Episode 5 - Concussions in Sport (Part 1)

In Episode 11 of The Sports Medicine Podcast, Dr. Dold sits down with shoulder specialist from The Cleveland Clinic, Dr. Tony Miniaci, MD. Dr. Miniaci is a world renown expect in orthopedic surgery and sports medicine, including disorders of the shoulder. His orthopedic practice focuses on sports medicine and surgery of the shoulder and knee. His clinical research has focused on numerous topics related to shoulder instability. He has worked as an orthopedic consultant to the Toronto Blue Jays since 1995. He has also worked as a consultant to the National Hockey League Players Association and served as the Head Team Physician for the Cleveland Browns Football Club from 2003-2009. He has served on numerous committees including the American Orthopaedic Society for Sports Medicine; American Shoulder and Elbow Society; Arthroscopy Association of North America; International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine; and the Canadian Orthopaedic Association. In this episode, Drs. Dold and Miniaci discuss all of the topics related to shoulder instability. The discussion centers around the common clinical scenario of a young, contact-sport athlete presenting for the first time following a traumatic shoulder dislocation. Most relevant management considerations are discussed throughout the episode, including: diagnostic modalities (MRI vs. CT), non-operative management decisions, return to play criteria, indications for surgery vs. conservative care, arthroscopic stabilization techniques, the Latarjet procedure, and rehabilitation following surgery. For more information on Dr. Miniaci, please visit: https://my.clevelandclinic.org/staff/5017-anthony-miniaci The Sports Medicine Podcast: Instagram: @thesportsmedicinepodcast Email: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC - Orthopedic Surgeon and Sports Medicine Specialist www.DoldMD.com Instagram: @dr.dold.md @thesportsmedicinepodcast

In Episode 10 of The Sports Medicine Podcast, Dr. Dold discusses the pediatric ACL injury with pediatric sports medicine specialist from Boston Children’s Hospital, Dr. Mininder Kocher, MD. Dr. Kocher is a world renown expert in Orthopedic Surgery, Pediatric & Adolescent Sports Medicine, and Orthopaedic Clinical Epidemiology Research. He is the Associate Director of the Division of Sports Medicine and a Professor of Orthopedic Surgery at Harvard Medical School. He is an internationally renowned expert in pediatric orthopaedics and sports medicine, including pediatric ACL reconstruction. His clinical practice focuses on sports medicine and arthroscopic surgery of the knee, shoulder, hip, elbow, and ankle. His research focuses on clinical epidemiology and biostatistics and has been published in several scientific articles, book chapters and textbooks and has received numerous research awards. Dr. Kocher has been featured in the New York Times, Scientific American, San Francisco Chronicle, Boston Globe, Wall Street Journal, Chicago Herald, ABC World News, and Sports Illustrated. He has served in leadership positions with numerous organizations including being elected to the Board of Directors of the AAOS, POSNA, and AOSSM. For more information on Dr. Kocher, please visit: https://www.childrenshospital.org/directory/physicians/k/mininder-kocher https://www.doximity.com/pub/mininder-kocher-md The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Email: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC - Orthopedic Surgeon and Sports Medicine Specialist www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/ For more information on Dr. Kocher, please visit: https://www.childrenshospital.org/directory/physicians/k/mininder-kocher https://www.doximity.com/pub/mininder-kocher-md The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Email: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC - Orthopedic Surgeon and Sports Medicine Specialist www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 9 of The Sports Medicine Podcast, Dr. Dold sits down with orthopedic sports medicine and cartilage specialist, Dr. Eric Strauss, MD. Dr. Strauss is a sports medicine specialist with a clinical focus on ligament reconstruction, joint preservation procedures including cartilage repair, restoration and osteotomies, meniscus surgery, and the arthroscopic treatment of