 2011. In order to sit for the exam,applicants must complete the application, submit their case list, provide the supplementalrequired documents, and pay the $450 fee by March 15, 2011. Late applications to sitfor the exam will be accepted until March 31, 2011, for an additional $350 late fee.
The application process is detailed and requires preparation, so anyone interestedin sitting for the exam is encouraged to get an early start in learning the requirementsand collating the materials. Specific details are available under the Diplomatessection of the ABOS site, www.abos.org.
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Board Review Course a Success“Best ortho meeting I haveattended in 20 years!” was oneof the attendee testimonials reflectingon the AOSSM & AAOS ReviewCourse for Subspecialty Certificationin Orthopaedic Sports Medicineheld August 6–8, 2010, in Chicago.
Co-Chairs Drs. Augustus D.Mazzocca and Michael J. Stuartdeserve strong marks for theiraccomplishments in selecting stellarfaculty and developing a thorough
review course that ably supports preparation for sports recertification or the sportssubspecialty exam. Allied health personnel increasingly have found that their needsare met as well and find the course a wonderful resource. An audience of nearly300 attended the meeting. Respondents to the post-meeting survey consistentlycomplimented the course’s intense focus on testable material while minimizing issueswithout consensus. Many attendees felt that the no-nonsense and organized approachwas simply an added bonus.
AOSSM looks forward to the 2011 course in Chicago August 5–7.
10 SPORTS MEDICINE UPDATE November/December 2010
CME Quizzes for AJSM CurrentConcepts Articles AvailableReaders are now able to earnjournal-based CMEs through AJSM.Each month there will be a CurrentConcepts article eligible for 1 AMAPRA Category 1 Credit™ once theappropriate pre and post tests havebeen administered. All AJSMsubscribers can receive two compli-mentary journal CME opportunities.Additional AMA PRA Category 1Credits™ will cost $15 each. Formore information visit www.ajsm.org.
New Addition at AOSSM—JoeSiebelts, Communications AssistantAfter a summer full of learning theins and outs of the STOP SportsInjuries campaign and getting oursocial media rolling on a consistentbasis, recent DePaul Universitygraduate and summer intern, JoeSiebelts joined the AOSSM full-timestaff in September. He will continuehis work with social media forSTOP Sports Injuries, the Society,and Sports Health along with helpingcommunications staff increase awarenessabout the campaign, write pressreleases, proofread materials, andperform other communications duties.
Got News We Could Use?Sports Medicine UpdateWants to Hear from You!Have you received a prestigiousaward recently? A new academicappointment? Been named a teamphysician? AOSSM wants to hearfrom you! Sports Medicine Updatewelcomes all members’ news items.Send information to Lisa Weisenberger,AOSSM Director of Communications,at [email protected], fax to 847/292-4905,or contact the Society office at847/292-4900. High resolution(300 dpi) photos are always welcomed.
S O C I E T Y N E W S
AOSSM Hosts Special International GuestDuring the last week of September, we were pleased to host Laura Espósito(pictured 5th from left), the Executive Director of the Asociación Argentinade Artroscopia in Buenos Aires, Argentina. During her visit, Laura visitedwith each of our staff to exchange ideas and share her global perspective onsports medicine issues. She also had the opportunity to visit other orthopaedicassociations in the area.
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November/December 2010 SPORTS MEDICINE UPDATE 11
N A M E S I N T H E N E W S
Dr. Freddie H. Fu Named DistinguishedService Professor of Orthopaedic Surgery
The University ofPittsburgh has granted thetitle of Distinguished ServiceProfessor to Freddie H. Fu,MD, David Silver Professor
and Chair of the Department of OrthopaedicSurgery at the Pitt School of Medicine.
The highest honor the university canaccord to a senior faculty member, theappointment honors those who haveestablished records of distinguished servicewithin the university as well as national orinternational leadership in a specific fieldor discipline. Dr. Fu is the first professorin the Department of Orthopaedic Surgeryand only the eighth in the School ofMedicine to receive this honor.
