Vanderbilt OrthopaediaVanderbilt Orthopaedic Institute • Summer 2014

Chair’s Letter 1

Focus: Alex Diamond 2

In the News 5

Research News 10

Faculty and Staff News 14

Publications 16

Locations and Faculty 22

Keeping an Eye on the Ball

INSIDE THIS ISSUE

EDITOR’S NOTES

Vanderbilt Orthopaedia is a publicationof Vanderbilt Orthopaedic Institute, a department of Vanderbilt UniversityMedical Center. Vanderbilt Orthopaediaprovides orthopaedists with informa-tion on current research and state-of-the-art clinical applications.

CHAIRMANVANDERBILT ORTHOPAEDIC INSTITUTEHerbert Schwartz, M.D.

Vanderbilt Orthopaedia is written forphysicians and friends of the VOI anddoes not provide a complete overviewof the topics covered. It should not replace the independent judgment of aphysician about the appropriateness orrisk of a procedure for a given patient.

PLEASE DIRECT CORRESPONDENCE TO:Glenna KingGrants ManagerVanderbilt Orthopaedic InstituteVanderbilt University Medical CenterMedical Center East, South Tower, Ste. 42001215 21st Ave. S.Nashville, TN 37232Tel: (615) 875-5792glenna.s.king@vanderbilt.edu

Release date: July 16, 2014Vanderbilt University Medical Center

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From Chairman Herbert Schwartz, M.D.Eye on the ball

On June 25, 2014, Vanderbilt won the NCAA Division 1 National Baseball Championship atthe College World Series. They sailed throughthe regionals and survived the supra-regionals on their road to competing for thenational championship. Baseball has alwaysintrigued me: while it is a simple game, it iscomposed of many intricacies. Baseball is agood analogy for what orthopaedics andmedicine face today in our rapidly evolvingmedical environment.

Health care policy, cost containment, qualityrather than volume, “bundling” and the Afford-able Care Act occupy more of our time thesedays than do patient care, service, research and education. The complexities of daily practice can seemoverwhelming. Fortunately, baseball can provide potential solutions. If we can keep our eye on the ball,concentrate on the micro, not the macro, offer the best care to each patient every time, this philosophywill create value, quality and reinforce our mission.

In this issue of Vanderbilt Orthopaedia, we focus on what we do best: academic orthopaedics. In ourphysician profile, we highlight Dr. Alex Diamond and our pediatric/adolescent sports medicine team,who are dedicated to injury prevention and patient safety. Drs. Archer and Mir describe their innovativeresearch areas, which may provide new insights by altering patient care and improving outcomes. Drs. Gregory, Sethi, Mencio, Kuhn and Jahangir have demonstrated they are thought leaders in musculoskeletal medicine and are making national news for their work and expertise. Drs. Schoenecker and Yuasa have won important internal and national research awards, and CTA MichelleLoftis was recently honored with the Southeastern Conference athletic trainer of the year award.

If you read more of Orthopaedia, you can view even more accolades accomplished by our dedicatedteam in just the last few months. It makes me proud of what we can achieve when we concentrate onour mission – and keep our eye on the ball. While we share the struggle of our orthopaedic brethren bydocumenting and packaging our services in new and creative ways, I am comforted by the fact thatevery day we help more people and continue to advance our profession. Thanks to all who share in ourjourney and thank you for visiting with us.

Sincerely,

Herbert S. Schwartz, M.D. Professor and ChairmanVanderbilt Department of Orthopaedics

Vanderbilt baseball team wins NCAA Division 1 National Baseball Championship, June 25, 2014

“Leave things better than you found them,” seems alogical continuation of the guiding principle, “first, dono harm.” For Alex Diamond, D.O., M.P.H., it’s aphilosophical thread that runs through his work as apediatric sports medicine physician, a husband, father, and member of the Nashville community.

It’s a credo he inherited from his father, an oral surgeon practicing in Pottsville, Penn., where Diamond grew up. With a population of around15,000, Pottsville is nestled next to the SchuylkillRiver and is mostly known as the home of Yuengling,the oldest operating family brewery in the U. S. Thefourth generation in his family to be raised in thesmall mining town, Diamond appears to be a fittingsurname for an accomplished physician who hailsfrom coal country.

Diamond remembers how his father seemed to knoweveryone in Pottsville, and they, in turn, seemed toknow all about Alex. “There is something to be saidfor small towns and being raised by a whole commu-nity,” says Diamond. “So I have a special place in myheart for small towns. As a result, a lot of what I dohas community at its center. Also, my mom when Iwas young, and my wife now, are big believers in community service and giving of yourself to help others, and that has really had an impact on me.”

A family medicine-trained sports physician who wasfriends with Diamond’s residency director, was thefirst to inspire Diamond in his profession. That and achance encounter with Pediatric Sports Medicine Fellowship Director Andrew Gregory, M.D., at the annual meeting of the American Medical Society forSports Medicine. Following Gregory’s presentationDiamond approached him about a fellowship at Vanderbilt. An interview at VUMC followed and Diamond received the good news on Match Day thathe was heading to Nashville.

“My first impression was just that he was a really nice

guy and I felt like he would fit in well with our team,”recalls Gregory. “I think it was clear once he began thefellowship that he believed in our vision. The fact thathe wanted to do an MPH made it obvious that he wasdriven to stay in academics.”

It was that drive that earned Diamond a faculty position in the Division of Sports Medicine just 18months into his fellowship, and the considerable biohe has accrued since ̶ remarkable considering he’sjust 37. As an Assistant Professor in the Departmentof Orthopaedics and Rehabilitation as well as Pediatrics at VUMC, Diamond serves as a team physician for Vanderbilt sports, the Nashville(continues on next page)

Small Town Diamond

Vanderbilt OrthopaediaFocus: Alex Diamond

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Alex Diamond, D.O., M.P.H.

Predators, the Nashville Sounds, and Overton HighSchool. He earned a BA in Sociology from Duke and isa graduate of the Philadelphia College of OsteopathicMedicine. After completing his residency in Pediatricsat St. Christopher's Hospital for Children in Philadel-phia, he received both his fellowship training in Primary Care Sports Medicine and his Masters ofPublic Health at Vanderbilt.

Diamond’s dedication to community is demonstratedin his commitment to preventing sports injuries andimproving the lives of young athletes (see “A Sense ofCommunity,” next page). He is the co-founder and director of Vanderbilt’s Program for Injury Preventionin Youth Sports (PIPYS), and a member of the Commissioner's Council for Injury Prevention for thestate of Tennessee. He also serves on the TennesseeDepartment of Health’s concussion education committee and the national Hazing in Sports workgroup. He also was recently elected to the executive committee for the AAP’s Council on SportsMedicine and Fitness.

Although his patients come to him with range ofsprains and pains, fractures and tears, he says he’sseeing more of these in younger populations. Theyrepresent a difficult spectrum of injury, Diamondsays, where some kids in sports are “going all out, allthe time with no recovery time.” At the other extremeare obese patients, he says, who lead sedentary livesand have conditions such as slipped capital femoralepiphysis, or SCFE, and Blount’s Disease. Diamond’scurrent research focuses on injury prevention insports and the effects of physical activity on pediatricobesity.

“What we see in this country is a dichotomy wheremore than one third of children are overweight orobese and not exercising, and definitely not eatinghealthy foods,” says Diamond, who serves onNashville's Health Partnership Council and Healthy

Eating Active Living Partnership. “And the other sideare super specialized kids playing more year-roundsports on multiple teams. I think we’ve lost that important middle ground and recreational free-play.”

The pediatric specialist met his wife, Connie Diamond, when he was a fellow and she was workingin the Sports Medicine Division. They have been married three years and have a daughter, Evie, 21months, as well as two dogs. In addition to caring forEvie, Connie has a master’s degree in counseling andvolunteers for a local dog rescue.

Although practicing medicine takes up most of histime, Diamond loves sports – one of the perks of thejob is getting to watch local teams while he’s on call –and he plays the occasional pickup game of basketball(he played point guard in high school and was onDuke’s practice team as an undergrad). He and hisfamily can often be found hiking around the trails atEllington Agricultural Center or at Radnor Lake, notfar from where they live.

When asked to describe his life in one word, Diamondsays “blessed.”

“There is really no greater privilege than being trustedto treat someone else’s child,” he says. “However, asphysicians, we also have a responsibility to give backto the community. I think it’s really important that wemake a difference to individuals as well as to societyas a whole.”

Focus: Alex DiamondVanderbilt Orthopaedia

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Vanderbilt Pediatric Sports Medicine physician, Alex Diamond, D.O., M.P.H., is often in the news, whether it’sat a local event to raise awareness on a public health issue, on national television as a medical expert, or pre-senting leading edge research to an international forum. Here are a few of his recent activities in the community.

Sudden Cardiac Arrest

SCA is the leading cause of death for student-athletes and happens when the heart stops beating unexpectedly. As part of the Simon’s Fund medical network, Diamond hosts freeheart screenings at VUMC for young athletes and active children to prevent and raise aware-ness of SCA. Diamond was interviewed during a screening at Vanderbilt by the Today Showand by WSMV Channel 4.

Athletes and the Arts

Vanderbilt Sports Medicine supports an innovative collaboration with the performing arts community called“Athletes and the Arts.” Spearheaded by the American College of Sports Medicine, the initiative shares knowledge about wellness, training and injury prevention between athletes and performing artists.

“With Vanderbilt’s location in Music City, this is the perfect opportunity to take whatwe already know about treating sports injuries and apply it to musicians and other performing artists,” says Diamond. Modern jazz pianist Jon Batiste is Artist in Residence for Athletes and the Arts, leading a series of performances and lecturesaround the country. More here.

Mental Health and the Student-Athlete

Given the NCAA student athlete participation rates of more than 450,000 each year, the likelihood of sportsmedicine professionals encountering a student athlete with mental health problems is high. To prepare forthese encounters, the National Athletic Trainers’ Association unveiled new recommendations for developing aplan to recognize and refer college athletes with psychological concerns. Alex Diamond, D.O., M.P.H., was oneof 11 national experts charged with developing the consensus statement.

