ONS Sports Medicine Specialists and Orthopedic Surgeons awarded 2nd place at The American Orthopaedic Society for Sports Medicine Meeting for “Incidence of Culture Positive Propionibacterium Acnes in Shoulder Arthroscopy”

UNDERSTANDING AND PREVENTING SURGICAL SITE INFECTION

The American Orthopaedic Society for Sports Medicine (AOSSM) was founded primarily as a forum for research and education for orthopedic surgeons, physicians and health care professionals in the field of sports medicine. Each year the AOSSM holds a conference to highlight areas of recent research, surgical techniques and to debate and share clinical insights about hot topics in the field of sports medicine. Physicians are recognized and awarded for their efforts in research and presentations about sports medicine conditions.

At the annual AOSSM meeting held in Seattle, Washington this July 10th-13th, ONS orthopedic surgeons Timothy Greene, MD, Katie Vadasdi, MD, director of the ONS Women’s Sports Medicine Center and Paul Sethi, MD, President of the ONS Foundation for Clinical Research and Education, were awarded 2nd place for research presented on “Incidence of Culture Positive Propionibacterium Acnes in Shoulder Arthroscopy.” This research is best described in a statement below from Dr. Paul Sethi:

“As the field of shoulder surgery and, particularly, shoulder replacement grows, the risk of developing shoulder infection increases. When treated imperfectly, infection may cause devastating complications. Our goal is to help develop a universal measure to absolutely minimize post-surgical infection. Reducing complications adds value to patient experience and avoids the costly road of infection eradication. The bacterium (Proprionibacter Acnes) most commonly attributed to shoulder infection is a very unusual organism. Until recently, it was not properly recognized because it was so difficult to identify.

Now that one of the greatest bacterial offenders (in the shoulder) has been more clearly identified, we are looking for ways to prevent it from infecting patients. In our last study we took over three hundred cultures and studied them. After careful analysis, we were able to identify when (during surgery) patients are most susceptible to this bacterial infection and were able to determine just how frequently this bacteria is present. Now that we know when this bacterium may gain its access to patients, we are developing ways to attack it at the patient’s point of vulnerability.”

Paul Sethi, MD
Paul Sethi, MD
Katie Vadasdi, MD
Katie Vadasdi, MD
Timothy Greene, MD
Timothy Greene, MD

Sethi PM, Greene T, Vadasdi K, Miller S.  Incidence of P. Acnes Culture after Primary Shoulder Arthroscopy.  AOSSM Annual Meeting. Seattle, WA. July 2014

Posters are judged by the AOSSM Education Program Committee. With just three poster awards available, we congratulate our physicians on their research and 2nd place award.

ONS Foundation Awarded 2nd Place in AOSSM Poster Contest
ONS Foundation Awarded 2nd Place in AOSSM Poster Contest

For more information on the AOSSM Annual Meeting, please click here: http://www.sportsmed.org/Education/Meetings/Annual_Meeting_2014/2014_Annual_Meeting/

Program:
http://www.sportsmed.org/uploadedFiles/Content2/Education/Meetings/Annual_Meeting_2014/AOSSM%202014%20Final%20Program.pdf

Orthopaedic and Neurosurgery Specialists PC (ONS) is an advanced multi-specialty orthopedic and neurosurgery practice in Greenwich, CT. ONS physicians provide expertise in sports medicine, minimally invasive orthopaedic, spine and brain surgery, joint replacement and trauma. For more information, please visit www.onsmd.com.

 

 

ONS Doctors Receive 40 Under 40 Award

Congratulations to Dr. Vitale and Dr. Vadasdi of Orthopaedic and Neurosurgery Specialists, Greenwich, CT, who received the 40 Under 40 award June 19, 2014, at the Palace in Stamford!

Dr. Vitale is  recognized for his career adv40Under40Winnersances, contribution to published research, community involvement and organizing trips to the country of Haiti where he and a group of clinician/physicians provide medical services to those in need.

Dr. Vadasdi was recognized for achievements in her medical career in orthopedics and sports medicine, for her community work and as an athlete.

