HOSPITALFOR SPECIALSURGERY535 EAST 70TH STREETNEW YORK, NY10021212.606.1000www.hss.edu

Hospital for Special Surgeryis an affiliate of NewYork-Presbyterian HealthcareSystem and Weill CornellMedical College.

HORIZO

NSPR

ING2009

HorizonHOSPITALFOR SPECIALSURGERY:SPECIALISTSIN MOBILITY

SPRING2009

2008 ANNUALREPORT

Successin Sports –and SportsMedicine

Team PlayersHospital for SpecialSurgery’s sports medicineprofessionals overseecare for competitiveathletes and teams invirtually every sport.

Middle: Brandon Jacobs,New York GiantsClockwise, from the top:Devin Harris, NetsBasketball; Sarah BatesJohnson, US RowingTeam; Andy Roddick,ATP; Wilson Chandler,New York Knicks;Seth Stammler, New YorkRed Bulls; AdenikeOyesile, St. Peter’sCollege; Richard Kiplagat,Iona College; andMichael Phelps, USASwimming team

HorizonIN THIS ISSUE:

Success in Sports and Sports Medicine 1

Our Professional Teams 4

The Professional Athlete 7

The School Athlete 13

Rehabilitation and Recovery 17

Science and Sports 21

Sports Medicine and Shoulder Service 24

2008 Annual Report 26

Leadership Report 26

William and Carolyn Stutt:Friends for Quality of Life 32

Philanthropic Highlights 33

Finance Report 34

Professional Staff, Management, and Volunteers 36

Benefactors 42

Officers and Board Members 52

William R. Salomon:Thoughtful Giving with a Charitable Lead Trust 53

William R. Salomon: Thoughtful Giving with a Charitable Lead Trust

In the 1970s William R. Salomon decid-ed he had been suffering too long withhip pain. Knowing that hip replacement

surgery could be the answer, he sought tofind an orthopedic surgeon who didn’tthink that at age 60 he was too young forthe procedure. He found that physician inPhilip D. Wilson, Jr., MD, then Surgeon-in-Chief of Hospital for Special Surgery. Atthat time, hip replacement in the UnitedStates was still very new, and surgeonswere reluctant to perform the procedurein someone in their sixties. But Dr. Wilsonand his colleagues at HSS were at theforefront of hip replacement surgery,having traveled to England to learn fromSir John Charnley, the “father of moderntotal hip replacement,” who had originat-ed the procedure in the early 1960s.“My wife, Virginia, happened to be at

the Hospital seeing Dr. Lee RamsayStraub, and he saw me limping away,”recalls Mr. Solomon. “He said to Virginia,‘Why doesn’t Billy have that repaired?and she said, ‘He would love to.’ So hesent me to Dr. Wilson, and I had the oper-ation. Obviously it was quite successful.”Mr. Salomon’s new hip served him wellfor 22 ½ years before he needed revisionsurgery – performed at HSS by DouglasE. Padgett, MD, a protégé of Dr. Wilson.Wanting to do something for the

Hospital, Mr. Salomon, HonoraryChairman of Citigroup and formerManaging Partner at Salomon Brothers,Inc., recalls, “Dr. Wilson asked me if Iwould be interested in going on theBoard and I said I would love to.” Mr.Salomon became a member of the Boardof Trustees in 1979, with he and hiswife becoming among the Hospital’s mostgenerous and devoted benefactors.

Almost 10 yearsago, the Salomonscreated a CharitableLead Trust – a plannedgiving method thatprovides critical sup-port for the Hospital’sresearch efforts.Their gift included theestablishment of anendowment fund tocreate the Virginia F.and William R.Salomon Chair inMusculoskeletalResearch. “When Iwanted to make acontribution to SpecialSurgery, I learned that the charitable leadtrust was a very rewarding method bywhich a person could make a gift,” saysMr. Salomon. “I also wanted it to do themost good for the Hospital.”Today, charitable lead trusts are

becoming popular additions to donorretirement planning as they offer attrac-tive, fixed, secure payments donors cancount on, even in an unpredictable mar-ket. They provide the donor with controlover the investment and an opportunityto balance what they want to leave fortheir heirs with their philanthropic goals.With a charitable lead trust, a donor cantransfer assets (including cash, art, andstocks) to a trust for a set term of yearsand receive preferential tax treatment,including current income tax deductionsand a reduction of capital gains taxes.Annual payments – as either a fixedamount or a set percentage of the trust’svalue each year – are made from the trustto a designated charity or charities. Thecharity is the beneficiary throughoutthe term of the trust. At the expiration ofthe trust, the heirs inherit the assets.According to a recent article in theWall Street Journal, “What makes them[charitable lead trusts] especially attrac-

tive now is an historically low specialrate that the Internal Revenue Serviceuses to predict how much your assetswill grow in the trust.” This potentiallyallows heirs to receive substantial gainstax-free.“Hospital for Special Surgery is a very

personal place that takes an interest inthe patient,” says Mr. Salomon, whosegenerosity has also supported the VirginiaF. and William R. Salomon RehabilitationDepartment at HSS. “All the people that Ihave come in contact with here over theyears are enthusiastic about what theyare doing and there is a warmth about theHospital that is quite unusual in this dayand age. I think most people who have aserious operation there would somehowor another like to become involved. I’veenjoyed the privilege.”

If you would like more informationon planned giving opportunities, pleasecontact Rachel Cameau, AssociateDirector, Planned Giving, at212.774.7252

Cover: New York Metspitcher Johan Santanareturns to the mound aftersuccessful surgery at HSSto repair a torn meniscus.

At right: Dr. David Altchekreviews the pre-operativeMRI images of the tornmeniscus in Santana’s leftknee in preparation forarthroscopic surgery.

Below: Santana warms upduring the Mets springtraining in Port St. Lucie,Florida.

William R. Salomon and his late wife, Virginia.

Executive Editorial BoardSteven R. Goldring, MDEdward C. Jones, MDStephen A. Paget, MDAldo Papone, ChairmanDeborah M. SaleThomas P. Sculco, MDLouis A. ShapiroPhilip D. Wilson, Jr., MD

Director of MarketingRachel Sheehan

Assistant Director,Sponsorship MarketingMichelle Mulbauer

Editor-in-ChiefSara Kosowsky

Managing EditorLinda Errante

Assistant EditorRachel Jager

DesignArnold Saks Associates

PrintingMonroe Litho

Cover PhotographyMarc Levine/Getty

Major PhotographyRobert Essel

Other PhotographyBrad Hess

Sports Photography CreditsSee page 51

Horizon is published twice a yearby the External Affairs Department,Hospital for Special Surgery,535 East 70th Street, New York,NY 10021.

866.976.1196 | horizon@hss.edu

©2009 Hospital for Special Surgery.All rights reserved.

On October 1, 2008, Johan

Santana – the New York

Mets ace left-hander

pitcher – underwent successful

arthroscopic surgery at Hospital

for Special Surgery by the team’s

Medical Director David W. Altchek,

MD, and Head Team Physician

Struan H. Coleman, MD, PhD, to

repair his torn meniscus. The

meniscus is the cartilage between

the moving surfaces of the knee.

Along with knee ligaments, the

meniscus contributes to knee

stability. Remarkably, Santana had

pitched the season’s final month

with the injury, and few people knew he had been doing so with pain in his push-off

leg. “I didn’t think the knee was that serious because I was able to pitch with it, but,

of course you never know,” said Santana. “There is always the anxiety of having

surgery and how you are going to come out of it, but one of my agents told me how

good HSS is. Dr. Altchek put me at ease from the very beginning. He told me what

rehab I would have to do to get back to be ready for spring training. He gave me a lot

of confidence that I wouldn’t have any problems at all this year. All the doctors I’ve

met have a deep understanding of what an athlete needs to do to get ready.”

Less than five months later, and a few weeks away from his 30th birthday, Santana

arrived at spring training in Port St. Lucie, Florida for his second season with

the Mets, “looking limber and fit – in better shape than pitchers six or seven years

younger,” reported the Associated Press.

1

David Altchek, MD, is no ordinaryfan when he is watching Johan Santanathrow out the first pitch at a New YorkMets game. During the past 17 years,Dr. Altchek has served as a TeamPhysician and most recently as MedicalDirector for the New York Mets.Dr. Altchek, along with his colleagueScott A. Rodeo, MD, Associate TeamPhysician for the New York Giants,are Co-Chiefs of Hospital for SpecialSurgery’s Sports Medicine and ShoulderService – one of the largest sportsmedicine departments in the country.Together with some 40 orthopedic

surgeons, primary care physicians,and rehabilitation professionals, theyprovide the very best care to athletes,whether their injury was sustainedduring a major league game, on aLittle League field, or on a drivewaywhile shooting a few hoops. In fact,the hallmark of Special Surgery’s sportsmedicine physicians and health pro-fessionals is that injured athletes – atany level of talent – are patients first,all comparable when it comes to carein the exam room.

“You might do some things differ-ently for the pro footballer whose liveli-hood is the game than you would forthe 16-year-old high school student,”says Dr. Rodeo. “You might let the protake more chances as long as it’s aninformed decision. Nuances come into play with athletes at that level.However, with all of that being said,you are still treating the athlete. Theirhealth is the most important thing.You have to divorce yourself from theexcitement of the event and ask, ‘whatis the best thing for my patient?’”Treating champion competitors also

provides the Hospital’s sports medicineprofessionals with incredible insightinto injuries and recovery potential.“You learn a lot by treating elite ath-letes because they have incredible mo-tivation to get better,” says Dr. Rodeo.“These are the athletes who are goingto push the limits – of your surgery, ofyour rehabilitation. For them, good isoften not good enough. You need to bevery, very good to allow these athletesto get back to high demand perform-

ance. By learning how we can maxi-mize outcomes in the pro athlete, wecan then translate that to our recre-ational athletes.”The camaraderie and team effort

that Drs. Altchek, Rodeo, and theircolleagues find among athletes oncompetitive teams also defines theirown relationships on the SportsMedicine and Shoulder Service. “Wehave a lot of talented men and womenon the Service, and our goal is tomake sure that everybody is harness-ing their potential in clinical practice,in the lab, and in collaboration witheach other,” says Dr. Altchek. “Wespend a lot of time together – in meet-ings, in the ORs, while seeing patients.It’s rare to find this level of interactionin other institutions.”