Dr. Fu served as president of theAOSSM in 2008–2009. Please visithttp://www.chronicle.pitt.edu/?p=6005 toread about this prestigious appointment.
Dr. Steven Arnoczky Honored with Awardfor Outstanding Surgical Research
Dr. Steven Arnoczky, theWade O. Brinker Professorof Veterinary Surgery andDirector of the Laboratoryfor Comparative Orthopaedic
Research at Michigan State University, isthe recipient of the 2010 Jacob MarkowitzAward for Outstanding Surgical Researchfrom the Academy of Surgical Research.The award is named after Dr. JacobMarkowitz, a pioneer in the field ofexperimental surgery.
Dr. Arnoczky was recognized for hisbasic science research of surgical proceduresfor ligament reconstruction and meniscusrepair and replacement in both humansand animals. A partial list of previouswinners of the award include Dr. MichaelDeBakey (heart surgery), Dr. Tomas Starzl(organ transplantation), and Dr. Wade O.Brinker (veterinary orthopaedic surgery).
R E S E A R C H N E W S
The Multi-center ACL Revision Study(MARS) has reached another milestonewith the enrollment of the 900th patientinto the study last month. This makesMARS the largest revision cohort everin orthopaedic research. Enrollmentwill end in the beginning of 2011.Two-year follow-ups have been completedon over 150 patients so far. The principalinvestigator, Rick Wright, has submitteda grant application to NIH to explorefactors that might affect patient outcomesassessed two years after revision.
The AOSSM study, “Prediction ofResponse to Intra-articular Injections ofHyaluronic Acid for Knee Osteoarthritis,”has enrolled over 150 patients towardsthe target of 500 subjects. Patients arefollowed for one year after their injectionseries. The data will be analyzed to developa mathematical model to predict individualpatient response to treatment.
Over 460 youthbaseball playersacross the countryhave completed thepitchers survey aspart of the AOSSM
Youth Pitchers Project. Data collectionwill continue for another year. The resultsfrom this study will provide normativeinformation on pitching practices as wellas the incidence of pitching-related elbowand shoulder problems in this population.
The AOSSM Clinical Outcome MeasuresConsensus Task Force, a group that isreviewing the major patient-reportedinstruments used in orthopaedic sportsmedicine, has completed work on kneemeasures and will meet this fall to finalizeits recommendations. The Task Force willalso review instruments for the shoulder,elbow, hip, and foot/ankle during theupcoming year.
SponsorSports Health for ATCson Your Team—LowCost and High Impact!
AOSSM and SAGE are introducinga special subscription price soyou can provide Sports Health:A Multidisciplinary Approach toyour colleagues who are athletictrainers. For only $45, you can givea subscription to this high qualityjournal (1 year/6 issues), providingyour colleagues with the latestclinical research in sports medicine.
Unlike AOSSM members, ATCsdo not receive Sports Health as abenefit of membership, and eventhe reduced price they are offeredcan be a prohibitive out-of-pocketcost. AOSSM, therefore, is offeringthis special subscription price—30percent off the list price for alliedhealth professionals—so you cansupport ATCs in your communityin a substantive and economicalway. The number of subscriptionsyou may sponsor is unlimited.All you need to do is go onlineto www.sportsmed.org/shj andcomplete the subscription formproviding the recipient’s mailinginformation. AOSSM will forwarda special notice to the individualindicating you are providing themwith a gift subscription and thenbegin mailing their subscriptionwith the subsequent issue.
As 2010 comes to a close, takeadvantage of this special programso your sports medicine team canstay on top of their game in 2011.