orthopedic pathology affecting the knee and shoulder. He practices at NYU Langone Orthopedic Hospital in New York City and is involved with NYU’s orthopedic residency program, taking on the role of program director in January 2020. As a clinician-scientist, Dr. Strauss is an active contributor to the orthopedic surgery and sports medicine literature, publishing more than 200 peer-reviewed journal articles and book chapters to help advance the field of sports medicine. His basic science and clinical research has focused extensively on the management of focal cartilage disorders around the knee, including cartilage repair and restoration, meniscus repair and transplantation, and the use of synovial fluid biomarkers to establish prognosis following intra-articular injury and prevent post-traumatic arthritis. The episode focuses primarily on the diagnosis, management, and treatment of focal cartilage lesions around the knee, including but not limited to the MACI procedure, osteochondral allografts, OATS procedure, osteotomies, and orthobiologics. For more information on Dr. Strauss, please visit: https://nyulangone.org/doctors/1508061748/eric-j-strauss https://www.sportssurgerynewyork.com/dr-eric-strauss-sports-medicine-specialist-ny.html This episode is sponsored by Vericel Corporation (www.vcel.com), the manufacturer of MACI (autologous cultured chondrocytes on porcine collagen membrane) for repair of symptomatic knee cartilage damage in adults. For more information on Vericel or MACI, please visit: www.maci.com/patients/ www.maci.com/pdf/Final-MACI-PI-FINAL.pdf www.vcel.com The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Email: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC - Orthopedic Surgeon and Sports Medicine Specialist www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 8 of The Sports Medicine Podcast, Dr. Dold discusses a range of topics with New York Times best-selling author, David Epstein. David is the author of two widely acclaimed books, The Sports Gene and Range: Why Generalists Triumph in a Specialized World. Discussion focuses on athlete development and the ongoing debate of generalists versus specialists in today’s competitive world. For more information on David, please visit: davidepstein.com This episode is sponsored by: Star Orthopedics and Sports Medicine in Frisco, Texas. www.starorthopedics.com The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Feedback/Inquiries: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC - Orthopedic Surgeon and Sports Medicine Specialist www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 7, a panel of orthopedic sports medicine specialists meet to review and discuss recent sports medicine literature. The four articles reviewed have been featured in prominent sports medicine journals in early 2019. The episode features Drs. Sheena Black MD, Michael Khair MD, and Brett Raynor MD, along with host Dr. Andrew Dold MD. The goal of Journal Club is review and perform a critical appraisal of recent literature in the sports medicine world with a focus on novel modalities and unique studies that may be changing the way we think about our current practices. The four articles discussed in Episode 7 are: (1) Predictors of Persistent Postoperative Pain at Minimum 2 Years After Arthroscopic Treatment of Femoroacetabular Impingement. Stone et al. (AJSM, March 2019). (2) Liposomal bupivacaine reduces opiate consumption after rotator cuff repair in a randomized controlled trial. Sethi et al. (J Elbow Shoulder Surg, May 2019). (3) Bridge-Enhanced Anterior Cruciate Ligament Repair: Two-Year Results of a First-in-Human Study. Murray et al. (Orthop J Sports Med, March 2019). (4) Intra-articular Injection of Platelet-Rich Plasma Is Superior to Hyaluronic Acid or Saline Solution in the Treatment of Mild to Moderate Knee Osteoarthritis: A Randomized, Double-Blind, Triple-Parallel, Placebo-Controlled Clinical Trial. Lin et al. (Arthroscopy, January 2019) This episode is sponsored by: Plymouth Medical - www.plymouthmedical.com For a chance to win a FREE Emcyte Centrifuge, please visit: https://info.plymouthmedical.com/thesportsmedicinepodcast The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast Email: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC  www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 6, Part 2 in our series on