“Athletic trainers are in a unique position to get to know athletes well and earn theirtrust,” says Diamond. “If a mental health problem arises, we think there should be aplan in place to get that athlete appropriately referred and evaluated.” More here.

Vanderbilt OrthopaediaFocus: Alex Diamond

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A Sense of Community

In the NewsVanderbilt Orthopaedia

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Kristin Archer, Ph.D., D.P.T., Assistant Professor of Orthopaedics and Physical Medicine and Rehabilitationat Vanderbilt University Medical Center (VUMC), hasreceived a $1.7 million grant from the highly regardedPatient-Centered Outcomes Research Institute(PCORI) to study postoperative management for degenerative spinal conditions. Although physicaltherapy is usually offered to patients after spine surgery, it does not appear to be significantly betterthan the simple advice to “stay active,” Archer said.Archer has been studying a new approach to treating patients after spinal surgery that involvesself-management strategies. The program – ChangingBehavior through Physical Therapy (CBPT) – was developed with patients and clinicians at VUMC andJohns Hopkins Medicine.

CBPT is a patient-oriented, self-management treat-ment program characterized by active participationand personal responsibility. The six-session programis delivered over the phone by a physical therapist anduses techniques that have been scientifically proven todecrease pain and increase physical activity. CBPT focuses on setting activity and walking goals, replacingnegative thinking with positive thoughts and feelings,balancing rest and activity, and managing setbacks.Patients also develop weekly action plans that arebased on personal recovery goals.

Archer recently completed a small trial funded by theNational Institute of Arthritis and MusculoskeletalSkin Diseases and the Foundation for Physical Therapy that demonstrated the benefits of CBPT inpatients recovering from spinal surgery. Preliminarywork that informed this trial was published in thejournal Physical Therapy.

Archer’s co-investigators are Clinton Devin M.D,. Assistant Professor of Orthopaedic Surgery, JosephCheng, M.D., M.S., and Oran Aaronson, M.D.,

Associate Professors ofNeurological Surgery, whohave been deeply involvedin the development andpilot testing of the CBPT intervention.

“The current study uses alarger and more diverseadult population to assessthe CBPT treatment, withthe goal of engaging patients in their own care,improving shared postoperative decision-making andmaximizing gains in outcomes that are relevant andmeaningful to patients,” Archer said.

The three-year PCORI study will evaluate which oftwo treatments provided via telephone — a CBPT program focusing on self-management or an educationprogram about postoperative recovery — are more effective for improving patient-centered outcomes.The randomized, controlled clinical trial will enroll260 patients who are having surgical treatment for alumbar degenerative condition. They will have sixweekly telephone sessions with a trained physicaltherapist and will be followed for 12 months post-surgery to evaluate pain, disability, physical activityand general health.

In alignment with PCORI goals, this study involvespatient and clinician stakeholders in all phases of research, from design and implementation to dissemination and sustainability. In addition to Vanderbilt’s Spine Center, Johns Hopkins will serveas a study site under the direction of Stephen Wegener, Ph.D., the Director of Rehabilitation Psychology and Neuropsychology in the Departmentof Physical Medicine and Rehabilitation. (continues on next page)

Kristin Archer, Ph.D., D.P.T.

Major Grant Examines Best Ways to Improve Recovery after Spinal Surgery

Vanderbilt OrthopaediaIn the News

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“Results from this study will fill important knowledgegaps and generate critical information on a self-management approach to postoperative rehabilitation,”Archer said.

“There is an urgent need for adults recovering fromspinal surgery to have readily accessible treatmentsthat allow them to take an active role in their care.The long-term goal of this research is to provide low-cost, evidence-based programs that can be used acrossa variety of painful conditions faced by the older adult.”

Archer, who joined the VUMC faculty in 2008, received her Ph.D. from Johns Hopkins BloombergSchool of Public Health. Her research focuses on howpsychosocial factors such as fear of movement, pain catastrophizing, and self-efficacy influence patientoutcomes, with particular focus on surgical populations.Archer’s abstract, “Improving surgical spine outcomesthrough a targeted postoperative rehabilitation approach,” has been selected to receive a 2014 NASSValue Abstract Award from the North American Spine Society (NASS) at the group’s annual meeting in the fall.

“Doctor shopping,” or going to multiple doctors fornarcotic prescriptions, is prevalent among more than20 percent of orthopaedic trauma patients, accordingto a Vanderbilt study released in March at the AmericanAcademy of Orthopaedic Surgeons (AAOS) meeting inNew Orleans.

The study, which included 151 adult patients admittedto Vanderbilt for isolated fractures from January 2011to December 2011, used Tennessee’s Controlled Substance Monitoring Database (CSMD) to comparepatients with a single narcotic provider to those foundto have multiple narcotic providers.

Patients who did “doctor shop” received, on average,more prescriptions (seven) and took more medicationdaily for a longer duration (110 days), compared withpatients with a single provider, who averaged two prescriptions with a lower daily amount for a total of 28 days.

“I knew it would be a significant number but Ididn’t realize it would beone out of every five patients who walked intomy office was also gettingnarcotics from somewhereelse,” said senior authorHassan Mir, M.D., Assistant Professor ofOrthopaedics and Rehabilitation and orthopaedic trauma surgeon.

Americans comprise less than 5 percent of the world’spopulation yet consume 99 percent of the global hydrocodone supply, and 80 percent of the global opioid supply, says Mir. Prescription narcotic over-dose deaths in the U.S. have tripled over the pastdecade, he added.

Mir conducted the study with lead author Brent Morris, M.D., Justin Zumsteg, M.D., Kristin Archer,Ph.D., and Brian Cash. More here.

A Surprising Look at “Doctor Shoppers”

Hassan Mir, M.D.

In the NewsVanderbilt Orthopaedia

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Orthopaedics Department Lauded

Becker’s Hospital Review, a monthly publication offering business and legal news and analysis relating to hospitals and health systems, has named Vanderbilt University Medical Center to its latest list of “100 Hospitals with Great Orthopedic Programs,” which recognizes the top hospitals with orthopaedic surgery departments, programs or dedicated centers. (Vanderbilt University Medical Center is also listed as one of the 100 Great Hospitals in America).

Becker’s lauded Vanderbilt Orthopaedics for its more than 50 specialists, 10 subspecialty divisions, large research endeavors and its spine surgery center. Becker’s also noted the more than 110,000 patients who receive orthopaedic care at Vanderbilt each year. According to Becker’s, “Exceptional orthopaedic departmentsoften include physicians who provide outstanding patient care, advance cutting-edge orthopaedic research andtreat professional athletes.” More here.

Young athletes need guidance in avoiding injuries

“A lot of times exercise is what brings out heart problems in kids,” says Andrew Gregory, M.D., Associate Professor of Orthopaedic Surgery and Rehabilitation and Pediatrics at Vanderbilt University Medical Center. “If they get chest pain or dizziness or pass out from exercise, that is a redflag,” he says. “If you have any concerns at all, go to your pediatrician andask versus getting advice off of the Internet or from a friend.” Gregoryhelped write the position statement on overuse injuries and burnout forthe American Medical Society for Sports Medicine (AMSSM). More hereand here. – The Tennessean

Vanderbilt Partners with TSSAA to Provide Coverage at all Championship Games

Vanderbilt is the official sports medicine provider of certified athletictrainers (ATCs) and on-site medical support at all state high school championship sporting events throughout Tennessee, providing care formore than 10,000 participating student athletes. “Vanderbilt Sports Medicine has a long history of keeping young athletes fit, healthy and offthe sidelines, and we’re excited to extend our services to all Tennesseeathletes participating in these championship events,” said Mitch Bellamy,M.S., A.T.C., Assistant Director of Sports Medicine. More here.– Vanderbilt Reporter

Prescription Drug Abuse is a Foe We Can Beat

“Throughout Tennessee, there is much that we can do to fight the epidemic of prescription drug abuse. First,we must educate Tennesseans about the dangers of narcotic abuse and the high risk of addiction. It’s a harddiscussion to have, but at the dinner table, at school and at church, we must talk about this,” writes ManishSethi, M.D., in an editorial. More here. – The Tennessean

Vanderbilt Athletic Trainer Michelle Johnson icesthe ankle of a high school baseball player.

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Middle School Students Practice Conflict Resolution

Manish Sethi, M.D., Assistant Professor of Orthopaedics and Rehabilita-tion, talks with students at Wright Middle School participating in a conflict resolution class. Sethi, an orthopaedic trauma surgeon, tired ofpiecing gun-riddled teenagers back together, launched the initiative: Aggressors, Victims, and Bystanders, in Nashville last year: “You guys aredoing a great job and really, really trying to follow this program,” Sethi,who authored a study on the subject in the Journal of Injury and Violence Research, told the Wright students. The Vanderbilt OrthopaedicInstitute Center for Health Policy has coordinated the conflict resolutionprogram at nearly a dozen Metro Nashville middle schools. More here.– The Tennessean

The Risk of Occupational Injuries among OrthopaedicSurgeons

Occupational injuries such as carpal tunnel syndrome, back sprains, and torn ligaments are a common complaint of patients who seek orthopaedic care. Many of the orthopaedic surgeons who provide that care mayalso sustain on-the-job injuries, according to an article, by Manish Sethi, M.D. and William T. Obremsky, M.D.,M.P.H., in The Journal of Bone & Joint Surgery.More here and here. – AAOS Now

PBS Correspondent Miles O’Brien Has Arm Amputated Following Accident

VUMC orthopaedic trauma surgeon Alex Jahangir, M.D. was interviewed extensively on “acute compartmentsyndrome” by ABC News: “The syndrome can occur when a weighty object crushes the muscles, causing pressure in the fascia, the “sausage casing” that envelops the muscles and separates them from each other, according to Jahangir, at Vanderbilt Medical Center in Nashville. “‘It can happen in your muscles anywhere inyour body: the arms, legs and frankly, even the buttocks,’” said Jahangir, who sees about four to five cases amonth at Vanderbilt’s trauma center. More here. – ABC News

Knowing More about Your Doctor Could Boost Patient Satisfaction

A new study in the Journal of Orthopaedic Trauma suggests that the more peopleknow about their doctors, the happier they’ll be with their care. “I think, in general,people recover better when they are more comfortable with the care they are receiving,” said study researcher Alex Jahangir, M.D., an Associate Professor of Orthopaedic Surgery and Rehabilitation at Vanderbilt University Medical Center.“So it matters to patients and physicians who want a quick recovery. And now, because of provisions in the Affordable Care Act, it matters to the institution because there are millions of dollars that can be at risk if patient satisfaction islow.” More here and here. – Huffington Post

Vanderbilt OrthopaediaIn the News

Manish Sethi, M.D., center, at Wright MiddleSchool in Nashville.