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12 SPORTS MEDICINE UPDATE November/December 2010
The traveling fellowship started inAmsterdam after a smooth flight over thepond. We met with the always energeticGino Kerkhoffs for lunch and wonderfulland and water tours of the city. After atrip to the Vincent Van Gogh Museum,Professor Niek Van Dijk hosted us at theAMC Hospital for an excellent researchsymposium. Our hosts Niek and Ginoalso gave us the opportunity to observesome foot and ankle surgeries—theycertainly made some difficult proceduresappear easy. From there we took to thebeautiful countryside for a leisurely bikeride before the end of our stay in Holland.
Our trip continued in Luxembourg,where we spent time with ProfessorsRomain Seil and Dietrich Pape performingosteotomies in the sawbones lab andtouring their impressive research facilities.We later observed hip arthroscopy surgerieswith Matthias Kusma and Oliver Steimerbefore attending an interesting scientificsession on molecular strategies for cartilagerepair, organized by Professor HenningMadry. A memorable evening’s dinner atthe top of the Sofitel provided a spectacularview of Luxembourg Village while wedined on fois gras, dorado, and champagne.Another evening we trekked to Mannheimfor the quarter finals of the WorldCup Ice Hockey Championships(Go Deutschland!). A big fight occurred
at the end of the game, which had usAmericans feeling right at home. ProfessorDieter Kohn later entertained us withslides of his traveling fellowship, whichwe capped off with cigars and bourbon asDr. Clancy taught us some unforgettablepearls of wisdom. We rounded out the funwith a 20 kilometer bike ride throughthe beautiful Luxembourg countryside.We then had dinner and drinks withRomain and his wife, Katia, beforedeparting for Porto to meet withProfessor Joao Espregueira-Mendes.
While in Porto, aside from enjoyingsome excellent port, we visited the HospitalSanta Maria to participate in an inspiringacademic session followed by a spectacularlunch overlooking the city. We also metwith Professor Espregueira-Mendes andPedro Veranda, who demonstrated atechnique for revision anterior cruciateligament reconstruction and a perfectlyexecuted tibial tubercle medialization pro-cedure. Other tours included the impressivemultispecialty clinic and the famous FCPorto Stadium, which was a great placeto buy gifts to bring home, includingFC Porto soccer jerseys for the kids.
Professor David Dejour and ProfessorPhilippe Neyret met us at our next stopin Lyon. We saw a number of proceduresduring our visit, including patellofemoralsurgery, ACL reconstruction, and cartilagerestoration with Professors Neyret andElvire Servien at the University CentreAlbert Trillat. Bertrand Sonnery-Cottetfurther impressed us with his technical
expertise while performing an ACLreconstruction and a medial patellofemoralligament reconstruction at the CentreOrthopedique Paul Santy. We also enjoyeda spirited discussion between Drs. Clancyand Chambat regarding the bundles ofthe posterior cruciate ligament—watchingthe distinguished professors “go at it” wasgreat fun! Our last day in Lyon includedan academic session at the Clinique de laSauvegarde and a fabulous outdoorbarbecue at Professor Dejour’s home.None of us was quick enough to catcha sheep, but thankfully David De Jourhad invited an anesthesiology colleaguewho had no difficulty taking one downfor us to shear!
Temporarily godfather-less, we boardedthe train and made it to Geneva where wemet Professor Daniel Fritschy and JaquesMenetrey. We spent some great time withour new godfather, Dr. Lonnie Paulos, andbrought him up to speed on the eventsof the past two weeks. Our next daywas one of the most relaxing of the trip,beginning with a morning walk aroundthe old city followed by a fascinatingtour of the Red Cross Museum. Afteran afternoon at the Cressy Center (whereDiane was the sole volunteer for V02 Maxtesting) we were treated to an outstandingfondue dinner at Daniel and his wife,Marika’s, home—complete with gruyerecheese from Jaques’s hometown, freshstrawberries for dessert, and some of thebest cigars of the trip from the professor’sprivate collection. Both professors invited
ESSKA-AOSSMTraveling Fellowship Tour 2010THE 2010 ESSKA-AOSSM TRAVELING FELLOWS includedGodfathers William Clancy, MD, from the Andrews Sports Medicine andOrthopaedic Center, and Lonnie Paulos, MD, from the Andrews-PaulosResearch and Education Institute, as well as fellows Warren Dunn, MD,MPH, from Vanderbilt, Brian R. Wolf, MD, MS, from the Universityof Iowa, and Diane Dahm, MD, from the Mayo Clinic.
