37th ANNUAL INJURIES IN BASEBALL COURSE

Transcription

1 37th ANNUAL INJURIES IN BASEBALL COURSE Course Chairmen: Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Glenn S. Fleisig, Ph.D. January 25 27, 2019 Hyatt Regency Birmingham The Wynfrey Hotel

2 2019 Injuries in Baseball Course Recognized by: Course Chairmen: Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Glenn S. Fleisig, Ph.D. Organizing Committee: Michael J. Axe, M.D. E. Lyle Cain, Jr., M.D. Glenn Dortch Jeffrey R. Dugas, M.D. Benton Emblom, M.D. Glenn S. Fleisig, Ph.D. José O. Ortega, M.D. Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A.. Course Coordinator: Caroline May

3 ASMI gratefully acknowledges generous educational grants from: PLATINUM Stryker SILVER Arthrex Zimmer Biomet Sponsored by:

4 2019 Injuries in Baseball Course Faculty Chairman of the Board Medical Director Medical Director The Andrews Institute Gulf Breeze, FL President and Chairman of the Board Andrews Research and Education Foundation Gulf Breeze, FL Rob Andrews, P.T., D.P.T. Physical Therapist Champion Sports Medicine Christopher A. Arrigo, M.S., P.T., A.T.,C. Owner Advanced Rehabilitation Tampa, FL Michael J. Axe, M.D. Partner First State Orthopaedics Past President American Sports Medicine Fellowship Society Professor University of Delaware Department of Physical Therapy Chair SMAC-DIAA Newark, DE Katie Bartush, M.D. David P. Beason, M.S. Research Biomechanist Stephania Bell, P.T., O.C.S., C.S.C.S. ESPN Injury Analyst and Senior Writer Bristol, CT Joseph Boaen, MD Andrews Research and Education Foundation Gulf Breeze, FL E. Lyle Cain, Jr., M.D. Orthopaedic Surgeon Andrews Sports Medicine & Orthopaedic Center Fellowship Director Mark Callanan, M.D. Andrews Research and Education Foundation Gulf Breeze, FL William Baldwin, M.D. Andrews Research and Education Foundation Gulf Breeze, FL

5 Michael G. Ciccotti, M.D. The Everett J. and Marian Gordon Professor of Orthopaedic Surgery Chief, Division of Sports Medicine Director, Sports Medicine Fellowship and Research Department of Orthopaedic Surgery The Rothman Institute The Sidney Kimmel Medical College at Thomas Jefferson University Head Team Physician Philadelphia Phillies Saint Joseph s University Philadelphia, PA Brad Clay, M.D. Ricardo Colberg, M.D. Non-Surgical Orthopaedic & Sports Medicine Physician Andrews Sports Medicine & Orthopaedic Center Stan Conte, P.T., D.P.T., A.T.,C. Conte Injury Analytics Santa Clara University - Baseball Medicine Major League Baseball Medical Research Consultant Northridge, CA Alek Z. Diffendaffer, M.S. Sports Biomechanist Monika Drogosz, M.P.H. Clinical Researcher Jeffrey R. Dugas, M.D. Orthopaedic Surgeon Andrews Sports Medicine & Orthopaedic Center Fellowship Director Benton Emblom, M.D. Orthopaedic Surgeon Andrews Sports Medicine & Orthopaedic Center Fellowship Director Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. Professor, Department of Physical Therapy California State University - Sacramento Sacramento, CA Glenn S. Fleisig, Ph.D. Research Director Chairman USA Baseball Medical & Safety Committee Injury Research Advisor Major League Baseball Pitching Safety Consultant Little League Baseball Adjunct Professor University of Alabama at Birmingham Thomas Green, D.O. Andrews Research and Education Foundation Gulf Breeze, FL Josh Hackel, M.D. Non-Surgical Sports Medicine Physician The Andrews Institute Gulf Breeze, FL John Hammerstein, M.D. Andrews Research and Education Foundation Gulf Breeze, FL Ryan Hubbard, M.D. Primary Care Sports Medicine Fellow Andrews Research and Education Foundation Gulf Breeze, FL Andrew Hutchinson, P.T., D.P.T., S.C.S. Physical Therapist ATI Physical Therapy Steve E. Jordan, M.D. Orthopaedic Surgeon The Andrews Institute Gulf Breeze, FL

