Conference Preview: The Role for Stem Cells in Orthopedic Surgery

October 21st, 2014
Orthopaedic Surgeon Paul Sethi, MD President, ONSF

Orthopaedic Surgeon Paul Sethi, MD
President, ONSF

Paul Sethi, MD, will address the ACL Injuries in Women at the 6th Annual ONSF Medical Education Conference on Saturday, November 8th. Orthopedic surgeons, neurosurgeons, radiologists, sports medicine specialists, physiatrists and physical therapists will present topics related to treatment of musculoskeletal issues unique to females.

Most cells in our body develop into a specific cell type, for example cells that populate the kidneys. Similar to our staying on a “career path,” these cells stay in the same line and continue to produce and generate cells to function within the body part. In contrast, stem cells are basic human cells that have not chosen a cell type (job) but have the potential to give rise to many different cell types in the body.

This is exciting because stem cells may be able to create new cells in existing healthy tissues and may help to repair tissues in those structures that are injured or damaged.

As orthopedic surgeons, we have focused our attention on mesenchymal stem cells. Unlike embryonal stem cells, mesenchymal stem cells are obtained from living adult tissue: from bone marrow in your pelvic bone and sometimes from blood or adipose tissue. Bone marrow stromal cells are the specific mesenchymal stem cells that, in the proper environment, can differentiate into cells that are part of the musculoskeletal system. They can help to form bone, tendon, articular cartilage or even ligaments – all critical elements of musculoskeletal regeneration.

At this point, stem cell procedures in orthopedics are at an experimental stage. It is expected, however, that as more knowledge of tissue engineering is obtained, stem cell procedures will become more common. Active research and current clinical applications show promise in three specific areas of orthopedic regeneration surgery.

Bone Fractures and Nonunions: Traditionally, bone defects have been treated with solid bone, material placed at the site of the fracture or nonunion. Stem cells and progenitor cells are now placed along with the bone graft to stimulate and speed the healing. These may be used in the absence of a bone graft, avoiding a potentially painful surgical procedure.

Articular Cartilage and Arthritis: The lining of joints is called the articular cartilage. Damage to the articular cartilage can frequently lead to degeneration of the joint and painful arthritis. Current techniques treat articular cartilage damage by grafting and transplanting cartilage to fill the defects. It is hoped that stem cells, injected into the joints, will create growth of primary hyaline cartilage to restore the normal joint surface.

Ligaments and Tendons:   Mesenchymal stem cells may also develop into cells that are specific to connective tissue leading to faster healing of ligament and tendon injuries, such as quadriceps or Achilles tendon ruptures. In this case, stem cells would be included as part of a primary repair process. We anticipate our future ability to repair the ACL instead of surgically replacing the ligament.

The 6th Annual ONSF Medical Education Conference will focus on treatment of musculoskeletal issues unique to females. Keynote speaker Joan Lunden, renowned author, journalist and TV host, will share her perspectives on women’s health.

Conference Preview: ACL Injuries in Women

October 17th, 2014
Katie Vadasdi MD

Katie Vadasdi, MD

Katie Vadasdi, MD, will address the ACL Injuries in Women at the 6th Annual ONSF Medical Education Conference on Saturday, November 8th. Orthopedic surgeons, neurosurgeons, radiologists, sports medicine specialists, physiatrists and physical therapists will present topics related to treatment of musculoskeletal issues unique to females.

“The Anterior Cruciate Ligament (ACL) functions to stabilize the knee and prevents the tibia from moving forward on the femur providing rotational stability.

There has been a notable increase in ACL injuries and over sport participation in the past 20 years. There has also been an increase in females participating in higher risk sports. The majority of ACL injuries occur between the ages 16-45 years old. 70% of ACL injuries occur from a non-contact event. In soccer, basketball and volleyball, the rate of non-contact ACL injury is 2.4-9.5 times higher in women than men. Women tend to have a smaller ACL, smaller femoral notch where the ACL sits, more genu valgus (knock-knee), and added joint laxity which places women at higher risk of ACL rupture. Women also tend to be more upright when landing or lunging which increases the load on the ACL, and increases the risk of rupturing.