Each year WAG Magazine and Fairfield County Business Journal recognize 40 professionals under the age of 40 as leaders in the workplace and community. Nominees are submitted and winners are decided by a panel. This year marked the 10th anniversary of this award. We are proud of both our winners, the work they do here at ONS, in the community and abroad.

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Is tennis your game? Do you love the pace on the squash or paddle court?

RacketSportsTennisWoman If you love racket sports, you might already know what it’s like to experience a rolled ankle or shoulder strain. Injury prevention is the key to staying in the game and ONS is here to help you keep your swing healthy! On Tuesday, May 13th at 6:30 p.m. in the Noble Conference Center at Greenwich Hospital, come hear sports medicine physician Gloria Cohen, MD, orthopedic surgeon Katie Vadasdi, MD, physical therapist Tatyana Kalyuzhny, PT, DPT, MDT and Patrick Hirscht, Tennis Pro, Round Hill Club in Greenwich discuss how to avoid the most common injuries in racket sports like Achilles tendon tears, shoulder and wrist injuries and rolled and sprained ankles. Learn to recognize injury warning signs and know when it’s time to see a doctor. The panel will discuss injury prevention and the latest orthopedic treatments.

Dr. Katie Vadasdi, head of the ONS Women’s Sports Medicine Center shares her medical expertise and experience in treating these types of injuries saying “racket sports can lead to overuse injuries due to the repetitive motions required in these sports. We most commonly see shoulder and elbow injuries including impingement of the rotator cuff and inflammation of the tendons in the elbow also known as tennis elbow. Early in the season, it is important to gradually increase intensity and duration of play to reduce the risk of developing such overuse injuries. If an athlete develops pain, it is important to rest in order to allow for appropriate recovery.  This can often prevent the development of more serious injuries.  If pain persists in spite of rest, then an athlete should reach out to a medical professional for further diagnosis and management options”.

Come to the seminar to learn more! Seminar is free. Registration requested.

For more information on shoulder injuries/surgery click here!

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit http://onsmd.com/ or call 203.869.1145.

ONS Sports Medicine Specialist, Gloria Cohen, MD on Cycling Injuries

GloriaCohenbikingWEB_SMLike all activities engaged in regularly, cycling has its share of common ailments and injuries.  Many of the overuse injuries result from attempting to do too much, too soon. Poor riding technique, and improper frame fit for the individual may also cause injuries. Riding too many miles or tackling too many hills in too high a gear will stress the musculoskeletal system, especially at the start of the cycling season.

Knee pain is the most common complaint and is usually related to the tracking of the kneecap, or “patella” in the mid-groove of the thigh bone or “femur.”  The symptoms of “biker’s knee,” also known as “patellofemoral pain syndrome,” usually result from a combination of malalignment of the extensor mechanism of the knee, muscle imbalance, and improper set-up on the bike.  Each cyclist presents with differences in biomechanics (flat pronated feet, bow legs, etc.) and muscle conditioning (strength and flexibility) that can predispose to this condition.  It is important to avoid riding with high pedal resistance at a low cadence as this puts excessive pressure across the knee joint. The rule of the road is “if the knees hurt gear down.”

Some common riding errors are riding with the saddle too low or too far forward and poor foot position or improper cleat adjustment.  This can lead to other musculoskeletal injuries such as neck problems, or Achilles tendinitis.

We must not forget that traumatic injuries can occur when we least expect it. Wear an approved bicycle helmet at all times while cycling. Remember to replace your helmet if you are involved in a bike crash while wearing it. It will likely not perform for you the second time.

Gloria Cohen, MD is a specialist in non-operative sports medicine. She is a primary care team physician for the Columbia University varsity athletic teams and lecturer in the Department of Orthopaedics at Columbia University and served as team physician to the Canadian National Olympic Cycling Team for 14 years and was a member of the Canadian Medical Team for the Olympic Games in Seoul, Atlanta, and Sydney. She travels regularly with the Columbia University varsity football team, the Lions and is recognized as an authority in sports medicine in the United States and Canada.

