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Ya l e O r t h o pa e d i c s Q u a r t e r ly Volume 1 • Number 4 • Spring 2017

INSIDE: 2 Growing Magec Rods

9 Successful Team Approach

14 Step Forward Faculty Forums

6 Yale Orthopaedics Welcomes Dr. Tuakli-Wosornu

10 Bones, Bits & Pieces

15 Congrats Mens Lacrosse!

7

Lacrosse Season is Here

8 Getting an Athlete Through An Injury

12 Thank You to our Chief Residents 13 Swinging the Hammer


2  YALE ORTHOPAEDICS QUARTERLY

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Chair's Report As we enter the full bloom of Spring, the Yale Department of Orthopaedics and Rehabilitation continues to blossom with new faculty, staff and new beginnings. Recent new faculty include Dr. Tuakli-Wosornu in the Section of Physical Medicine and Rehabilitation, who brings a wealth of new experience to this division. Although Dr. Woznica will be moving on to Chicago in the Summer, Dr. Leigh Hanke will join the group to round out a group of four with Drs. Rosen, Shih, and Tuakli. Other new faculty include Dr. Gibson who will be joining our Adult Reconstruction Division in the Summer, and Arya Varthi who will join the Spine Division in September. Nicole Lavette (APRN) has now joined the Shoulder, Elbow, and Sports Medicine Divisions, providing patient care and surgical services as part of our growing group of Advanced Practice Providers (APPS). She joins Priscilla Richards (APRN) in Foot and Ankle and Maria Onofrio (PA) in Trauma to provide outstanding and complete care to our patients. Our APP group is critical to the future success of our program and we are all fortunate to have Maria, Nicole and Priscilla in our group. Thank you!!! The seeds of the Center for Musculoskeletal Care have been firmly planted with groundbreaking at the CMC McGivney Ambulatory Surgery Center at the St. Raphael’s campus, with opening planned in late 2017. The CMC in Stamford also continues to grow in volume along with the Spine Center at Long Wharf in New Haven. Other new sites under consideration and development include Old Saybrook, North Haven, and Westerly, RI. For the Yale Sports Medicine Section, Spring is all about lacrosse, and this year has been no exception. With a group of Sports Medicine Doctors who are former lacrosse players (Blaine, Carter, Gardner, Sutton, Wiseman), there is a high level of interest and engagement with our lacrosse athletes at Yale. Yale Men’s lacrosse had another epic season, winning the Ivy League title at home and taking on perennial powerhouse Syracuse in the NCAA tournament. Liz Gardner was on the sidelines at the NCAA tournament, while Dr. Karen Sutton attended to the US Women’s lacrosse team in her role as Team Physician. She will be heading to London this summer to care for the Women’s athletes in their overseas tournament. Taking the sideline to the bench, a team of researchers (Blaine, Gardner, Kovacevic, Sutton, Tommasini) will be investigating the protective effect of lacrosse shoulder pads in preventing shoulder injuries. This team discovered that shoulder injuries are common in the sport, and this research funded by US Lacrosse may lead to revolutionary new changes in sports equipment for lacrosse, football and other contact sports. Elsewhere in CT, Spring is also in full swing, with an abundance of sports and other activities to enjoy. Kris Massey keeps us all informed in her regular column “Bones, Bits and Pieces,” where she reminds us all of the importance of leisure time and work-life balance.


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The faculty has also been engaged in improving the Department workplace through a series of Faculty Forums held over the past two months. These “Step Forward” Faculty forums have been attended by several distinguished guests including Tom Balcezak, Marc Brackett, Rick D’Aquila, Gail D’Onofrio, Mary O’Connor, Marie Robert, and Paul Taheri. Topics have included Organizational Vision and Alignment, Diversity and Inclusion, Work Life Balance and Emotional Intelligence. We have been fortunate to have great faculty attendance and engagement at these dinners, and lots of lively conversation. We will round out the series with an open forum on Tuesday, July 11 at Mory’s, where we will all raise the Cup to honor our great Yale tradition. With the arrival of our new interns, residents, and fellows in July, we will also be waving goodbye to our graduating Chief residents, Drs. Chan, Diaz-Collado, Henry, Russo, and Wiznia. These Chief residents, forever known as the “Education Chiefs,” made tremendous positive changes to the residency program that will be appreciated for years to come. I would like to say a personal “Thank you” to each of them as they embark on their fellowships and exciting new careers. For the graduating Chief residents and for our faculty and staff who will embark on new beginnings, I will close with the Irish blessing:

May the road rise up to meet you. May the wind be always at your back. May the sun shine warm upon your face; the rains fall soft upon your fields and until we meet again, may God hold you in the palm of His hand. We are blessed in so many ways at Yale Orthopaedics, but none so important than the people we have come to know and work with in our time at Yale. Health and happiness to all, Yours at Yale, Ted Theodore A. Blaine, M.D. Professor and Interim Chair Department of Orthopaedics & Rehabilitation Yale School of Medicine


4  YALE ORTHOPAEDICS QUARTERLY

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GROWING MAGEC RODS FOR CHILDREN WITH EARLY ONSET CURVATURE OF THE SPINE In early 2014, the FDA approved magnetically expandable rods for use in children with severe spinal deformity, specifically children under age 10 to 12, who have a severe scoliosis. Prior to that date, our growing rod systems in these young children with severe deformity involved placing a rod that could be expanded in the patient by returning to the operatiing room every 6 months to lenghten it. The concept was to allow the spine to grow and with it the chest and lungs, by just instrumenting the spine without fusing it to provide essentially an internal brace, in order to permit their spine to grow as much as possible. Many of these children have chronic illnesses and some have neuromuscular scoliosis related to, for example, cerebral palsy or spinal muscular atrophy. So even a small surgery every six months to lenghten the rods was a daunting and harrowing experience for them, especially for the medically fragile children. The Ellipse Company, which has subsequently sold these rods to the Nuvasic Company, developed magnetically controlled (Magec) rods that could be placed in the patient's body and then lengthened with an external magnet over the skin of the patient with him wide awake in the office. This is truly a paradigm shift and a remarkable technological advancement in the care for these children. In other words, they still have the index procedure to have the rods implanted where we anchor them at the top of the spine and the bottom of the spine. Often we can actually do this through two relatively small incisions and pass the rods underneath the skin without opening or exposing the entire spine. We try to fuse very little of the spine and then we can, with these rods, internally grow the spine just as the child continues to grow. This has absolutely changed their lives and also resulted in the ability to avoid multiple anesthetics and surgeries, decreased the incidence of wound infection and wound healing problems in the spine. In fact, one family transitioned from the traditional older growing rods to the newer growing rods and was elated with how much better it was not having to undergo surgery every six months. Today, I have done five patients with this new technology. There will be more to come, but this advance has greatly benefited these patients and families. This new technology is quite expensive and I am very grateful to the Yale New Haven Children’s Hospital to allow me to implant these rods. Some of these children do not have the best insurance and I am not sure the hospital is even recouping the cost of the implants, but they have recognized that this is such an improved way to manage these patients that they are supporting me doing the surgery with these implants. The lengthening in the office is tolerated very well by these children and seems to not bother them at all. So, again, I am very fortunate that that the hospital has approved my use of these rods as it has greatly enhanced my ability to care for these patients with challenging spinal deformities under age 12.

Brian G. Smith, MD Director of Pediatric Orthopaedics Yale New Haven Children's Hospital Professor, Resident Director Department of Orthopaedics Yale University School of Medicine


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Figure 1A 7-year-old with spinal muscular atrophy type 2 with severe curvature of the spine. This young patient cannot be braced due to poor lung status. Spinal muscular atrophy type 2 (SMA II) is an inherited condition that affects the muscles. It is characterized primarily by progressive muscle weakness that develops in children between ages 6 and 12 months. Affected children can sit without support; however, they cannot stand or walk unaided.

Figure 1B Eighteen months later and after four lengthenings this young patient’s spine is significantly straighter and has allowed for improved breathing and lung status


6  YALE ORTHOPAEDICS QUARTERLY

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Yale Orthopaedics Welcomes Dr. Tuakli-Wosornu By Marc L. Rosen, MD As the Chief of the Section of Physical Medicine and Rehabilitation (PM&R) in the Department of Orthopaedics and Rehabilitation at Yale University School of Medicine, I have the distinct pleasure to introduce new faculty as they join our Section of PM&R. In this Orthopaedic Quarterly, I would like to introduce our new colleague in the Section of PM&R, Yetsa A. Tuakli-Wosornu, MD, MPH.