Alex Jahangir, M.D.

In the NewsVanderbilt Orthopaedia

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Orthopaedic Surgeons Launch Falls Prevention Campaign to Encourage Proactive Approach, Empower Seniors

Falls within the home are the most prevalent cause of both fatal and nonfatalinjuries among Americans age 65 and older, leading to more than 2.3 millionemergency room visits and 21,000 deaths in 2010. The American Academy ofOrthopaedic Surgeons (AAOS), in partnership with the Orthopaedic TraumaAssociation (OTA), recently launched a new public service campaign, “HomeSafety is Bone Safety,” to help decrease falls at home and help seniors maintain active and independent lifestyles free of injury and pain. “The newfalls prevention campaign highlights the importance of a proactive approachto addressing risk factors and fall-proofing the home,” said Hassan Mir, M.D.,orthopaedic surgeon and Assistant Professor of Orthopaedics and Rehabilitation at Vanderbilt University Medical Center. More here. –Louisville Business Journal

Study Takes Close Look at Impact of ACL Surgery – AAOS Now

In a series of studies examining the economic impact of orthopaedic procedures,MOON (Multicenter Orthopaedic Outcomes Network) researchers have foundthat outcomes for patients who had appropriately selected anterior cruciateligament (ACL) reconstruction were both more effective and less costly thanrehabilitation alone. More than 200,000 ACL injuries occur annually, many inpeople who participate in sports. Vanderbilt Sports Medicine is one of sevenMOON study sites in the U.S. Led by Kurt Spindler, M.D., these studies arefunded through an R01 grant from NIH/NIAMS. The MOON network hassince expanded to include shoulder research under the leadership of John E.“Jed” Kuhn, M.D. Although Spindler has since moved on to continue his research at the Cleveland Clinic, the MOON coordinating center for ACL andshoulder research remains anchored at Vanderbilt.

Vanderbilt Outcomes Report Now Available

The Vanderbilt Department of

Orthopaedics is pleased to share

its annual “Value, Quality &

Safety” outcomes report,” at this

link. The 15-page report is a

testament to the department’s

mission, accomplishments and

culture. As chairman of the

department,

Herbert

Schwartz,

MD, writes,

“We strive to

deliver the

very best care

for our patients, as per our credo

of putting the patient first, by

performing evidence-based

medicine whenever appropriate

and setting examples of that

behavior for our residents, alumni,

and colleagues.”

MOON Research Group. LR front row: Brooke Rode, Rosemary Sanders, Rob Harper, Emily Reinke,Kurt Spindler. LR back row: John Shaw, Suzet Galindo-Martinez, Laura Withrow (Huston), Warren

Dunn, Erica Scaramuzza, Lynn Cain.

Herbert Schwartz, M.D.

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Vanderbilt OrthopaediaResearch News

Grants

Federal Grants Awarded

Since January, Kristin Archer Ph.D., D.P.T., Daniel Perrien, Ph.D., and Jonathan Schoenecker, M.D.,Ph.D. have all been awarded federal funds to supporttheir research endeavors.

As highlighted on page 5, Archer received a three-yearaward from PCORI to continue her research in cognitive behavioral physical therapy after spine surgery. An integral part of this study is the collabora-tion with the Vanderbilt Comprehensive Spine Center,led by our own Clint Devin, M.D.

Perrien was awarded aShared InstrumentationGrant from the NIH topurchase a new Micro CTmachine. This machine,will replace a failing andoutdated small animal microCT that currentlysupports several fundedNIH grants. In vivo imag-ing of small animals hasbecome a critical tool fordiscovery and develop-

ment of new disease treatments. Acquisition of the vivaCT80 will ensure continued progress of many current investigators and will also enable new meth-ods that enhance and accelerate the progress of manynew research projects. The Vanderbilt Office of Research also awarded matching funds for the firstyear to support the administration and technical expertise required for start-up. This is the secondShared Instrumentation Grant awarded to Perrien.

Schoenecker was recently awarded his first NIH grant,an R03 titled “Plasmin is Essential to Prevent and Resolve Heterotopic Ossification (HO).” The goal ofthis research is to provide proof-of-principle evidence for a novel pharmacological approach, including a targeted dosing strategy to prevent, arrest,

and remove HO through enhanced fibrinolysis. Thisresearch is funded through the National Institute ofArthritis and Musculoskeletal and Skin Diseases(NIAMS) Small Grant Program for New Investigators.

Foundation Grants Awarded

Ginger Holt, M.D., was awarded the OREF/Musculoskeletal TumorSociety Clinical ResearchGrant in Orthopaedic Oncology in support ofher collaborative researchwith Anita Mahadevan-Jansen, Ph.D. Holt andMahadevan-Jansen, Professor in the Depart-ment of Biomedical Engineering, are research-ing real time in vivo tumorand tumor bed assessmentafter soft tissue sarcoma excision using optical spectroscopy. They propose the use of an optical imaging device that will reveal sarcoma cells in thetumor bed, in vivo, in real time, and guide surgeons for complete tumor removal with clear margins in a single procedure.

PGY3 Resident, Alex Sielatyki, M.D, received a Resident Research award from AO Trauma NorthAmerica for his proposal titled “Acute Phase IL-6 isRequired to Prevent Heterotopic Ossification FollowingOrthopedic Trauma.” This study will be conducted in the Schoenecker Lab under the mentorship of Schoenecker. The study team developed the hypothesisthat IL-6 induced production of plasminogen duringthe acute phase response is essential to prevent thedevelopment of HO in damaged muscle. To test thishypothesis they will employ our high throughput andcost effective murine model of Cardiotoxin-provoked-muscle injury. “In this study, we will quantify the (continues on next page)

Daniel Perrien, Ph.D.

Ginger Holt, M.D.

Research NewsVanderbilt Orthopaedia

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development of HO longitudinally in wild type miceand mice genetically deficient in IL-6 (IL-6-/-) orplasminogen (Plg-/-)treated with and withoutsupplemental plasmino-gen,” Schoenecker states,“Seilaytki is an incrediblymotivated young residentwith aspirations of an academic orthopaedic career. I look forward tomentoring him in translational orthopaedicresearch, as well as inclinical orthopaedics.”

The Division of Orthopaedic Trauma will receivefunds from COTA and AO Trauma in support of ourOrthopaedic Trauma Fellowship program, under theleadership of Jason Evans, M.D. The Oncology Division, under the leadership of Ginger Holt, M.D.,was awarded MSK Oncology fellowship funds fromOMEGA for the 2014-15 academic year.

Our residency program has received a Resident Education Grant from OMEGA medical grants. TheOMEGA award will be used to fund expenses for hipand knee courses in the cadaver lab. Holt is the Director of the Vanderbilt Orthopaedic Surgery Residency Program.

Pilot Grants Awarded

Despite the financial constraints at Vanderbilt and academic medical centers, Department ChairmanHerbert Schwartz is committed to making researchpilot funds available to VOI faculty. A Vanderbilt Orthopaedic Institute (VOI) committee, chaired byJeffry Nyman, Ph.D., in conjunction with the Vander-bilt Institute for Clinical and Translational Research(VICTR), reviews and funds clinical pilot projects andseeks outside reviewers to review basic science grants.Six grants were submitted and four were funded. Donald H. Lee, M.D. and Nyman were funded byVICTR and VOI for their clinical research titled “New

Tools for Assessing Fracture Risk”. Jonathan Schoe-necker, M.D., Ph.D. will also receive funds fromVICTR and VOI for his research titled “Prevalence ofMetabolic Syndrome in Obese Children with Develop-mental Bone Disease”. Two basic science proposalswere also funded by VOI: Ginger Holt, M.D.’s proposal “Characterization of Soft Tissue Sarcomawith Optical Techniques” and Dan Perrien, Ph.D.’sproposal “Inflammation and the Immune System toHeterotopic Ossification in FOP”.

HonorsOrthopaedic Trauma Division HighestContributor at 2014 GME Research Forum

The Vanderbilt School of Medicine GME 2014 Research Forum Poster Session was held April 30 inLight Hall. “The division of Trauma was well repre-sented at the Vanderbilt Research Symposium withnearly a third of the posters (18/60) displayed comingfrom our division as well as one of the three clinicalpodium presentations,” said William Obremskey,M.D. Chad Corrigan, M.D. had a podium presentationof his research titled “Heterotopic Ossification afterHemiarthroplasty of the Hip – A Comparison of ThreeCommon Approaches”.

Archer, Devin, Receive NASS Award

Archer and her co-investigator, Clint Devin, M.D., received the 2014 Value Abstract Award from theNorth American Spine Society (NASS) for their research on cognitive-behavioral physical therapyafter spine surgery.

Schoenecker Lab

As noted on page 15, Masato Yuasa, M.D., received aNew Investigator Recognition Award from the Orthopaedic Research Society (ORS) for his work entitled “Plasmin is Essential for Preventing Forma-tion of Heterotopic Ossification after Skeletal MuscleTrauma.” Congratulations to Yuasa for being 1 of the11 investigators selected for this honor. In addition(continues on next page)

Alex Sielatyki, M.D.