6 Lee Kaplan, M.D. Orthopaedic Surgeon Professor of Orthopaedics, Biomedical Engineering, Kinesiology and Sports Sciences University of Miami Miller School of Medicine Director University of Miami Sports Medicine Institute Medical Director and Head Team Physician Miami Hurricanes Miami Marlins Miami, FL Monte Ketchum, D.O. Primary Care Sports Medicine Fellow Eli Kupperman, M.D. Andrews Research and Education Foundation Gulf Breeze, FL Sophia Lal, D.O. Primary Care Sports Medicine Fellow Gage Liesman, M.D. Dana Lycans, M.D. Lenny Macrina, M.S.P.T., S.C.S., C.S.C.S. Physical Therapist Champion Physical Therapy and Performance Waltham, MA Karim A. Meijer, M.D. Orthopaedic Surgeon Texas Sports Medicine & Orthopaedic Group Dallas, TX Wayne McGough, M.D. Orthopaedic Surgeon Andrews Sports Medicine & Orthopaedic Center Ryves Moore, M.D. Gretchen D. Oliver, Ph.D., F.A.C.S.M., A.T.,C., C.E.S. Associate Professor School of Kinesiology Sports Medicine and Movement Lab Auburn University Auburn, AL José O. Ortega, M.D. Non-Surgical Orthopaedic & Sports Medicine Physician Andrews Sports Medicine & Orthopaedic Center Fellowship Director Primary Care Sports Medicine Team Physician Birmingham-Southern College Daryl Osbahr, M.D. Chief of Sports Medicine Orlando Health Fellowship Director Orlando Health Sports Medicine Medical Director Orlando City Soccer Club Orlando Apollos & Orlando SeaWolves Team Physician USA Baseball Atlanta Braves Orlando, FL E. David Osinski, M.A. Executive Director American Baseball Foundation Russ Paine, P.T. Director of Rehabilitation UT Physicians Sports Medicine Houston, TX Brian Taylor Parker Director of Education Taylor Hooton Foundation Frisco, TX Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. MikeReinold.com President and Co-Founder Champion Physical Therapy and Performance Waltham, MA

7 Ryan Roach, M.D. Michael Rosen, D.O. Andrews Research and Education Foundation Gulf Breeze, FL Michael Ryan, M.D. Orthopaedic Surgeon Andrews Sports Medicine & Orthopaedic Center Michael L. Ryan, A.T.,C., C.S.C.S. Community Education Leader PlaySafe Jonathan S. Slowik, Ph.D. Research Biomechanist Daniel Smith, M.D. Primary Care Sports Medicine Fellow Lynn Snyder-Mackler, Sc.D., P.T., F.A.P.T.A. Alumni Distinguished Professor Academic Director of Physical Therapy Clinic Department of Physical Therapy University of Delaware Newark, DE Leo Taarea, D.O. Primary Care Sports Medicine Fellow Jorge A. Vidal, M.D. Clinical Associate Professor Emergency Radiology University of Alabama at Birmingham Kenneth Wasserman, M.D. Assistant Clinical Professor Drexel University Hospital Economics Chairman Pennsylvania Academy of Dermatology Advisory Board American Academy of Dermatology Founder Major League Baseball Skin Cancer Program Team Physician Baltimore Orioles Philadelphia, PA Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Associate Clinical Director Champion Sports Medicine A Select Medical Facility Director, Rehabilitation Research Adjunct Associate Professor Department of Physical Therapy Marquette University Milwaukee, WI Robert A. Williams, Jr., P.T., D.P.T., C.S.C.S. Major League Physical Therapist Detroit Tigers Detroit, MI Kyle Yamashiro, P.T., D.P.T., C.S.C.S. President Results Physical Therapy and Training Center Medical Adjunct Faculty Sacramento State University Program Coordinator San Francisco Giants Sports Medicine Conference Sacramento River Cats Rehab and Strength and Conditioning Consultant Sacramento Republic FC Rehab Consultant Oakland A s Sacramento, CA

8 Needs: The 2017 National Electronic Injury Surveillance System reported 106,664 emergency room visits due to baseball related shoulder, elbow, trunk, lower arm, head, neck, ankle and facial injuries. When we consider non-emergency room injuries from all age groups and skill levels, we conclude there is a major need to teach diagnosis, treatment and management of these injuries.