Concussions in Sport, Dr. Dold discusses the management of concussions with Dr. Erin Reynolds and Dr. Kayla Covert, two experts in the field of concussions. In this episode, we focus primarily on the management of concussions and how our management has changed and continues to evolve. We look into the return to play (RTP) protocols and some of the specific management tools that we use to treat an athlete who has suffered a recent concussion, including vestibular physical therapy. Concussions are mild traumatic brain injuries usually resulting from direct impact to the head or whiplash injuries during play. Sports concussion has become a significant problem in all levels of sport. In recent years, it has made headlines with reports about the consequences of returning to play too soon, as well as research findings into the long-term effects of the injury. Erin Reynolds, PsyD is a Clinical Sports Neuropsychologist who specializes in treating sports-related concussions. She currently serves as the Clinical Director of the Baylor Scott & White Sports Concussion Program at The Star in Frisco, Texas. She also holds an appointment as an Adjunct Assistant Professor of Orthopedic Surgery at Texas A&M Health Science Center College of Medicine. Prior to these positions, Erin served as Fellowship Director for the UPMC Sports Medicine Concussion Program and held an appointment as Assistant Professor of Orthopaedic Surgery at the University of Pittsburgh. The UPMC Sports Medicine Concussion Program is the largest clinical and research concussion program in the world and during her 5 year tenure she developed advanced skills and a unique understanding of this complex injury. For more on Dr. Reynolds: drerinreynolds.com Kayla Covert, PT DPT NCS is a board-certified clinical specialist in neurologic physical therapy with advanced training in the treatment of sports-related concussions. As a member of the Sports Concussion Program at The Star, she provides comprehensive assessments and rehabilitation for vestibular and balance dysfunction following concussion. Kayla also plays a role in reintroducing physical activity through exertion physical therapy. Her areas of interest include working with youth, collegiate and professional athletes, in addition to exertion physical therapy to assist with return to play. For more information on Kayla: www.bswhealth.com/physical-therapist/kayla-covert This episode is sponsored by: Star Orthopedics and Sports Medicine in Frisco, Texas. www.starorthopedics.com The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Feedback/Inquiries: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC - Orthopedic Surgeon and Sports Medicine Specialist www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 5 of The Sports Medicine Podcast, Dr. Dold sits down with two experts in the field of concussions, Dr. Erin Reynolds, PsyD and Dr. Kayla Covert, PT DPT NCS. Concussions are mild traumatic brain injuries usually resulting from direct impact to the head or whiplash injuries during play. Sports concussion has become a significant problem in all levels of sport. In recent years, it has made headlines with reports about the consequences of returning to play too soon, as well as research findings into the long-term effects of the injury. Part 1 of this two part series focuses on the diagnosis and initial management of a sports-related concussion. We also discuss clinical definitions around concussion, sideline assessment tools, and the initial assessment and approach to an athlete who has possibly sustained a concussion during sport. Erin Reynolds, PsyD is a Clinical Sports Neuropsychologist who specializes in treating sports-related concussions. She currently serves as the Clinical Director of the Baylor Scott & White Sports Concussion Program at The Star in Frisco, Texas. She also holds an appointment as an Adjunct Assistant Professor of Orthopedic Surgery at Texas A&M Health Science Center College of Medicine. Prior to these positions, Erin served as Fellowship Director for the UPMC Sports Medicine Concussion Program and held an appointment as Assistant Professor of Orthopaedic Surgery at the University of Pittsburgh. The UPMC Sports Medicine Concussion Program is the largest clinical and research concussion program in the world and during her 5 year tenure she developed advanced skills and a