NEWSLETTER OF THE AMERICAN ORTHOPAEDIC SOCIETY
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 PA 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 ES E PTE M B E R /OCTOB E R 2014CPGs and AUCsQuestions AnsweredOREF Makes AllocationChanges‹UPDATEWashington UpdateTravelingFellowship Journeyto South AmericaFASTEST GROWING SPORT›MIXEDMARTIALARTSwww.sportsmed.org
CO-EDITORSEDITOR Brett D. Owens, MDEDITOR Robert H. Brophy, MDMANAGING EDITOR Lisa WeisenbergerPUBLICATIONS COMMITTEEBrett D. Owens, MD, ChairRobert H. Brophy, MDKevin W. Farmer, MDC. David Geier, MDAlexander Golant, MDRobert S. Gray, ATCLance E. LeClere, MDMichael J. Leddy, III, MDAlexander K. Meininger, MDKevin G. Shea, MDMichael J. Smith, MDBOARD OF DIRECTORSPRESIDENT Robert A. Arciero, MDPRESIDENT-ELECT Allen F. Anderson, MDVICE PRESIDENT Annunziato Amendola, MDSECRETARY Rick D. Wilkerson, DOTREASURER Andrew J. Cosgarea, MDUNDER 45 MEMBER-AT-LARGEChunbong Benjamin Ma, MDUNDER 45 MEMBER-AT-LARGE E. Lyle Cain, Jr., MD‹OVER 45 MEMBER-AT-LARGERick W. Wright, MDPAST PRESIDENT Christopher D. Harner, MDPAST PRESIDENT Jo A. Hannafin, MD, PhDEX OFFICIO COUNCIL OF DELEGATESChristopher C. Kaeding, MD2 Mixed Martial ArtsEX-OFFICIO NON VOTING Irv BombergerEX-OFFICIO NON VOTING Bruce Reider, MDTeam Physician’s CornerAOSSM STAFFEXECUTIVE DIRECTOR Irv BombergerMANAGING DIRECTOR Camille PetrickEXECUTIVE ASSISTANT Sue SerpicoADMINISTRATIVE ASSISTANT Mary MuccianteDIRECTOR OF CORP RELATIONS & IND GIVING Judy SherrDIRECTOR OF RESEARCH Bart Mann, PhDDIRECTOR OF COMMUNICATIONS Lisa WeisenbergerWEB & SOCIAL MEDIA COORDINATOR Joe SiebeltsCONTENTS SEPTEMBER/ OCTOBER 2014MANAGER, EDUCATION PROJECTS Heather HellerMANAGER, MEETINGS & EXHIBITS Pat KovachMANAGER, MEMBER SERVICES & PROGRAMS1From the President5Team PhysicianXs and OsReturn to Play CriteriaAfter MCL Sprain6Society News10 Traveling FellowsAbstract DeadlinesNew Team PhysicianCommitteeWebsite Updates12 CPGs and AUCsGetting Startedon Twitter16 Upcoming Meetings& Courses14 OREF Changes15 Washington UpdateDebbie CzechADMIN COORDINATOR Michelle SchafferAOSSM MEDICAL PUBLISHING GROUPMPG EXEC EDITOR & AJSM EDITOR-IN-CHIEFBruce Reider, MDAJSM SENIOR EDITORIAL/PROD MANAGER Donna Tilton5STOP SportsInjuries9SPORTS HEALTH/OJSM EDITORIAL & PRODUCTION MANAGERColleen O’KeefeSPORTS MEDICINE UPDATE is a bimonthly publication of the American Orthopaedic Society for Sports Medicine (AOSSM). The American Orthopaedic Society for Sports Medicine—a world leader in sports medicineeducation, research, communication, and fellowship—is a national organization of orthopaedic sports medicine specialists, including national and international sports medicine leaders. AOSSM works closely with manyother sports medicine specialists and clinicians, including family physicians, emergency physicians, pediatricians, athletic trainers, and physical therapists, to improve the identification, prevention, treatment, andrehabilitation of sports injuries.This newsletter is also available on the Society’s Website 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.›
FR O M TH E PR E S I D E NT‹I continue to be impressed by what our professionand Society has been able to accomplish throughteamwork. To some extent, teamwork is part ofour DNA given that 85 percent of our membersprovide team medical coverage. Yet all of uswho care for teams know that teamwork isn’t inevitable just byassembling a team. It takes hard work, leadership, and collegiality.Research is an area where our accomplishments are especiallydisproportionate to AOSSM’s relatively small size. The fabricof our research program is woven from many threads: grants,awards, mentorships, workshops, think tanks, outcomesmeasures, collaborative research, and novel research approaches.The Multi-Center ACL Revision Study (MARS) was initiallyfunded by a grant through AOSSM and today has more than1,200 patients enrolled from 89 surgeons at 52 participatingsites—the most of any study in orthopaedics. This summer,we reviewed the preliminary results from our study to identifypredictors of which patients will respond to HA for OA. Thestrength of our program is that our research priorities—andprojects—are focused on topics collectively identified by theprofession to help ensure they will serve