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To the Editors ofSports Medicine Update,I read with interest the article on acute patellardislocation (September/October 2010) andcame away with the impression that surgicalintervention was for many patients the treatmentof choice based on the current literature. I havegiven a talk on patellar instability problems forsome time and am familiar with the literaturequoted in the discussion and believe thatfor the overwhelming majority of patientsnon-operative management is the treatment ofchoice and if there is a choice you can rarelygo wrong with such management barring alarge osteochodral fragment and injury.
The pendulum in the last 2–3 years hasswung toward MPFL reconstruction and Ibelieve will swing back as the complicationsand morbidity from such reconstruction becomeapparent with its widespread use. The paper Ihave found most valuable in assessing this issueby Nikku et al1, which was actually the secondof 2 papers written on the topic. The first wasan initial 2-year evaluation published in 1997.2
The second, published in 2005,1 was writtenas a follow-up with the conclusion that theredislocation rate was the same for operativeand non-operative management. In addition,the Palmu et al3 study gave the same resultand conclusion for children and adolescents.
I have learned there is very little new inorthopaedic management. One thing I knowis that, except in very specific circumstances andfor very specific indications, acute ligamentousinjury can be treated non-operatively withlong-term morbidity not much worse thanthe operative option. Jack Hughston said,“There is nothing so bad it can’t be madeworse by surgery.”
William A. Grana MD, MPHProfessor, Department of Orthopaedic SurgeryUniversity of Arizona, Tucson, ArizonaReferences1. Nikku R, Nietosvaara Y, Aalto K, Kallio PE. Operative treatmentof primary patellar dislocation does not improve medium-termoutcome: A 7-year follow-up report and risk analysis of 127randomized patients. Acta Orthop. 2005;76(5):699-704.
2. Nikku R, Nietosvaara Y, Kallio PE, Aalto K, Michelsson JE.Operative versus closed treatment of primary dislocation ofthe patella. Similar 2-year results in 125 randomized patients.Acta Orthop Scand. 1997;68(5):419-23.
3. Palmu S, Kallio PE, Donell ST, Helenius I, Nietosvaara Y. Acutepatellar dislocation in children and adolescents: a randomizedclinical trial. J Bone Joint Surg Am. 2008;90(3):463-70.
November/December 2010 SPORTS MEDICINE UPDATE 13
us to the operating room to observea distal femoral osteotomy proce-dure with Daniel and a challengingknee dislocation case that Jacqueshandled with great finesse. Our stayended after some shopping (mostlywindow shopping) for Swisswatches before we boarded thetrain to Milan.
Professor Pietro Randelli pickedus up in Milan after a picturesquetrain ride from Geneva. The nextmorning provided a great learningexperience in the operating roomwith Pietro and Professors MatteoDente, Piero Volpe, and AlexCastana, and included doublebundle ACL reconstruction,posterolateral corner reconstruction,rotator cuff and labral repairs. Asan added bonus we participated inan outstanding scientific sessionwith the SLARD fellows. Duringour stay we spent a day in Milan’sfamous shopping district, where wevisited the Ferrari Store, followedwith some sightseeing at the Teatrode Scala and famous Milan cathe-dral. Other highlights included astop at the Monza Racetrack (wherewe got to see part of a race), and abeautiful air tour of Lake Como.
We then moved on to Heidelberg,where a stretch limousine stocked
with cold German beer awaitedour arrival.
We began our Heidelberg stopwith Professors Rainer Siebold andHans Pessler enjoying a lovely dinnerincluding some excellent Germanwhite wine and the famous whiteasparagus, followed by a stop at HansPessler’s house for a Cuban cigar.During the rest of our time, weenjoyed another excellent scientificsession, a fascinating surgery atthe ATOS Clinic, and a tour ofthe Heidelberg Castle. Wish wecould have stayed longer!