Covering All Bases“Last year our physicians provided careand consultation to professional andelite athletes in some 3,000 instances –whether it be pre-season evaluations,on-site visits to our offices, or on thesidelines of games,” says Thomas P.Sculco, MD, Surgeon-in-Chief. “TheHospital is a premier institution forsports medicine because we have agroup that is focused on all aspects of

Above: Dr. Answorth Allen(center) performs an ACLrevision surgery on 34-year-old Sandra Sirotafor knee injuries resultingfrom gymnastics as a teen.Right: Dr. Stephen O’Brien,

and Kellie Ann Gallagher,PA-C, physician assistant,can care for athleticpatients such as Dr. DianeLombardi closer to theirhome in the Hospital’sAffiliate Physician Offices.

2

Femur

Acromion

Infraspinatusmuscle – partof rotator cuff

Subscapularis muscle –part of rotator cuff

Humerus

Scapula

Iliotibialband

Tibia

Medialmeniscus

Fibula

Anteriorcruciateligament(ACL)

the care of sports injuries. This beginsin the laboratory, where we are tryingto define how tendons heal and howtraumatic events to soft tissues canbe addressed surgically with betteroutcomes. Since we see more muscu-loskeletal patients than any other placein the world, we have acquired atremendous amount of information onthe outcomes of surgeries for sports-related injuries, which we can use toimprove techniques. Physicians alsocome here from around the world to beeducated in procedures that we’vedeveloped and then they return to theirhomelands to improve care globally.”“In many ways sports medicine was

born at Special Surgery,” adds StephenA. Paget, MD, Physician-in-Chief andChief of Rheumatology. “And the fieldhas been brought to the highest levelin the world by the experience of ourdoctors and their integration of scienceinto care. That is what an academicinstitution is all about. That’s reallywhat makes us the best.”

The Evolution of Sports MedicineRussell F. Warren, MD, HSS Surgeon-in-Chief Emeritus, came to sports med-icine when the field was in its infancy.A star athlete in both football and base-ball while a student at Columbia

University, Dr. Warren was all too awareof the potential for getting hurt. “Sportsmedicine as a specialty was just gettingstarted. I had a lot of injuries. I thoughtthe care could be better, and I thoughtI could do something about that.”In 1977, Dr. Warren joined Special

Surgery, working alongside JohnMarshall, MD, a pioneer in sportsmedicine, who had recently started asports medicine clinic at HSS. He hadjust returned from fellowship trainingunder the world-renowned shouldersurgeon, Charles S. Neer, MD, whohad, in fact, operated on Dr. Warren’sshoulder. With Dr. Marshall’s death in1980, Dr. Warren became the onlyphysician on the Service. Soon he wasjoined by Thomas L. Wickiewicz, MD,Stephen J. O’Brien, MD, David W.Altchek, MD, Scott A. Rodeo, MD, andJo A. Hannafin, MD, PhD.At the same time Dr. Warren was

expanding the now combined SportsMedicine and Shoulder Service, he wasvery interested in having a researchbasis on which to provide better clini-cal care. He began to develop what istoday a major laboratory for soft tissueresearch with clinicians and scientistsseeking a better understanding of howtendons and ligaments work, looking athow cells can be manipulated to pro-mote healing, and determining whatyou might do to replace them.

Sports Injury Areas ofthe Knee and ShoulderThe anterior cruciate liga-ment, one of four majorligaments in the knee, has aprimary role in maintainingknee stability. The rotatorcuff is a complex of fourmuscles and tendons inthe shoulder that providestability to the ball-and-socket joint. Injuries tothese soft tissues are themost prevalent amongathletes across all types ofsports and helping themto heal is a major focus ofHSS clinicians.

Shortly thereafter, the Service es-tablished a sports medicine fellowshiptraining program. Unique in itsapproach, the fellowship requiredphysicians to divide their time be-tween the laboratory and the operat-ing room. This combination of scienceand medicine became the fellowship’strademark, making it one of the mostsought after in the country.Today, the Service has seven accred-

ited sports medicine fellowship posi-tions, an international fellow, and offersa two-year fellowship position with adedicated research year. Dr. ThomasWickiewicz organized and leads aweekly CORE Series covering majorsports medicine conditions; HSS ortho-pedic surgeon Sabrina M. Strickland,MD, is Chief of Orthopedics at theBronx Veteran’s Affairs Medical Center,responsible for the education and su-pervision of Special Surgery residentswho rotate there; and Anne M. Kelly,MD, chairs the Hospital’s MedicalStudents Advisory Committee. “OnMondays and Tuesdays, we hold aFellows Conference, and on Thursdaymornings, we hold the CORE confer-ences that involve residents, fellows,and physical therapists,” says Dr. Kelly.

ClavicleRotator cuff musclesnot shown – Teres minorand supraspinatous

3

4

Lisa R. Callahan, MDDirector, Player CareJo A. Hannafin, MDTeam Physician

Ashley BattleForward

David W. Altchek, MDMedical DirectorRiley J. Williams III, MDHead Team Physician

Devin HarrisGuard

Liberty

Nets

Russell F. Warren, MDTeam PhysicianScott A. Rodeo, MDAssociate Team PhysicianBryan T. Kelly, MDAssociate Team Physician

Brandon JacobsRunning Back

GiantsOurProfessionalTeams

New York

New York

Basketball

The Hospital’s SportsMedicine and ShoulderService works withteams and individuals invirtually every sport –from baseball to basket-ball, football to soccer,swimming to tennis,golf, rowing, and cricket.

Team physicians from HSShave been present at SuperBowl championships andOlympic victories. To thephysicians and therapists ofSpecial Surgery, it really is‘how you play the game,’making sure the athlete,if injured, is optimallytreated, rehabilitated, andphysically ready to return tohis or her sport.

An impressive group of professionalsports teams and organizations havepartnered with Hospital for SpecialSurgery for care of their athletes.Among them are the New York Mets,the New York Football Giants, theNew York Knicks, the New York Liberty,Nets Basketball, and the New YorkRed Bulls.

Lisa R. Callahan, MDDirector, Player CareAnsworth A. Allen, MDTeam Orthopedist

Wilson ChandlerForward

KnicksNew York

5

David W. Altchek, MDMedical DirectorStruan H. Coleman, MD, PhDHead Team PhysicianAndrew D. Pearle, MDAssociate Team Physician

David WrightThird Baseman

MetsNew York

Riley J. Williams III, MDTeam Physician andMedical Director

Juan Pablo AngelForward

Red BullsNew York

6

1980s, Ronnie P. Barnes, MS, ATC,Vice President of Medical Services forthe New York Giants, who was thenthe organization’s head athletictrainer, asked Dr. Warren to work withthe Giants, thus launching SpecialSurgery’s relationship with pro teams.As word of mouth spread about theexpertise HSS could offer athletes,other major league teams followedsuit, as did many college athletics de-partments, requesting the Hospital’ssports specialists to “join” their teams.

Continuing a Tradition of ExcellenceStephen J. O’Brien, MD, MBA, whojoined HSS in 1982, had been an ath-lete both in high school and at HarvardUniversity, where he played footballand baseball. “I was always interestedin sports medicine, and I was very ex-cited to see that HSS actually had aclinic for that,” says Dr. O’Brien. “I wasso inspired by Russ’s enthusiasm andhis vision for the field that I changedmy career to be part of it. I’ve nowbeen at HSS for 26 years. I was veryblessed to be able to be on the groundfloor of a tremendous tradition andhistory. We’re all very proud of it.”

The Sports Medicine and ShoulderService has many reasons to be proud.Its leadership, beginning with Dr.Warren, followed by Dr. Wickiewicz,who served as Chief of the Servicefrom 1993 to 2005, and today withDrs. Altchek and Rodeo, continues topush the envelope and encourageeach member of the Service to engagein all levels of research to improvepatient outcomes.“I think we’ve been made better as

an institution because we have aglobal experience across many profes-sional sports,” says Dr. Rodeo. “At theend of the day, we want to translateall that we have learned into providingthe best quality of care for any personwho walks through our doors.”The care that Hospital for Special

Surgery provides to athletes is thefocus of this issue of Horizon. ACLand shoulder injuries are among themost frequent injuries occurring innearly every sport. In the sectionsthat follow, you will learn more aboutthese injuries and why athletes of alllevels come to HSS for care.

Dr. Jo Hannafin, who was athree-time gold medalist atthe U.S. National RowingChampionships, performsa shoulder arthroscopy.As an athlete, Dr. Hannafinfully understands theimpact sports injuries canhave on soft tissues.

“Our educational programs addresseverything from caring for knee andshoulder injuries to intraoperativedecision-making, and even practicemanagement issues.”As sports medicine began to

evolve, arthroscopy for the knee wasalso coming into its own. In 1985,Dr. Warren and his colleagues begandoing reconstruction of the anteriorcruciate ligament (ACL) arthroscopi-cally, rapidly adding meniscus repairand transplants, as well as posteriorcruciate ligament reconstruction,to their repertoire of arthroscopicprocedures. “Arthroscopic applica-tions for the shoulder came later,”notes Dr. Warren, “but today the bulkof shoulder procedures we do in theathlete are done arthroscopically.”

Going to the SourceAs so many of the Hospital’s sportsmedicine physicians are athletesthemselves, they know full well thevalue of applying their expertise totaking care of teams, while at thesame time gaining greater insight intothe causes of sports-related injuriesby watching players in action. In the

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TheProfessional

Athlete

Eli ManningNew York GiantsQuarterback

1.

T he Red Bulls will play theirfirst-round MLS Cup matchupwith Houston without Seth

Stammler. The midfielder hadsurgery last night at the Hospitalfor Special Surgery to repair a tornlateral meniscus in his right knee.– Blogs.NYPost.com, October 31, 2008

When a professional athlete is injuredand sidelined for any period of time,the consequences can be devastatingto his or her career, as well as to theteam on which they play. No oneknows this better than the teamphysicians of these major league or-ganizations, who are often at the cruxof decisions regarding the careers ofprofessional athletes. “The expecta-tion for recovery for athletes is mas-sive,” says Riley J. Williams, III, MD,

who serves as Head Team Physicianfor Nets Basketball, the New York RedBulls, and the Iona College Departmentof Athletics.“The football field provides a tremen-

dous learning environment,” says Dr.Scott Rodeo. “By being at the game, yousee injuries in the moment, and you canevaluate them right then and there.”In the nearly two decades that Dr.

