President's Message

Welcome back to the PRiSM Spring 2017 Newsletter! The goal of the newsletters is to keep the membership informed about PRiSM activities, provide updates on recently published scientific literature related to pediatric sports medicine, and to get everyone excited for the Annual Meeting. I would like to thank Jim MacDonald and Peter Fabricant for editing the newsletter and PRiSM staff member, Heather Schrader, for her hard work on the newsletter.

Planning for the 2018 Annual Meeting continues, and we know this will be another fantastic meeting, building on the momentum from 2017. Ted Ganley and Jim Carey are working on a superb program for next year. We are planning our guest speakers for 2018, which will include Carl Stanitski, MD, one of the fathers of pediatric sports medicine in North America. We will continue to work on development of the Research Interest Groups, and next year’s program will have additional meeting/program time to develop these areas. One of our goals will be to develop some standards that can be shared across the RIGs, including recommendations about how to use RedCap and EMR’s as a tool to facilitate multi-center research. We have a fantastic host institution, Joe DiMaggio Children's Hospital (U-18 Sports Medicine), and local hosts with Jeremy Frank, MD, and Antonio Milian, MBA, LAT, ATC, CLSSGB.

I have several goals as PRISM president over the next year, which will continue the work done by our two previous presidents/founding members, Hank Chambers and Mininder Kocher. These goals include:

1. Continued support for the Research Interest Groups.
2. Developing a diversity program for PRiSM. We have great leadership from Dr. Angela Smith, Dr. Jennifer Weiss and Dr. Cordelia Carter in this program.
3. Continue our fundraising efforts. A special thanks to Mininder Kocher, Hank Chambers, Ted Ganley, and other Board Members for their work in this area.
4. Start the PRiSM Prospective Outcomes Database for ACL, Meniscus, Discoid Meniscus, and Tibial Spine Fractures. A special thanks to Henry Ellis and the PRiSM Registry Steering Committee Members (Peter Fabricant, Dan Green, Shital Parikh, Henry Ellis, Matt Milewksi)

When PRiSM first started, the founding members considered the development of RIGs to be one of our major priorities, as prospective, multi-center research offers us great promise to move the needle on improving outcomes for our patients/families. Our focus on the RIGs and prospective data collection will continue. In addition to the RIGs, a fundamental part of our organization is to recognize the diversity of its membership, and how all groups work together to improve the outcomes for our patients and families. Our membership includes Athletic Trainers, Physical Therapists, Nurse Practitioners, Physician Assistants, PhD Research, Primary Care Sports Medicine, Pediatricians, Family Practitioners, and Orthopedic Surgeons – and each of these members is critical to our mission and success.

I would like to personally thank all the leaders and members of each of the RIGs. In a very short time frame, these groups have already made remarkable progress to improving care, measuring outcomes, and providing meaningful feedback to those that care for patients.

Finally, thanks to our Board of Directors and our Executive Director, Tracy Burr, for their hard work on regular calls to keep PRiSM moving forward. It is very exciting to see the momentum building.

I look forward to seeing everyone in Ft. Lauderdale January 25-27, 2018!

Kevin G. Shea, MD
President, PRiSM

4^th PRiSM Annual Meeting RECAP

A sincere thank you goes to the Texas Scottish Rite Hospital for Children and all staff for hosting PRiSM’s 4th Annual Meeting in Texas. The Scientific Program Co-Chairs: Doctors Phil Wilson and John Polousky provided top-notch southern hospitality and directed all aspects of the high-quality programming.

Phil Wilson, MD – PRiSM Scientific Program Co-Chair; JC Montgomery, Jr. – Emeritus President of the Texas Scottish Rite Hospital for Children; Henry Ellis, MD.

A special thank you to Andrews Institute for sponsoring the meeting with an unrestricted educational grant.