The fellowship tour ended withour last stop in Oslo. We wereexcited to meet up with all ourprevious hosts and the friends wemet along the way. We had ourfinal dinner with Lonnie and hiswife, Shannon, as they prepared toleave the next morning. Brian andWarren’s wives, Laura and Missy,arrived and joined us for the presi-dent’s dinner where we met LarsEngebretsen for another fantasticevening. This was truly a once in alifetime experience, and we are verygrateful to all of the hosts for theirkind and generous hospitality.
At every stop, we were enrichedprofessionally, culturally, and socially.Our sincere thanks goes out toDJO for their continuing supportof the traveling fellowship, all ofour hosts during this tour, BrigitteMelchior-Dolenc (ESSKA), andDebbie Turkowski (AOSSM) fortheir coordination of the travelingfellowship tour, the AOSSMTraveling Fellowship Committee,and all of the others who madethis wonderful experience possible.We look forward to seeing you allat future meetings and to hostingtraveling fellows in the future!
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14 SPORTS MEDICINE UPDATE November/December 2010
very year, AOSSM accepts new volunteers to serve on itsstanding committees. These volunteer committees formthe lifeblood of AOSSM and provide guidance for Societyprograms and projects. Those who join committees notonly heighten their experience as an AOSSM member,but form ties of fellowship with their colleagues that can
last throughout their career. Because different committees work soclosely with each other to help accomplish the Society’s mission,participating in a committee is an excellent way to see how AOSSMdevelops its meetings, courses, publications, and other resources.
Although requirements and duties vary by committee, volunteersmust be able to attend regular committee meetings, which aretypically scheduled in conjunction with Specialty Day each springand the AOSSM Annual Meeting each summer. With the range
of Society programs and corresponding committees, there aremany opportunities to share your unique perspective.
All membership categories are eligible to serve on AOSSMCommittees. Term of service is a four-year-non-renewable term.Appointment of volunteers to the Society’s standing committeesis made by the Committee on Committees, which meets in thespring of each year. Volunteers will be notified if they have beenselected by May 2011.
If you are interested in serving on an AOSSM committees,simply fill out the Volunteer Form on the facing page and faxit back to the Society office by February 1, 2011, (fax number847/292-4905), or complete the form as posted on theAOSSM Web site at www.sportsmed.org and e-mail [email protected].
Thank You, AOSSM Volunteers! The Society thanks all the volunteers who have given so generously oftheir time in service to AOSSM committees over the years. Your commitment drives the Society’s contributions to theentire orthopaedic community.
These committees will have vacancies in 2011(current Chair in parentheses):
Education Committee(Andrew J. Cosgarea, MD)Provides educational opportunities to our membership.Develops, monitors, and implements a core curriculumof knowledge and skills appropriate for a rangeof stakeholders.
Enduring Education Committee(Rick W. Wright, MD)Provides oversight for all enduring education programsand develops new initiatives for online, multimedia,and other re-purposed material. Categorizes resourcesand monitors activity associated with the online library.Committee members must be familiar with the AOSSMsports medicine curriculum. Committee memberspromote enduring educational activities, includingonline meetings and the online library.
Hall of Fame(Walton W. Curl, MD)Develops application and guidelines for the Hall ofFame, as well as makes final selection of recipients.
Public Relations Committee(Matthew J. Matava, MD)Develops proactive communications strategies to promotethe Society and its membership as sports medicineexperts on local and national levels. Identifies andpromotes newsworthy papers from The American Journalof Sports Medicine and Sports Health: A MultidisciplinaryApproach, as well as from Society meetings and courses.
Disseminates educational information to the media,general public, and other health care providers.