9 Course Description: This three-day course is for athletic trainers, biomechanists, physical therapists, sports physicians, orthopaedic surgeons, physiologists, strength and conditioning coaches, certified personal trainers and others who work with athletes in baseball. Course Objectives: Examine current concepts related to the anatomy, biomechanics, examination and treatment of the throwing elbow Review the treatment, biomechanics and rehabilitation of injuries to the throwing elbow Discuss current advances in the rehabilitation of injuries to the throwing shoulder Identify and discuss current trends associated with training procedures in baseball Integrate shoulder anatomy with biomechanics, examination, treatment and rehabilitation of the unstable shoulder Apply current advances in treatment and rehabilitation to injuries of the throwing shoulder Review anatomy, pathologies, ultrasound examination, dynamic testing, and most common procedures conducted in the thrower s upper extremity Examine current concepts in prevention and treatment of injuries in baseball and softball Discuss the importance of rehabilitation and conditioning for the athlete Review current concepts in prevention and treatment to injuries in youth baseball Examine current advances in treatment of injuries of the knee Course Location: Hyatt Regency Birmingham The Wynfrey Hotel 1000 Riverchase Galleria

10 General Information: Registration: Hyatt Regency Birmingham - The Wynfrey Hotel Pre-Function Area Thursday, January 24, :00 p.m. 6:00 p.m. Friday, January 25, :30 a.m. 8:00 a.m. Saturday, January 26, :30 a.m. 7:00 a.m. Sunday, January 27, :30 a.m. 8:00 a.m. Continental Breakfast: Friday, Saturday and Sunday mornings in the ASMI Exhibit Area, during registration hours Lunch and Dinner: On your own Registrants Reception: Friday, January 25, 2019 at 6:00 p.m. in the ASMI Exhibit Area Course Cancellation: We reserve the right to cancel this course Non-Discrimination Statement: The does not discriminate on the basis of race, color, national origin, religion, sex, disability, military status, sexual orientation or age. ASMI is committed to accessibility and non-discrimination in all aspects of its continuing education activities. Participants who have special needs are encouraged to contact program organizers so that all reasonable efforts to accommodate these needs can be made.

11 Accreditation: CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The designates this live activity for a maximum of 20 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. BOC The (BOC AP#P400) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 20 EBP Category hours/ceu s. NSCA National Strength and Conditioning Association (NSCA) approved 1.6 CEU(s) for certified individuals attending this event. State Physical Therapy Boards This continuing education program has been approved by the Arkansas State Board of Physical Therapy for 20 contact hours, the Louisiana Physical Therapy Board for 20 contact hours, the Mississippi State Board of Physical Therapy for 20 contact hours, and the Texas Physical Therapy Association for 20 contact hours.

12 37th Injuries in Baseball Course January 25 27, 2019 Hyatt Regency Birmingham The Wynfrey Hotel FRIDAY January 25, :30 a.m. WELCOME Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Glenn S. Fleisig, Ph.D. SESSION I ELBOW I Objective: Examine current concepts related to the anatomy, biomechanics, examination and treatment of the throwing elbow 7:40 a.m. Moderator/Faculty Introductions E. Lyle Cain, Jr., M.D. 7:45 a.m. VIDEO DEMONSTRATION Anatomy of the Elbow Moderator: Michael Ryan, M.D. Eli Kupperman, M.D. Michael Rosen, D.O. 8:05 a.m. Biomechanics of the Throwing Elbow Jonathan S. Slowik, Ph.D. 8:25 a.m. LIVE VIDEO DEMONSTRATION Examination of the Throwing Elbow Michael G. Ciccotti, M.D.

13 8:45 a.m. Diagnosis and Treatment of Soft Tissue Elbow Injuries: Lacertus/Pronator Syndrome, Tendonitis, etc. Steve E. Jordan, M.D. 9:05 a.m. Incidence of UCL Injuries in Baseball Stan Conte, P.T., D.P.T., A.T.,C. 9:25 a.m. Panel Discussion Moderator: E. Lyle Cain, Jr., M.D. Michael Ryan, M.D. Jonathan S. Slowik, Ph.D. Michael G. Ciccotti, M.D. Steve E. Jordan, M.D. Stan Conte, P.T., D.P.T., A.T.,C. 9:45 a.m. BREAK SESSION II ELBOW II Objective: Review the treatment, biomechanics and rehabilitation of injuries to the throwing elbow 10:10 a.m. Moderator/Faculty Introductions Jeffrey R. Dugas, M.D. 10:15 a.m. Treatment of Posterior Elbow Pain: VEO and Olecranon Stress Fractures Lee Kaplan, M.D. 10:35 a.m. Biomechanics of UCL Reconstruction and UCL Repair David P. Beason, M.S. 10:55 a.m. UCL Reconstruction in Throwing Athletes Michael G. Ciccotti, M.D. 11:15 a.m. UCL Repair with Internal Brace Jeffrey R. Dugas, M.D. 11:35 a.m. Rehabilitation Following UCL Reconstruction and/or Repair Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. 11:55 a.m. Outcomes of UCL Surgery: Reconstruction and Repair E. Lyle Cain, Jr., M.D.