Vanderbilt OrthopaediaFaculty and Staff News

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to congratulating Yuasa we would also like to recognize Nicholas Mignemi, a graduate student in Schoenecker’s Lab who collaborated with Masato on his projects.

Megan Mignemi, M.D.’s work on epidemiology, diagnosis and treatment of hip pyomyositis in children was recently picked for “Best of AAOS” at thisyear’s annual American Academy of Orthopaedic Society meeting in New Orleans. Mignemi’s work wasin collaboration with fellow resident, Travis Menge,M.D., and Drs. Mencio, Martus, Lovejoy, and Stutz ofthe Division of Pediatric Orthopaedics.

Schoenecker in collaboration with Drs. Mignemi, Mencio, Martus, Lovejoy, and Stutz as well as Kathleen Byington, received the 2014 outstandingclinical scientific paper at a Pediatric Orthopaedic Society of North America meeting for their worktitled, “Screening Inflammation and Coagulation Ac-tivity Allows for Rapid Risk Stratification in Children Presenting with Symptoms of Musculoskeletal Infection”. As musculoskeletal infections caused by Staphylococcus aureus (S. aureus) inflict a significantmorbidity and mortality in children worldwide, thisstudy identified novel risk factors for morbidity andmortality from DIC and DVT associated with infections.

As noted on page 14, Schoenecker received the GrantW. Liddle Award for exemplary leadership in the promotion of scientific research here at Vanderbilt.Schoenecker joins a prestigious list of fellow award recipients. In addition, Schoenecker also was awardedthe 2014 Ken Johnson resident teaching award. Thisaward is given by the graduating chief resident classto the faculity member who not only demonstratesoutstanding teaching but also shapes future practicesof the graduating class. Congratulations to Schoenecker for receiving these awards and his commitment to education of the next generation ofscientists and physicians.

Research Teams GrowAs our investigators receive funding for their research,research teams have expanded. In FY 14, we broughton five research coordinators, one research assistant,one research analyst, and two research fellows in addition to graduate students in Jeff Nyman, Ph.D.and Jon Schoenecker, M.D., Ph.D.’s labs.

Archer Team

Archer has recently expanded her team to include twophysical therapists and two research coordinators. InMay, Rogelio, “Roy” Coronado, P.T., Ph.D., C.S.C.S.,FAAOMPT, joined Archer’s research team as a post-doctoral fellow. Coronadorecently obtained his PhDdegree in RehabilitationScience from the Univer-sity of Florida where hewas mentored by SteveGeorge, P.T., Ph.D. He received his Bachelor ofScience degree in biologyfrom Texas A&M University- Corpus Christiin 2003 and Master ofPhysical Therapy degreefrom Texas Tech UniversityHealth Sciences Center in 2007. Prior to enrolling inhis Ph.D. program, Roy completed a residency in orthopaedic physical therapy with the University ofWisconsin in 2008 and a fellowship in orthopaedicmanual therapy at Duke University in 2009.

Roy has presented original research at national andinternational conferences and published papers as a primary author in peer-reviewed journals. In 2012,Roy received a research grant from the APTA Orthopaedic Section for his dissertation study on theeffects of manipulative therapy on pain sensitivity.Roy's research interests are related to the (continues on next page)

Roy Coronado, P.T., Ph.D.

Research NewsVanderbilt Orthopaedia

biopsychosocial influence of musculoskeletal pain, mechanisms of manual therapy, and comparative effects of musculoskeletal pain interventions.

“When I visited Vanderbilt, I was instantly impressedwith the level of intellectual curiosity and productivityamong the individual faculty I had the opportunity tomeet,” said Coronado. “Moreover, there appeared tobe a strong collaborative spirit and dedication to impacting clinical care through scientific discovery.These were all attractive features when I was consid-ering my postdoctoral studies. Ultimately, I believe I have a great match in my postdoctoral mentor and Iam confident that my postdoctoral training at Vanderbilt will be second to none.”

In addition to Coronado, Chrissy Haug recently relocated from Charlotte, N.C. as coordinator forArcher’s PCORI grant. Lori Haislip joined us last fall as Research Coordinator for Archer’s NIDDRfunded Goal Management Training in trauma patients. Susan Vanston, P.T., also joined Archer’steam, and is a valued resource on all of Archer’s studies.

Trauma

The Division of Ortho-Trauma, under the leader-ship of Obremskey, is fortunate to have three clinical and translationalresearch coordinators that are supported by external funds: RajeshTummuru, Eduardo Burgose, and Juan-JoseChaller. All three researchcoordinators physicianswho will improve their

knowledge on research project development, IRB submission, data collection, statistical analysis, andmanuscript writing. This experience will help themfurther their careers as clinicians and investigators.“Our model of hiring physicians early in their careers

has been mutually beneficial as the division getshighly educated and trained research assistants andthey attain invaluable experience and research credi-bility, said Obremskey. “One example is our formerresearch assistant, Justin Richards, who recently received the Vanderbilt Department of AnesthesiaResident Research Award. He will continue his trainingas a Critical Care Fellow at Shock Trauma next year.Cesar Molina, M.D. just finished with us and will bestarting his preliminary surgical internship and applying to orthopaedic residency in the fall. We areproud of the efforts and accomplishments of our research team.”

Schoenecker Lab

The Schoenecker lab welcomes Stephanie Moore as itsnewest member. She is a graduate of Northern OhioUniversity and has recently matriculated to Vanderbiltto pursue a Ph.D. Stephanie was recently awarded acompetitive spot on the NIH sponsored Pharmacologytraining grant which is under the direction of JoeyBarnett, Ph.D., the Assistant Dean and Director of theOffice for Medical Student Research. The overarchinggoal of Stephanie’s project is to investigate plasmin’srole in muscle healing and regeneration by investigat-ing plasmin cleavage targets such as osteopontin. She will be investigating the role of different forms of osteopontin for prevention of heterotopic ossificationand proper muscle healing following injury.

Through this work, the lab hopes to identify the underlying molecular mechanisms perpetuating andpreventing heterotopic ossification following muscularinjury. This project will incorporate basic science andtranslational research to answer a question of greatimportance for both orthopedic and trauma surgeons.

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William Obremskey, M.D.

Vanderbilt OrthopaediaFaculty and Staff News

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Schoenecker Named Liddle Award Winner

Established in 1983 by VUMC house staff, the Grant W. Liddle Award recognizesfaculty members who demonstrate exemplary leadership in the promotion of scientific research at VUMC. The 2014 award winner is Jonathan G. Schoenecker,M.D., Ph.D., Assistant Professor of Orthopaedics, Pediatrics, Pharmacology, andPathology, Microbiology and Immunology. Schoenecker’s research laboratory is dedicated to defining the integrated role of coagulation and inflammation on orthopaedic-related wound healing. His unique focus stems from his surgical training in musculoskeletal diseases in combination with his basic science trainingin coagulation and bone biology. More here.

ORS New Investigator Award Winner

Masato Yuasa, M.D., Research Assistant Professor, received the New InvestigatorRecognition Award from the Orthopaedic Research Society. Awards are presentedto 10 researchers during the ORS Annual Meeting for their work as young investigators. Yuasa received the award based on his work: “Plasmin is Essential for Preventing Formation of Heterotopic Ossification after Skeletal Muscle Trauma”. More here.

Two faculty members named to PhysicianCouncil for Clinical Service Excellence

Jeff Martus, M.D., M.S., and Thomas Groomes, M.D.,were recently named to VUMC’s Physician Council forClinical Service Excellence. The Council helps ensurethat clinical faculty have a clear voice in shaping majorinitiatives affecting patients, clinicians and clinical staffat Vanderbilt University Medical Center. More here.

Jonathan G. Schoenecker, M.D., Ph.D.

Faculty and Staff Awards and Recognitions

Masato Yuasa, M.D.

Jeff Martus, M.D., M.S.Thomas Groomes, M.D.

Archer Abstract Earns Award from NASS

Kristin Archer, Ph.D., D.P.T.’s abstract, “Improving Surgical Spine Outcomes Through a Targeted Postoperative Rehabilitation Approach,” has been selected to receive a 2014 Value Abstract Award from the North AmericanSpine Society (NASS). She will receive the award at the annual meeting in November.

Mencio Named to Lead Pediatric Orthopaedic Society

Gregory Mencio, M.D., Director of Pediatric Orthopaedics at the Monroe Carell Jr.Children’s Hospital at Vanderbilt, has been named president of the Pediatric Orthopaedic Society of North America (POSNA). POSNA is an organization of morethan 1,100 health professionals, dedicated to advancing musculoskeletal care forchildren and adolescents through education, research, quality, safety and value initiatives, as well as advocacy and global outreach to children in underservedareas. More here. Earlier this year, Dr. Mencio served as honorary co-chair of thisyear’s Iroquois Steeplechase, Nashville’s annual spring horse racing tradition,which benefits the Children’s Hospital. More here.

Michelle Loftis Wins SEC Athletic Trainer of the Year Award

Michelle Loftis, M.A., A.T.C., received the inaugural “Chris Patrick Southeastern Conference Athletic Trainer ofthe Year Award” in April. This award was voted on by the Sports Medicine staff of all 14 SEC schools, and isnamed in honor of the recently retired NATA Hall of Fame athletic trainer from the University of Florida.Patrick presented the award to Michele at the SEC Sports Medicine Annual Symposium on April 27. Michellewas selected over other nominees based on her passion for the profession of athletic training and service to thestudent-athlete. More here.

Patricia Clark Earns Highest VUMC Staff Honor

The Commodore Award, Vanderbilt’s highest staff honor, was presentedto two staff members during the Service Awards Celebration in September.The award is given annually to recognize and reward significant achieve-ment in Vanderbilt’s pursuit of excellence in education, health care, research and community service. One winner was the Orthopaedic Institute’s Patricia Clark, L.P.N., who received a cash prize and an engraved crystal bowl. More here.

Faculty and Staff NewsVanderbilt Orthopaedia

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Gregory Mencio, M.D.