your clinical needs.Education is another area where we come together as researchers,educators, and clinicians to expand our knowledge through GMEand CME. We have some of the most skilled surgeons who providetheir knowledge to demonstrate how the rest of us can appropriatelydiagnose, manage, and when necessary, effectively repair injuries.Our vast community, which is rooted in both academic andprivate practices, provides information that is integrated intoclinical practice through our scientific meetings, sport specificmeetings, skills courses, self-assessment exams, and online learning.Publishing is another impressive example of how our teamwork,led by Bruce Reider, MD, executive editor, Medical PublishingGroup, has contributed to the development of our profession. Thissummer, AJSM was ranked as having the highest impact factorof any journal in orthopaedics for the second year in a row. Oursecond journal, Sports Health, which is a collaborative publicationwith the American Medical Society for Sports Medicine, NationalAthletic Trainers’ Association, and Sports Physical Therapy Section,now has more than 25,000 subscribers and is the epitome ofteamwork within the broader sports medicine profession. Ournewest journal, OJSM, now has 13 international orthopaedicorganizations who have adopted it as their official journal.Our efforts in research, education, and publication are especiallyimportant since the practice of orthopaedic sports medicine oftenis not clear cut. Our ability to quantify and qualify that whichwe know is critical for us to maintain control of our professionaldestiny, even when it is controversial, such as in the development ofclinical practice guidelines. Even though the AAOS has coordinatedits CPG efforts through qualified orthopaedic leaders and researchstaff, utilized expert panelists nominated from specialties, andrefined the CPGs based on organizational review, the guidelinesinevitably generate controversy when our collective knowledge doesnot match our individual experience. The Board has been reviewingthis document on multiple levels and at the summer meetingAOSSM leadership met with AAOS representation concerning theCPG. It was clear that the AAOS values our input. They anticipateour contribution to the Appropriate Use Guidelines (AUC)which will permit the application of our collective expertise.It can be tempting to extricate ourselves from the CPG process,but the AOSSM leadership feels that this approach would notserve our profession well in the long-run. Rather, we’ve workedto provide constructive comments about specific guidelinesand the CPG development process. The Academy recentlyincorporated important changes to the ACL CPG.As team physicians, our genome contains not only an affinityfor teamwork, but also for competition. Those qualities canbe a force for good when combined in a healthy way, but whencompetition undermines teamwork, we invariably lose. Thisis especially disconcerting when inappropriate competition is usedto acquire appointment as team service, such as purchasing teamcontracts. A number of years ago, the Society developed Principlesfor Selecting Team Medical Coverage to clearly outline how medicalcoverage should be provided. That brochure is available for free onour website, and I implore you to read it and do the right thing.Our profession and our Society have flourished becauseof teamwork. As president of Team AOSSM, job one for meis to ensure teamwork keeps our profession at the forefrontin the practice of orthopaedics and sports medicine.Bob Arciero, MDSEPTEMBER/ OCTOBER 2014SPORTS MEDICINE UPDATE1›
TEAM PHYS ICIAN’S COR N E R‹›MIXEDMARTIALARTSThe World’s FastestGrowing SportMICHAEL J. LEDDY, III, MDKEVIN FARMER, MD2SPORTS MEDICINE UPDATESEPTEMBER/ OCTOBER 2014Mixed martial arts, or MMA, has come a longway from its modest start in November1993. At that time, events consistedof an eight-man tournament format, witha winner-take-all cash prize. The tournament hadno weight classes and consisted of five-minuteround fights to the finish, with little, if any rules.Since then, it has evolved into a full-contact combatsport that centers around striking and grapplingtechniques, both standing and on the ground,highlighting boxing, wrestling, and martial arts.