14 12:15 p.m. Panel Discussion and Case Presentations Moderator: Jeffrey R. Dugas, M.D. Lee Kaplan, M.D. David P. Beason, M.S. Michael G. Ciccotti, M.D. Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. E. Lyle Cain, Jr., M.D. 12:35 p.m. THE JAMES R. ANDREWS, M.D. AWARD FOR EXCELLENCE IN BASEBALL SPORTS MEDICINE 12:45 p.m. LUNCH SESSION III REHABILITATION Objective: Discuss current advances in the rehabilitation of injuries to the throwing shoulder 1:40 p.m. Moderator/Faculty Introductions Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. 1:45 p.m. Early Single-Sport Specialization: A Survey of 3000 Baseball Players Michael G. Ciccotti, M.D. 2:05 p.m. Baseball Conditioning and Training Program: The Miami Way! Lee Kaplan, M.D. 2:25 p.m. LIVE VIDEO DEMONSTRATION Soft Tissue Techniques (Manual & Instrumented) to Improve Mobility Kyle Yamashiro, P.T., D.P.T., C.S.C.S. 2:45 p.m. In-Season Compared to Off-Season Conditioning and Exercises for the Pitcher and Positional Player Robert A. Williams, Jr., P.T., D.P.T., C.S.C.S. 3:05 p.m. LIVE VIDEO DEMONSTRATION Scapular & Postural Exercises Russ Paine, P.T.

15 3:25 p.m. Panel Discussion Moderator: Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Michael G. Ciccotti, M.D. Lee Kaplan, M.D. Kyle Yamashiro, P.T., D.P.T., C.S.C.S. Robert A. Williams, Jr., P.T., D.P.T., C.S.C.S. Russ Paine, P.T. 3:45 p.m. BREAK SESSION IV STRENGTH & CONDITIONING Objective: Identify and discuss current trends associated with training procedures in baseball 4:05 p.m. Moderator/Faculty Introductions Michael J. Axe, M.D. 4:10 p.m. Weighted Ball Throwing Programs: Are They Safe and Effective in Enhancing Throwing Velocity? Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. 4:30 p.m. Resistance Training Programs: Are They Safe and Effective in Enhancing Throwing Velocity? Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. 4:50 p.m. Core Strength and Stabilization as it Relates to Performance Rob Andrews, P.T., D.P.T. 5:10 p.m. Interval Throwing Program & Pitch Count Michael J. Axe, M.D. 5:30 p.m. Panel Discussion Moderator: Michael J. Axe, M.D. Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. Rob Andrews, P.T., D.P.T. 5:50 p.m. ADJOURN 6:00 p.m. REGISTRANTS RECEPTION

16 SATURDAY January 26, :00 a.m. Roundtable Open Discussion UCL: When to Start Throwing and When to Return to Play and Criteria Stan Conte, P.T., D.P.T., A.T.,C. Jeffrey R. Dugas, M.D. Lee Kaplan, M.D. Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. SESSION V SHOULDER I Objective: Integrate shoulder anatomy with biomechanics, examination, treatment and rehabilitation of the unstable shoulder 8:00 a.m. Moderator/Faculty Introductions Jeffrey R. Dugas, M.D. 8:05 a.m. VIDEO DEMONSTRATION Anatomy of the Shoulder Moderator: Wayne McGough, M.D. Brad Clay, M.D. Ryan Roach, M.D. 8:25 a.m. Biomechanics of the Throwing Shoulder Alek Z. Diffendaffer, M.S. 8:45 a.m. LIVE VIDEO DEMONSTRATION Examination of the Throwing Shoulder Lee Kaplan, M.D. 9:05 a.m. Non-Operative Rehabilitation for Select Shoulder Lesions Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. 9:25 a.m. SLAP Lesions: When to Operate and When to Rehab Lee Kaplan, M.D.

