Tuesday, February 22, 2011

Dr. Frisella Inducted as a Fellow of the American Academy of Orthopaedic Surgeons (AAOS)

Originally appeared in the St. Charles County Suburban Journal

William Anthony Frisella, MD, of St. Louis, was inducted as a Fellow of the American Academy of Orthopaedic Surgeons (AAOS) on Feb. 15 during ceremonies at the Academy's 2011 Annual Meeting in San Diego.

Dr. Frisella was one of 667 new members inducted. The AAOS has more than 36,000 members worldwide.
With offices at St. Peters Bone & Joint Surgery, Dr. Frisella specializes in shoulder injuries, and he is the only fellowship-trained shoulder surgeon in St. Charles County.

Dr. Frisella is at the forefront of research on the treatment of shoulder injuries. He wrote and published two book chapters in 2009. The first, on shoulder fractures, was published in the textbook "Orthopaedic Sports Medicine." The second, on minimally invasive rotator cuff repair, was published in the textbook "Minimally Invasive Surgery." He has written and published scientific articles on arthroscopic rotator cuff repairs and shoulder replacement, and has given many talks on the treatment of rotator cuff tears, labral tears and shoulder arthritis.

An orthopaedic surgeon is a physician with extensive training in the diagnosis and non-surgical as well as surgical treatment of the musculoskeletal system, including bones, joints, ligaments, tendons, muscles and nerves.

The academy is the largest medical association for musculoskeletal specialists. Its Fellows have completed medical school, plus at least five years of specialty study in orthopaedics in an accredited residency program, passed a comprehensive oral and written exam, and been certified by the American Board of Orthopaedic Surgery.

Tuesday, February 1, 2011

Two of our own named Medical Practice Executive fellows

Originally appeared in St. Charles County Suburban Journal

Mary Ann Hackmeister, FACMPE, and Carol Pearson, FACMPE, both directors of practice management with the SSM Physicians' Organization, recently achieved Fellowship status in the American College of Medical Practice Executives (ACMPE).

ACMPE is the certification body of the Medical Group Management Association (MGMA), which has been the nation's principal voice for medical group practice since 1926. MGMA has 21,500 members managing 275,000 physician practices. Less than one-third of the membership has reached Fellowship status.
Fellowship in the ACMPE (FACMPE) is the highest distinction in the medical group practice management profession. Hackmeister and Pearson were formally recognized for this accomplishment at the ACMPE's 2010 conference in New Orleans.

To achieve Fellowship, Hackmeister and Pearson each first earned the Certified Medical Practice Executive designation by passing essay and objective examinations that assess knowledge of medical practice management. In addition, Hackmeister and Pearson each completed the presentation requirement and maintained continuing education credit hours.

Fellowship candidates must submit a professional paper documenting the objectives and results of an investigation into a health care management topic. Hackmeister submitted a paper titled "Transforming Into a Servant Leader: Welcoming Everyone to the Table of Success." Pearson submitted a paper on "Justice or Unfair Punishment Under HIPAA Privacy Rules."

Hackmeister has been with SSM for 12 years and has been the director of practice management for the 14 physicians at SSM St. Charles Clinic Medical Group's O'Fallon and Dardenne Prairie offices since 2006. She has a bachelor's degree in health care management and a master's degree in business administration, both from Lindenwood University.

Pearson has been with SSM for 10 years and has been the director of practice management for the 18 physicians at the SSM St. Charles Clinic Medical Group's Lake Saint Louis offices since joining the organization. She has a bachelor's degree in business administration from Fontbonne University and a master's degree in science from Lindenwood University.

Minimally Invasive Total Joint Replacement (HealthTalk)

Written by Dr. John W. McAllister, MD
Published by Suburban Journals

Over the past few years, innovations in technology and surgical approaches have made it possible to perform total joint replacements through very small incisions. Total joint replacements have been performed for decades using standard incisions (eight to twelve inches) with excellent results. Other areas of orthopedic surgery have benefited from minimally invasive techniques, most notably sports medicine and arthroscopy. The success of these newer techniques has prompted surgeons subspeciallizing in joint replacements to pioneer new methods of implanting artificial joints through small incisions.