What disciplines make upmixed martial arts?Mixed martial artists feature a wide varietyof backgrounds. Many are brought upin one discipline and cross-train to furtherdevelop their skills. These include wrestling,judo, Sambo, Brazilian Jiu-Jitsu, karate,kickboxing, and Muay Thai. The widearray of disciplines requires athletes to seeka level of adaptability that allows themto attack and defend both on the groundand on their feet.What safety precautionsare implemented in MMA?‹In the United States, the Association ofBoxing Commissions oversees professionalMMA. Each state has some form ofcommission. Currently MMA is legaland regulated in 49 states. Fights arenow relegated to three- or five-roundfights. Each round is three minutes long.Weight classes are also established.Due to the high risk of laceration andabrasion, all states require updated HIVand Hepatitis C testing for each fighter.These must be presented prior to the fightand reviewed by the ringside physicianand commissioner during the requiredpre-fight physical.Mixed martial artists are all required towear mouthpieces. This is to help preventtooth injury and has no known protectivevalue against concussion. If knocked out,the fight is halted and the fighter isallowed to replace his mouthpiece. Maleparticipants are required to wear groinprotection underneath their trunks. Ifa fighter is struck in the groin, he is givenas much time as required to recover fromthe blow. Female fighters are requiredto take a pregnancy test within 24 hoursof their scheduled bout in many states.Prior to entering the cage, fightersare required to have their hands wrappedto help protect the bones and tendonsin the hand and help support the wristand thumb. Small, open-fingered glovesare used to protect the fists, reduce thePost-fight, the commissioner andphysician review each fighter. Basedon the amount of damage the fighterendured, a protective suspensionis instituted and the fighter cannotcompete during this time.occurrence of cuts and allow fighters to usetheir hands for both striking and grappling.Fingernails are also inspected right beforethe match to try to prevent eye injury.Certain blows are also banned. A fightercannot strike the back of the opponent’shead. There are no groin strikes, hairpulling, head butting, or inserting a fingeror fingers in the mouth and pulling (fishhooking). Kicks to the head of a downedopponent are also illegal as are small-jointmanipulations.During the bouts, the referee has fullcontrol inside the ring. At any time heor she can stop the fight to have a ringsidephysician inspect a cut or an injury. If thephysician deems the fighter’s health andsafety are at risk, the fight is stopped. Thereferee also can intervene and stop the fightimmediately if he or she feels a fighter ishurt seriously and cannot defend themselvesappropriately. Many times this is a judgmentcall, but referees are instructed to erron the side of caution. Many times theirdecision is not popular, but respected.After contests, most states require eachfighter to be evaluated by the ring physician.At any time, if there is a concern over thefighter’s welfare, he or she is transported tothe hospital for further evaluation. If thefighter does not comply, they face suspensionby the state commissioner. Furthermore,post-fight, the commissioner and physicianget together and review each fighter. Basedon the amount of damage the fighterendured, a protective suspension is institutedand the fighter cannot compete againduring this time. Return to competitionoften requires physician clearance.What are common injuries in MMA?As with any sport, injuries in MMA arecommon. Lacerations are the most commoninjury. With the constant punching, kicking,and grappling, the skin is susceptible totears. Elbows are commonly used to strike.Due to their pointed nature they can causesignificant cuts. These should be immediatelycleansed after the fight and closed in theappropriate fashion. Lip lacerations acrossthe vermillion border may require a plasticsurgeon consult.Eye injuries can also occur. Cornealabrasions occur when an inadvertent pokein the eye takes place. These should beevaluated with fluorescein and a blacklight. Antibiotics and pain managementshould be initiated. Serious injuries suchas hyphema (blood in the anterior chamberresulting in blurred vision and photophobia)and retinal detachment (causing floaters,flashing light, or curtains moving into thevisual field) require ophthalmologic consult.Facial fractures are also common. Orbitalblowout fractures cause significant pain andare suspected when the fighter has pain withocular motion, crepitus on palpation, andcannot look upward. The fighter shouldrefrain from blowing his nose as air can passfrom the sinus through the fracture and causeincreased swelling. Appropriate radiographsand consultation should be obtained.SEPTEMBER/ OCTOBER 2014SPORTS MEDICINE UPDATE3›