ACL injuries commonly occur in a setting of deceleration with hyperextension and valgus or knock-kneed position. Patients will often describe a snap or ‘pop” and the giving way of the knee.

Most athletes with a complete or high-grade ACL rupture or an ACL tear will require surgical reconstruction with a graft.

Neuromuscular training improves strength, agility and proprioception which reduces the risk of ACL injuries.”

The 6th Annual ONSF Medical Education Conference will focus on treatment of musculoskeletal issues unique to females. Keynote speaker Joan Lunden, renowned author, journalist and TV host, will share her perspectives on women’s health.

Conference Preview: Treatment of Bunions

October 16th, 2014
ONS Orthopedic Foot and Ankle Surgeon

ONS Orthopedic Foot and Ankle Surgeon

Sean Peden, MD will address the treatment of bunions at the 6th Annual ONSF Medical Education Conference on Saturday, November 8th. Orthopedic surgeons, neurosurgeons, radiologists, sports medicine specialists, physiatrists and physical therapists will present topics related to treatment of musculoskeletal issues unique to females.

A bunion, or hallux valgus, is a common cause of both deformity and pain in the feet. Many different things are called bunions: arthritic spurs, calluses, cysts, and gouty crystal deposits. A true bunion is not a growth or bone spur. A true bunion is caused by misalignment of the bones in the feet. And the problems bunions cause are not just limited to the apparent bump – they can lead to arthritis, pain in the other toes, and even dislocation of the toe joints.

When a bunion becomes painful or disruptive it should not be ignored. The most common treatment is accommodation of the bunion, with shoe inserts or orthotics, modification of shoe wear, and other accessories that decrease the irritation caused by a bunion. None of these treatments can fix a bunion.

Surgery for bunions is reserved for cases that cause significant pain or discomfort affecting the quality of life that fail to improve with simple measures. There is no one perfect surgery for a bunion. Surgery is tailored to the patient’s severity, lifestyle, and expectations. In all cases, simply shaving down the prominent bone is not a satisfactory treatment. Realignment of the involved bones is typically required, either by reshaping or fusing these bones in a better position.

The 6th Annual ONSF Medical Education Conference will focus on treatment of musculoskeletal issues unique to females. Keynote speaker Joan Lunden, renowned author, journalist and TV host, will share her perspectives on women’s health.

<Learn more about the 6th Annual ONSF Medical Education Conference>

Conference Preview: Differences in Women’s Rehabilitation and Performance Training

October 15th, 2014
ONS Physical Therapist Alicia Hirscht

ONS Physical Therapist Alicia Hirscht

Don’t miss the opportunity to attend the 6th Annual ONSF Medical Education Conference on Saturday, November 8th. Orthopedic surgeons, neurosurgeons, radiologists, sports medicine specialists, physiatrists and physical therapists will present topics related to treatment of musculoskeletal issues unique to females.

Speaker Alicia Hirscht, DPT, SCS, CSCS will present “What is Different about Rehabilitation and Performance Training in Women?”

“When you hear the term “performance training” you usually envision a young, fit athlete with no aches and pains, running with perfect form, the picture of health. When you hear the term “rehabilitation” you might envision older people on walkers recovering from a joint replacement or a stroke, not exactly a picture of athletic prowess.

There is actually more crossover in the fields of rehab and performance training than you might think. Perhaps your injury is from running, and your rehab consists primarily of high level exercises to get you back on the trails. Perhaps your rehab post- surgery has gone smoothly, but to get back to carrying your 30# toddler 15 times per day requires an advanced set of training.