Publications Committee(Daniel J. Solomon, MD)Provides editorial content as needed for Sports MedicineUpdate. Identifies new projects and solicits content asappropriate for patient and/or physician educationmaterials. Monitors sales of publications and jointefforts to ensure effective use of Society resources.
Research Committee(Constance R. Chu, MD)Evaluates applications and selects recipients of YoungInvestigator Grants and AOSSM Research Awards.Selects the AOSSM Exchange Lecturer for the NATA
Annual Meeting on the basis of that year’s researchaward winners. Develops initiatives for AOSSM-sponsoredresearch education.
Self-Assessment Committee(Thomas M. DeBerardino, MD)Develops new questions for the AOSSM Self-Assessmentbased on the question writing guidelines. Reviewsand edits question content. This committee is involvedwith pilot testing the Self Assessment, and analyzingdata related to question content and participant data.Committee members must understand the AOSSMcurriculum and the requirements for SubspecialtyCertification in Sports Medicine.
Technology Committee(Kevin Marberry, MD)Oversees AOSSM Web site. Reports new and developinginformation technologies to the AOSSM Board ofDirectors and membership. Promotes technology usagethrough education and member services. Note: Accessto the Internet and ability to communicate via e-mailis necessary for full participation on this committee.
Traveling Fellowship Committee(Eric C. McCarty, MD)Selects Traveling Fellows and works with AOSSMPresident-Elect to choose a Godparent for upcomingtours. Develops and maintains relationships with ESSKA,APOA, and SLARD. Oversees Traveling Fellowship Tours,including selection of hosts and itinerary. Note:Eligibility is contingent on previous participationas a Traveling Fellow.
ECALL for VOLUNTEERS
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November/December 2010 SPORTS MEDICINE UPDATE 15
AOSSM COMMITTEE SERVICE VOLUNTEER FORM
Name ____________________________________________________________________________________________________
Practice Name/Institution____________________________________________________________________________________
City ________________________________________________________________ State ________________________________
Age_______________________________ Year Joined AOSSM ____________________________________________________
Committee(s) you are interested in serving on:
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Please use the area below to outline your interests, abilities, and experience, particularly as they relateto your committee of interest, in 200 words or less, or submit a letter with same. Do not attach yourcurriculum vitae. The Committee on Committees will use the information to assist them in their selectionof committee members in May 2011. This information will be kept confidential. Return to the Society officeno later than February 1, 2011, by mail or fax to 847/292-4905, or e-mail [email protected].
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16 SPORTS MEDICINE UPDATE November/December 2010
Upcoming Meetings and Courses
� Afternoon Workshop: Live SurgicalDemonstrations
� Symposium on the Disabled Athlete
� Presidential Guest Speaker Frank Deford,celebrated sportswriter and radio presence
� The Young Sports Medicine Specialists’Workshop: Game Plans for a WinningSports Medicine Practice
� AOSSM 2011 Research Workshop:Clinical Outcomes and Trial Designin Orthopaedic Sports Medicine
� and everything that San Diego offers!
Land the $229 AOSSM preferentialroom rate at the Manchester Grand Hyattby going to the AOSSM Web site,www.sportsmed.org now.
Advanced Team Physician CourseWashington, D.C.December 9–12, 2010On-site registration available.
AOSSM Specialty DaySan Diego, CaliforniaFebruary 19, 2011
3rd Combined Meeting of the Japaneseand American Orthopaedic Societiesfor Sports MedicineMaui, HawaiiMarch 26–29, 2011Advance registration closes January 7, 2011.
AOSSM 2011 Annual MeetingSan Diego, CaliforniaJuly 7–10, 2011
For more informationand to register visitwww.sportsmed.org andclick on the “Educationand Meetings” tab.
AOSSM 2011 Annual Meeting in San Diego, CaliforniaAOSSM President Robert A. Stanton, MD, and Program Chair Marlene DeMaio, MD,invite you to sail away to San Diego for the AOSSM 2011 Annual Meeting July 7–10, 2011.
Be sure and take advantage of:
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