David Altchek and his colleagues havebeen caring for the Mets, they havegained tremendous experience with‘throwing’ athletes. “We tend to seetheir injuries evolve over time. Theyare almost always microtraumatic,”says Dr. Altchek. “What’s fascinating iswhen we examine a player and lookat his elbow and shoulder, we seeevidence of chronic changes for whichyou might say ‘how can he pick up abaseball?’ But these are just chronic

changes that have occurred from thestresses of throwing a ball over time,and we have to differentiate thoseadaptive changes from actual injury.That’s the constant challenge we have.”

A Closer Look at the ACLI saw a young woman today whosaid ‘I went up for a rebound, I con-tacted someone in the air, I camedown on my leg, and I was off bal-ance.’ It’s a classic story for tearingan ACL. – Dr. Jo A. Hannafin, TeamPhysician, New York Liberty

ACL tears usually occur when anathlete stops suddenly and changesdirection as when running, pivoting,or landing after a jump – especiallyin the female athlete.“If you watch women play basket-

ball compared to men, they landdifferently,” notes Lisa R. Callahan,MD, Co-director of the Hospital’sWomen’s Sports Medicine Center, andDirector of Player Care for the NewYork Knicks and New York Libertybasketball teams. “They don’t go downwith a deep crouch, but are morelikely to land with a straighter knee,which may contribute to a greaterfrequency of ACL injuries.”

Left: During the New YorkGiants Training Camp,Dr. Bryan Kelly, AssociateTeam Physician, attends toNa’Shan Goddard, a 6'4",310 pound guard.

Above: Dr. Hollis Potter,a specialist in orthopedicMRI, frequently collabo-rates with the sports medi-cine physicians on softtissue injuries in athletes.

Keeping Athletes at the Top of Their Game

8

Below: New York Libertyforward Ashley Battle isexamined by Dr. LisaCallahan during training.Right: Last year, New YorkRed Bulls defender SethStammler underwentsuccessful knee surgeryby Dr. Riley Williams.

Orthopedic surgeon Beth E. ShubinStein, MD, agrees, having seen similarissues in professional female soccerplayers. “ACL injuries are actually fourto nine times more common in women.”According to Dr. Shubin Stein, womensoccer players turn and pivot withmuch more of an upright posture andless bend in their knee than men. Itis the bend in the knee that protectsthe men from these high risk, highimpact injuries and the straight legthat puts women at a higher risk.“With a bent knee the muscles con-

tract around the knee and work toprotect the ACL,” explains Dr. ShubinStein. “In a more upright position, theACL is less shielded by the muscles soit tears more easily.” However, evidencehas shown that rigorous retraining onhow to land and jump dramaticallyreduces ACL injuries in women.

“The ACL injury is a pre-arthriticevent,” says Dr. Williams. “The injuryhas disrupted the normal kinematics ofthe knee. Removing the ACL will resultin increasing forces on the meniscusor the articular cartilage. The best way

to prevent that damage or to mitigateit is to reconstruct the ACL.”The most common corrective

procedure for severe ACL injuries isreconstructive surgery – a procedurethat HSS surgeons have been perform-ing, evaluating, and refining fordecades. Because the ACL cannot bereattached once it is torn, surgicalreconstruction requires the graftingof replacement tissue in its place.“We have worked very hard to

understand the weaknesses of ACLreconstruction and how we couldimprove the procedure,” says Dr.Altchek. “The challenge in recentyears was to find a way to reproducethe normal functioning of the knee.”In the traditional arthroscopic oper-

ation, a tunnel is drilled in the tibia togain access into the knee for insertionof the ACL graft. But, explains Dr.Altchek, in a small subset of patientswith this approach the repaired kneewas not as stable as a normal knee.“We realized that in order to betterreplicate the anatomy, we would haveto reach the femur in a different way,”says Dr. Altchek. The solution was to

approach the femur from the frontof the knee, allowing the surgeon tocontrol the positioning of the graft.Clinical and biomechanics studies areongoing at HSS to determine optimalfemoral tunnel placement.According to Jo A. Hannafin, MD,

PhD, Co-director of the Women’sSports Medicine Center, who is TeamPhysician to the U.S. Rowing Teamand to the New York Liberty women’sbasketball team, recovery from an ACLinjury or reconstruction is different forevery athlete. “It is based on the sport,the athlete, their mechanics, and howquickly they get their strength back,”says Dr. Hannafin. “You want to makesure that the patient has a functionalknee, and a functional knee is verydifferent in a 6'2" 170 pound profes-sional female basketball player.”

Understanding Shoulder Injuries“Athletes in collision sports have highervelocity impact injuries to their shoul-ders in contrast to throwing athleteswho experience repetitive stresses,”says Dr. Russell Warren. “These

9

extreme impacts can cause injury ofshoulder cartilage, shoulder dislocation,and extensive rotator cuff injuries.”In throwing athletes, rotator cuff

problems often begin with the ligamentsin the shoulder becoming stretchedfrom overuse. This allows the shouldera greater range of movement in thesocket, causing instability. This instabil-ity puts greater tension on the rotatorcuff and can result in impingement andpartial or complete tears.Rotator cuff repair is performed

with arthroscopy in order to visualizethe inside of the shoulder and correctthe bone and tendon problemswithout damaging associated muscles.“Arthroscopy is particularly usefulfor throwers,” says Dr. Warren. “Itdecreases trauma to the shoulder andavoids chronic loss of joint motion,allowing them to regain throwingvelocity to a greater degree.”Many of the Hospital’s sports

medicine specialists have extensiveexpertise with shoulder injuries. Thefather-son team of David M. Dines, MD,and Joshua S. Dines, MD, serve theprofessional tennis community. Dr.David Dines, a renowned shoulder sur-geon, has just been renamed MedicalDirector of the ATP Worldwide TennisTour for 2009 – 2010 for men’s profes-sional tennis. His son, Josh, AssistantTeam Physician for the United StatesDavis Cup Tennis Team, pursues re-search on tendon injuries. Howard A.Rose, MD, performs the latest arthro-scopic procedures for rotator cuff re-pairs and shoulder stabilizations. He isa former Assistant Team Physician forHarvard University Athletics.Frank A. Cordasco, MD, MS, has a

particular expertise in treating the pro-fessional dance athlete. “Professionalmale dancers are at risk for shoulderinjuries because they depend on bothshoulder strength and function tolift their female partners,” says Dr.Cordasco, who has treated dancersfrom the New York City Ballet, theAmerican Ballet Theatre, and the Paul

Taylor Dance Company. “Professionaldancers are a pleasure to work withbecause they know their bodies welland they are very motivated when itcomes to treatment and rehabilitation.”Dr. Warren and Dr. Cordasco, along

with John D. MacGillivray, MD, andEdward V. Craig, MD, MPH, are lead-ers in the field of shoulder surgery –pioneering techniques ranging fromshoulder arthroscopy to total shoulderreplacement to treat complex shoul-der injuries in athletes.“Instability of the shoulder, which

includes dislocations and separations,is a common injury in the professional,collegiate, and high school athlete,”says Dr. Cordasco, who also treats pro-fessional football players. “When theligaments and labrum are torn, theydo not heal on their own. The goal is torestore the anatomy by reconstructingthe labrum and ligaments. Surgicalreconstruction, which in most cases isperformed arthroscopically, providesthe optimum outcome.”According to Dr. MacGillivray, in

the past, open surgeries were used torepair shoulder separation and often in-volved transfer of tissue to support thejoint. “These efforts met with variableoutcomes and had a higher failurerate,” says Dr. MacGillivray, who servesas a Team Physician to the U.S. Ski

Team. “At HSS, however, and selectedinstitutions throughout the country, therepair is performed with arthroscopyyielding excellent results.”Athletes who develop severe arthri-

tis after years of chronic injuries findhelp with total shoulder replacement.“Total shoulder replacement is atremendously successful procedurefor treating the pain and stiffness thataccompany degenerative joint diseaseof the shoulder joint,” says Dr. Craig.“The primary goal is pain relief, with asecondary benefit of restoring motion,strength, and function.”

To Play or Not to PlayTom Coughlin announced thismorning that [David] Tyree willremain on the Giants’ Reserve List.Tyree…underwent knee surgeryin April and was placed on thephysically unable to perform list.– Giants.com, November 5, 2008

“One of the toughest tasks of the teamphysician is to bar a player from par-ticipating,” says Dr. Warren. “Usually,the athlete knows whether they are fitto play. The discussion is candid, andall concerned parties are involved.”“Sometimes you have to make

decisions in the training room, and it’svery chaotic,” says Dr. David Altchek.“The key is to slow it down, perform athorough physical exam, considertheir history, get the relevant imagingtests, and gather all the informationyou’ll need to make the best decision.It’s a challenging environment, butwhen you make the right decision,you gain the player’s trust over time.”

During the 2008 SuperBowl, Dr. Russell Warrenchecks in with New YorkGiants linebacker AntonioPierce. Dr. Warren and hisHSS colleagues were onthe sidelines closely moni-toring players for potentialinjuries occurring duringthe game.