Patricia Clark, center, receiving award

Vanderbilt OrthopaediaPublications

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1. Adogwa O, Parker SL, Mendenhall SK, Shau DN,Aaronson O, Cheng J, Devin CJ, McGirt MJ. Laminectomy and Extension of Instrumented Fusion Improves 2-Year Pain, Disability, and Quality of Lifein Patients with Adjacent Segment Disease: Definingthe Long-Term Effectiveness of Surgery. World Neurosurg. 2013 Dec;80(6):893-6. Epub 2011 Dec 24.PubMed PMID: 22381277.

2. Alamanda VK, Song Y, Shinohara E, Schwartz HS,Holt GE. Postoperative Radiation Boost Does Not Improve Local Recurrence Rates in Extremity SoftTissue Sarcomas. J Med Imaging Radiat Oncol. 2014May 13. [Epub ahead of print] PubMed PMID:24821569.

3. Alamanda VK, Song Y, Holt GE. Effect of MaritalStatus on Treatment and Survival of Extremity SoftTissue Sarcoma. Ann Oncol. 2014 Mar;25(3):725-9.Epub 2014 Feb 6. PubMed PMID: 24504446.

4. Alamanda VK, Song Y, Schwartz HS, Holt GE.Racial Disparities in Extremity Soft-Tissue SarcomaOutcomes: A Nationwide Analysis. Am J Clin Oncol.2014 Jan 7. [Epub ahead of print] PubMed PMID:24401671.

5. Archer KR, Seebach CL, Mathis SL, Riley LH 3rd,Wegener ST. Early Postoperative Fear of MovementPredicts Pain, Disability, and Physical Health SixMonths after Spinal Surgery for Degenerative Conditions. Spine J. 2014 May 1;14(5):759-67. Epub2013 Nov 6. PubMed PMID: 24211099.

6. Armaghani SJ, Lee DS, Bible JE, Archer KR, ShauDN, Kay H, Zhang C, McGirt MJ, Devin CJ. Preopera-tive Narcotic Use and its Relation to Depression andAnxiety in Patients Undergoing Spine Surgery. Spine(Phila Pa 1976). 2013 Dec 1;38(25):2196-200.PubMed PMID: 24296482.

7. CT, Pappas ND, Lee DH. Irreducible PosterolateralElbow Dislocation. Am J Orthop (Belle Mead NJ).2014 Feb;43(2):E34-6. PubMed PMID: 24551869.

8. Bauer JM, Bible JE, Mir HR. Is it Safe to Place aTibial Intramedullary Nail Through a Traumatic KneeArthrotomy? Am J Orthop (Belle Mead NJ). 2014Mar;43(3):118-21. PubMed PMID: 24660176.

9. Behnke NK, Alamanda VK, Song Y, Archer KR,Halpern JL, Schwartz HS, Holt GE. Does Postopera-tive Infection After Soft Tissue Sarcoma Resection Affect Oncologic Outcomes? J Surg Oncol. 2014Apr;109(5):415-20. Epub 2013 Nov 28. PubMedPMID: 24284805.

10. Behnke NK, Crosby SN, Stutz CM, Holt GE.Periscapular Amputation as Treatment for BrachialPlexopathy Secondary to Recurrent Breast Carci-noma: A Case Series and Review of the Literature. Eur J Surg Oncol. 2013 Dec;39(12):1325-31. Epub2013 Oct 23. Review. PubMed PMID: 24176674.

11. Bible JE, Spengler DM, Mir HR. A Primer forWorkers’ Compensation. Spine J. 2014 Jan 23. [Epubahead of print] Review. PubMed PMID: 24462532.

12. Bible JE, Kadakia RJ, Kay HF, Zhang CE, CasimirGE, Devin CJ. Repeat Spine Imaging in TransferredEmergency Department Patients. Spine (Phila Pa1976). 2014 Feb 15;39(4):291-6. PubMed PMID:24299724.

13. Bible JE, Kadakia RJ, Kay HF, Zhang CE, CasimirGE, Devin CJ. How Often are Interfacility Transfers ofSpine Injury Patients Truly Necessary? Spine J. 2014Apr 14. [Epub ahead of print] PubMed PMID:24743061.

14. Bible JE, Sivasubramaniam PG, Jahangir AA,Evans JM, Mir HR. High-Energy TranssyndesmoticAnkle Fracture Dislocation: The "Logsplitter" Injury. JOrthop Trauma. 2014 Apr;28(4):200-4. PubMedPMID: 24177591.

15. Bible JE, Choxi AA, Kadakia RJ, Evans JM, MirHR. Quantification of Bony Pelvic Exposure throughthe Modified Stoppa Approach. J Orthop Trauma.2013 Oct 31. [Epub ahead of print] PubMed PMID:24603315.

16. Bible JE, Choxi AA, Dhulipala SC, Evans JM, MirHR. Tibia-Based Referencing for Standard ProximalTibial Radiographs During Intramedullary Nailing.Am J Orthop (Belle Mead NJ). 2013 Nov;42(11):E95-8. PubMed PMID: 24340326.

17. Bowens C, Dobie KH, Devin CJ, Corey JM. An Approach to Neuraxial Anaesthesia for the Severely(continues on next page)

Vanderbilt Orthopaedics Recent Publications

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Scoliotic Spine. Br J Anaesth. 2013 Nov;111(5):807-11.Epub 2013 May 9. PubMed PMID: 23661407.

18. Brophy RH, Dunn WR, Kuhn JE; MOON ShoulderGroup. Shoulder Activity Level is not Associated withthe Severity of Symptomatic, Atraumatic Rotator CuffTears in Patients Electing Nonoperative Treatment.Am J Sports Med. 2014 May;42(5):1150-4. Epub 2014Mar 21. PubMed PMID: 24658346.

19. Byram IR, Kim HM, Levine WN, Ahmad CS.Elbow Arthroscopic Surgery Update for Sports Medicine Conditions. Am J Sports Med. 2013Sep;41(9):2191-202. Epub 2013 Apr 9. PubMedPMID: 23572098.

20. Clement RC, Ha YP, Clagett B, Holt GE, DormansJP. What is the Current Status of Global Health Activities and Opportunities in US Orthopaedic Residency Programs? Clin Orthop Relat Res. 2013Nov;471(11):3689-98. Epub 2013 Jul 27. PubMedPMID: 23893360;

21. Cole HA, Ohba T, Nyman JS, Hirotaka H, CatesJM, Flick MJ, Degen JL, Schoenecker JG. Fibrin Accumulation Secondary to Loss of Plasmin-MediatedFibrinolysis Drives Inflammatory Osteoporosis.Arthritis Rheumatol. 2014 Mar 24. [Epub ahead ofprint] PubMed PMID: 24664548.

22. Cox CL, Huston LJ, Dunn WR, Reinke EK, NwosuSK, Parker RD, Wright RW, Kaeding CC, Marx RG,Amendola A, McCarty EC, Spindler KP. Are ArticularCartilage Lesions and Meniscus Tears Predictive ofIKDC, KOOS, and Marx Activity Level Outcomes AfterAnterior Cruciate Ligament Reconstruction?: A 6-Year Multicenter Cohort Study. Am J Sports Med.2014 May;42(5):1058-1067. Epub 2014 Mar 19.PubMed PMID: 24647881.

23. Cox CL, Spindler KP, Leonard JP, Morris BJ,Dunn WR, Reinke EK. Do Newer-Generation Bioab-sorbable Screws Become Incorporated into Bone atTwo Years after ACL Reconstruction with PatellarTendon Graft?: A cohort study. J Bone Joint Surg Am.2014 Feb 5;96(3):244-50. PubMed PMID: 24500587.

24. Crosby SN, Alamanda VK, Weikert DR, Holt GE.Avoiding Unplanned Resections of Wrist Sarcomas:An Algorithm for Evaluating Dorsal Wrist Masses. AmJ Orthop (Belle Mead NJ). 2013 Sep;42(9):401-6.PubMed PMID: 24078963.

25. Dewan MC, Godil SS, Mendenhall SK, Devin CJ,McGirt MJ. C2 Nerve Root Transection During C1Lateral Mass Screw Fixation: Does it affect Function-ality and Quality of Life? Neurosurgery. 2014May;74(5):475-81. PubMed PMID: 24476905.

26. DiFiori JP, Benjamin HJ, Brenner J, Gregory A,Jayanthi N, Landry GL, Luke A. Overuse Injuries andBurnout in Youth Sports: A Position Statement fromthe American Medical Society for Sports Medicine.Clin J Sport Med. 2014 Jan;24(1):3-20. PubMedPMID: 24366013.

27. DiFiori JP, Benjamin HJ, Brenner JS, Gregory A,Jayanthi N, Landry GL, Luke A. Overuse Injuries andBurnout in Youth Sports: A Position Statement fromthe American Medical Society for Sports Medicine. BrJ Sports Med. 2014 Feb;48(4):287-8. PubMed PMID:24463910.

28. Duffee A, Magnussen RA, Pedroza AD, FlaniganDC; MOON Group, Kaeding CC. Transtibial ACLFemoral Tunnel Preparation Increases Odds of Repeat Ipsilateral Knee Surgery. J Bone Joint SurgAm. 2013 Nov 20;95(22):2035-42. PubMed PMID:24257662.

29. Fowlkes JL, Nyman JS, Bunn RC, Jo C, Wahl EC,Liu L, Cockrell GE, Morris LM, Lumpkin CK Jr,Thrailkill KM. Osteo-promoting effects of insulin-likegrowth factor I (IGF-I) in a mouse model of type 1 diabetes. Bone. 2013 Nov;57(1):36-40. Epub 2013 Jul23. PubMed PMID: 23886838.

30. Freehill MT, Archer KR, Diffenderfer BW, EbelBG, Cosgarea AJ, McFarland EG. Changes in Colle-giate Starting Pitchers' Range of Motion After SingleGame and Season. Phys Sportsmed. 2014Feb;42(1):69-74. PubMed PMID: 24565823.