unique understanding of this complex injury. For more on Dr. Reynolds: https://drerinreynolds.com Kayla Covert, PT DPT NCS is a board-certified clinical specialist in neurologic physical therapy with advanced training in the treatment of sports-related concussions. As a member of the Sports Concussion Program at The Star, she provides comprehensive assessments and rehabilitation for vestibular and balance dysfunction following concussion. Kayla also plays a role in reintroducing physical activity through exertion physical therapy. Her areas of interest include working with youth, collegiate and professional athletes, in addition to exertion physical therapy to assist with return to play. For more information on Kayla: https://www.bswhealth.com/physical-therapist/kayla-covert This episode is sponsored by: Star Orthopedics and Sports Medicine based in Frisco, Texas. www.starorthopedics.com The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Feedback/Inquiries: [email protected] Host: Dr. Andrew Dold, MD FACS FRCSC www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 4 of The Sports Medicine Podcast, Dr. Dold sits down with Dr. James Andrews, MD and Dr. Kevin Wilk, PT to discuss injuries and rehabilitation of the thrower’s shoulder. Much attention is given to the infamous SLAP tear of the shoulder and how we deal with this complicated injury in throwing athletes, including rehabilitation and surgery. Kevin Wilk has been a physical therapist, researcher and educator for over 32 years. Kevin is currently the Associate Clinical Director of Champion Sports Medicine in Birmingham, AL. In addition, he is the Director of Rehabilitative Research at the American Sports Medicine Institute in Birmingham and is Adjunct Assistant Professor in the Physical Therapy Program at Marquette University in Milwaukee, WI. Kevin is also the Rehabilitation Consultant for the Tampa Bay Rays’ Baseball Team and has worked with the Rays for 18 years.   Kevin has worked with professional baseball for 29 years, and with the Rays since the organization started. Dr Wilk received his physical therapy degree from Northwestern University Medical School in Chicago, IL. and his DPT from Massachusetts General Hospital Institute of HealthCare Professions in Boston, MA. Dr. Wilk has published over 170 journal articles, over 115 book chapters and has lectured at over 900 professional and scientific meetings. He has received numerous professional awards. He has performed rehabilitation on some great athletes through his career, including Michael Jordan, Bo Jackson, Charles Barkley, Derek Jeter, Drew Brees, HHH, John Cena, Scottie Pippen, Tom Watson, Roger Clemens, Mariano Rivera, John Smoltz, and Eli Manning, to name a few. For more information on Dr. Kevin Wilk, please visit:  www.kevinwilk.com Also: https://www.sciencedirect.com/science/article/pii/S1060187216300041 This episode is sponsored by: TerumoBCT (previously Harvest Technologies) https://www.harvesttech.com The Sports Medicine Podcast: Instagram: www.instagram.com/thesportsmedicinepodcast/ Feedback/Inquiries: [email protected]  Host: Dr. Andrew Dold, MD FACS FRCSC www.DoldMD.com Instagram: www.instagram.com/dr.dold.md/ www.instagram.com/thesportsmedicinepodcast/

In Episode 3 of The Sports Medicine Podcast, Dr. Dold sits down with Chicago-based orthopedic surgeon and cartilage expert, Dr. Brian Cole of Midwest Orthopaedics at Rush University. Dr. Cole is a Professor in the Department of Orthopedics with a conjoint appointment in the Department of Anatomy and Cell Biology at Rush University Medical Center in Chicago, Illinois. In 2015, he was appointed as an Associate-Chairman of the Department of Orthopedics at Rush. He is the Section Head of the Cartilage Research and Restoration Center at Rush specializing in the treatment of arthritis in young active patients with a focus on regenerative medicine and biologic alternatives to surgery. He also serves as the head of the Orthopedic Master’s Training Program and trains residents and fellows in sports medicine and research. He lectures nationally and internationally and holds several leadership positions in prominent sports medicine societies. Through his basic science and clinical research, he has developed several innovative techniques for the treatment of shoulder, elbow and knee conditions. He has published more than 1,000 