Dr. Cohen believes in taking an integrative approach to medical management by considering a patients’ bio-mechanics, cardio-vascular and pulmonary function as it relates to athletic performance. Dr. Cohen is a successful competitive runner who has qualified twice for the New York Marathon. She is also an off-road and road cyclist and will be a featured speaker at Cycle Strong! A Sports Conditioning and Injury Prevention Workshop for Cycling Enthusiasts! This event is presented by ONS Foundation for Clinical Research, Inc. and sponsored by the North Castle Library, Armonk. For more information visit the ONS Foundation website.

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit http://onsmd.com/ or call 203.869.1145.

Looks like more snow is in the forecast, we have some skiing tips for you!

skierThe knee is the most vulnerable body part for any athlete, including skiers. Downhill skiing produces large amounts of torque on the knee, challenging the integrity of ligaments and tendons. Whether from a fall or overuse, the most common injuries in skiers are tears to the MCL (Medial Collateral Ligament) or ACL (Anterior Cruciate Ligament), two important structures that give our knee stability.  When a skier is thrown off balance, his skis will sometimes shoot out in front of him, creating extra torque on the knees and damaging our stabilizing structures.

Both novice and experienced skiers are at risk of hurting their knees. We frequently see novice skiers hurt themselves when they do not know how to turn, stop or fall properly. Taking lessons and working with an instructor goes a long way in preventing knee injuries for beginner skiers. Experienced skiers frequently take risks and assume that they can manage faster speeds on any slope.  Many injuries, whether you are a beginner or an experienced skier, are related to weather conditions. It is important to realize that as visibility and surface conditions deteriorate, the slope or trail level goes up. In poor visibility or icy conditions, a beginner trail becomes an intermediate trail, and an intermediate slope becomes advanced slope. Keep injury prevention in mind, if the conditions are difficult, ski down a level.

A second reason injuries occur is fatigue. Most skiers’ bodies are not accustomed to exercising 6-8 straight hours. In addition, many skiers push their bodies to take advantage of the whole day, even when they start to feel tired and stiff.  For this reason, injuries tend to happen at the end of the day.

Having the knowledge of what places skiers at a higher risk for knee injuries, we are passing on recommendations about how to stay safe on the slopes.  Both beginners and experienced skiers can benefit from these tips!

  1. Start a conditioning program a few months before your first ski trip. Leg strengthening, flexibility and balance are important aspects of an adequate ski conditioning program.
  2. Ski with good technique. Maintain your balance and control, keep your hips above your knees, keep your arms forward, and maintain a safe speed.
  3. Learn how to fall correctly: keep your legs together, keep your chin to your chest and your arms up and forward.
  4. Pay attention to weather conditions and remember to ski down a level if conditions deteriorate.
  5. Listen to your body. If you start to feel pain or stiffness upon exiting the lift chair, then you should probably make that run your last. Head to the lodge and enjoy a warm drink by the fire.

Good luck and stay warm!

If you become injured, while skiing, remember, ONS sports medicine physicians are trained at the top universities and hospitals in the country and have expertise in the latest treatments for sports-related injuries in high-performance and recreational athletes.

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit http://onsmd.com/ or call 203.869.1145.

 

Ever Injured Yourself Skiing or Snowboarding?

Have you ever injured yourself skiing or snowboarding? Injuries on the slopes can ruin a good season, even for the pros. Just last week, we posted Dr. Katie Vadasdi’s discussion about the knee injury of Olympic Gold Medalist, Lindsey Vonn whose injury forced her to pull out of the upcoming Sochi 2014 Winter Olympics. Recently, another famed Olympian suffered an ankle injury.

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Two-time Olympic Gold Medalist, Shaun White suffered a sprained left ankle Thursday during the Slopestyle qualifiers. He landed the Olympic spot in Slopestyle but decided not to attend the X Games in Aspen this coming weekend.  “So far, the plan is still not to attend X,” White said Friday. “Especially considering how much work this has been to qualify for the Olympics. It’s that time of, what do I really want to work on before the Olympics and you’ve only got one week to really crank it out.”