31. Gallagher B, Silva MJ, Ricci WM. Effect of Off-AxisScrew Insertion, Insertion Torque and Plate Contour-ing on Locked Screw Strength. J Orthop Trauma.2013 Dec 13. [Epub ahead of print] PubMed PMID:24343255.

32. Gebhart S, Alton TB, Bompadre V, Krengel WF.Do Anchor Density or Pedicle Screw Density Correlatewith Short-Term Outcome Measures in Adolescent Idiopathic Scoliosis Surgery? Spine (Phila Pa 1976).2014 Jan 15;39(2):E104-10. PubMed PMID:24150432. (continues on next page)

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33. Godil SS, Parker SL, O'Neill KR, Devin CJ, McGirtMJ. Comparative Effectiveness and Cost-Benefit Analysis of Local Application of Vancomycin Powderin Posterior Spinal Fusion for Spine Trauma: ClinicalArticle. J Neurosurg Spine. 2013 Sep;19(3):331-5.Epub 2013 Jul 12. PubMed PMID: 23848350.

34. Gottschalk MB, Johnson JP, Sadlack CK, MitchellPM. Decreased Infection Rates Following Total JointOrthroplasty in a Large County Run Teaching Hospi-tal: A Single Surgeon's Experience and Possible Solu-tion. J Arthroplasty. 2014 Mar 21. [Epub ahead ofprint] PubMed PMID: 24736290.

35. Halstead ME, McAvoy K, Devore CD, Carl R, LeeM, Logan K; Council on Sports Medicine and Fitness;Council on School Health. Returning to Learning Following a Concussion. Pediatrics. 2013Nov;132(5):948-57. Epub 2013 Oct 27. Review.PubMed PMID: 24163302.

36. Hastings H 2nd, Lee DH, Pietrzak WS. A Prospec-tive Multicenter Clinical Study of the DiscoveryElbow. J Shoulder Elbow Surg. 2014 May;23(5):e95-e107. PubMed PMID: 24745320.

37. Hill CR, Yuasa M, Schoenecker J, Goudy SL.Jagged1 is Essential for Osteoblast Development During Maxillary Ossification. Bone. 2014 May;62:10-21. Epub 2014 Feb 1. PubMed PMID: 24491691.

38. Ihejirika RC, Thakore RV, Sathiyakumar V,Ehrenfeld JM, Obremskey WT, Sethi MK. An Assess-ment of the Inter-Rater Reliability of the ASA PhysicalStatus Score in The Orthopaedic Trauma Population.Injury. 2014 Mar 11. [Epub ahead of print] PubMedPMID: 24656923.

39. Jones GL, Bishop JY, Lewis B, Pedroza AD;MOON Shoulder Group. Intraobserver and Interob-server Agreement in the Classification and Treatmentof Midshaft Clavicle Fractures. Am J Sports Med.2014 May;42(5):1176-81. Epub 2014 Feb 26. PubMedPMID: 24573571.

40. Karpinos AR, Roumie CL, Nian H, Diamond AB,Rothman RL. High Prevalence of HypertensionAmong Collegiate Football Athletes. Circ CardiovascQual Outcomes. 2013 Nov;6(6):716-23. Epub 2013Nov 12. PubMed PMID: 24221829.

41. Kay H, Sathiyakumar V, Archer KR, Mathis SL,Apfeld JC, Lee YM, Jahangir AA, Ehrenfeld J,

Obremskey WT, Sethi MK. The Homeless OrthopaedicTrauma Patient: Follow-up, ER Usage, and Complica-tions. J Orthop Trauma. 2013 Sep 26. [Epub ahead ofprint] PubMed PMID: 24296595.

42. Kay HF, Sathiyakumar V, Yoneda ZT, Lee YM, Jahangir AA, Ehrenfeld JM, Obremskey WT, ApfeldJC, Sethi MK. The Effects of ASA Physical Status onLength of Stay and Inpatient Cost in the SurgicalTreatment of Isolated Orthopaedic Fractures. J Orthop Trauma. 2013 Oct 21. [Epub ahead of print]PubMed PMID: 24149446.

43. Labella CR, Hennrikus W, Hewett TE; Council on Sports Medicine and Fitness, and Section on Orthopaedics. Anterior Cruciate Ligament Injuries: Diagnosis, Treatment, and Prevention. Pediatrics.2014 Apr 28. [Epub ahead of print] PubMed PMID:24777218.

44. Lee DH, Mignemi ME, Crosby SN. Fingertip Injuries: an Update on Management. J Am Acad Orthop Surg. 2013 Dec;21(12):756-66. Review.PubMed PMID: 24292932.

45. Lichstein P, Gehrke T, Lombardi A, Romano C,Stockley I, Babis G, Bialecki J, Bucsi L, Cai X, Cao L,de Beaubien B, Erhardt J, Goodman S, Jiranek W,Keogh P, Lewallen D, Manner P, Marczynski W,Mason JB, Mulhall K, Paprosky W, Patel P, PiccalugaF, Polkowski G, Pulido L, Stockley I, Suarez J, ThoreyF, Tikhilov R, Velazquez JD, Winkler H. One-Stageversus Two-Stage Exchange. J Arthroplasty. 2014Feb;29(2 Suppl):108-11. Epub 2013 Oct 1. PubMedPMID: 24360339.

46. Lieberman JR, Varthi AG, Polkowski GG 2nd. Osteonecrosis of the Knee - which Joint PreservationProcedures Work? J Arthroplasty. 2014 Jan;29(1):52-6. Epub 2013 May 29. PubMed PMID: 23725928.

47. Lohse GR, Lee DH. Clavicle Fracture withIntrathoracic Displacement. Orthopedics. 2013Aug;36(8):e1099-102. doi: 10.3928/01477447-20130724-32. PubMed PMID: 23937761.

48. Looney CG, Raynor B, Lowe R. Adhesive Capsulitis of the Hip: A Review. J Am Acad OrthopSurg. 2013 Dec;21(12):749-55. Review. PubMedPMID: 24292931.(continues on next page)

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49. Makowski AJ, Uppuganti S, Wadeer SA, White-head JM, Rowland BJ, Granke M, Mahadevan-JansenA, Yang X, Nyman JS. The Loss of Activating Transcription Factor 4 (ATF4) Reduces Bone Tough-ness and Fracture Toughness. Bone. 2014 May;62:1-9.Epub 2014 Feb 7. PubMed PMID: 24509412.

50. MARS Group. Radiographic Findings in RevisionAnterior Cruciate Ligament Reconstructions from theMars Cohort. J Knee Surg. 2013 Aug;26(4):239-47.Epub 2013 Feb 12. PubMed PMID: 23404491.

51. Martus JE, Preston RK, Schoenecker JG, LovejoySA, Green NE, Mencio GA. Complications and Outcomes of Diaphyseal Forearm Fracture In-tramedullary Nailing: A Comparison of Pediatric andAdolescent Age Groups. J Pediatr Orthop. 2013Sep;33(6):598-607. PubMed PMID: 23872805.

52. Mather RC 3rd, Hettrich CM, Dunn WR, Cole BJ,Bach BR Jr, Huston LJ, Reinke EK, Spindler KP. Cost-Effectiveness Analysis of Early ReconstructionVersus Rehabilitation and Delayed Reconstruction forAnterior Cruciate Ligament Tears. Am J Sports Med.2014 May 6. [Epub ahead of print] PubMed PMID:24801663.

53. Mather RC 3rd, Koenig L, Kocher MS, Dall TM,Gallo P, Scott DJ, Bach BR Jr, Spindler KP; MOONKnee Group. Societal and Economic Impact of Ante-rior Cruciate Ligament Tears. J Bone Joint Surg Am.2013 Oct 2;95(19):1751-9. PubMed PMID: 24088967.

54. McClure DJ, Zuckerman SL, Kutscher SJ, GregoryAJ, Solomon GS. Baseline Neurocognitive Testing inSports-Related Concussions: The Importance of aPrior Night’s Sleep. Am J Sports Med. 2014 Feb;42(2):472-8. Epub 2013 Nov 20. PubMed PMID:24256713.

55. McDonald MR, Bulka CM, Thakore RV,Obremskey WT, Ehrenfeld JM, Jahangir AA, SethiMK. Ankle Radiographs in the Early Postoperative Period: Do They Matter? J Orthop Trauma. 2013 Dec26. [Epub ahead of print] PubMed PMID: 24375274.

56. McDonald MR, Sathiyakumar V, Apfeld JC, HooeB, Ehrenfeld J, Obremskey WT, Sethi MK. PredictiveFactors of Hospital Length Of Stay in Patients withOperatively Treated Ankle Fractures. J Orthop Trau-matol. 2013 Dec 14. [Epub ahead of print] PubMedPMID: 24337780.

57. Menge TJ, Cole HA, Mignemi ME, Corn WC,Martus JE, Lovejoy SA, Stutz CM, Mencio GA, Schoenecker JG. Medial Approach for Drainage of theObturator Musculature in Children. J Pediatr Orthop.2014 Apr-May;34(3):307-15. PubMed PMID:24276231.

58. Menge TJ, Hartley KG, Holt GE. Patient-SpecificImaging and Missed Tumors: A Catastrophic Out-come. Am J Orthop (Belle Mead NJ). 2013Dec;42(12):553-6. PubMed PMID: 24471144.

59. Mignemi ME, Menge TJ, Cole HA, Mencio GA,Martus JE, Lovejoy S, Stutz CM, Schoenecker JG. Epidemiology, Diagnosis, and Treatment of Pericap-sular Pyomyositis of the Hip in Children. J Pediatr Orthop. 2014 Apr-May;34(3):316-25. PubMed PMID:24172679.

60. Molina CS, Stinner DJ, Obremskey WT. Treat-ment of Traumatic Segmental Long-Bone Defects: ACritical Analysis Review. JBJS Reviews. 2014Apr;2(4):e1.

61. Molina CS, Thakore RV, Blumer A, ObremskeyWT, Sethi MK. Use of the National Surgical QualityImprovement Program in Orthopaedic Surgery. ClinOrthop Relat Res. 2014 Apr 5. [Epub ahead of print]PubMed PMID: 24706043.