Women across the age span, from generation Y2K to the baby boomer generation, are healthier and more knowledgeable than ever, expecting to be active well beyond their everyday activities. In this discussion, we will review all the popular terms in the exercise genre: physical therapy, personal training, performance therapy, functional training….the list goes on. We will discuss common injury prevention principles for the female patient and how to keep our moms, daughters and athletes out of rehab and performing to their optimal abilities.”

Keynote speaker Joan Lunden, renowned author, journalist and TV host, will share her perspectives on women’s health.

<Learn more about the 6th Annual ONSF Medical Education Conference>

6th Annual ONS Foundation Medical Education Conference: Treatment of Musculoskeletal Issues in Females

October 10th, 2014

ONSF 2014 Medical ConferenceOn Saturday, November 8th orthopedic surgeons, neurosurgeons, radiologists, sports medicine specialists, physiatrists and physical therapists will address the 6th Annual ONSF Medical Education Conference. The focus this year will be on treatment of musculoskeletal issues unique to females.

Females have different anatomic, physiologic and endocrinologic concerns that must be considered in tailoring care of non-operative and operative treatment of musculoskeletal issues. Care of musculoskeletal problems in females will span the gamut from the adolescent female (such as adolescent idiopathic scoliosis) to the adult woman (such as osteoporosis and risk of fragility fractures.) Speakers will discuss special considerations in conditioning for female athletes and care of the injured female athlete. Musculoskeletal conditions unique to the pregnant woman will be covered, including exercise during pregnancy as well as treatment of special problems encountered during pregnancy such as low back pain and carpal tunnel syndrome.  Keynote speaker, Joan Lunden, a renowned author, journalist and TV host, will share her perspectives on women’s health.

For more information about the conference, <download brochure> or visit: 6th Annual ONS Foundation Medical Education Conference.

ONS Foundation Along With NFL Alumni CT Chapter Hold Youth Sports Concussion Talk at Greenwich Library

November 21st, 2013

On November 19th, 2013, the ONS Foundation and the NFL Alumni Connecticut Chapter came together to present a comprehensive program to raise awareness and educate parents and coaches of youth athletes about the signs and symptoms of concussion.  The program was a positive reassurance to parents and coaches that local programs are on top of safety issues to protect our youth.  A medical panel discussed various ways to recognize and treat concussion.

The seminar, entitled Youth Sports Concussion Awareness and Prevention was held in the Cole Auditorium of the Greenwich Library and was attended by approximately 110 parents, youth coaches and athletic trainers from all sports.  The medical panel included Paul Sethi, M.D. – Orthopaedic Surgeon and President of the ONS Foundation; Mark Camel, M.D. – Neurosurgeon and Patricia McDonough-Ryan, PH.D. – Pediatric Neuropsychologist.

Other presenters were Steve Thurlow, President, NFL Alumni CT Chapter and retired Running Back for the Redskins and Giants and Tim Hasselbeck, ESPN Analyst, retired NFL Quarterback and Greenwich Youth Football Coach.  Jim Loughran, Commissioner of the Greenwich Youth Football League, also contributed to the discussion making reference to the NFL’s Heads-up Program.

President of the NFL Alumni CT Chapter, Steve Thurlow.

President of the NFL Alumni CT Chapter, Steve Thurlow.

Time Hasselbeck, George Radachowsky and Casey McKee.

Tim Hasselbeck, George Radachowsky and Casey McKee.

ONS Physical Therapist, Pete Falla, Paul Sethi, MD and Steve Thurlow

Athletic Trainer, Pete Falla, Paul Sethi, MD and Steve Thurlow

What a turnout!

What a turnout!

The Panel discussing the most frequently asked questions about Youth Concussions.

The panel discussing the most frequently asked questions about Youth Concussions.

 

Former NFL Quarterback, Tim Hasselbeck, President of the ONS Foundation and ONS Orthopaedic Surgeon, Paul Sethi, MD and Giants Team Physician, Russel F. "Doc" Warren, MD.