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11

On Call at theBeijing OlympicsOlympic swimmer Michael Phelps camehome with a record eight gold medals;Natalie Coughlin was the first U.S. femaleto win six medals at an Olympics. While or-thopedic surgeon Scott A. Rodeo, MD, andathletic trainer/physical therapist John T.Cavanaugh, PT, MEd, ATC, were not thereto win medals, they were very much a partof the competitive events taking place atthe 2008 Summer Olympics in Beijing.Dr. Rodeo and Mr. Cavanaugh were amonga select group of healthcare professionalschosen by the U.S. Olympic Committeeto protect the health of the nation’s eliteathletes at the August 8-24 games.On call or on duty 24/7 during the

Games, Dr. Rodeo and Mr. Cavanaughworked with USA athletes in all sports atthe walk-in clinic in the Olympic Village.“Over the course of the month, we got tosee nearly every athlete – some 600-plus –on the U.S. team,” says Dr. Rodeo, who,along with Mr. Cavanaugh, had primaryresponsibility for events involving theaquatic athletes, gymnasts, and track andvolleyball athletes. “At times, you’re doingeverything but orthopedics. The athletescome to you with every medical concern –to them, you’re just ‘Doc.’”On the orthopedic side, taking care of

the “greatest swimmers ever,” Dr. Rodeo

Gold medalist swimmersMichael Phelps (above)and Natalie Coughlin (atright and below), as wellas all members of the USASwimming team hadSpecial Surgery’s sportsmedicine expertise pool-side at the 2008 SummerOlympics through athletictrainer John Cavanaugh(photo below, left) andDr. Scott Rodeo.

was on the lookout for shoulder injuries,primarily, as well as knee injuries in breaststroke swimmers due to the heavily repeti-tive nature of competitive swimming.A certified athletic trainer on the

Olympics medical team, Mr. Cavanaugh’s

role was to advise on injury prevention,to assess injuries, and take care of the in-juries on the spot.The big issue, acknowledges Dr. Rodeo,

is how you get an athlete back to playingas soon as possible when they do suffer aninjury. The sports medicine experts arechallenged to use all their skills to addresspain and injury in the moment. “Theseathletes are obviously on a very short timeframe,” says Dr. Rodeo. “Part of our role isto treat and rehabilitate them to get themback as fast as possible, while at the sametime truly knowing when someone shouldbe disqualified or when they shouldn’t com-pete. That’s a big decision. Some of theseinjuries could be life altering.”“We worked with a tremendous medical

staff from multiple disciplines and from allcorners of the country,” says Mr. Cavanaugh.“The experience was incredible.”

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Healthy GoalsOsric S. King, MD, Brian C. Halpern,MD, and Lisa R. Callahan, MD, provideexpertise in primary care and non-surgical management of the athlete.“Ninety-five percent of sportsmedicine is non-operative,” notes Dr.Halpern. “We see sprains and strains,lower back pain, and tendonitis inthe knee, elbow and Achilles tendonrelated to overuse.” To help addressoveruse syndromes, Dr. Halpern usesplatelet-rich plasma therapy. “By in-jecting the patients’ own platelet cells,which contain growth factors, intotheir tendon injury, we have been ableto rekindle a healing response.”Dr. Callahan assesses the athlete

for anemia, thyroid problems, depres-sion, asthma, sleep disturbances, andother medical concerns. “All of theissues that might affect an athlete af-fect people day to day, but if athleteslose their edge, their performance andthe team’s performance can reallysuffer,” says Dr. Callahan.

A View from WithinHollis G. Potter, MD, Chief of MagneticResonance Imaging, has been a majorparticipant in the development ofimaging capabilities in orthopedics,particularly for sports-related injuries.

“MRI has become an invaluable tool inevaluating tendons and ligaments, andmore recently to ascertain the degreeof traumatic or degenerative injury toarticular cartilage,” says Dr. Potter.According to Dr. Potter, the ability

to image cartilage has changed theirability to diagnose sports injuries.“Athletes put so many abnormalstresses on the joint that unfortunatelya lot of them develop early arthritis,”notes Dr. Potter. “MRI provides anobjective look at cartilage and theseverity of joint damage, providing uswith some ability to predict function.”

Transfer of KnowledgeEach and every member of theHospital’s Sports Medicine andShoulder Service universally agreethat working with the professionalathlete provides them with a perspec-tive on treatment, rehabilitation, andrecovery that is an important part ofhow they develop clinical protocolsand assess outcomes for the benefitof all their patients. “With professionalathletes, the expectations for recoveryare greater,” says Answorth A. Allen,MD, Team Orthopedist to the NewYork Knicks and Medical Director for

St. John’s University. “This challengesus to do even better. The way I treatthe professional athlete is the way Itreat all my patients. You bring thebreadth of all your years of experi-ence to each individual case.”“Our nearly two decade involvement

with the Hospital has been a very suc-cessful one,” says Ronnie Barnes, VicePresident of Medical Services, New YorkGiants. “The athletes at the New YorkGiants are very fortunate to have thisgreat team in our backyard. Hundredsof people call our office annually look-ing to receive the same care as the NewYork Giants. We immediately refer themto Hospital for Special Surgery.”

Extending Our ReachWith patients traveling longer distancesto come see the Hospital’s sports medi-cine specialists, it became clear thatestablishing affiliate physician officesin the community would be of greatbenefit. Nearly 10 years ago, Dr.Stephen O’Brien helped open HSS’ firstAffiliate Physician Office in Uniondale,Long Island. Additional offices openedin Greenwich, Connecticut, andPrinceton, New Jersey. “These off-siteoffices give us an opportunity toprovide the same expert level of carepatients receive at the Hospital closerto home,” says Dr. Anne Kelly, who alsosees patients in the Uniondale office.HSS physicians are also bringing

their musculoskeletal expertise toWall Street. Stephen Fealy, MD, ortho-pedic surgeon, Jennifer L. Solomon,MD, physiatrist, and Arthur M. Yee,MD, PhD, rheumatologist, travel toMerrill Lynch weekly to see employ-ees on-site. Dr. Fealy and ChristopherLutz, MD, physiatrist, also attend toemployees at Goldman Sachs.

Dr. Riley Williams, HeadTeam Physician, NetsBasketball, evaluates theprogress of Nets forwardJarvis Hayes at HSS.

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The SchoolAthlete

Richard KiplagatGraduateIona College

2.

A s a sophomore on thewomen’s basketball team ofSt. Peter’s College, Shatira

Miller, a forward, played in 26 outof 30 games, defending some of theconference’s best players. The fol-lowing season, she was limited toaction in just two games due to kneeinjuries. – Stephanie DeWolfe, Head Coach,Women’s Basketball, St. Peter’s College

As a physiatrist at HSS, Joseph H.Feinberg, MD, has specialized expert-ise in peripheral nerve injuries in theathlete. He has been a Team Physicianat St. Peter’s College in New Jerseysince 1992, and currently is the HeadTeam Physician there.In the 26 years since Thomas L.

Wickiewicz, MD, joined Special Surgeryas one of the original orthopedicsurgeons in the Sports Medicine andShoulder Service, he served as Chiefof the Service for 12 years and spenteight years as Assistant Team Physicianfor the New York Giants. He now servesas the Team Orthopedic Surgeonfor all Division 1-AA College sports atSt. Peter’s.For over a decade, Michael J.

Maynard, MD, has been Team Physicianfor thousands of athletes at Maristand Vassar Colleges.“At HSS, we see a pyramid of ath-

letic ability from the school-aged ath-lete to the professional athlete,” saysDr. Wickiewicz. “When you’re workingwith the pro athlete, you’re caring forsomeone who is about as good as youcan be for that particular sport. Butwhen you’re taking care of a collegiateteam, you’re working with a spectrumof athletes who are going to vary inphysical size and ability. However,sports are every bit as important tothem. You manage their injuries andtheir training very similarly to the wayyou would for the pro athlete.”According to Dr. Wickiewicz, studies

that have looked at re-injury in athletesacross the board – from school level to

professional – who have undergonesurgery for either a shoulder instabilityor an ACL tear have found a pretty sig-nificant rate of re-injury in the schoolathlete as compared to athletes playingin the majors. Why does the pro athleteget hurt so much less frequently? “It’sbecause pro athletes have a differentbiological make-up,” explains Dr.Wickiewicz. “Their motivation, painresponse, and muscular control aredifferent. Despite these differences,the goal of the sports medicine special-ist is to get athletes of every level backto participation – whether they aresenescent or prepubescent – but alsoto provide them with realistic expecta-tions about what the injury means fortheir future in sports.”

High HopesAs a seventh grader, Daniel Kaddenparticipated in wrestling, lacrosse,and basketball. But in the summerbefore eighth grade, while wrestlingfor fun with some friends at camp,Daniel ended up at the bottom ofa pile. “My arm winged out andI heard something in my shouldertear,” recalls Daniel.

It wasn’t until a few weeks later thatDaniel learned how bad his injury was.“From the MRI, the doctors said oneof his rotator cuff tendons was badlytorn,” says his mother, Freddi Kadden.The family was told by surgeons

locally that the tendon could berepaired with open surgery through alarge incision, but Mrs. Kadden wasreluctant to have Daniel undergo sucha major operation. At Hospital forSpecial Surgery, Struan H. Coleman,MD, PhD, was able to provide Danielwith the option of repairing the tearusing the minimally invasive proce-dure of arthroscopy.Daniel underwent the procedure

with Dr. Coleman on August 19. “Wewere able to bring him home thatnight,” says Mrs. Kadden. After sixweeks in a sling to allow the tendon toheal, Daniel had physical therapy foranother 10 weeks.“As of now I can shoot a basketball

perfectly just like I did before,” saysDaniel. “I can jump up for a reboundjust like before. Everything is goingback to normal.”

The School Athlete: Same Goals, Different Challenges

Daniel Kadden (below)was given the go-head byDr. Struan Coleman (atright) to return to play withhis school lacrosse teamafter recovering from arotator cuff repair.

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“The results were fabulous,” saysMrs. Kadden. “I told Dr. Coleman that‘you are so nice, and we don’t everwant to have to use you again, but ifanyone in my family has a problem…you are our doctor for life!’”“Taking care of baseball players

has helped me to better understandthe mechanics of the shoulder,” saysDr. Coleman, who is the Head TeamPhysician for the New York Mets.“This knowledge not only benefitsprofessional athletes, but athletes atany level with shoulder injuries.”

Playing it Safe“We’ve seen some real fundamentalchanges in the way youth sports havebeen conducted in the past 10 to 15years,” says Jordan D. Metzl, MD, aprimary care sports medicine physi-cian at HSS. “We now spend as muchtime taking care of female athletes asmale athletes in the high school andjunior high group. And sports havebecome much more competitive, withkids specializing in only one sport.While this can make a better athletein that sport, it usually tends to createinjuries if they just play that one sportyear-round.”To help the public understand this

and other issues of sports safety,community outreach to parents andcoaches is an important focus of theHospital’s sports medicine professionals. Left: Dr. Thomas

Wickiewicz, TeamOrthopedic Surgeon, andElizabeth Kennedy, HeadTrainer for the Women’sBasketball Team at St.Peter’s College, evaluatethe strength and range ofmotion of Janesia Smith.