62. Morris BJ, Richards JE, Archer KR, Lasater M,Rabalais D, Sethi MK, Jahangir AA. Improving Patient Satisfaction in the Orthopaedic Trauma Population. J Orthop Trauma. 2014 Apr;28(4):e80-4.PubMed PMID: 24158181.

63. Mroz TM, Carlini AR, Archer KR, Wegener ST,Hoolachan JI, Stiers W, Shore RA, Castillo RC. Frequency and Cost of Claims by Injury Type from aState Workers' Compensation Fund from 1998through 2008. Arch Phys Med Rehabil. 2014 Jan 28.[Epub ahead of print] PubMed PMID: 24480333.

64. Neal TL, Diamond AB, Goldman S, Klossner D,Morse ED, Pajak DE, Putukian M, Quandt EF, Sullivan JP, Wallack C, Welzant V. Inter-Association Recommendations for Developing a Plan to Recognizeand Refer Student-Athletes with Psychological Concerns at the Collegiate Level: An Executive Summary of a Consensus Statement. J Athl Train.2013 Sep-Oct;48(5):716-20. PubMed PMID:24067154.(continues on next page)

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65. O’Neill KR, Lockney DT, Bible JE, Crosby CG,Devin CJ. Bupivacaine for Pain Reduction after IliacCrest Bone Graft Harvest. Orthopedics. 2014 May1;37(5):e428-34. PubMed PMID: 24810818.

66. O’Neill KR, Neuman B, Peters C, Riew KD. RiskFactors for Postoperative Retropharyngeal Hematomaafter Anterior Cervical Spine Surgery. Spine (Phila Pa1976). 2014 Feb 15;39(4):E246-52. PubMed PMID:24299723.

67. Obremskey WT, Molina CS, Collinge C, Tornetta P3rd, Sagi C, Schmidt A, Probe R, Ahn J, Nana A. Current Practice in the Management of SegmentalBone Defects Among Orthopaedic Trauma Surgeons.J Orthop Trauma. 2013 Nov 13. [Epub ahead of print]PubMed PMID: 24231582.

68. Obremskey WT, Molina CS, Collinge C, Tornetta P3rd, Sagi C, Schmidt A, Probe R, Ahn J, Nana A,Browner B. Current Practice in the Initial Manage-ment of Open Fractures Among Orthopaedic TraumaSurgeons. J Orthop Trauma. 2013 Nov 13. [Epubahead of print] PubMed PMID: 24231581.

69. Ohba T, Cates JM, Cole HA, Slosky DA, Haro H,Ichikawa J, Ando T, Schwartz HS, Schoenecker JG.Pleiotropic Effects of Bisphosphonates on Osteosar-coma. Bone. 2014 Jun;63:110-20. Epub 2014 Mar 14.PubMed PMID: 24636958.

70. Ohba T, Cole HA, Cates JM, Slosky DA, Haro H,Ando T, Schwartz HS, Schoenecker JG. Bisphospho-nates Inhibit Osteosarcoma-Mediated Osteolysis ViaAttenuation of Tumor Expression of MCP-1 andRANKL. J Bone Miner Res. 2014 Jan 20. [Epub aheadof print] PubMed PMID: 24443409.

71. Ohba T, Cates JM, Cole HA, Slosky DA, Haro H,Ando T, Schwartz HS, Schoenecker JG. AutocrineVEGF/VEGFR1 Signaling in a Subpopulation of CellsAssociates with Aggressive Osteosarcoma. Mol CancerRes. 2014 Apr 23. [Epub ahead of print] PubMedPMID: 24759089.

72. OʼNeill KR, Lenke LG, Bridwell KH, Hyun SJ,Neuman B, Dorward I, Koester L. Clinical and Radiographic Outcomes after 3-Column Osteotomieswith 5-Year Follow-Up. Spine (Phila Pa 1976). 2014Mar 1;39(5):424-32. PubMed PMID: 24573074.

73. Pappas ND, Moat D, Lee DH. Medical Malpracticein Hand Surgery. J Hand Surg Am. 2014Jan;39(1):168-70. PubMed PMID: 24369944.

74. Polkowski GG, Duncan ST, Bloemke AD, Schoenecker PL, Clohisy JC. Screening for Deep VeinThrombosis After Periacetabular Osteotomy in AdultPatients: Is it Necessary? Clin Orthop Relat Res. 2014Apr 15. [Epub ahead of print] PubMed PMID:24733447.

75. Richards JE, Hutchinson J, Mukherjee K, Jahangir AA, Mir HR, Evans JM, Perdue AM,Obremskey WT, Sethi MK, May AK. Stress Hyperglycemia and Surgical Site Infection in StableNondiabetic Adults with Orthopedic Injuries. JTrauma Acute Care Surg. 2014 Apr;76(4):1070-5.PubMed PMID: 24662873.

76. Ryan J, Magnussen RA, Cox CL, Hurbanek JG,Flanigan DC, Kaeding CC. ACL Reconstruction: DoOutcomes Differ by Sex? A Systematic Review. J BoneJoint Surg Am. 2014 Mar 19;96(6):507-12. Review.PubMed PMID: 24647508.

77. Sathiyakumar V, Jahangir AA, Mir HR,Obremskey WT, Lee YM, Thakore RV, Sethi MK. Patterns of Costs and Spending among OrthopedicSurgeons Across the United States: A National Survey.Am J Orthop (Belle Mead NJ). 2014 Jan;43(1):E7-13.PubMed PMID: 24490192.

78. Sathiyakumar V, Thakore RV, Ihejirika RC,Obremskey WT, Sethi MK. Distal Tibia Fractures andMedial Plating: Factors Influencing Re-Operation. IntOrthop. 2014 Apr 27. [Epub ahead of print] PubMedPMID: 24770693.

79. Sethi MK, Bozic KJ. Where the Rubber Meets TheRoad: Understanding Key Changes in the Patient Protection and Affordable Care Act Since 2010. ClinOrthop Relat Res. 2014 Apr;472(4):1086-8. Epub2013 Nov 21. PubMed PMID: 24258686.

80. Starnes JW, Neidre DB, Nyman JS, Roy A, NelsonMJ, Gutierrez G, Wang X. Synergistic effect of exercise and statins on femoral strength in rats. ExpGerontol. 2013 Aug;48(8):751-5. Epub 2013 Apr 26.PubMed PMID: 23628500.

81. Starr HM, Snoddy M, Hammond KE, Seiler JG3rd. Flexor Tendon Repair Rehabilitation Protocols: A Systematic Review. J Hand Surg Am. 2013Sep;38(9):1712-7.e1-14. Review. PubMed PMID:23981421.

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PublicationsVanderbilt Orthopaedia

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82. Thakore RV, McClure DJ, Sathiyakumar V, Higdon KK, Sethi MK. The Effect of Flap Coverage onLength of Stay and Costs for Patients with Fracturesof the Tibia. Plast Reconstr Surg. 2014 Mar;133(3):444e-445e. PubMed PMID: 24572908.

83. Throckmorton TQ, Kraemer P, Kuhn JE, SassoRC. Differentiating Cervical Spine and ShoulderPathology: Common Disorders and Key Points ofEvaluation and Treatment. Instr Course Lect.2014;63:401-8. PubMed PMID: 24720325.

84. The MOON Shoulder Group:, Unruh KP, KuhnJE, Sanders R, An Q, Baumgarten KM, Bishop JY,Brophy RH, Carey JL, Holloway BG, Jones GL, MaBC, Marx RG, McCarty EC, Poddar SK, Smith MV,Spencer EE, Vidal AF, Wolf BR, Wright RW, DunnWR. The Duration of Symptoms does not Correlatewith Rotator Cuff Tear Severity or Other Patient-Related Features: A Cross-Sectional Study Of Patientswith a Traumatic, Full-Thickness Rotator Cuff Tears.J Shoulder Elbow Surg. 2014 Jan 8. [Epub ahead ofprint] PubMed PMID: 24411924.

85. von Mehren M, Randall RL, Benjamin RS, Boles S,Bui MM, Casper ES, Conrad EU 3rd, Delaney TF,Ganjoo KN, George S, Gonzalez RJ, Heslin MJ, KaneJM 3rd, Mayerson J, McGarry SV, Meyer C, O’DonnellRJ, Pappo AS, Paz IB, Pfeifer JD, Riedel RF, SchuetzeS, Schupak KD, Schwartz HS, Van Tine BA, WayneJD, Bergman MA, Sundar H. Soft Tissue Sarcoma,Version 2.2014. J Natl Compr Canc Netw. 2014 Apr1;12(4):473-83. PubMed PMID: 24717567.

86. Wang XJ, Hartley K, Holt GE, Fadare O, CatesJM. Intracortical Schwannoma of the Femur. SkeletalRadiol. 2014 May;43(5):687-91. Epub 2013 Nov 10.PubMed PMID: 24213555.

87. Wilcox ME, Brummel NE, Archer K, Ely EW, Jack-son JC, Hopkins RO. Cognitive Dysfunction in ICUpatients: Risk Factors, Predictors, and RehabilitationInterventions. Crit Care Med. 2013 Sep;41(9 Suppl1):S81-98. Review. PubMed PMID: 23989098.

88. Wilson RJ, Watson JT, Lee DH. Nerve Entrap-ment Syndromes in Musicians. Clin Anat. 2014 Mar18. [Epub ahead of print] PubMed PMID: 24644143.

89. Wolf BR, Ramme AJ, Britton CL, Amendola A;Moon Knee Group. Anterior Cruciate Ligament Tunnel Placement. J Knee Surg. 2014 Jan 10. [Epubahead of print] PubMed PMID: 24414390.

90. Wright RW, Haas AK, Anderson J, Calabrese G,Cavanaugh J, Hewett TE, Lorring D, McKenzie C, Pre-ston E, Williams G, MOON Group. Anterior CruciateLigament Reconstruction Rehabilitation: MOONGuidelines. Sports Health. 2014 Jan 17 [Epub aheadof print].