Phil Wilson, MD – PRiSM Scientific Program Co-Chair; Kevin Shea, MD – PRiSM President; James Andrew, MD – Founder of Andrews Institute; Mininder Kocher, MD – PRiSM Past President.	Mininder Kocher, MD – PRiSM Past President; Kevin Shea, MD – PRiSM President; Phil Wilson, MD – PRiSM Scientific Program Co-Chair; John Polousky, MD – PRiSM Scientific Program Co-Chair; Ted Ganley, MD – PRiSM 1st Vice President

The 4th Annual Meeting was very well attended by 275 attendees, an increase of approximately 100 medical professionals from last year’s meeting. The breakout of specialties is 35% orthopaedic surgeons, 35% physicians, 14% physical therapists, 14% athletic trainers, 2% all other professionals.

The meeting had a variety of different presentation options for all participants as well. There were breakout lectures, case presentations, oral presentations, physical posters and e-posters.

5^th PRiSM Annual Meeting: SAVE THE DATE
January 25-27, 2018

The PRiSM Annual Meetings are designed to provide high-quality dissemination of information in the basic sciences, prevention, diagnosis, treatment, and technical advances in the multi-disciplinary areas of sports medicine for children and adolescents. The Scientific Program Committee works to ensure a diverse, innovative and well-rounded program while incorporating feedback from the last meeting. As a result, we offer you two full days filled with learning opportunities, engaging top experts and collaboration opportunities.

OBJECTIVES

• Discuss the diagnosis & multidisciplinary management of common pediatric and adolescent sports related injuries.
• Establish treatment guidelines and algorithms for working with childhood athletes and their families.
• Examine multiple evidence based approaches to treating pediatric sports concerns.
• Explore clinical approaches to the injured athlete throughout their continuum of care.
• Evaluate effective ways to improve patient care and reduce lifelong sequelae of sports injuries.

WHO SHOULD ATTEND

Our meetings attract developmental and other pediatricians, orthopedic and neuro-surgeons, family physicians, physical and occupational therapists, orthotists, rehab engineers, athletic trainers, coaches, kinesiologists, nutritionists, educators, administrators, researchers, and all others concerned with pediatric and adolescent sports medicine.

CALL FOR ABSTRACTS

The abstract submission site is now open!

The PRiSM 5th Annual Meeting welcomes the submission of abstracts for original contribution to the field of pediatric sports medicine on the following topics:

• Concussion
• Female Athlete
• Hip Disorders
• Injury Prevention
• Medial Epicondyle Fractures
• Meniscus
• Multi-ligament Knee
• Outcome Measures
• Patellofemoral Instability
• Rehabilitation
• Shoulder Instability
• Spine Spondylolysis
• Sport Specialization
• Stress Fractures-Overuse
• Tibial Spine
• UCL Injuries
• Ultrasound

The deadline for abstract submission for the PRiSM 5th Annual Meeting is June 30, 2017, 11:59 PM CT.

BOOK YOUR HOTEL TODAY!

Marriott Renaissance Fort Lauderdale-Plantation Hotel
1230 South Pine Island Rd
Plantation, Florida 33324 USA
Phone: +1-954-472-2252

Block closes December 22, 2017

Social Media

PRiSM has a Facebook group! Join us at http://www.facebook.com/groups/prismsports

Follow PRiSM on Twitter: https://twitter.com/prism_society

Follow PRiSM Treasurer Dr. Donna Pacicca on Twitter at https://twitter.com/DMPacicca

Read more about the PRiSM 2017 Annual Meeting on the Clinical Journal of Sport Medicine Blog at: https://cjsmblog.com/2017/01/29/prism-2017-dallas/

News Items

	The Age of Single-Sport Athletes Endures Despite Detractors’ Suspicions (New York Times, April 30, 2016)
	Dartmouth Coach: Tackle-Free Practice Reduces Concussions (Boston.com, May 13, 2016)
	Concussions in Youth Sports: Evaluating Prevention and Research (May 13, 2016) Testimony to Congress, including Dr. Andrew Gregory, PRiSM Founding Member

Reading List

1. Development of a Chest Wall Protector Effective in Preventing Sudden Cardiac Death by Chest Wall Impact (Commotio Cordis)

Kumar, Kartik; Mandleywala, Swati N.; Gannon, Michael P.; More

Clinical Journal of Sport Medicine. 27(1):26-30, January 2017

The ability of chest protectors to prevent ventricular fibrillation (VF) was assessed using an experimental animal model [sedated swine] for commotion cordis.