Former NFL Quarterback, Tim Hasselbeck, President of the ONS Foundation and ONS Orthopaedic Surgeon, Paul Sethi, MD and Giants Team Physician, Russel F. “Doc” Warren, MD.

Chris Thurlow, Tim Hasselback, Steve Thurlow and Jim Loughran

Chris Thurlow, Tim Hasselback, Steve Thurlow and Jim Loughran

Bill Cooke, Panel Speakers Tricia Ryan, PH.D. Steve Thurlow, President of the ONS Foundation, Paul Sethi, MD, Mark Camel, MD, and former NFL Quarterback Tim Hasselbeck

Bill Cooke, Panel Speakers Tricia Ryan, PH.D. Steve Thurlow, President of the ONS Foundation, Paul Sethi, MD, Mark Camel, MD, and former NFL Quarterback Tim Hasselbeck and Jim Loughran

 

ONS Foundation and NFL Alumni Concussion Prevention & Management Strategies for Youth Athletes

November 8th, 2013

The ONS Foundation and the NFL Alumni Chapter will present a free seminar on Youth Sports Concussion Awareness and Prevention. The Greenwich Branch of Wells Fargo Advisors is pleased to sponsor the ONSF/CT NFL Alumni Chapter Concussion Seminar. Please join us on Tuesday, November 19th, 2013 at 7:00 p.m. at the Cole Auditorium at Greenwich Library.concussion

ONS Foundation web logo

 

 

Concussion is a hot topic in the NFL and in high schools and colleges across the country with particular concern about the brain health of players of contact sports. The ONS Foundation and the NFL Alumni Connecticut Chapter want to raise awareness and educate parents and coaches of youth athletes about the signs and symptoms of concussion.

The discussion will cover the latest information on concussion management on the field, in the doctor’s office and what parents/coaches/teachers need to know to support recovery from concussion.

Speakers Include: Tim Hasselback- ESPN Analyst, retired NFL Quarterback: Greenwich Youth Football Coach

Steve Thurlow- President NFL Alumni CT Chapter- Retired Running Back for the Redskins and New York Giants

Panelists Include:

– President of the ONS Foundation, ONS Orthopaedic Surgeon and Sports Medicine Specialist Paul M. Sethi, MD
– Pediatric Neuropsychologist Tricia McDonough Ryan, PhD
– ONS Neurosurgeon Mark Camel, MD.

Kindly RSVP to Kelly McCory, NFL Alumni CT Chapter at m3kellymc@aol.com

ONS Foundation 5K PLAY Strong PLAY Safe 5K RUN/ WALK EXPO

October 3rd, 2013

IMG_4383IMG_4386On Sunday, September 22nd, the sun was bright as the ONS Foundation for Clinical Research and Education held its first annual PLAY Strong, PLAY Safe 5K Run/Walk to benefit the Foundation’s orthopedic and neurosurgery education initiatives.

Prior to the race Dr. Katie Vadasdi, orthopedic surgeon and race co-chair, said, “It seems only fitting that the ONS Foundation host a 5K race to benefit the organization’s education programs that concentrate on the treatment and prevention of musculoskeletal conditions and injuries.”   IMG_4382IMG_4387

The race, a USATF certified 5K course, started in front of the Old Greenwich Riverside Community Center (OGRCC) and traveled through scenic residential areas of Old Greenwich.IMG_4393

“The course was designed for all athletic abilities whether you are a serious runner or a power walker,” said Dr. Vadasdi, who is also an accomplished triathlete. Elite runners, corporate challenge teams, joggers, student athletes, weekend warriors, power walkers and families participated.

In addition to the race, the event featured a Health Expo located at the OGRCC where participants and their families learned more about nutrition, training, injury prevention and running equipment.