Above: A sophomoreand communicationsmajor at St. Peter'sCollege in New Jersey,Adenike Oyesile alsoplays forward on theWomen’s Basketball Teamand is considered by hercoach to be a tenaciousrebounder.

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For the past 11 years, HSS also hassponsored what is now the longest run-ning and best attended sports medicineconference on young athletes in thecountry. The program has attractedwell over 4,000 health professionals.For the past several years, members

of the Women’s Sports Medicine Centerat HSS have presented a program oninjury prevention in young femaleathletes – created by physical therapistTheresa Chiaia, PT, and her rehabilita-tion colleagues – to parents and coachesto an all-girls school in Manhattan. Morerecently, they have created a preventionprogram to specifically address thehigher incidence of ACL injury in girls.“Much of ACL injury prevention has

to do with training,” says Jennifer L.Solomon, MD. “Boys know how toland because they receive much morespecific sports training than girls.They go into a squat position. Girls arenot taught how to land correctly. Theyland in a stiff legged position, whichputs a lot of stress on their knees.”

Beth E. Shubin Stein, MD, also seesmany more young females than maleswith patellar instability and multipleknee cap dislocations. “Women ingeneral are more predisposed to thisinjury then men are,” says Dr. ShubinStein, “and it is a very debilitatingproblem for young women. Ten yearsago, if the problem continued to recur,these young women would have hadto undergo bone cutting proceduresin order to stabilize their knees withalmost a year of recuperation.”Today, these women benefit from a

new surgery – medial patella femoralligament reconstruction – that hasrevolutionized care for patients withpatella instability. “It has changed therehabilitation for these injuries,” saysDr. Shubin Stein. “Rather than havingto cut bone, the procedure is a softtissue reconstruction much like theACL reconstruction. Patients can walkafter surgery as opposed to being oncrutches for six to ten weeks, and thereturn to sport is between four andsix months rather than a year.”

Adds Dr. Solomon, “An importantaspect of what we do is providingintegrated health care. We look at thepatient’s entire well being. What’s niceabout the Women’s Sports MedicineCenter is that we have multiple spe-cialties practicing together to help thepatient in the best way that we can.”Andrew D. Pearle, MD, Associate

Team Physician for the New YorkMets, also directs coverage of threeNew York City high schools in thePublic School Athletic League. “Wecover their games and hold a cliniconce a week for players,” says Dr.Pearle who, along with several of theHospital’s orthopedic residents, makesure that a team of HSS doctors isaffiliated with each high school team.“We develop a relationship with theplayers and coaches, and when play-ers get hurt we make sure that theyare seen here at HSS. If the playersneed surgery or rehabilitation, we allcome together to make sure that hap-pens. We’ve worked very hard throughthe Hospital to deliver comprehensivecare to these teams. Our goal is toprovide kids from public schools thathave limited resources access to thesame type of care that the profes-sional athlete receives.”

Above: Athletes likeVictor Gonzalez atQueensboroughCommunity College andother members of theCUNY Athletic Conferencebenefit from the expertise

of HSS doctors. Right:Dr. Beth Shubin Stein (farright), a Team Physicianfor the U.S. FederationCup Tennis Team, usesarthroscopy to treat ACLinjuries.

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Rehabilitationand Recovery

3.

Physical therapist GregFives, PT, MSPT, SCS,works with Kate Brownsonon rehabilitation exercisesto strengthen her legs.

One major difference betweenprofessional and amateurathletes is the time they can

devote to training and rehabilita-tion. When combined with theiradvanced physical condition goinginto a rehabilitation program,a professional athlete’s efforts gener-ally result in a much quicker rateof recovery.

“Our physical therapists are key towhat we need to achieve with ath-letes,” says Dr. Scott Rodeo. “Many ofour therapists are pioneers in allforms of physical therapy treatmentand contribute to advancing the fieldof sports medicine.”“Physical therapists are integral to

the progression of the field,” addsDr. Stephen O’Brien. “When we askedthe question of how we could improverecovery from ACL reconstruction,due in large part to the recommenda-

tions of the therapists, we were ableto greatly reduce the recovery time.I never feel like I’m more than halfthe equation. The therapist is a fullpartner, and just as important as thesurgeon for the patient’s recovery.”John T. Cavanaugh, PT, MEd, ATC,

Clinical Supervisor, has been with theSports Rehabilitation and PerformanceCenter since 1985. Mr. Cavanaugh iscredentialed as a certified athletictrainer and physical therapist. A com-petitive soccer player in college, he hasserved on the medical staff of the PanAmerican Games in Rio, Brazil; as HeadAthletic Trainer for the USA Swimmingteam at the 2006 World Short CourseChampionships in Shanghai, China, andmost recently on the U.S. Olympicsmedical staff in Beijing.

“We have good relationship withour doctors,” says Mr. Cavanaugh. “Weunderstand the surgery, we under-stand the pathology. They know thatwhen they send their patients to us,they are in good hands.”The Hospital’s physical therapists

and athletic trainers play a huge role inthe prevention and treatment of sportsinjuries. The physical therapist devel-ops specific rehabilitation guidelinesfor patients following a comprehensiveevaluation and works collaborativelywith surgical and medical colleagues,pre- and post-surgery to get the athleteback on the field. Athletic trainerswork side-by-side with the athletes atthe clubhouse and on the field, givingadvice on how to prevent injuries,assessing the injury if and when ithappens, and taking care of it at thatimmediate point in time.“It is very important for us to not

only instruct the patients in the rightexercises,” says Mr. Cavanaugh,“but to help them understand how tomodify their activities based on theirsymptoms and functional limitations.If a patient doesn’t have the motion orthe strength to negotiate stairs, weshow them how to do stairs withoutirritating the injury.”Mr. Cavanaugh and his colleagues

tailor their treatment plan to theindividual patient. “You progress them

Achieving Optimal Outcomes

Left: Physical therapistMickey Levinson super-vised the post-operativerehabilitation program ofDave Lipson, a collegepitcher who underwentsurgery at HSS for anelbow injury. Below:Exercise physiologist PollyDeMille, RN (left), andphysical therapist TheresaChiaia, PT, demonstratehow video analysis canguide fitness and condi-tioning exercise protocolsfor athletes.

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Jaime Edelstein, PT,MSPT, CSCS, AssistantSection Manager ofSports Rehabilitation andPerformance, instructsCasey Maxwell on a train-ing pulley to help increasethe range of motion ofher shoulder.

from here to there if they meet certaincriteria as opposed to following apre-set timeline for reaching certainrecovery points,” he says. “Forexample, there might be an exercisea patient is ready to do at six weekseven though the standard protocolsays 10 weeks. We would have thispatient move ahead.”

Peak Performance“What makes us unique is that SportsRehabilitation and Performance is acollaborative team. Our physicaltherapists and exercise specialistswork together to develop a tailor-madetherapy or fitness program that willachieve the best result for our patientsand clients,” says Theresa Chiaia, PT,Section Manager, Sports Rehabilitationand Performance. In the Hospital’s newPerformance Center, Polly de Mille,RN, RCEP, CSCS, Coordinator ofPerformance, and a performance teamwork with patients who have had phys-ical therapy and want to work on over-all fitness, and with clients who want toimprove their level of fitness and maxi-mize performance. Exercise specialistsare also involved in injury prevention.In addition, video analysis in combina-tion with a comprehensive interviewwith the team, a musculoskeletal as-sessment by the physical therapist, anda fitness assessment by the exercisespecialist provides the athlete with acustomized results package.

The Spine in SportsAs a physiatrist with HSS, Peter J.Moley, MD, specializes in non-operativetreatment focused on restoring func-tion. Dr. Moley has a particular interestin spine injuries of athletes. “The lum-bar spine is a very important joint usedby athletes for competition and returnto play,” notes Dr. Moley. “It is just asimportant to performance as hipstrength, quad strength, and hamstringstrength. You also have to considerwhether a bad back may have played arole in causing a hip or knee injury or

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how low back pain may be affecting anathlete’s overall performance.”Dr. Moley, a former rower, has par-

ticular expertise in caring for oarsmenwith back pain. In fact, lower backpain is prevalent among intercolle-giate rowers. “Sitting is the highestpressure you can have in a disc,” saysDr. Moley. “Rowing affects a very spe-cific part of the spine. Rehabilitating arower is challenging because they then

go and sit for hours on the water row-ing, causing the back problem to flare.”According to Dr. Moley, studies of

rowers have shown that they havevery strong thighs, but their abdomi-nal and lower back strength is no bet-ter than an average college student.“We therefore try to exercise musclesthat aren’t often used, including someof their rotational muscles,” explains

Dr. Moley. “We make sure they nor-malize rotation of the thoracic spinewhile we work on lumbar spinestrength. We also work on their hipstrength. When we have the rowersstronger in supine and standing, weget them back to sitting positions dur-ing exercising. Our goal is to build allthe musculature and strength aroundthe involved disc. These patients dovery well.”

The Hospital’s sports med-icine physical therapists,certified athletic trainers,exercise physiologists, andconditioning specialistsare skilled professionalswho provide rehabilitativecare for patients of allages and abilities.

Row 1: Phaeleau Cunneen,PT, MSPT; Janet Cahill,PT, CSCS; and CaraSenicola, PT, DPT

Row 2: Jaime Edelstein,PT, MSPT, CSCS; JessicaGraziano, PT, DPT; andLee Rosenzweig, PT, DPT,CHT

Row 3: Victoria Moran,PT, DPT; Rob Maschi, PT,DPT, CSCS; TheresaChiaia, PT; Diana Zotos,PT, MSPT, CSCS; MickeyLevinson, PT, CSCS;Greg Fives, PT, MSPT,SCS; John Cavanaugh,PT, MEd, ATC; andPolly DeMille, RN, RCEP,CSCS

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Science AndSports

4.

Dr. Scott Rodeo investi-gates how to promotehealing in injuredsoft tissues at the basicscience level.