Yetsa Tuakli-Wosornu, MD, MPH

Dr. Tuakli-Wosornu joined the Section of PM&R as a Physiatrist at the Yale School of Medicine in May 2017. She is currently an attending physician at the Yale New Haven Hospital (YNHH) and a member of the clinical faculty at the Yale School of Medicine.

Dr. Tuakli-Wosornu earned her Bachelor of Arts, cum laude, in African Studies from Yale College in 2001. Following her graduation from Yale College, she received a J. William Fulbright Scholar Award from 2001 to 2002. Following her Fulbright, she attended Harvard Medical School and earned her Doctor of Medicine degree, magna cum laude, in 2007. Subsequently, Dr. Tuakli-Wosornu earned a Master’s of Public Health from the Johns Hopkins University Bloomberg School of Public Health in 2009. She then completed her internship at the MedStar Good Samaritan Hospital in Baltimore, Maryland in 2010. Dr. Tuakli-Wosornu completed her residency training in Physical Medicine and Rehabilitation at the University of Maryland in 2013. Following her residency training, she completed a fellowship in Interventional Spine and Sports Medicine at the Hospital for Special Surgery in New York City. Following her fellowship, she was hired by Harvard Medical School as an Instructor of Physical Medicine and Rehabilitation. At Harvard, Dr. Tuakli-Wosornu had clinical responsibilities at the Brigham and Women’s Faulkner Hospital Comprehensive Spine Center for Interventional Spine and Sports Medicine. Dr. Tuakli-Wosornu is board certified by the American Board of Physical Medicine and Rehabilitation and the American Board of Integrative Holistic Medicine. She is a member of the American Academy of Physical Medicine and Rehabilitation, the Association of Academic Physiatrists, and the International Society of Physical and Rehabilitation Medicine. As a Physiatrist and clinician-scientist, Dr. Tuakli-Wosornu treats patients with common musculoskeletal conditions such as osteoarthritis and tendon injuries, and studies the impact of physical activity on the bio-psychosocial outcomes in diverse settings. Her work has been published in several peer-reviewed journals, including Orthopedics and the American Journal of Physical Medicine and Rehabilitation. Additionally, Dr. Tuakli-Wosornu has written chapters in DeLisa’a Physical Medicine and Rehabilitation: Principles and Practice and The Massachusetts General Hospital Handbook of Pain Management. Dr. Tuakli-Wosornu is a member of the International Paralympic Committee (IPC). Appointed by the IPC governing board, she represents Ghana on the IPC’s Medical Committee. This eight-member multinational panel provides medical care and leadership to the 160 countries participating in Paralympic sports, including the Paralympic Games. The IPC Medical Committee and the IPC Welfare Officer work in collaboration with the International Olympic Committee (IOC) against all forms of harassment, abuse, and other non-accidental harms in sport. The committee also leads bio-psychosocial research, including the IPC Injury and Illness Prevention survey, now in its third iteration, jointly housed at the University of Brighton, UK, and Stellenbosch University, South Africa. For her IPC work, the Sports Writer’s Association of Ghana named Dr. Tuakli-Wosornu 2014’s “best sports physician,” an honor equivalent to an American ESPY Award. In addition to her exceptional academic and professional work, Dr. Tuakli-Worsrnu is also an accomplished athlete. As an undergraduate at Yale, Dr. Tuakli-Wosornu competed in Varsity Track and Field. Additionally, as a post-collegiate athlete, Dr. Tuakli-Wosornu represented the federal Republic of Ghana internationally in the women’s long jump. Ultimately, her goal is to combine her clinical, scientific, advocacy and athletic work to empower people to take charge of their health through physical activity, sports and movement. In the Section of PM&R in the Department of Physical Medicine and Rehabilitation at Yale, Dr. Tuakli-Wosornu will be treating patients in various locations of the Center for Musculoskeletal Care at Yale, including Old Saybrook, the Yale Physician’s Building in New Haven, and, in the future, in North Haven. Some of her many clinical skills for treating patients include: image-guided peripheral joint injections such as with platelet-rich plasma; image-guided soft tissue injections for tendon, muscle, and fascia; image-guided spine injections, such as transforaminal epidural injections, intra-articular facet injections, and sacroiliac joint injections; image-guided medial branch blocks, image-guided radio-frequency denervation, trigger point injections, nerve conduction studies and electromyography; and traditional Chinese medicine. It is my pleasure to welcome Dr. Tuakli-Wosornu (back) to Yale!