as fractures to the foot and tibia. Refereesand physicians must pay close attentionto the fight in order to pick up on theseinjuries, as many times the fighters do notrealize that they have occurred. Submissionscan lead to ligament injury. Arm barsput tremendous stress across the collateralligaments of the elbow. Leg locks and heelhooks do the same to the knee and ankle.If the fighter does not “tap” and triesto escape, the constant pressure canlead to joint dislocation or fracture.As expected, due to the risk of blowsto the head, concussions and head injuriesare not uncommon in MMA. Physiciansshould assess and monitor coordination,balance and cognitive function if there is anysuspicion that a head injury has occurred.Concussed fighters should be closelymonitored for changes in the symptoms.Any signs of deterioration, such as repeatedvomiting, worsening confusion, severeheadache, and stiff neck should be addressedwith immediate transport to an emergencyroom. A recent study showed the rates ofKOs and TKOs in MMA are higher thanpreviously reported rates in other combativeand contact sports.1 This is concerningas the affects of repeated concussionsare becoming more evident everyday.‹What is the future of MMA?Nasal trauma is also common. Strikingcan also result in nasal contusion andepistaxis. Compression, packing, andnasal sprays can help quell the bleeding.Fractures also occur. They can be easilyrecognized and should be quicklymanipulated, if deviation is present.ENT follow-up is recommended. Septalhematomas should also be recognized.This occurs when bleeding happensbetween the septal cartilage andperichondrium. The septum may appearboggy and bluish and causes significantpain and nasal obstruction. Immediateevacuation is recommended and failureto recognize this injury in a timely fashioncan result in saddle nose deformity.Many times injury occurs in theaggressor. Punches and kicks can resultin metacarpal and finger fractures, as wellMMA continues to grow. The UFC,the largest division of MMA, continuallysells out sixty-thousand-seat arenas. Butdue to the violent nature of the sport andthe growing concern of head injury, callsfor banning MMA echo throughout theworld.2,3,4 As the sport continues to moveforward, it will likely have to continueto evolve to help ensure the safetyof its participants.References1.2.3.4.4Hutchison MG, Lawrence DW, Cusimano MD, Schweizer TA. Head trauma in mixed martial arts. Am J Sports Med. 2014;42(6):1352-1358.American Medical Association. H-470.965 ultimate and extreme fighting.Australian Medical Association. Mixed martial arts must be banned.Canadian Medical Association. Mixed martial arts (MMA) ban.SPORTS MEDICINE UPDATESEPTEMBER/ OCTOBER 2014›
TEAM PHYS ICIAN XS & OSReturn to Play Criteria After MCL SprainParticularly Grade II and III—Swain TestBy Robert Arciero, MDThe “Swain Test” is a return to play criteria after MCL sprain (knee),particularly Grade II and III that was developed by Jim Swain, PT,at the U.S. Military Academy in the late 80s and early 90s.As the athlete improves, out of brace, crutches, etc. and beginsrunning, the next level of activity is cutting and pivoting which is thelast activity to return. The Swain test tells you when they will toleratecutting and can be returned to play.The test is performed as you would test for valgus laxity of the MCLat 30 degree of flexion, however the leg is placed into ER as the valgusload is applied. If there is pain along the medial aspect of the knee/MCL,this is a positive test and correlates with the athlete not being readyto fully return. If negative, the athlete can be pushed and return.‹›Submit Your Sports Medicine Xs and Os for the AOSSM Team Physician BagSports Medicine Update will be having a regular column on tools and tips for the team physician. Please submit your pearls of wisdomfor us to include to Lisa Weisenberger at lisa@aossm.org. Items can be clinical, rehabilitative, or on-field strategies for success.STOP S PORTS I NJ U R I E SEncourage Safe Play This Fall SeasonThe approach of fall means a new school year and a return to sports for many youngathletes. Be sure to let them know about www.STOPSportsInjuries.org as a source of injuryprevention tips and materials, and share our posts and materials on Facebook and Twitter.Welcome to Our New STOP Sports Injuries Collaborating Organizations!Thank you to the newest collaborating organizations for their commitment to keeping youngathletes safe. Interested in having your practice or institution listed in the next SMU? Headover to www.STOPSportsInjuries.org and click “Join Our Team” to submit an application!Sports MedicinePracticesArnone Specific ChiropracticSt. Charles, MissouriBeacon Orthopedicsand Sports MedicineElite Sports Medicineand Physical TherapyPropel PhysicalTherapyGainesville, VirginiaHouston, TexasGeorgia Bone and JointSports andRecreationOrganizationsNewnan, GeorgiaOlympic Foot and AnkleCincinnati, OhioCarmichael, CaliforniaDean Chiropracticand Pain ReliefPacific Coast SportsMedicineMarlton, New JerseyLos Angeles, CaliforniaNew England360 FitnessAuburn, New HampshireSTOP Sports Injuries thanks the following companies for their continued support:SEPTEMBER/ OCTOBER 2014SPORTS MEDICINE UPDATE5