Advancing the Field of Sports Medicine

T he past three decades haveseen a revolution in the treat-ment of sports-related knee

and shoulder injuries, with muchof the pioneering work taking placein the laboratories and operatingrooms of Hospital for SpecialSurgery. Improved understandingof ligaments and tendons, methodsto promote healing, and refinementin arthroscopic techniques havemade it possible for athletes toreturn to peak performance levels.

The Hospital’s scientists are address-ing two basic questions in sportsmedicine. How do you take care ofthe acute injury and restore function?How do you prevent the prematuredevelopment of osteoarthritis andjoint destruction? “An injury to aligament sets up a cascade of eventsthat can lead to joint destruction,”says Steven R. Goldring, MD, ChiefScientific Officer. “So we have to look

at both the mechanisms of short termrepair and the role of inflammation,joint mechanics, and genetic influ-ences in the long term outcomes.”

Understanding ACL ResearchA clinician-scientist, Dr. Scott Rodeospends several hours each week in hislaboratory investigating the cellularand molecular processes in ligamenthealing with support from a $1.4 mil-lion, four-year National Institutes ofHealth (NIH) grant. “As a clinician,you know what the problems areand you know what questions needanswering in the laboratory,” saysDr. Rodeo. “How do ligaments healor why don’t they heal? How doesmechanical load affect ligamentreconstruction? When can patientsstart bending their knee? These arevery relevant clinical questions thatrelate to how we treat patients whohave had ligament surgery.”Dr. Jo Hannafin is also a clinician-

scientist. Her three-year, $1.1 million

NIH grant is supporting investigationsto determine how to stimulate ACLrepair or regeneration. “The ACL isnotorious for its failure to heal,” saysDr. Hannafin. “The question is why?If Scott and I can both be successfulin what we do, we may ultimately beable to optimize ligament healing orto accelerate repopulation of the ACLgraft with normal cells. This wouldpermit refinement of current ACLreconstruction techniques to promoteimproved recovery and determine ascientific basis for the design of post-operative rehabilitation.”

A Step Ahead of ArthritisPeter A. Torzilli, PhD, ProgramDirector, Tissue Engineering,Regeneration, and Repair Program,and his colleagues are looking at theinfluence of trauma on the articularcartilage in the knee. “If you have ananterior cruciate ligament rupture,whether it’s repaired or not, it is nowwell known that anywhere from five to15 years after the injury, the personwill develop osteoarthritis in the knee.What we want to know is, given aninjury to an ACL, do patients changetheir kinematics of walking or kneemotion that can cause damage to thecartilage and lead to osteoarthritis?And, was there damage done to the car-tilage at the time of injury that can alsolead to osteoarthritis? These are thequestions that everyone is asking now.”

Left: Dr. Jo Hannafin ap-plies the clinical knowledgegained when working withathletes, such as theNew York Liberty’s LeilaniMitchell, to her basicresearch studies. Below:Dr. Robert Marx studies apatient’s preoperativeradiology images prior toperforming an ACL revi-sion procedure.

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Improving Surgical OutcomesDr. Andrew Pearle directs theHospital’s Computer Assisted Surgeryprogram, which is helping to makesurgical procedures more precise.“Computer assisted surgery uses navi-gation that is like a Global PositioningSystem for orthopedic surgery,” saysDr. Pearle. “The computer displays athree-dimensional virtual image of thepatient’s anatomy on a screen, allowingyou to see exactly where you are put-ting a tunnel, a drill hole, or a screw.”Surgeons have been using these

tools in the OR to perform jointreplacement surgery. More recently,Dr. Pearle has been investigating their

applicability in ACL surgery. “We havedevised models of the ACL to under-stand kinematics in the normal knee,in the ACL injured knee, and aftervarious types of ACL reconstruction,”says Dr. Pearle. “We’ve also been test-ing ACL reconstructions to determinewhich procedure best reproducesthe intact normal knee and ways toprecisely angle the new graft.”Anil S. Ranawat, MD, an orthopedic

surgeon with expertise in meniscal andligament surgery, including revisionACL surgery, is evaluating roboticsurgery, partial knee replacement, andmobile-bearing technology to improvepatient outcomes.

Robert G. Marx, MD, MSc, orthope-dic surgeon, and Dr. Hannafin arecollaborating with the AmericanOrthopaedic Society for SportsMedicine to better understand factorsthat affect outcomes after revisionACL reconstruction. “Revision ACL re-construction is much more technicallydemanding compared to primary ACLreconstruction because of previouslyplaced screws, staples, and tunnels,”explains Dr. Marx. “Placing the newACL graft where there has been priorsurgery is challenging. Detailed preop-erative planning with x-rays, CT scans,and MRI images helps plan for poten-tial scenarios interoperatively, but onemust also be flexible to adjust depend-ing on what is found during surgery.”

Saving the ShoulderA recent study by HSS orthopedicsurgeons showed that patients who un-derwent a rotator cuff repair experi-enced pain relief and improvedshoulder function, even after a tear re-currence. The study evaluated a groupof 15 patients approximately eightyears after their rotator cuff repair.None of the patients needed furthertreatment or surgery, and none hadexperienced persistent shoulder pain.Dr. Struan Coleman is looking at

how to facilitate recovery from rotatorcuff repair at a basic science level.The tendons in the rotator cuff areconnected to short, but very impor-tant, muscles. “In chronic rotatorcuff problems, very often the muscledoes not function,” says Dr. Coleman.“We are investigating the role thatstem cells may play in regeneratingthese muscles and in facilitating thehealing process.”

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Dr. Andrew Pearle isadvancing the role of com-puter-assisted orthopedicsurgery to help improve sur-gical precision and ultimatelypatient outcomes in ACLreconstruction and otherprocedures in the knee.

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Sports Medicine and Shoulder Service

The Sports Medicine and Shoulder Service at Hospital for Special Surgery is one of the oldest,

largest, and most highly respected departments in the field. This distinguished group of physicians,

individually and together, provide outstanding care to athletes with all levels of skill representing

virtually every professional and recreational sport. For information on each of the physicians of

the Sports Medicine and Shoulder Service, please visit www.hss.edu/sports.

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Scott A. Rodeo, MD Co-Chief, Sports Medicine and Shoulder Service Beth E. Shubin Stein, MD Peter J. Moley, MD

Riley J. Williams III, MD Robert G. Marx, MD, MSc Bryan T. Kelly, MD Frank A. Cordasco, MD, MS Answorth A. Allen, MD

Joshua S. Dines, MD Joseph H. Feinberg, MD Michael J. Maynard, MD Thomas L. Wickiewicz, MD Stephen Fealy, MD

Jennifer L. Solomon, MD John D. MacGillivray, MD

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David W. Altchek, MD Co-Chief, Sports Medicine and Shoulder Service Lisa R. Callahan, MD Anne M. Kelly, MD David M. Dines, MD

Russell F. Warren, MD Jordan D. Metzl, MD Osric S. King, MD Jo A. Hannafin, MD, PhD Howard A. Rose, MD

Brian C. Halpern, MD Edward V. Craig, MD, MPH Struan H. Coleman, MD, PhD Stephen J. O’Brien, MD Andrew D. Pearle, MD

Anil S. Ranawat, MD Sabrina M. Strickland, MD (Not shown) Hollis G. Potter, MD, and Rock G. Positano, DPM, MSc, MPH

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Left to right: Stephen A.

Paget, MD, Physician-in-

Chief; Aldo Papone, Co-

Chair, Board of Trustees

(seated); Louis A. Shapiro,

President and CEO; Thomas

P. Sculco, MD, Surgeon-in-

Chief and Medical Director;

Dean R. O’Hare, Co-Chair,

Board of Trustees (seated);

and Steven R. Goldring, MD,

Chief Scientific Officer

2008 Leadership Report

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As the largest musculoskeletal specialty hospital in

the world, Hospital for Special Surgery has a re-

sponsibility to also be the best – with more than

250,000 patient visits for musculoskeletal disorders and

autoimmune diseases; for the 3,000 employees who carry

out our mission each and every day; and for the trustees,

volunteers, and many, many friends who embrace our vi-

sion and provide support in varied and extraordinary ways.

In 2008, we continued to stay focused on meeting the

needs of patients who, in growing numbers, chose Special

Surgery for their care. At the same time, our physicians

and scientists have maintained their commitment to find-

ing solutions in the laboratories and at the bedside for

complex clinical problems and providing unparalleled

educational opportunities for residents and fellows who

come here to train.

We are pleased to report that 2008 was one of our

strongest years of operational performance. The Hospital

continued to increase its patient volume and, at the same

time, made great progress in further enhancing our pa-

tients’ experience. And our quality outcomes, which are so

well-regarded throughout the medical community, im-

proved from an already impressive level of performance.

We are honored that for the second consecutive year,

U.S.News & World Report recognized Hospital for Special

Surgery as the number one hospital in orthopedics in the

country, while rheumatology remained among the top-

ranked in the nation. For the 18th consecutive year, Special

Surgery was top ranked in the Northeast in orthopedics

and rheumatology. In 2009, the Hospital sustained its first

place position in New York State for Joint Replacement

Surgery and received the HealthGrades Joint Replacement

Excellence Award.

We also scored in the top 15 percent nationwide in

both overall patient satisfaction and patient willingness to

recommend the Hospital to others on the first Hospital

Consumer Assessment of Healthcare Providers and

Systems. Released by the Hospital Quality Alliance, the

assessment looked at different aspects of patient care as

rated by patients themselves. HSS is the only hospital in

New York City that will receive the Outstanding Patient

Experience Award in 2009 based on this assessment. Using

surveys designed by Press Ganey Associates, Inc., the in-

dustry leader in patient satisfaction assessments, we can

measure satisfaction in several areas as compared to our

peer hospitals. In the fourth quarter of 2008, HSS ranked in

the 99th percentile of 1,025 hospitals nationwide on

the Press Ganey patient satisfaction survey question of in-

patient likelihood to recommend the Hospital to others.

The results of the patient satisfaction surveys we conduct

provide an important benchmark to assess and assist us in

our ongoing goal to improve the patient experience.