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Lacrosse Season Is Here! By Karen M. Sutton, MD Lacrosse season is in full swing and our department is playing a big role in contributing to the fastest growing sport. Drs. Elizabeth Gardner, Karen Sutton and Theodore Blaine published a manuscript on shoulder injuries in men’s lacrosse in the American Journal of Sports Medicine. The conclusion of the study was that the most frequent shoulder injury in men’s lacrosse is an acromioclavicular joint separation. The injury was most likely to be sustained by player to player contact, example cross-checking or body-checking as opposed to player to ground contact. The average time loss for a shoulder injury was 10 days.

The team then decided to pursue investigating the prevention of shoulder injuries through men’s shoulder pads. All field players in men’s lacrosse are required to wear shoulder pads. Shoulder pads in men’s lacrosse run a fine balance between safety and feasibility of use on the field, with a significant amount of shoulder range of motion needed in the sport. Dr. David Kovacevic and Dr. Steven Tommasini with be joining the team in testing men’s lacrosse shoulder pads with biomechanical evaluation in the laboratory.

Dr. Karen Sutton is the Head Team Orthopaedic Surgeon for the United States of America Women’s Lacrosse Team and will travel with them as they play in the World Cup in July 2017. She has been the team orthopaedic surgeon for US Lacrosse for 6 years. She is on the Sports Science and Safety Committee for US Lacrosse and reviews the latest lacrosse research which then potentially lead to rule changes and equipment changes.


8  YALE ORTHOPAEDICS QUARTERLY

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Getting an Athlete Through an Injury – Top Five Tips Most athletes will suffer an injury at some point in their sports career, but all obstacles can be overcome. We have all known someone going through a tough injury and trying to get back to their sport—could have been you, your favorite professional athlete, your daughter or son or your teammate. It is not easy. As an orthopaedic surgeon in sports medicine, it is my utmost goal to get my patients back out there as athletes as soon as safely possible. What I have noticed is giving little goals, allowing lower impact activities and then progressing from there at least releases some of those exercise “feel good” endorphins. I try to limit uses of TOTAL ATHLETIC RESTRICTION—because it is a depressing phrase.

1.

Come up with alternative exercises to create positive reinforcement. One example I will give is rehabbing after an ACL injury. It seems daunting to think of SIX MONTHS to return to 100% play/games. There are many ways to exercises safely starting around 2 weeks out from surgery. The exercise bike is a controlled fashion to get motion in the knee and to start working on some mild cardio. Aqua jogging is another method to really boost cardio tolerance while gaining range of motion in the knee and increase quad, hamstring, core and gluteal strength. It is perfect as there is practically no impact and so the stress that goes through the knee is minimal. A pool and an aqua jogging vest are needed—feet should not touch the bottom while “jogging”. It is important to keep the upper torso straight and exaggerate high kicking/strides. You can even interval train!

2.

Work with a trainer, physical therapist or strength and conditioning coach to set on going small accomplishable goals. Having a “rehabilitation coach” helps you train again. Find someone who works frequently with athletes and understands the desire to stay involved in athletics. They can develop individual programs that are both safe and instrumental in the recovery. Setting these small goals can increase confidence and ensure motivation to PERSEVERE!

3.

Stay involved with your team. As much as you may want to run away and hide in a hole during your recovery, your teammates can help to get you through the hard times. Sit with them in the stretching circle, do your rehabilitation exercises in the gym with your teammates while they lift. They will give you that extra boost after an intense therapy session.

4.

Set a long-term goal to achieve in a safe amount of time. Try to work with your surgeon to come up with a tentative game/ meet/match/tournament/race that you will return to. If you are restricted (around 3-4 months out) from pivoting and cutting movements, then you could sign up for an easy 5K race. It is nice to fulfill that competitive desire.

5.

Add another way to relieve stress in your life-spending time outside, grabbing lunch with friends, meditating, help coach youth sports and teach some basics to those eager Pee Wee athletes.