SOCI ETY N EWSAOSSM 2015 Annual Meeting Abstractand/or Instructional Course ProposalSubmission Deadlines ApproachingInstructional Course DeadlineSeptember 29, 2014 (Noon) CSTAbstract Submission DeadlineNovember 3, 2014 (Noon) CSTVisit www.sportsmed.org for complete details.Abstracts and IC proposals only acceptedvia the website.Make Your Voice Heard—NominatingCommittee Voting Begins in September‹Look for an e-mail in mid-September fromRobert Arciero, MD, AOSSM President,encouraging you to cast your electronic votefor four members to the 2014–2015 AOSSMNominating Committee. The followingindividuals were nominated at the BusinessMeeting during the AOSSM AnnualMeeting in hael Axe, MDJeffrey Dugas, MDMary Lloyd Ireland, MDDarren Johnson, MDPatricia Kolowich, MDWilliam Levine, MDGus Mazzocca, MDEdward McDevitt, MDClaude T. Moorman, III, MDBrett Owens, MDMark Safran, MDFelix (Buddy) Savoie, MDEdward Wojtys, MDNominations for Hall of Fame Coming SoonDo you know of an outstanding mentor orcolleague who belongs in the AOSSM Hallof Fame? Nomination applications will beavailable in October at www.sportsmed.org.New Team Physician Committee Needs Your InputDuring the Annual Meeting in Seattle, members of the new Team Physician Committeehad their inaugural meeting to discuss their upcoming goals and direction. One keyfunction identified in that meeting was the need for the committee to serve as a resourcefor the AOSSM members and address their needs. This fall, a short survey will be sentto the membership to identify and prioritize topics and issues affecting the more than80 percent of our members who serve as team physicians. The committee will alsocontinue to work with the NCAA and the AOSSM Board of Directors in thedevelopment of consensus statements and guidelines on topics such as athletic cardiacissues and overuse injuries. The committee has been working on the development of theNCAA consensus guidelines addressing full contact practice, the integrity of intercollegiatemedical care, and the evaluation and treatment of concussions. The committee willalso reach out to other sports organizations to utilize AOSSM resources and expertise,in order to achieve quality care for all the athletes that our members care for.All comments and suggestions are welcome, e-mail Irv Bomberger at irv@aossm.orgor contact the Society office at 847/292-4900.OJSM Gaining SpeedThe Orthopaedic Journal of Sports Medicine (OJSM) celebrated publishing its 100tharticle in August. The journal, launched in the spring of 2013, had a successful firstyear of publication. In addition to being able to publish a large quantity of qualitymanuscripts in such a short time, OJSM has gained an expanding audience. Eachmonth, articles, on average, are downloaded more than 8,000 times and accessedalmost 25,000 times across the globe. This is a tremendous volume of traffic fora journal just entering its second year of publication. The open access, continuouspublication platform has proven beneficial to authors, and we encourage you to keepan eye out for the newest research being published daily. To sign up for e-contentalerts, please visit http://ojs.sagepub.com/cgi/alerts.Names in the NewsCongratulations to AOSSM member, Eugene Byrne, MD, for being selected as one ofthe first winners of the ethics award that has just been introduced by the InternationalBobsleigh & Skeleton Federation, FIBT. The award went to Dr. Byrne, who is theU.S. team doctor, and his German counterpart, Christian Schneider, MD, for selflessdedication at an international level that goes far beyond the remit of their actual dutiesand responsibilities.Tell Us What You DoIn 2014, Sports Medicine Update will have a member spotlight column to highlight thevarious activities, teams, and work our members do every day in their local communitiesand institutions. Whether you’ve been practicing sports medicine for 40 years or justfive, or know someone who is performing some amazing feats caring for athletes of alllevels and ages, we’d love to hear about it! Please forward your story or your colleague’sto Lisa Weisenberger at lisa@aossm.org.Got News We Could Use? Sports Medicine Update Wants to Hear from You!Have you received a prestigious award recently? A new academic appointment? Been named a team physician?AOSSM wants to hear from you! Sports Medicine Update welcomes all members’ news items. Send informationto Lisa Weisenberger, AOSSM Director of Communications, at lisa@aossm.org, fax to 847/292-4905, or contactthe Society office at 847/292-4900. High resolution (300 dpi) photos are always welcomed.6SPORTS MEDICINE UPDATESEPTEMBER/ OCTOBER 2014›