Advancing a Culture of Quality and ServiceThese acknowledgements are a tribute to the experience,

skills, and commitment of all of our staff and the impor-

tance of the patient-centered care environment in which

we are able to deliver the highest quality musculoskeletal

care. As we go forward, our goal is to continue to build on

our accomplishments in quality and service, focusing on

opportunities that will enable us to do even better. Our

Strategic Plan identifies an important imperative for suc-

cess in the way we provide care, in the service we deliver,

and in the way we drive quality overall.

Through our Elevating Quality initiative, created under

the Hospital’s Strategic Plan, we are establishing the high-

est standards in clinical quality and operational excellence

in the field of musculoskeletal medicine. Our entire

organization, including the Board of Trustees, is working

towards setting, meeting, and exceeding quality and

service expectations. In 2008, we completed the reorgani-

zation of our quality process, including the creation of the

Hospital’s Quality Coordinating Committee, co-chaired

by Dr. Steven B. Haas and Dr. Steven K. Magid, and the

creation of an oversight group – the Hospital Quality

Council – co-chaired by Louis A. Shapiro, President and

CEO, and Thomas P. Sculco, MD, Surgeon-in-Chief, with

representation from the Board of Trustees and medical

staff leadership. In addition, individual Hospital depart-

ments are determining the most important quality indica-

tors in their respective areas and identifying ways to

measure their successes.

The new quality review infrastructure, under the out-

standing leadership of Dr. Magid, and Michelle Horvath,

Assistant Vice President, Quality Management, has been

embraced by all members of the staff. As a result, the

Hospital is very focused on ways to drive and measure

quality, how it can be more responsive to identifying

trends, and can more quickly implement programs to

improve performance.

28

The Hospital’s overall

surgical site infection rate

was reduced from 0.35

percent to 0.26 percent –

compared to a national

rate of more than 2 per-

cent; overall pulmonary

embolus rate decreased

from 0.48 percent to 0.25

percent; and overall deep

vein thrombosis rate

showed a reduction from

0.96 percent to 0.43 per-

cent. We continue to

work on reducing our

infection rate to an absolute minimum, and our best prac-

tices in infection control have positioned us as a hospital

that is likely to have the lowest infection rate for orthope-

dics in the world.

Measures of ExcellenceIn addition to the Hospital’s major undertaking in quality

and safety, a number of other noteworthy accomplish-

ments allowed us to improve and build upon our founda-

tion of excellence in musculoskeletal care. Our financial

foundation remains strong, with volume increasing by

12 percent in 2008 over 2007. And, in an era in which the

National Institutes of Health (NIH) had less funding to pro-

vide for research, HSS increased its federal grant

portfolio by 14.6 percent over 2007, with awards totaling

$22.4 million. Total active awards for 2008 totaled

$32.7 million, an increase of 14.2 percent or $4.1 million

over the previous year.

Our extraordinary orthopedic surgical outcomes reflect

a vital collaboration that is ongoing among our orthopedic

surgeons, rheumatologists, and anesthesiologists. The

Hospital’s Center for Musculoskeletal Perioperative

Medicine, led by rheumatologist C. Ronald MacKenzie, MD,

and anesthesiologist Michael K. Urban, MD, PhD, assures

the best results for our patients – many of whom present

with complex clinical issues. In 2007-2008, physicians in

the Hospital’s Division of Rheumatology served as the

musculoskeletal perioperative specialists for over 12,000 or-

thopedic surgery patients. The involvement of our rheuma-

tologists and internists in the care of patients undergoing

surgery helps to ensure the best possible outcomes.

As we expanded our clinical capacity throughout the

year, we were very successful in recruiting nursing staff to

meet this increased demand and continue to serve patients

with the highest level of quality. Over the course of 2008,

we hired 51 full-time RNs and by November 2008, our

RN vacancy rate was 4 percent – significantly lower than

the 13 percent average RN vacancy rate for the Greater

New York area.

In October 2008, the Hospital’s building plan was ap-

proved by the City of New York, bringing us one step closer

to expanding our hospital in order to accommodate the

growing number of patients seeking our care. This spring,

we will complete work on our new lobby, which has been

enlarged to create a spacious, more welcoming, and com-

fortable environment for patients and visitors.

Technology plays an increasingly important role both in

the provision of high-quality care and in promoting opera-

tional efficiencies throughout the organization. With the in-

stallation of CliniCIS in mid-2007, many benefits accrued

to clinical practice in 2008 from the availability of elec-

tronic patient orders, test results, medication alerts, and

chart documentation. The Picture Archiving and

Communication System (PACS), now accessible in the op-

erating rooms and physician offices, enables the viewing of

digital images on computer screens and allows manage-

ment of medical images in an electronic format. We also

improved efficiencies in the operating rooms with the im-

plementation of a new state-of-the-art Instrument Tracking

system in Central Sterile Supply. Using barcode technol-

ogy, the tracking system can identify the location of any in-

strument used in the OR at any point during the cleaning

and sterilization process.

Our clinicians and scientists regularly distinguish them-

selves, and HSS, by serving in leadership roles of orthope-

dic and rheumatology societies and associations; through

the delivery of major presentations at professional meet-

ings, including the American Academy of Orthopedic

Surgeons and the American College of Rheumatology; in

the awarding of numerous national and international

honors; and as authors, editors, and reviewers of the most

prominent medical and scientific journals. In 2008, our

physicians and scientists had 256 articles published in such

leading, peer-reviewed publications as the Journal of Bone

and Joint Surgery, Chemical Reviews, Clinical

Orthopaedics and Related Research, Journal of Clinical

Investigation, Journal of Immunology, Arthritis and

Rheumatism, Immunity, and Nature to name a few.

Steven K. Magid, MD, co-chairsthe Hospital’s Quality CoordinatingCommittee.

29

In addition, two books for the consumer – Dancingat the River’s Edge: A Patient and Her Doctor NegotiateLife with Chronic Illness, co-authored by Dr. MichaelLockshin with one of his patients, has been published towide acclaim, and Say Goodbye to Knee Pain , co-authored by Dr. Jo Hannafin, is now available in a Kindleedition.

Spotlighting Translational ResearchFor the past two years, the Hospital has been movingforward with an ambitious plan to integrate its basic, trans-lational, and clinical research efforts to allow us to main-tain dynamic cutting edge research and sustain our level ofscientific excellence into the future. The objective is tocreate a platform for insuring the translation of basic sci-ence findings to patient care. Translational research callson the tools of modern science and cellular and molecularbiology to understand disease and to develop novel andunique approaches for treatment. By closely aligning re-search and clinical priorities, we can expedite the applica-tion of new therapies to the treatment of patients withmusculoskeletal and autoimmune diseases.

To this end, scientists at Special Surgery are workingtogether across disciplines to demonstrate how scientificdiscovery in the laboratory can ultimately affect clinicalsituations, incorporating a multidisciplinary bench-to-bed-side approach to understanding disease. Translationalresearch teams, made up of clinicians and basic scientists,have targeted a number of areas to address, includingcomplications of total joint arthroplasty; facilitating bonehealing; and soft tissue repair, to name a few. One of ourlargest translational research efforts to date focuses onsystemic lupus erythematosus and complications of thedisease related to pregnancy, neurocognitive function, andcardiovascular disease.

At HSS, the Center for Education and Research onTherapeutics (CERT), funded by the Agency forHealthcare Research and Quality, is obtaining outcomesdata on the thousands of patients each year who undergojoint replacement surgery at HSS and supporting clinicalstudies to determine the clinical, patient demographic, andprosthetic device characteristics associated with improvedoutcomes in total joint replacement. Our comprehensiveTotal Joint Replacement Registry continues to exceedenrollment targets with over 9,000 patients enrolled to

Welcome to New DoctorsHospital for Special Surgery continues to recruit outstandingphysicians who enable us to remain the leader in our fields andserve the ever-increasing number of patients who come to us formusculoskeletal care. Please join us in welcoming:

Michael J. Klein, MD, a distinguishedbone pathologist and gifted educator, hasjoined Hospital for Special Surgery asthe Director of Laboratory Medicine andPathologist-in-Chief. He succeeds PeterG. Bullough, MD, who retired as Directorand Chief after 40 years of service. Dr.Klein comes to us from the Universityof Alabama, where he was the Director ofSurgical Pathology.

Dale J. Lange, MD, a distinguishedneurologist, has been selected to succeedMoris Danon, MD, as the Chief ofNeurology. Prior to joining HSS, Dr.Lange was Director of the Division ofNeuromuscular Disease and the Directorof the EMG Laboratory at Mount SinaiHospital, and Chief of Neurology at theBronx Veterans Administration Hospital.

Chitranjan S. Ranawat, MD, a world-renowned orthopedic surgeon specializingin total hip and total knee joint replace-ment procedures, who was with SpecialSurgery from 1969 to 1994, has returnedto HSS. For the past 15 years, Dr. Ranawatserved as the James A. Nicholas Chairmanof the Department of Orthopaedic Surgeryat Lenox Hill Hospital.

We are also pleased to welcome:

Jonathan C.Beathe, MDAnesthesiology

Semih Gungor, MDAnesthesiology

Evette Ferguson, MDMedicine

Scott J. Ellis, MDOrthopedic Surgery

Amar S. Ranawat, MDOrthopedic Surgery

Elizabeth M. Manejías,MD, Physiatry

Anthony Chang, MDRadiology

Chitranjan S.Ranawat, MD

Michael J. Klein, MD

Dale J. Lange, MD

Juliet Aizer, MDRheumatology

Emma Jane MacDermott,MD, Rheumatology

date. This progress has also generated eight pilot research

studies based on the data collected regarding outcomes,

variations, and economic impacts of total joint surgeries.

Registries, such as the one used in CERT, provide the

mechanism for acquiring and storing information, process-

ing data, and applying knowledge to patient care. As the

largest provider of musculoskeletal care, we are in a piv-

otal position to be able to document what works and what

does not, understand why, and then, when we institute an

intervention, evaluate the outcome. The Hospital currently

has more than 30 patient registries that range from very

specific conditions such as basal joint arthritis to those

more broad-based such as the Autoimmune Disease

Registry and Repository.

Recently, the Hospital created an unprecedented re-

search program to better understand, prevent, and treat

osteoarthritis – the most common cause of disability and

loss of work, and a frequent reason for joint replacement.