articles and 10 widely read textbooks in orthopedics and regenerative medicine. Dr. Cole is the head team physician for the Chicago Bulls NBA team, co-team physician for the Chicago White Sox MLB team and DePaul University in Chicago. For more information on Dr. Cole, please visit: https://www.briancolemd.com https://www.rushortho.com/doctors/brian-j-cole This episode is sponsored by: TerumoBCT (previously Harvest Technologies) The Sports Medicine Podcast Instagram: https://www.instagram.com/thesportsmedicinepodcast/ Feedback: [email protected] Web: www.thesportsmedicinepodcast.com Host: Dr. Andrew Dold, MD FACS FRCSC DoldMD.com @dr.dold.md https://www.instagram.com/dr.dold.md/

In Episode 2 of The Sports Medicine Podcast, Dr. Dold sits down with Dallas-based sports orthopedic surgeon and orthobiologics guru, Dr. Don Buford. Discussion focuses on the topic of “orthobiologics,” the concept of manipulating our body’s own cells to improve healing and recovery from musculoskeletal injuries and surgery, while offering the potential to regenerate tissues of interest. Discussion points include platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and stem cell therapy, as well as the compliance issues clouding this area of sports medicine. Orthobiologics have gained considerable attention recently in the sports medicine world and offer promising results and alternatives to surgery. However, much debate and controversy surrounds these “stem cell” therapies including various compliance and regulatory issues unbeknown to the patient. Dr. Buford grew up in Los Angeles and attended Stanford University. While at Stanford, he was a member of the baseball team and completed a double major in economics and pre-med. He then transferred to USC where he continued his athletic and academic pursuits. In 1988, he received the Woody Hayes NCAA Division I Academic All-American Award, which recognized the single most outstanding NCAA Division I male student-athlete. After graduating from USC, he signed a Major League Baseball contract with the Baltimore Orioles and also enrolled at UCLA Medical School. Dr. Buford is the son of Don Buford Sr., former Major League Baseball infielder and outfielder for the Chicago White Sox and the Baltimore Orioles from 1963 to 1972. Dr. Buford’s younger brother, Damon, had an 8 year major league career which included 2 years as the starting center fielder for the Texas Rangers as well as time with the Boston Red Sox, Baltimore Orioles, NY Mets, and Chicago Cubs. After graduating from the UCLA School of Medicine, Dr. Buford completed a 5 year orthopedic surgery residency at the University of Texas, Southwestern in Dallas. Following residency, Dr. Buford completed a one-year sports medicine fellowship at the prestigious Southern California Orthopaedic Institute (SCOI) in 1999 where he learned advanced arthroscopy techniques and started to focus on arthroscopic shoulder surgery. Dr. Buford’s name is synonymous with the shoulder, owing to a 1994 paper describing a cord-like anatomic variant of the middle glenohumeral ligament, thereafter known as “The Buford Complex.” He has become a leader in the world of orthobiologics and stem cells, and continues to confront the compliance and regulatory issues around the use of stem cells in the United States. Dr. Buford founded the Dallas PRP and Stem Cell Institute to provide patients with cutting edge PRP and stem cell options for arthritis, back pain, sports injuries, and other musculoskeletal conditions. For more information on Dr. Buford, please visit: https://smcnt.com/don-buford-md/ https://www.linkedin.com/in/donbufordmd/ This episode is sponsored by: TerumoBCT (previously Harvest Technologies): https://www.harvesttech.com/clinician?utm_source=Buford&utm_medium=podcast Links: Dr. Death Podcast: https://itunes.apple.com/us/podcast/dr-death/id1421573955?mt=2 Gladiator Podcast: https://itunes.apple.com/us/podcast/gladiator-aaron-hernandez-and-football-inc/id1437935588?mt=2 The Buford Complex: https://www.ncbi.nlm.nih.gov/pubmed/8086014 The Sports Medicine Podcast Instagram: https://www.instagram.com/thesportsmedicinepodcast/ Feedback/Inquires: [email protected] Web: www.thesportsmedicinepodcast.com Host: Dr. Andrew Dold, MD FACS FRCSC www.DoldMD.com Instagram: https://www.instagram.com/dr.dold.md/ https://www.instagram.com/thesportsmedicinepodcast/