“We were fortunate to have exhibits from ONS Physical Therapy, EHS PT, Greenwich Running Company and Green and Tonic,” said event co-chair Joseph “Casey” McKee.  Major sponsors included Greenwich Hospital, Fairway Markets, City JEEP, Fairfield County Look, Jr. United Way and other generous ONS Foundation friends.

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PLAY VIDEO 

 

http://t.co/s8Bd0RmfrQ

ONS Foundation for Clinical Research and Education PLAY Strong, PLAY Safe 5K Race/Run will Benefit Orthopaedic Research and Injury Prevention Education

August 22nd, 2013

 

5K

 

 

 

On Sunday, September 22, the ONS Foundation for Clinical Research and Education PLAY Strong PLAY Safe 5K Run/Walk will take place in Old Greenwich. Orthopedic Surgeon Dr. Katie Vadasdi and Joseph “Casey” McKee will serve as event Co-chairs. “It seems only fitting that the ONS Foundation host a 5K race to benefit the organization’s research and education around treatment and prevention of musculoskeletal conditions and injuries,” said Dr. Vadasdi. “What better venue for highlighting the importance of mobility and physical health at any age than a 5K walk/run aimed at the whole family.” Proceeds from the PLAY Strong PLAY Safe 5K will benefit the Foundation’s education initiatives as well as the youth sports programs of the OGRCC. Details about the event and registration are available online at www.ons-foundation.org. Registration packets may be picked up on Saturday, September 21, at OGRCC between 10 a.m. and 4 p.m. or on race day between 6 a.m. and 7:30 a.m. Same day registrations are accepted.

The race will begin in front of the OGRCC (Old Greenwich Riverside Community Center) on Harding Road at 8 a.m. on Sunday. The USATF certified 5K course travels through scenic residential areas of Old Greenwich. The course goes south past the Innis Arden Club and is relatively flat for the first 2 miles. Bypassing downtown Old Greenwich, runners and walkers will encounter a hill as they leave the Binney Park area and enter Summit Road. Then, the course runs adjacent to the Riverside School before turning onto Owenoke Way and on to the finish line at the OGRCC.

“The course is designed for all athletic abilities whether you are a serious runner or a power walker,” said Dr. Vadasdi who is also an accomplished triathlete. “We invite elite runners, corporate challenge teams, joggers, student athletes, weekend warriors, power walkers and families to participate.

ONS Foundation 5K Run/Walk Facts

What: ONS Foundation for Clinical Research and Education Play Strong, Play Safe 5k Run/Walk

When: Sunday, September 22, 2013
Packet Pick Up/Race Day Registration 6 – 7:30 a.m.
5K Start 8 a.m.
Kids 0.5 Mile Costume Run/Walk 9 a.m.

Where: Meet at (OGRCC) Old Greenwich-Riverside Community Center
90 Harding Road, Old Greenwich, CT 06870
Registration details: Register and pick up packets -Saturday, September 21, at OGRCC from 11 a.m. to 4 p.m. (Includes a Race T-Shirt)

Fees:
Adults: $40
Students (12-18 years): $25
Child (8-11 years): $15
Child (7 & younger): FREE

In addition to the race, the event will feature a Health Expo located at the OGRCC where participants and their families will be able to learn more about nutrition, training, injury prevention and running equipment. “We are fortunate to have exhibits from ONS Physical Therapy, EHS PT, Greenwich Running Company and Green and Tonic,” said “Casey” McKee. “ONS doctors will also be on hand to host clinics on injury prevention and management”.

Sponsors for the ONS Foundation 5K include Greenwich Hospital Fairway Market, Elite Health Services, Greenwich Running Co., Jeep, Green and Tonic, Johnnie-O, and the Greenwich United Way. For information and online registration, go to www.ONS-Foundation.org.

The ONS Foundation for Clinical Research and Education, a Greenwich Hospital alliance, works to develop, validate, formalize and disseminate the latest advances in surgical techniques, rehabilitation protocols and clinical outcomes in orthopedics and neurosurgery to improve patient care on regional and national levels.