Article written by Karen M. Sutton, MD


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Successful Team Approach Thanks to the Exceptional Care of Our Advanced Practice Providers By Maria Onofrio PA, Priscilla Richards APRN, and Nicole Lavette APRN Maria Onofrio first came to Yale Orthopaedics back in April of 1996, employed by YNHH as a Medical Assistant. Yes, she was 13. Mauren Carey RN was her manager at the time. While working full time, she completed her undergraduate degree at the University of Connecticut in 2003. With the support and encouragement of faculty, mentors, and friends in Orthopaedics, she then decided to pursue a Masters in Medical Science at the Yale Physician Assistant (PA) Program. After graduating late in 2005, she took on a position as an Orthopaedic PA, on 7-7, in February of 2006. She had a great experience over the past 10 years working in a field she truly enjoys. Much of her job responsibilities included working with the Orthopaedic Advanced Practice Providers from left to Yale Orthopaedic staff as well as other multidisciplinary members. It was right: Maria Onofrio PA, Nicole Lavette APRN, and Priscilla a great experience as a novice PA. It provided her with an opportunity to Richards APRN. add to her knowledge base and she always felt supported by everyone. Although most of what she provided to patients was medical in nature, she remained a member of the Yale Orthopaedic family. Most of all, she enjoyed educating and providing care to patients as well as their families. In September of 2016 an opportunity arose to return to Yale Orthopaedics as a mid- level provider. After being employed by YNHH for 20 years, she was going to be transitioning as a Yale University Orthopaedic clinician. Although she was going to be experiencing a significant change from inpatient to outpatient, she was most excited to return to the familiarity of her “roots”. Since her return to YPB and Yale Orthopaedics it has provided her an opportunity to continue to learn and expand her knowledge in ongoing care in Orthopaedics. In this new role, she has been primarily supporting the Trauma service and assisting in the Bone Health Program. She feels very fortunate to be working with such wonderful and aspiring clinicians and supportive staff. She looks forward to many more years of being a member of the Orthopaedic Family! Priscilla Richards is a nurse practitioner (APRN) who joined Yale Orthopaedics & Rehabilitation in 2014, with the foot and ankle service. She received her Masters of Nursing degree at Fairfield University, and is certified by the American Nurses Credentialing Center. She received her Bachelors in Nursing from Quinnipiac University. Prior to joining the team, she was a registered nurse on the pediatric surgery and trauma unit at Yale New Haven Children’s Hospital from 2009 to 2014. From the start her passion was for pediatric patients with orthopaedic diagnoses. It was always her dream to go into orthopaedics once she graduated as an APRN, and to care for patients of all ages. In addition to caring for orthopaedic patients, another interest of hers is teaching. Whether it be with students who are obtaining nursing degrees or individual patients and families, she enjoys all aspects of teaching and find the experience truly rewarding. Outside of work she enjoys traveling, being outdoors, and most importantly, spending time with her family. She hopes to continue seeing the world and experiencing the vast array of cultures our world offers. She is excited to be a part of Yale Orthopaedics & Rehabilitation, and is grateful to be working alongside such knowledgeable surgeons and staff. Nicole Lavette is a nurse practitioner (APRN) that joined Yale Orthopaedics in September 2016. She was hired to become part of the Sports Medicine and Shoulder and Elbow Divisions, but initially started with Foot and Ankle to help cover Priscilla’s maternity leave. She worked with Dr. Reach for five months and transitioned over to her current position this past February. Even though it has been a short amount of time since she has started, she has had great exposure and a wonderful learning experience. She became interested in Orthopaedics during her time as a floor nurse at Yale New Haven Hospital. She worked on 7-2, the Pediatric Surgery floor, for five years and during this time took care of many of the post-operative pediatric orthopaedic patients treated by our group. She quickly learned that these orthopaedic patients were always amongst her favorite. She completed her Nurse Practitioner degree at Fairfield University in May 2014. During her time at school she did a clinical rotation at a walk-in facility that had a physical therapy office on-site to help streamline orthopaedic injuries. This rotation made her realize that orthopaedics was the specialty she wanted to pursue. Her new position with the Sports Medicine and Shoulder and Elbow Divisions is a perfect fit for her. She has been involved in athletics most of her life so she knows how important preserving function and being active is for many people. She is glad to be a new member of the team and she is looking forward to an exciting career with Yale Orthopaedics.