91. Yang W, Guo D, Harris MA, Cui Y, Gluhak-Heinrich J, Wu J, Chen XD, Skinner C, Nyman JS,Edwards JR, Mundy GR, Lichtler A, Kream BE, RoweDW, Kalajzic I, David V, Quarles DL, Villareal D, ScottG, Ray M, Liu S, Martin JF, Mishina Y, Harris SE.Bmp2 in Osteoblasts of Periosteum and TrabecularBone Links Bone Formation to Vascularization andMesenchymal Stem Cells. J Cell Sci. 2013 Sep15;126(Pt18):4085-98. Epub 2013 Jul 10. PubMedPMID: 23843612.

91. Zumsteg JW, Molina CS, Lee DH, Pappas ND. Factors Influencing Infection Rates after Open Fractures of the Radius and/or Ulna. J Hand SurgAm. 2014 May;39(5):956-61. Epub 2014 Mar 25.PubMed PMID: 24674609.

Vanderbilt OrthopaediaLocations & Faculty

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Vanderbilt Orthopaedic InstituteNashvilleMedical Center East, South Tower1215 21st Ave. S.Nashville, TN 37232(615) 93-ORTHO

Cool Springs 324 Cool Springs Blvd.Franklin, TN 37067(615) 790-4280

Mt. JulietProvidence Medical Pavilion5002 Crossings Cir., Ste. 230Mt. Juliet, TN 37122(615) 773-2710

Murray1000 South 12th St.Murray, KY 42071(877) 826-3976

Vanderbilt Bone and Joint 206 Bedford WayFranklin, TN 37064(615) 790-3290

3098 Campbell Station Pkwy.Spring Hill, TN 37174(615) 790-3290

Vanderbilt Pediatric OrthopaedicsMonroe Carell Jr. Children’s Hospital at Vanderbilt2200 Children’s Way, Ste. 4202Nashville, TN 37232(615) 343-5875

Vanderbilt Spine CenterOne Hundred Oaks719 Thompson Lane, Ste. 23108Nashville, TN 37204(615) 875-5100

NorthCrest Medical Center500 Northcrest Dr., Ste. 501Springfield, TN 37172(615) 384-2665

Vanderbilt Adolescent Sports MedicineOne Hundred Oaks719 Thompson Lane, Ste. 36300Nashville, TN 37204(615) 936-8200

VanderbiltHealth.com/orthopaedics

CLINICAL FACULTY

Scott T. Arthur, M.D.Assistant Professor of Clinical Orthopaedic SurgeryDivision Director, Vanderbilt Bone and JointVanderbilt Bone and JointSports Medicine

Robert Boyce, M.D.Assistant Professor of Orthopaedics and RehabilitationOrthopaedic Trauma

Andrea C. Bracikowski, M.D. Associate Professor of Emergency Medicine and Pediatrics Associate Professor of Pediatric OrthopaedicsDirector, Pediatric Emergency Department Patient AffairsPediatric Orthopaedics

David M. Bratton, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and Joint General Orthopaedics

Ian Byram, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSports Medicine

Cory L. Calendine, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointJoint Replacement: Adult Reconstruction

Charles “Charlie” L. Cox, M.D., M.P.H.Assistant Professor of Orthopaedics and RehabilitationSports Medicine

Kirby “Hudson” Deeter, D.P.M.Associate in Orthopaedics and RehabilitationPodiatry

Ronald G. Derr, D.O.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSports Medicine, Foot and Ankle

Clint J. Devin, MDAssistant Professor of Orthopaedics and RehabilitationAssistant Professor of Neurological SurgeryDivision Director, Spine Spine

Alex B. Diamond, D.O., M.P.H.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of PediatricsSports Medicine, Pediatric Orthopaedics

Jason M. Evans, M.D. Assistant Professor of Orthopaedics and RehabilitationFellowship Director, Orthopaedic TraumaOrthopaedic Trauma

James F. Fiechtl, M.D.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of Emergency MedicineSports Medicine

Robert “Warne” Fitch, M.D.Assistant Professor of Emergency MedicineAssistant Professor of Orthopaedics and RehabilitationSports Medicine

Bethany Gallagher, M.D.Assistant Professor of Orthopaedics and RehabilitationFoot and Ankle

Neil E. Green, M.D.Professor of Orthopaedics and RehabilitationAssociate Professor of PediatricsEmeritus Director, Pediatric OrthopaedicsPediatric Orthopaedics

Andrew J. Gregory, M.D.Associate Professor of Orthopaedics and Rehabilitation Associate Professor of Pediatrics Fellowship Director, Pediatric Sports MedicineSports Medicine, Pediatric Orthopaedics

Jennifer L. Halpern, M.D.Assistant Professor of Orthopaedics and RehabilitationMusculoskeletal Oncology

Gene A. Hannah, M.D.Assistant Professor of Orthopaedics and RehabilitationSports Medicine

Ginger E. Holt, M.D.Associate Professor of Orthopaedic Surgery and RehabilitationResidency Director, OrthopaedicsDivision Director, Musculoskeletal OncologyFellowship Director, Musculoskeletal OncologyMusculoskeletal Oncology: Adult Reconstruction

Elizabeth A. Huntoon, M.D.Assistant Professor of Orthopaedics and RehabilitationVanderbilt Bone and JointSpine

Alex A. Jahangir, M.D., M.M.H.C. Associate Professor of Orthopaedics and RehabilitationPCC Medical Director, OrthopaedicsOrthopaedic Trauma

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John W. Klekamp, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSpine

John “Jed” E. Kuhn, M.D.Associate Professor of Orthopaedics and RehabilitationDivision Director, Sports MedicineFellowship Director, Sports Medicine and ShoulderSurgerySports Medicine

Donald H. Lee, M.D.Professor of Orthopaedics and RehabilitationFellowship Director, Hand and Upper ExtremityHand & Upper Extremity

David G. Liddle, M.D.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of Internal Medicine Sports Medicine

Colin G. Looney, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSports Medicine

Steven A. Lovejoy, M.D.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of PediatricsPediatric Orthopaedics

Jeffrey E. Martus, M.D.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of PediatricsPediatric Orthopaedics

Michael J. McNamara, M.D.Associate Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSpine

Gregory A. Mencio, M.D.Professor of Orthopaedics and RehabilitationDivision Director, Pediatric OrthopaedicsDirector, Spina Bifida ClinicPediatric Orthopaedics

Hassan R. Mir, M.D.Assistant Professor of Orthopaedics and RehabilitationOrthopaedic Trauma

William T. Obremskey, M.D., M.P.H.Professor of Orthopaedics and RehabilitationDivision Director, Orthopaedic TraumaOrthopaedic Trauma

Kevin R. O’Neill, M.D.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of Neurological SurgerySpine

Paul D. Parsons, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSports Medicine

Brian T. Perkinson, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointJoint Replacement

Gregory G. Polkowski, M.D.Assistant Professor of Orthopaedics and RehabilitationFellowship Director, Joint Joint Replacement; Hip Preservation

Paul J. Rummo, D.O.Assistant Professor of Orthopaedics and RehabilitationSports Medicine

Jonathan G. Schoenecker, M.D., Ph.D.Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of PediatricsAssistant Professor of PharmacologyAssistant Professor of Pathology, Microbiology, andImmunologyPediatric Orthopaedics

Herbert S. Schwartz, M.D.Professor and Chairman of Orthopaedics and RehabilitationProfessor of Pathology, Microbiology, and ImmunologyMusculoskeletal Oncology

Manish K. Sethi, M.D.Assistant Professor of Orthopaedics and RehabilitationOrthopaedic Trauma

Andrew A. Shinar, M.D.Associate Professor of Orthopaedics and RehabilitationDivision Director, Joint CenterJoint Replacement: Adult Reconstructive

Narendra K. Singh, M.D.Assistant Professor of Orthopaedics and RehabilitationGeneral Orthopaedics

Dan M. Spengler, M.D.Professor and Former Chairman of Orthopaedicsand RehabilitationProfessor of Neurological SurgerySpine

Christopher T. Stark, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSports Medicine

Christopher M. Stutz, M.D.Assistant Professor of Orthopaedics and RehabilitationPediatric Orthopaedics; Hand and Upper Extremity

Paul A. Thomas, M.D.Associate Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and JointSports Medicine; Joint Replacement

Andrew Brian Thomson, M.D.Assistant Professor of Orthopaedics and RehabilitationDivision Director, Foot and AnkleFoot and Ankle

David B. Trenner, D.P.M.Senior Associate in Orthopaedics and RehabilitationPodiatry; Eskind Diabetes Clinic

Gina M. Walton, M.D.Assistant Professor of Orthopaedics and RehabilitationSpine Physiatrist

Horace E. Watson, M.D.Assistant Professor of Orthopaedics and RehabilitationDivision Director, General OrthopaedicsGeneral Orthopaedics

Douglas R. Weikert, M.D.Associate Professor of Orthopaedics and RehabilitationDivision Director, Hand and Upper ExtremityHand and Upper Extremity

Todd R. Wurth, M.D.Assistant Professor of Clinical Orthopaedic SurgeryVanderbilt Bone and Joint Sports Medicine; Hand and Upper Extremity

RESEARCH FACULTY

Kristin R. Archer, Ph.D., D.P.T. Assistant Professor of Orthopaedics and RehabilitationAssistant Professor of Physical Medicine and RehabilitationDirector, Orthopaedic Research

Laura J. Withrow (Huston), M.S.Associate in Orthopaedics and RehabilitationAssociate Director, Sports Medicine Research

Jeffry S. Nyman, Ph.D.Assistant Professor of Orthopaedics and RehabilitationResearch Assistant Professor of Biomedical Engineering

Daniel S. Perrien, Ph.D.Assistant Professor of Orthopaedics and RehabilitationVanderbilt Center for Bone BiologyVanderbilt Institute of Imaging ScienceHealth Research Scientist, TVHS and Departmentof Veterans Affairs

Locations & FacultyVanderbilt Orthopaedia

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