ONS orthopedic and trauma specialist surgeon Steven Hindman, MD, who specializes in foot and ankle surgery and is a panel speaker for topics such as ski and snowboarding injuries shared his expert opinion on Shaun’s decision saying, “I think he made the right decision in taking a break this weekend and not attending the X Games. Shaun White, being one of the best, if not, the best athlete in his sport, knows what he can and cannot handle. He knows he can push the very difficult tricks and moves that he does. The Olympics are once every 4 years, it is critical to prepare and not over-do it especially when healing a previous injury.”

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Another expert opinion came from ONS orthopedic surgeon Michael Clain, MD, who specializes in foot and ankle surgery and sports medicine. Dr. Clain said “most ankle sprains are fine with rest, immobilization and rehab. I’d expect him to be able to compete just fine at the level for which he qualified for.”

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When you have a mild sprain, remember rest, immobilization and rehab are best before you head back to the slopes.

For more on ski and snowboarding injury prevention, click below
http://bit.ly/1bDVuy9

For more on foot and ankle conditions and treatments, click below http://onsmd.com/specialty/foot-and-ankle/

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit www.onsmd.com or call 203.869.1145.

 

 

ONS Knee Specialist Dr. Katie Vadasdi discusses Olympic Athlete Lindsey Vonn’s Injury

The ONS Women’s Sports Medicine Center team of experts consists of current and former athletes and fitness enthusiasts who know firsthand what it takes to train and excel in a sport. With the 2014 Olympics just a few weeks away, ONS orthopedic surgeon and women’s sports medicine specialist, Katie Vadasdi, MD, shared her expert opinion on one of the latest setbacks in Olympic history.

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In recent news, US skiing champion, and Olympic gold medalist Lindsey Vonn stated that she would be pulling out of the 2014 Sochi Olympics in Russia. The famed downhill skier experienced a series of knee injuries which led to her decision not compete.  When asked about Lindsey’s decision, Dr. Vadasdi said, “Vonn has made an appropriate but difficult decision to pull out of the winter Olympics this year in order to give her knee the medical attention it requires.  Her sport requires an incredible amount of strength and having an unstable knee puts her in a dangerous position where she might further injure her knee or cause other injuries.”

Last February, Lindsey tore two ligaments in her right knee and broke a bone in the same leg during an intense crash at the world championships. Upon returning to the sport, Vonn reinjured her surgically repaired ACL (anterior cruciate ligament) when she crashed during a training session. Two weeks later, Lindsey suffered another injury when she sprained her MCL (medial collateral ligament), during a downhill event. After reconstructive knee surgery in February 2013, Vonn posted on Facebook that she “is devastated” to miss the Olympics, “but the reality has sunk in that my knee is just too unstable to compete at this level.”

Each year, at least 1 in 3,000 Americans between the ages of 14 and 55 tear an ACL while exercising or playing sports.  Skiers are among the group of athletes who are more likely to experience an ACL injury. Dr. Vadasdi said of Vonn’s injury, “she will undergo ACL reconstruction which will provide her knee the stability it requires to return to such highly-competitive skiing.” A reconstructed ACL not only stabilizes the knee, but also prevents damage to the menisci cartilage that often occurs due to an unstable joint.

“By making the decision now to withdraw from the Olympics and to undergo the surgery, she will allow herself the necessary time to recover and fully rehab her knee to get her back on the slopes safely and at her height competitive level.”

To learn more about ACL Injuries, click here: http://onsmd.com/condition_treatment/acl-injuries/ and visit our Women’s Sports Medicine Center at http://onsmd.com/sports-medicine/womens-sports-medicine-center/.

Orthopaedic and Neurosurgery Specialists, PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit www.onsmd.com or call 203.869.1145.