17 9:45 a.m. Panel Discussion Moderator: Jeffrey R. Dugas, M.D. Wayne McGough, M.D. Alek Z. Diffendaffer, M.S. Lee Kaplan, M.D. Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. 10:05 a.m. BREAK SESSION VI SHOULDER II Objective: Apply current advances in treatment and rehabilitation to injuries of the throwing shoulder 10:25 a.m. Moderator/Faculty Introductions 10:30 a.m. Biceps Pain in Throwers E. Lyle Cain, Jr., M.D. 10:50 a.m. Rotator Cuff Lesions: The Granddaddy of Them All Lee Kaplan, M.D. 11:10 a.m. Rehabilitation of Rotator Cuff Lesions: Non-Op & Post-Op Return to Play Criteria Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. 11:30 a.m. Latissimus Dorsi and Pectoralis Major Injuries in Baseball Players Karim A. Meijer, M.D. 11:50 a.m. Panel Discussion Moderator: E. Lyle Cain, Jr., M.D. Lee Kaplan, M.D. Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Karim A. Meijer, M.D. 12:10 p.m. SPECIAL REPORT Major League Baseball Research Glenn S. Fleisig, Ph.D. 12:30 p.m. ASMI CAREER SERVICE AWARD 12:50 p.m. LUNCH

18 CONCURRENT SESSION VII-A ULTRASOUND WORKSHOP: THE THROWER S ARM Objective: Review anatomy, pathologies, ultrasound examination, dynamic testing, and most common procedures conducted in the thrower s upper extremity 2:00 p.m. Moderator/Faculty Introductions Ricardo Colberg, M.D. 2:05 p.m. Ultrasound Imaging of the Basic Anatomy and Basic Ultrasound Guided Procedures Ricardo Colberg, M.D. 2:30 p.m. Ultrasound Imaging of Common Injuries in Throwers Josh Hackel, M.D. 3:00 p.m. Basic and Advanced Ultrasound Guided Procedures for Throwers Ricardo Colberg, M.D. 3:30 p.m. Orthobiologics in Baseball: From PRP to Stem Cells for Upper Extremity Injuries Josh Hackel, M.D. 3:45 p.m. Panel Discussion Moderator: Ricardo Colberg, M.D. Josh Hackel, M.D. 4:00 p.m. LIVE DEMONSTRATION Ultrasound Evaluation of the Shoulder Jorge A. Vidal, M.D. 4:20 p.m. Ultrasound Scanning Workshop - Shoulder 5:00 p.m. LIVE DEMONSTRATION Ultrasound Evaluation of the Elbow Jorge A. Vidal, M.D. 5:20 p.m. Ultrasound Scanning Workshop - Elbow 6:00 p.m. ADJOURN

19 CONCURRENT SESSION VII-B BASEBALL AND SOFTBALL COACHING Objective: Examine current concepts in prevention and treatment of injuries in baseball and softball 2:00 p.m. Moderator/Faculty Introductions E. David Osinski, M.A. 2:05 p.m. Shoulder and Elbow Injuries in High School Softball Monika Drogosz, M.P.H. 2:25 p.m. Identifying the Pathomechanics of Windmill Softball Pitching Gretchen Oliver, Ph.D., F.A.C.S.M., A.T.,C., C.E.S. 2:45 p.m. Trunk Rotation in Baseball Pitching and Hitting Glenn S. Fleisig, Ph.D. 3:05 p.m. Mechanics of Various Pitch Types E. David Osinski, M.A. 3:25 p.m. Find the Flaws: Pitching Analysis Examples Alek Z. Diffendaffer, M.S. 3:45 p.m. How Mound Slope Affects Pitching Mechanics Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. 4:05 p.m. Locker Room Dermatology Kenneth Wasserman, M.D. 4:25 p.m. Panel Discussion Moderator: E. David Osinski, M.A. Monika Drogosz. M.P.H. Gretchen D. Oliver, Ph.D., F.A.C.S.M., A.T.,C., C.E.S. Glenn S. Fleisig, Ph.D. Alek Z. Diffendaffer, M.S. Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. Kenneth Wasserman, M.D. 4:45 p.m. ADJOURN