Impacts were delivered with a 40-mph lacrosse ball, timed to the vulnerable period for VF. A chest wall protector or no chest wall protector (control) was randomly assigned to be placed over the chest. Four iterative series of 2 to 4 different chest wall material combinations were assessed. The main outcome measure was induction of VF by chest wall impact.

Results: Of 80 impacts without chest protectors, 43 (54%) resulted in VF. Ventricular fibrillation with chest protectors ranged from a high of 60% to a low of 5%. Of 12 chest protectors assessed, only 3 significantly lowered the risk of VF compared with impacts without chest protectors.

Conclusions: The researchers found that effective protection against VF with certain types of chest wall protection can be achieved in an experimental model of commotio cordis.

2. Nine-year study of US high school soccer injuries: data from a national sports injury surveillance programme

Khodaee M, Currie DW, Asif IM, et al

Br J Sports Med 2017; 51:185-193

The authors so to describe high school soccer injury rates, trends and patterns by type of athlete exposure (AE), position and sex.

This descriptive epidemiological study used data from a large national high school sports injury surveillance programme to describe rates and patterns of soccer-related injuries including concussion sustained from 2005/2006 to 2013/2014. Injury rates are calculated per 1000 AEs.

Results: Injury rates were higher during competition (4.42) than practice (1.05; rate ratio (RR)=4.19; 95% CI 3.98 to 4.41), and in girls (2.33) than boys (1.83; RR=1.27, 95% CI 1.21 to 1.34). Player–player contact was the injury mechanism that led to the most competition injuries, while non-contact injuries were the most common mechanisms among practice injuries. Injury patterns were similar between sexes with respect to position played and location on the field at the time of injury.

3. Physical Exam Risk Factors for Lower Extremity Injury in High School Athletes: A Systematic Review

Onate, James A. PhD, ATC; Everhart, Joshua S. MD; Clifton, Daniel R. MEd, ATC; Best, Thomas M. MD, PhD; Borchers, James R. MD, MPH; Chaudhari, Ajit M.W. PhD

Clinical Journal of Sport Medicine: November 2016 - Volume 26 - Issue 6 - p 435–444

A stated goal of the pre-participation physical evaluation (PPE) is to reduce musculoskeletal injury. The objectives of this study were: (1) identify clinical assessment tools demonstrated to effectively determine lower extremity injury risk in a prospective setting, and (2) critically assess the methodological quality of prospective lower extremity risk assessment studies that use these tools.

The authors conducted a systematic review, focused primarily on athletes ages 13 to 19, and looked at PPE screening tools that used methods that did not require highly specialized equipment. Methodological quality was evaluated with a modified physiotherapy evidence database (PEDro) scale.

Main Results: Only nine studies met inclusion criteria. Multidirectional balance and physical maturation status were predictive of overall injury risk; knee hyperextension was predictive of anterior cruciate ligament injury; hip external/internal rotator strength ratio was predictive of patellofemoral pain syndrome; and foot posture index was predictive of ankle sprain.

Conclusions: Minimal prospective evidence supports or refutes the use of the functional musculoskeletal exam portion of the current PPE to assess lower extremity injury risk in high school athletes. Limited evidence does support inclusion of multidirectional balance assessment and physical maturation status in a musculoskeletal exam as both are generalizable risk factors for lower extremity injury.

Meet our New Staff Member!

Please welcome PRiSM’s new Project Coordinator, Heather Schrader. Heather graduated from the University of Wisconsin Oshkosh with a B.S. in Communications. She has worked with The American Cancer Society, The National Association of Minority and Women Owned Law Firms and Best Buddies International and has experience in fundraising, event planning and marketing. In her free time, Heather enjoys playing volleyball as well as hiking with her two dogs, Charlie and Cyclops.

Project Coordinator Heather Schrader Email Heather

Current Staff

	Executive Director Tracy L. Burr, CAE Email Tracy
	Managing Partner Kay Whalen, MBA, CAE Executive Director, Inc.

Contact Information
PRISM Headquarters Office
555 E. Wells Street, Suite 1100
Milwaukee, WI 53202
Phone: (414) 918-9876
Fax: (414) 276-3349
General Email Inquiries