10  YALE ORTHOPAEDICS QUARTERLY

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SOME SUMMERTIME ANYTIME - Bones, Bits & Pieces Do not wait for summer to begin. Summer solstice, the first day of summer and the longest day of the year, is June 21. Thereafter the days become shorter. Best to start your good time summer whims now as the days stretch longer. Reverse BORED and find many things to see and do in Connecticut. No time for any dull moments; just summertime fun anytime. Here are some ideas to get started. Discover Historic Homes and Landmarks: Every town and city has a place and a story. o Old State House (Hartford) o Nathan Hale Homestead (Coventry) o Elizabeth Park, America’s oldest public rose garden (Hartford) o Weir Farm National Historic Site (Wilton) o Old Lighthouse Museum (Stonington) o The Glass House (New Canaan) o Scoville Memorial Library, first publicly funded library in the U.S. (Salisbury) o Gillette Castle State Park (East Haddam) Explore and Exercise: a couple of thematic excursions to try. o See a monkey, be a monkey – Check out the wildlife at Beardsley Zoo (Bridgeport) or Action Wildlife Foundation (Goshen). Then let your wild side out on adventure aerial courses, zip lines and swings at: The Adventure Park at the Discovery Museum (Bridgeport) Brownstone Exploration at Discovery Park (Portland) Nomads Outdoor Adventure (South Windsor) o See a fish, be a fish – Check out Mystic Aquarium or Maritime Aquarium at Norwalk. Then jump in the water at: Quassy Amusement Park (Middlebury) Lake Compounce (Bristol) Paddle Mystic-Mystic River Company (Mystic) Ocean Beach Park (New London) Hammonasset Beach State Park (Madison) – also home to Meigs Point Nature Center Road trips: make it a day or string a few overnights. o Prehistoric Ramble: Step in the tracks of Connecticut Dinosaur Trail Yale Peabody Museum of Natural History (New Haven) Connecticut Science Center (Hartford) Dinosaur State Park (Rocky Hill) The Dinosaur Place at Nature’s Art Village (Oakdale) o Native American Indian roots: Learn about our first inhabitants Mashantucket Pequot Museum (Mashantucket) Indian Burial Grounds (Norwich) Institute of American Indian Studies (Washington) o Choo!Choo! or Fly Away! Get carried away at Essex Steamtrain (Essex) Shore Line Trolley Museum (East Haven) Connecticut Trolley Museum (East Windsor) New England Air Museum (Windsor Locks)


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o Baseball – Root, root, root for one or all four of Connecticut’s professional minor league teams Hartford Yardgoats (Hartford) – Double-A affiliate of the Colorado Rockies CT Tigers (Norwich) – Class A affiliate of the Detroit Tigers Bridgeport Bluefish (Bridgeport) and New Britain Bees (New Britain) – both teams are independent minor league teams in the Atlantic League of Professional Baseball o Ships Ahoy! Develop your sea legs at Mystic Seaport (Mystic) USS Nautilus-Submarine Force Museum (Groton) Connecticut River Museum (Essex) o Bottoms Up! Yes, Connecticut has wine and beer trails. Please drive responsibly CT Wine Trail (ctwine.com/wineries): If you need a starting point, begin with CT’s 1st established vineyard: Haight Brown Vineyard (Litchfield). CT Beer Trail (ctbeertrail.net) Offer help. Sign up to walk, run or cycle for charity. For a list of events in 2017 visit: o Charitybicycleride.com o Funonfoot.com Don’t miss “Sunflowers for Wishes” fundraiser at Buttonwood Farms (Griswold) from July 22-30. Pick up a bouquet of sunflowers for Make A Wish Foundation and a waffle cone of Buttonwood’s farm fresh ice cream. Chill out and take in the breathtaking scene of sunflower fields. Be here. Make time. Either for a few minutes or for unlimited hours. Go alone or take someone with you. And put away that smartphone. o

Watch a sunrise

o

Read a book

o

Nap in a hammock

o

Sway back and forth on a swing

o

Float on water

o

Watch a sunset

o

Wait for the stars to come out

o

Name the constellations

o

Share stories around a campfire

o

Sleep outside under the night sky Repeat often Have a blessed summer!

{Resource: ctvisit.com. Check out this site for more information about the places mentioned above and search for more adventures in Connecticut.}


12  YALE ORTHOPAEDICS QUARTERLY

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Thank You to Our Chief Residents The Yale Peabody Museum of Natural History will be the site of our Yale Chief Residents’ Graduation and Roast Dinner on Friday, June 9, 2017, starting at 6:30 PM. Graduation activities will continue the following week with disputations on Friday morning, June 16, 2017 and conclude with dinner at the Graduate Club. We collectively thank all our outstanding chief residents and wish them much success in their future endeavors. If interested in attending any of the graduation activities, please email Kathy Umlauf at kathryn.umlauf@yale.edu for more information. Wayne Chan MD, PhD will be joining Glenn in Philadephia as well where he will be doing a shoulder and elbow fellowship at Thomas Jefferson University / Rothman Institute.