 

14 Doctors from ONS included in Greenwich Magazine’s Top Doctors list

When you need the name of a good doctor, ask another doctor.  As a means to that end, each year Moffly Media asks Castle Connolly, the physician-led medical research team that vets doctors nationwide, to provide a list of top physicians in Fairfield County for their annual Top Doctors list. The January 2013 Top Doctors issue of Greenwich, Stamford, New Canaan/ Darien and Westport Magazines contains information on over 323 doctors in 48 medical specialties.  This year’s list includes 14 doctors from Orthopaedic and Neurosurgery Specialists, PC (ONS) in Greenwich Office Park:  neurosurgeons – Paul Apostolides, MD, Mark Camel, MD, Amory Fiore, MD and Scott Simon, MD; orthopedic surgeons – Michael Clain, MD; James Cunningham, MD; John F. Crowe, MD; Frank Ennis, MD Steven Hindman, MD; Brian Kavanagh, MD; Seth Miller, MD; David Nocek, MD; and Paul Sethi, MD; physiatrist – Jeffrey Heftler, MD.

“Once again, we are proud to have so many of our skilled physicians recognized in this year’s Top Doctors lists,” said Dr. Seth Miller.  “Our doctors are among the very best in the country. Each has been hand-picked for their superior credentials and experience”

Each year Castle Connolly’s experts ask medical leaders across the country to identify physicians they believe to be the best in their respective fields. The nominees’ credentials, including educational and professional experience, are then carefully screened and the list compiled.

Orthopaedic and Neurosurgery Specialists PC (ONS) physicians provide expertise in the full spectrum of musculoskeletal conditions and injuries, sports medicine, minimally invasive orthopedic, spine and brain surgery, joint replacement and trauma. The main office is located at 6 Greenwich Office Park on Valley Road, Greenwich, CT. For more information, visit www.onsmd.com or call (203) 869-1145.

What do ONS and the Olympics have in common?

NBC Air Time!

 

You may have seen our new commercials running during the Olympics this week.
We think it’s a perfect fit.
After all, ONS is all about stellar training, skill and excellence.


Our physicians are among the very best in their fields and our staff is held to the same exceptional standard.  ONS sports medicine physicians, orthopaedic surgeons and neurosurgeons are sub-specialty trained at premier institutions. They understand the demands on world class athletes, and apply the same expertise whether they’re treating an Olympian, a high school athlete or a weekend warrior.

 

ONS salutes the US Olympic Team!!

 

http://youtu.be/KNki5RH5n6o

 

Look for us on MSNBC, NBC Sports and CNBC.

Dr. Gloria Cohen will Blog from Winter Olympics

Dr. Gloria Cohen will serve as a member of the host medical staff for the XXI Olympic Winter Games in Vancouver, British Columbia, Canada from February 12 to 28. While there, Dr. Cohen will blog about her experiences on the “team behind the team”. She will write daily posts beginning when she arrives for pre-training on February 8th to tell what it is like to be with the athletes during practice and in competition.

Dr. Cohen has served on three prior Olympics medical teams. This time she has been assigned as a primary care sports medicine physician for the Olympic long track speed skating events.  She joins a multidisciplinary sports medicine team that includes orthopedic surgeons, neurosurgeons, primary care physicians and athletic trainers.  Robb Kelley wrote about Dr. Cohen for the Greenwich Citizen last week.  We will post a link to the article as soon as it is available on the newspaper’s website, so check back soon.

Doctor Invited to be on XXI Olympic Winter Games Medical Team

ONS physician Gloria Cohen, MD was recently selected to be a member of the host medical staff for the XXI Olympic Winter Games in Vancouver, British Columbia, Canada. The Games take place from February 12 to 28. Dr. Cohen, who has served on prior Olympics medical teams, has been assigned as a primary care sports medicine physician for the Olympic long track speedskating events. She joins a multidisciplinary sports medicine team that includes orthopedic surgeons, neurosurgeons, primary care physicians and athletic trainers.

As a member of the Winter Olympics host medical team, Dr. Cohen will provide healthcare and on-site emergency services to athletes during pre-Game and Games times from February 7 through the final medal competitions. Her duties will include emergency and first responder care on the ice for the athletes from any country. She will be working with some of the most qualified sports medicine physicians, physical therapists, and paramedics in the medical field. Continue reading “Doctor Invited to be on XXI Olympic Winter Games Medical Team”