MyAOSSM and Sportsmed.orgGet an UpgradeBy Michael Angeline, MD, Joe Siebelts, and the AOSSM Technology CommitteeRecently, the AOSSM website, www.sportsmed.org, and the MyAOSSM portal were updated. Thefollowing are some highlights of the refresh and review of educational materials available to members.‹Profile UpdatePublicationsAn easier-to-use interface allows membersto update demographic informationand areas of expertise by logging intoMy AOSSM and going to the “UpdateMy Profile” link. By updating yourinformation, the public will be ableto more easily search for and seeappropriate doctors on our “FindA Doctor” listing.Under the Publications tab, members caneasily assess and search various resources,including the top-ranked sports medicinejournals American Journal of Sports Medicine,Sports Health: A Multidisciplinary Approach,and the Orthopaedic Journal of SportsMedicine. Other resources available includethe Athletic Health Handbook, ConsensusStatements, Baseball Injury PreventionHandbook, Pre-Participation ExamMonograph, and Sports Medicine Update.CME TranscriptWithin the CME transcript section,members can now easily claim andaccess all of their AOSSM CME historyand opt to allow AOSSM to transferthe CME credits to your AAOS LearningPortfolio. This process will help organizeall CME credits obtained throughAOSSM so that it can be appliedeasily to MOC (Maintenanceof Certification).MeetingsUnder the meetings section, members canview and register for upcoming meetings,and review previous meeting materialand receipts. For a subscription fee,members can also register for OnlineMeeting Education Programs. Thissubscription provides secure accessto all live AOSSM programs capturedin a calendar year.Additionally for each Annual Meeting,there is a mobile website that allowsmembers instant access to the conferenceagenda, including the program at a glance,abstracts, instructional course lectureschedules, workshop information,and exhibitor information.Members can register with their currentsubscription to access the apps for AJSM,Sports Health, and OJSM. Each app providesa mobile, user-friendly cover-to-coverversion of the print edition. This subscriberonly benefit is free and is already includedin the subscription to the print journal.䡲 For AJSM, visit http://app.ajsm.org andfollow the steps to create your password.䡲 For Sports Health, visithttp://app.sportshealthjournal.org andfollow the steps to create your password.Patient ResourcesMembers can access great resources for patient educationin this section, including links to:Sports Tips These single-page fact sheets provideeasy-to-read text with colorful illustrations about sportsinjury prevention, treatment, and rehabilitation.In Motion This is a quarterly, patient education e-newsletter.All members receive the publication and have the ability to addtheir practice name and logo to an electronic version, which canbe printed, posted on a website, or e-mailed to patients. ContactLisa Weisenberger at lisa@aossm.org for more information.3-D Surgical Animations Through a partnership withunderstand.com, members have access to an orthopaedic animationlibrary that is divided into six categories: cartilage, elbow, foot/ankle,hand/wrist, knee, and shoulder. These animations allow membersto educate their patients with visual demonstrations of various surgical procedures.STOP Sports Injuries Developed in early 2010, STOP (Sports Trauma andOveruse Prevention) Sports Injuries is a comprehensive public outreach program thatraises awareness on the importance of sports safety—specifically relating to overuseand trauma injuries. Through the link, members have access to the STOP Sports Injurieswebsite, www.stopsportsinjuries.org, and the various resources, including tip sheets, publicservice announcements, Community Outreach Toolkit, and a Coaches Curriculum Toolkit.SEPTEMBER/ OCTOBER 2014SPORTS MEDICINE UPDATE7›