Pablo Diaz-Collado MD will be moving to Saint Louis where he will be doing his spine surgery fellowship at Washington University School of Medicine / Barnes-Jewish Hospital.

Havalee Henry MD will be moving to Providence where she will be doing her shoulder and elbow fellowship at Brown University.

Glenn Russo MD will be packing his bags for Philadelphia where he will be doing his spine surgery fellowship at Thomas Jefferson University / Rothman Institute.

Daniel Wiznia MD will be the Insall Scott Kelly adult reconstruction fellow at New York University Langone Medical Center / Hospital for Joint Disease.


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Yale Orthopaedic Grand Rounds Special Presentation Saturday, June 10, 2017 Brady Auditorium 310 Cedar Street, New Haven, CT 8:00 AM

2017 AOA Austrian-Swiss-German (ASG) Traveling Fellowship Gerald Gruber MD Medical University Graz (Austria)

“Total vs Unicondylar Arthroplasty for Medial End Stage Arthritis of The Knee”

Samy Bouaicha MD University of Zurich / Balgrist University Hospital (Switzerland) “Modern Omometry – Shoulder biomechanics extracted from plain radiographs”

Stefan Landgraeber, MD University Hospital Essen (Germany)

“Advanced core decompression, a treatment option of avascular necrosis of the femoral head"

Bjorn Rath, MD University of Aachen (Germany)

“Joint line restoration and offset reconstruction during revision TKA”

Swinging the Hammer

Dr. Mary O’Connor and team broke ground at the new CMC McGivney Ambulatory Surgery Center on May 10, 2017. Swinging the hammer with Dr. O’Connor were Dr. Jonathan Grauer, Co-Chief of the Spine Center and Dr. Lee Rubin, Co-Chief of Adult Reconstruction. The new center will be a state of the art ambulatory surgery center and will provide advanced musculoskeletal ambulatory surgery including minimally invasive orthopaedic and neurosurgery procedures. This center is planned to open in late 2017.


14  YALE ORTHOPAEDICS QUARTERLY

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Step Forward Faculty Forums In response to faculty interest in having open discussions about important issues, the Department introduced a monthly Step Forward Faculty Forum and Dinner Series this Spring. The first two forums took place on April 4th and May 5th. The central mission of the Step Forward Forums is to generate positive energy that will lead to productive and positive outcomes for ourselves, our Department, and our organization. The first Step Forward Faculty Forum took place on Tuesday, April 4th in the Captain’s Room at Mory’s, and the topics were Vision and Alignment. Paul Taheri shared his vision on behalf of Yale Medicine, and answered many questions on how the Department and Yale Medicine may partner and align in fulfilling the vision. Mary O’Connor discussed the vision of the Center for Musculoskeletal Care, while Rick D’Aquila and Tom Balcezak spoke about the vision of YNHH and YNHHS. There was ample time for questions and discussion about the current and future state of the Department and the Medical Center. All appreciated the wisdom of our speakers and the opportunity to better understand the collective goals of the Department, CMC, YM, YSM, YNHH, and YNHHS. While discussing the collective visions of the each of our partners, we also had the opportunity to review our Department’s vision, mission statement, and values, which are listed here: Mission Statement To provide comprehensive musculoskeletal care to the patients of our region and beyond. Providers and staff will work together in a healthy, supportive environment that provides excellent, efficient care, leading to superior clinical outcomes, while promoting research and education. Core Values •

Integrity and Fairness

Open Communication

Transparency

The second Step Forward Faculty Forum and Dinner Series took place on May 4th at The Study from 6-10PM. Topics included The Healthy Workplace, Diversity and Inclusion, and Emotional Intelligence. Guest Speakers were Gail D'Onofrio MD, Professor and Chair of Emergency Medicine, Marie Robert MD, Professor of Pathology and President of the Committee on the Status of Women in Medicine (SWIM), and Marc Brackett PhD, Professor and Director of the Yale Center for Emotional Intelligence. These topics stimulated lively discussion about our department, its history, and its future relative in how we treat and support our faculty. Truly, it was a step forward for all of us in improving health, diversity, and inclusion in our workplace, and in creating an environment where emotional intelligence is an important measure of our success.