20 CONCURRENT SESSION VII-C REHABILITATION Objective: Discuss the importance of rehabilitation and conditioning for the athlete 2:00 p.m. Moderator/Faculty Introductions Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. 2:05 p.m. UCL Rehabilitation: My Way Stan Conte, P.T., D.P.T., A.T.,C. 2:25 p.m. Plyometrics: The Science Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. 2:45 p.m. Plyometrics: The Technique Kyle Yamashiro, P.T., D.P.T., C.S.C.S. 3:05 p.m. Training for Power & Velocity Lenny Macrina, M.S.P.T., S.C.S., C.S.C.S. 3:25 p.m. Return to Play Criteria Following Knee Injuries Lynn Snyder-Mackler, Sc.D., P.T., F.A.P.T.A. 3:45 p.m. Rehabilitation of Lower Back and Neck Injuries Andrew Hutchinson, P.T., D.P.T., S.C.S. 4:05 p.m. Rehabilitation Following Shoulder Arthroscopy Russ Paine, P.T. 4:25 p.m. Case Presentation Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. 4:45 p.m. Panel Discussion Moderator: Michael M. Reinold, D.P.T., S.C.S., C.S.C.S. Stan Conte, P.T., D.P.T., A.T.,C. Rafael Escamilla, Ph.D., P.T., C.S.C.S., F.A.C.S.M. Kyle Yamashiro, P.T., D.P.T., C.S.C.S. Lenny Macrina, M.S.P.T., S.C.S., C.S.C.S. Lynn Snyder-Mackler, Sc.D., P.T., F.A.P.T.A. Andrew Hutchinson, P.T., D.P.T., S.C.S. Russ Paine, P.T. 5:05 p.m. ADJOURN

21 SUNDAY January 27, :00 a.m. INTERACTIVE DEMONSTRATION Dynamic Warm-Ups for Baseball Michael L. Ryan, A.T.,C., C.S.C.S. (Wear comfortable clothes for moderate activity) 8:00 a.m. Introduction of Keynote Address Glenn S. Fleisig, Ph.D. 8:05 a.m. GOLDBERG MUELLER KEYNOTE ADDRESS ON INJURY PREVENTION (Sponsored by USA Baseball) How Exercise, Flexibility, and Fatigue Relate to Pitching Mechanics in Baseball and Softball Gretchen Oliver, Ph.D., F.A.C.S.M., A.T.,C., C.E.S. SESSION VIII - YOUTH & HIGH SCHOOL BASEBALL Objective: Review current concepts in prevention and treatment to injuries in youth baseball 8:25 a.m. Moderator/Faculty Introductions Glenn S. Fleisig, Ph.D. 8:30 a.m. Why Are So Many of Our Young Baseball Players Getting Hurt? 8:50 a.m. Pitch Count Regulations vs Reality Monika Drogosz, M.P.H. 9:10 a.m. Appearance and Performance Enhancement Substances: The Pressure to Perform Brian Taylor Parker 9:30 a.m. Medial Epicondyle Fractures in Baseball Pitchers Michael J. Axe, M.D. 9:50 a.m. Training the Youth Baseball Player Christopher A. Arrigo, M.S., P.T., A.T.,C. 10:10 a.m. Don t Whiff on Injuries: How to Work WITH the Media Stephania Bell, P.T., O.C.S., C.S.C.S. 10:30 a.m. Skin Cancer Update Kenneth Wasserman, M.D.

22 10:50 a.m. Panel Discussion Moderator: Glenn S. Fleisig, Ph.D. Monika Drogosz, M.P.H. Brian Taylor Parker Michael J. Axe, M.D. Christopher A. Arrigo, M.S., P.T., A.T.,C. Stephania Bell, P.T., O.C.S., C.S.C.S. Kenneth Wasserman, M.D. 11:10 a.m. BREAK SESSION IX KNEE Objective: Examine current advances in treatment of injuries of the knee 11:20 a.m. Moderator/Faculty Introductions Benton Emblom, M.D. 11:25 a.m. Youth & Adolescent Knee Injuries in Baseball Daryl Osbahr, M.D. 11:45 a.m. Extensor Mechanism Injuries: Biologic & Ultrasound Aided Treatment Ricardo Colberg, M.D. 12:05 p.m. Copers vs. Non-Copers: ACL Injured Knee Lynn Snyder-Mackler, Sc.D., P.T., F.A.P.T.A. 12:25 p.m. Post-Operative Management and Return to Play Criteria Robert A. Williams, Jr., P.T., D.P.T. Lenny Macrina, M.S.P.T., S.C.S., C.S.C.S. 12:45 p.m. Panel Discussion Moderator: Benton Emblom, M.D. Daryl Osbahr, M.D. Ricardo Colberg, M.D. Lynn Snyder-Mackler, Sc.D., P.T., F.A.P.T.A. Robert A. Williams, Jr., P.T., D.P.T. Lenny Macrina, M.S.P.T., S.C.S., C.S.C.S. 1:05 p.m. CLOSING Kevin E. Wilk, P.T., D.P.T., F.A.P.T.A. Glenn S. Fleisig, Ph.D. 1:10 p.m. ADJOURN

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24 833 St. Vincent s Drive Suite