Getting Started on Twitter@DrDavidGeierJOIN THESPORTS MEDCONVERSATIONBe sure to join us for ourmonthly #SportsSafetytweet chat, held the secondWednesday of the monthat 9 PM ET/8 PM CT.Upcoming chats include:September 10‹Knee Injuries inYouth SportsOctober 8Perceptions andBarriers in Youth SportsAOSSM, AJSM, SportsHealth, and OJSM are all onsocial media. Learn about thelatest news and articles andstay up to date on Societyhappenings and book.com/TheOJSMTwitterTwitter.com/AOSSM SportsMedTwitter.com/Sports HealthTwitter.com/SportsSafetyTwitter.com/AJSM SportsMed8SPORTS MEDICINE UPDATEIt is impossible to watch the news, sports,or television shows without seeing a messageasking you to tweet your comments. Withina 12-hour period around the Academy Awardstelecast, tweets about the Oscars were viewedmore than 3.3 billion times by 37 millionpeople (which was barely less than the43 million people who watched the show).Twitter can be an important communicationtool for doctors and surgeons too. This mediumhas increasingly become a means of sharingsports medicine information with the publicand interacting with other surgeons. In fact,AOSSM, STOP Sports Injuries, the AmericanJournal of Sports Medicine, and Sports Healthall have Twitter accounts.Here are the basic components of Twitterto help you get started.Creating Your Account and ProfileTwitter handle: Your “handle” is essentiallyyour user name. There are basically threeoptions—your name or a variation of it,your practice or institution name, anda clever nickname, like @KneeScopeExpert.Bio: Tell people (in 160 characters) who youare—the types of surgeries you do, what teamsyou cover, your hobbies or personal interests,or anything you want to share.Profile image: People want to interact witha person, not a building or logo. Studies haveshown higher rates of retweets when the authorof the tweet has a picture of himself or herselfinstead of a logo. Definitely don’t leave thedefault egg as your profile image.Using TwitterWriting a tweet: Tweets are short messagesto the world. You only have 140 characters toshare information. These tweets can be thoughtson a famous athlete’s injury, links to healtharticles, or random personal thoughts. At firstSEPTEMBER/ OCTOBER 2014it might feel like you are talking to an emptyroom. You are. While they can all be seenpublicly, your tweets only appear in thetimelines of people who follow you. As yougain followers, more people see (and share)y
15 Washington Update 16 Upcoming Meetings & Courses SPORTS MEDICINE UPDATE is a bimonthly publication of the American Orthopaedic Society for Sports Medicine (AOSSM). The American Orthopaedic Society for Sports Medicine—a world leader in sports medicine . in the practice of orthopaedics and sports medicine. SEPTEMBER/OCTOBER 2014 SPORTS .
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
Silat is a combative art of self-defense and survival rooted from Matay archipelago. It was traced at thé early of Langkasuka Kingdom (2nd century CE) till thé reign of Melaka (Malaysia) Sultanate era (13th century). Silat has now evolved to become part of social culture and tradition with thé appearance of a fine physical and spiritual .
On an exceptional basis, Member States may request UNESCO to provide thé candidates with access to thé platform so they can complète thé form by themselves. Thèse requests must be addressed to esd rize unesco. or by 15 A ril 2021 UNESCO will provide thé nomineewith accessto thé platform via their émail address.
̶The leading indicator of employee engagement is based on the quality of the relationship between employee and supervisor Empower your managers! ̶Help them understand the impact on the organization ̶Share important changes, plan options, tasks, and deadlines ̶Provide key messages and talking points ̶Prepare them to answer employee questions
Dr. Sunita Bharatwal** Dr. Pawan Garga*** Abstract Customer satisfaction is derived from thè functionalities and values, a product or Service can provide. The current study aims to segregate thè dimensions of ordine Service quality and gather insights on its impact on web shopping. The trends of purchases have
Chính Văn.- Còn đức Thế tôn thì tuệ giác cực kỳ trong sạch 8: hiện hành bất nhị 9, đạt đến vô tướng 10, đứng vào chỗ đứng của các đức Thế tôn 11, thể hiện tính bình đẳng của các Ngài, đến chỗ không còn chướng ngại 12, giáo pháp không thể khuynh đảo, tâm thức không bị cản trở, cái được
Veterans Review and Veterans Review and Appeal Board “Your right to be heard” ORTHOPAEDIC HANDBOOK Prepared by: Stanish Orthopaedic Inc. Professor of Orthopaedic Surgery, Dalhousie University Director, Orthopaedic and Sport Medicine Clinic of Nova Scotia Hali
Consultant Paediatric Orthopaedic Surgeon Maidstone and Tunbridge Wells NHS Trust Kent, UK Deborah Eastwood Consultant Paediatric Orthopaedic Surgeon Great Ormond Street Hospital for Children and Royal National Orthopaedic Hospital Middlesex UK David Evans Consultant Hand Surgeon The Hand Clinic Berks, UK Mark Falworth Consultant Orthopaedic .