 

 

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Despite the Rain, We Played the Game!

June 21st, 2013

Fun at The 5th Annual ONS Foundation Golf Outing

The ONS Foundation for Clinical Research and Education, in conjunction with Greenwich Hospital, held its 5th Annual Golf Outing on Monday, June 10th at The Stanwich Club. The event was co-chaired by Michael Clain, MD, Rich Granoff and Vicki ONS_GolfOuting13_Invite_3.inddLeeds Tananbaum. Despite the rain, 27 foursomes played the beautiful championship course after indulging in a wonderful buffet lunch.

 

Following the tournament, golfers, non-golfing friends and other supporters attended a cocktail reception, auction and dinner. Silent and live auctions were co-chaired by Rebecca Karson, Lauren Mazzullo and Amy Sethi. Charity auctioneer, Philae Knight of Phillips auction house, encouraged lively bidding on Live Auction lots. Golf outing sponsors included Greenwich Hospital, Constitution Surgery Centers, Bershtein, Volpe & McKeon P.C., media sponsor Serendipty, Field Point Bank, Greentree Toyota Scion of Danbury who provided the “hole in one” car, Insurance Exchange, Granoff Architects, XPLOR, Watson’s Catering, New England Orthotics and Prosthetic Systems, Tripp Lake Camp and Camp Takajo, Horseneck Wine and Liquor, Thomas Laundry and Cleaners and many other generous businesses and individuals.

 

Proceeds from the 2013 event will benefit ONS Foundation research, education, and surgical fellowship programs. To strengthen the alliance already shared with Greenwich Hospital, the ONS Foundation, in partnership with the Yale University fellowship program, will grant training to an orthopaedic surgeon who seeks expertise in shoulder and elbow surgery. ONS Foundation President, Dr. Paul Sethi said, “…the ultimate goal is to create a comprehensive experience into the diagnosis and treatment of problems related to the upper extremities.”

 

 

Brenda and Harold Tananbaum and Golf Outing Co-Chair Vicki Leeds Tananbaum

Brenda and Harold Tananbaum and Golf Outing Co-Chair Vicki Leeds Tananbaum

 

Sung Lee, MD Alissa Lee, John Dowling, Annette Fiore, Amory Fiore, MD attend the 5th Annual Golf Outing

Sung Lee, MD Alissa Lee, John Dowling, Annette Fiore, and Amory Fiore, MD.

ONS Committee

ONS Foundation 5K Run/Walk Committee: Brad Gilden, Jon Stellwagen, Katie Vadasdi, MD, Brenda Tananbaum, Vicki Leeds Tananbaum. Back: Joseph “Casey” McKee and Nate Barnum.

 

 

Joseph Casey McKee

Jim Wright, Barb McKee, Joseph “Casey” McKee and Richard Granoff

ONS Foundation President, Paul Sethi,  MD Frank Corvino, and Brian Doran, MD attend the 5th Annual Golf Outing

ONS Foundation President Paul Sethi, MD, President and CEO of Greenwich Hospital, Frank Corvino and, Greenwich Hospital Vice President Brian Doran, MD.

James Cunningham, MD Debbia Pruzan-Clain, MD and Michael Clain, MD

James Cunningham, MD Debra Pruzan-Clain, MD and Michael Clain, MD.

Stephen and Connie Kurczewski and Brad Gilden Attend the ONS Foundation's 5th Annual Golf Outing

Stephen and Connie Kurczewski and Brad Gilden attend the ONS Foundation’s 5th Annual Golf Outing

Rebecca Karson, Amy Sethi Lauren, Mazzullo attend the ONS Foundation's 5th Annual Golf Outing

Auction Co-Chairs: Rebecca Karson, Amy Sethi Lauren, Mazzullo attend the ONS

Foundation’s 5th Annual Golf Outing

 

 

 

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