Click here to download the full article. {link coming soon}

Monday, January 24, 2011

Dr. Larkin helps Fort Zumwalt tackle concussion issue

Originally appeared in the St. Charles County Suburban Journal
Getting back on the football field after suffering concussions is getting tougher in the Fort Zumwalt School District.

That's something district officials don't mind, because they don't want athletes to have more of them.
Based on the results of a study last year, freshman and junior football players are required to undergo baseline testing as part of a new concussion management program. The testing has not been extended to other sports.

Letters about the testing will be sent to parents this spring.

The baseline tests are good for two years. To play again, students who suffer concussions will have to satisfactorily answer questions they were asked this summer when the baseline testing was conducted.
A concussion is a brain injury caused by a collision of the brain against the inside of the skull. It can result in temporary headaches, memory loss and confusion. But health care professionals now worry about serious long-term health issues that weren't as readily recognized earlier.

The rising concern about the impact of concussions on athletes, particularly in the National Football League, has trickled down to the high school level. A big impetus is not sending athletes back out on the field too early and risk the possibility of more concussions.

"One of the great things it's done is focus attention on concussions," said Dr. Brandon Larkin, a sports medicine physician at St. Peters Bone and Joint Surgery.

Larkin discussed the treatment and management that the district's medical and training staff are employing with the Board of Education during its Jan. 18 meeting.

"Fort Zumwalt is on the forefront of a gold standard in concussion management," Larkin told the board.
The district may be one of the few school districts in the area with a baseline testing program. The tests are identical to those used in the NFL and the National Hockey League, he said.

Last summer, Larkin and the sports training firm that the district employs, Excel Sports and Physical Therapy, began to look at new ways of treating concussions and when to allow recovering athletes back on the field.
Symptoms vary. They can include headaches, blurred vision, nausea, dizziness, concentration problems and even changes in behavior. There is no single test that can confirm or rule out a concussion.

Often in the past, treatment simply looked at whether symptoms such as headaches had subsided and graded concussions based on those symptoms.

Larkin said 436 district athletes — mostly football players — completed baseline testing before the regular football season began last fall. These "neurocognitive testing" tests included puzzles and memory concentration exercises.

Once injured, athletes were required to take the baseline test again to see if they would do as well as when the test was first administered. The test results also are compared with data collected from other athletes of the same age and physical characteristics to help determine how an athlete is recovering.

"You would expect, for example, that an 'A' student would not come in at the 75th percentile," Larkin said. "That shows that something may be wrong."

The usual recovery time for symptoms such as headaches is seven to 10 days, but passing baseline testing satisfactorily took about 21 days for players last fall, he said.

Larkin said health care professionals are particularly concerned about repeat concussions. Having a concussion puts athletes more at risk for repeated concussions, which can happen easier, he said.
Larkin said there have been 65 recorded concussions from district fall and winter sports so far this school year. Of those, 37 were in football, seven in soccer, five in cheerleading, three in volleyball, two in swimming, four in baseball and six in wrestling.

A player at Fort Zumwalt East High School had to quit football in the preseason due to repeated concussions.

Larkin said the feedback from coaches and parents about post-concussion tests has been positive. Some parents occasionally have a hard time accepting recommendations because they remember how they were treated when they played high school sports.

"There is less and less of that with the NFL putting the emphasis that it does on the issue, and they're showing commercials that show that head injuries are a serious matter," Larkin said.

Saturday, January 1, 2011

Book Chapters Published by Advanced Bone & Joint Physicians

ABJP physicians have been published in the following books:

Dr. W. Anthony Frisella

DeLee and Drez's Orthopaedic
Sports Medicine: Expert Consult

MIS Techniques in Orthopedics

MIS Techniques in Orthopedics

Dr. Brandon D. Larkin

The Hip and Pelvis in Sports
Medicine and Primary Care

The Hip and Pelvis in Sports Medicine and Primary Care
The Sports Medicine
Resource Manual

The Sports Medicine Resource Manual on ScienceDirect(Opens new window)