H H E A L T


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The next Step Forward Faculty Forum will take place in July, after the graduation festivities have concluded in June. The topic of the third forum is Cups and Conversation, and will be an opportunity to take part in a historic Yale tradition at Mory’s while stimulating an open forum for discussion. With our own resident Whiffenpoof, aka John Reach, we have a head start on how to properly finish a Cup. More details to follow.

Congratulations Mens Lacrosse, Ivy League Champions!! The Yale Men’s lacrosse team finished the season with a 10-7 record and were Ivy League Champions. In the first Ivy League Lacrosse tournament hosted at Yale, the Bulldogs defeated PENN and Brown to claim the Ivy league title and earned a bid to the NCAA tournament. In a thrilling game with perennial lacrosse power Syracuse, Yale outplayed Syracuse in nearly every category, but finished one goal short, falling 11-10 in the first round at the Carrier Dome. Fortunately, Yale returns many starters next year, including two-year Tewaaraton finalist, Ben Reeves, who will captain the team at attack next year. At their side will be Yale Orthopaedics sports medicine specialists (Drs. Blaine, Carter, Gardner, Kovacevic, Medvecky, and Sutton), who provide the orthopedic sports medicine coverage for the team. Liz Gardner, a former Yale women’s player, has been the lead orthopedic team physician for men’s lacrosse this year, and will continue to provide elite level sports medicine for our Yale athletes.


Yale Orthopaedics & Rehabilitation faculty Interim Chair

Shoulder and Elbow

Theodore A. Blaine, MD

Theodore A. Blaine, MD David Kovacevic, MD

Adult Reconstruction Frank A. DiFazio, MD Stephen B. Gross, MD Kristaps J. Keggi, MD, DrMed Mary I. O’Connor, MD Richard R. Pelker, MD, PhD Lee E. Rubin, MD

Foot and Ankle John S. Reach, Jr, MD, MSC, FAAOS Raymond J. Walls, MD, FRCS (Tr&Orth), MBBCh

Fractures/Fracture Problems Michael R. Baumgaertner, MD Natalie E. Casemyr, MD Michael P. Leslie, DO Adrienne R. Socci, MD

Hand and Upper Extremity Kenneth W. Donohue, MD Felicity Fishman, MD Andrea Halim, MD Carrie R. Swigart, MD

Musculoskeletal Oncology Gary E. Friedlaender, MD* Frances Y. Lee, MD, PhD Dieter M. Lindskog, MD

Pediatric Orthopaedics Cordelia W. Carter, MD Daniel R. Cooperman, MD Melinda S. Sharkey, MD Brian G. Smith, MD**

Physiatry Marc Rosen, MD Vivian Shih, MD Yetsa Tuakli-Wosornu, MD, MPH David Woznica, MD

Research Faculty Mark C. Horowitz, PhD Jacob V. Eswarakumar, PhD Jackie A. Fretz, PhD Steven M. Tommasini, PhD

Spine Jonathan N. Grauer, MD Peter G. Whang, MD, FACS James J. Yue, MD

Sports Medicine Elizabeth C. Gardner, MD Peter Jokl, MD Michael J. Medvecky, MD Karen M. Sutton, MD Craig D. Tifford, MD

West Haven VA Lawrence Weis, MD *Chairman Emeritus **Residency Program Director

Yale Access Line Yale Access Line offers a streamlined patient transfer service that ensures quick and easy admission to Yale New Haven Hospital. With one call—888.YNHH.BED (888.964.4233)— referring physicians can speak directly with an attending specialist for an immediate transfer. Trained paramedics assist with admission processing, bed assignment, and critical-care air transport, using Yale New Haven Health System’s interhospital emergency helicopter, SkyHealth, when necessary.

Scope of Service • 24-hour single access point for all patient transfers • Quick connection to on-call attending specialists for patient transfers • A dedicated physician referral director available for urgent appointments, hospital care, or ambulatory evaluations • Trained paramedics ready to expedite your request for a transfer

Learn more at medicine.yale.edu/ortho

Profile for Yale Orthopaedics

YOQ volume 1 number 4 spring 2017  

YOQ volume 1 number 4 spring 2017  

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