The Osteoarthritis (OA) Initiative is an integrated basic,

translational, and clinical research program that focuses on

identifying risk factors for OA, prevention or reduction of

inflammation at the onset of the disease, medical interven-

tion to slow its progression, and surgical solutions when

OA has damaged joint structure.

In 2008, Lionel B. Ivashkiv, MD, Senior Scientist and

Director of Basic Research, was appointed Associate Chief

Scientific Officer. In this newly created position, Dr.

Ivashkiv, who holds the David H. Koch Chair in Arthritis

and Tissue Degeneration, is charged with developing a

long-term strategic plan for basic science research pro-

grams; fostering collaborative research among the basic

science programs; and enhancing translational research.

He will work with Steven R. Goldring, MD, Chief Scientific

Officer, to develop and execute this plan, which will

enhance HSS’ position as a leader in musculoskeletal and

autoimmune disease research. Dr. Ivashkiv has an out-

standing record of NIH funding and has made major contri-

butions to the understanding of inflammatory mechanisms

in autoimmune and musculoskeletal disorders.

One of the criteria for a successful and sustainable

academic institution is that it provides tenured security

and support for its scientists. The Hospital’s Division of

Research now has a tenure program in place for the

academic scientific track, further enabling us to recruit

research faculty of the highest caliber.

Enhancing Care of International PatientsIn 2008, our International Center arranged 456 initial con-

sultations for patients with our physicians, and there were

284 International Center inpatient and ambulatory surgery

procedures, including physiatry and pain management

procedures.

In addition, we approved a strategic plan for expanding

our clinical and educational initiatives abroad. We continue

to engage in dialogue with organizations abroad who are in-

terested in forming a collaborative relationship that focuses

on developing their orthopedic capability locally. We have

also developed an International section of our Web site

(www.hss.edu/international.asp), which highlights the

depth and breadth of our current international activity.

Members of the Hospital community are also involved in

philanthropic and volunteer projects throughout the world,

including those who have founded international charitable

organizations dedicated to providing quality medical care

where access to care is often difficult. Many members of

our Sports Medicine and Shoulder Service serve as team

physicians and medical advisors for international sporting

In Memoriam: Patricia Mosbacher

I t is with deep sorrowthat we note thepassing of Patricia

Mosbacher, a cherished memberand Vice Chair Emerita of ourBoard of Trustees. A committedmember of the Board since 1987,Mrs. Mosbacher played a pivotalrole in raising funds for theHospital as the longtime chair ofour Annual Tribute Dinner and aCo-chair of the Development Committee. In addition to herwork with the Hospital, Mrs. Mosbacher was a trustee of theFreedom Institute of New York, where she had also served asChair. She was a former trustee of New York Medical Collegeand the South Street Seaport Museum, and a former memberof the national Board of Directors of Project Hope. She alsoserved as a Chair of United Hospital of Port Chester. She was agraduate of the Dwight School in Englewood, New Jersey andattended Bennington College.At Hospital for Special Surgery, her memory lives on with

the annual Patricia Mosbacher Honorary Lecture inOrthopaedic Trauma and the Patricia Mosbacher Flower Fundthat were created in her honor. She will long be rememberedfor her grace and wit, as well as her style and dedication to ourmission. In the Hospital’s new lobby, a permanent fresh flowerdisplay, generously supported by members of the Board andthe Mosbacher family, will allow all who come to HSS to re-member this most elegant, kind, and dedicated woman.

30

events, including the summer Olympics held in Beijing,

highlighted in this issue of Horizon.

In October, the second International Society of

Orthopedic Centers (ISOC) meeting was held at the

Schulthess Klinik in Zurich. The Society, which was

founded by HSS, has senior physician representation from

the leading orthopedic centers around the world. The mis-

sion of this new organization is to facilitate the exchange

of ideas and best practices among the premier orthopedic

institutions and to collaborate on patient care, education,

and research to affect improvement in orthopedic care on

a global scale. The third ISOC meeting is planned for

spring 2010 at Istituto Ortopedico Rizzoli in Bologna, Italy.

The Importance of PhilanthropyPhilanthropy is critical to Special Surgery and the work that

we do. The generosity of our grateful patients, corporate

donors, and foundations, as well as the support of our

trustees and medical staff, help ensure that our patients re-

ceive the highest level of care possible, that our research

continues to advance the understanding of musculoskeletal

disease, and that our facilities can expand to accommodate

demand. In 2008, we raised over $22.5 million – an excel-

lent achievement in this financial environment.

On June 16, 900 guests gathered at the World Financial

Center Winter Garden for the Hospital’s 25th Annual Gala,

honoring GE CEO Jeffrey Immelt and the late Richard

Laskin, MD. Chaired by Mrs. Douglas A. Warner III, the

Gala raised over $2 million in unrestricted support. Our

Autumn Benefit Committee, chaired by Cynthia Sculco,

hosted the first Magical Evening at the Rainbow Room in

November. Attracting a crowd of 380 people, the evening

raised over $400,000 for medical education. In December,

pediatric care and research were the focus of a Big Apple

Circus Benefit, a sold-out event raising over $95,000.

Trustee Susan W. Rose served as Honorary Chair; Drs.

Michelle Carlson and Daniel W. Green served as Co-Chairs.

Leading the WayOur Hospital is extremely fortunate to have a visionary and

engaged Board of Trustees whose expertise and commit-

ment to Special Surgery are invaluable. In November 2008,

members of the Hospital’s Board, along with medical and

scientific leadership and senior managers, participated in a

day-long retreat focused on two major topics: institutional

economics and translational research. Participants held

an in-depth discussion on the development of a plan to

achieve the Hospital’s long term financial goals and strate-

gies for continued growth. In addition, the group ad-

dressed promising opportunities in translational research

so that discoveries in the laboratory can be applied more

quickly to benefit patient care.

In 2008, we were pleased to welcome several new

trustees – Atiim (Tiki) Barber, Michael Brooks, Leslie

Cornfeld, Gordon Pattee, and Ellen Wright – who will help

further our mission and guide our future. We also welcomed

Stephan Feldgoise, Rachel Grodzinsky, Henry U. Harris III,

and Carter Brooks Simonds to our Board of Advisors.

Looking ForwardThe accomplishments of Hospital for Special Surgery in

2008 were achieved as a result of the incredible efforts of

an extraordinarily talented HSS family – our employees,

volunteers, management team, medical staff, and Board of

Trustees. We are all part of a tremendous team and we are

extremely proud of the role each of our employees plays in

the care of our patients and the strengthening of our insti-

tution.

Current local, national, and global conditions pose very

real concerns for the healthcare industry, but HSS remains

a committed, focused institution dedicated to improving

the health and mobility of patients with diseases and disor-

ders of the musculoskeletal system. 2009 will indeed be a

year of change, challenge, and opportunity. We are ex-

tremely fortunate to be entering this very important year

with the absolute best team in health care. We now look

forward, rededicating ourselves to pursuing opportunities

that will allow us to improve and build upon a foundation

of excellence and remain an established leader in muscu-

loskeletal medicine around the world.

Dean R. O’Hare

Co-Chair

Louis A. Shapiro

President and CEO

Stephen A. Paget, MD

Physician-in-Chief

Aldo Papone

Co-Chair

Thomas P. Sculco, MD

Surgeon-in-Chief and Medical Director

Steven R. Goldring, MD

Chief Scientific Officer

31

William and Carolyn Stutt:Friends for Quality of Life

William Stutt is a downhill skier, likes to windsurf

and golf, and “bikes pretty hard.” Carolyn Stutt

usually walks four to five miles a day, is an avid

gardener, and even enjoys shoveling snow. And they very

much enjoy their quality of life. But both have had their

share of orthopedic injuries and passionately agree that if

your quality of life is suffering from pain and immobility as-

sociated with a musculoskeletal condition, “don’t delay –

get help, get it fixed.”

Mr. Stutt’s injuries date back to the late 1940s – the re-

sult of playing lacrosse while a midshipman at the United

States Naval Academy. “I’d had an ACL that had not been

intact for all those years and a meniscus that had been

removed years ago,” says Mr. Stutt. “By 2000, I had devel-

oped a pretty severe arthritic condition, and my knee was

steadily getting worse. I exercised regularly and played

sports, but it was more and more difficult.”

Mr. Stutt contacted Richard L. Menschel, his long time

friend and partner at Goldman Sachs, who was then

Chairman of the Board of Trustees at Hospital for Special

Surgery. Mr. Menschel put him in touch with Thomas P.

Sculco, MD, who replaced Mr. Stutt’s left knee in April of

2001. “It worked out so well that I decided to do something

with my right shoulder, which had been dislocated a num-

ber of times – again from lacrosse,” says Mr. Stutt. “I

thought why put up with that? The shoulder was becoming

very arthritic just as the knee had.” Mr. Stutt went to see

Russell F. Warren, MD, of the Hospital’s Sports Medicine

and Shoulder Service. Just five months following Mr. Stutt’s

knee replacement, Dr. Warren replaced his shoulder. “Both

worked out very, very well,” says Mr. Stutt.

Mrs. Stutt also came to know Special Surgery not long

after her husband’s experiences. In fact, she injured

herself while Mr. Stutt was recuperating from his knee

replacement at their home in Florida. “I slipped on a rug

and crashed my right foot into the support for the bed.

My second toe immediately pointed straight to the ceiling.”

Mrs. Stutt returned to New York two months later to

have surgery with Jonathan T. Deland, MD, Chief of the

Hospital’s Foot and Ankle Service. “In May 2007,” says

Mrs. Stutt, “I was back for my left foot. The hurricanes of

’06 took a chunk out of a door sill step. We tried to prevent

people from using the step, but I stepped right in.” Mrs.

Stutt tore ligaments involving four toes. This surgery was

much more complex, requiring pins to repair the damage.

Just five months later, Michelle G. Carlson, MD, a hand

specialist with HSS, removed a cyst and bone spurs from

a finger in Mrs. Stutt’s right hand, returning her hand to

normal function.

“So we feel quite indebted to HSS,” says Mr. Stutt.

“We’ve supported Johns Hopkins because of the good ex-

periences we’ve had there. We decided that we wanted to

continue to support institutions which are number one in

their fields and that has been a large part of our philan-

thropic outlook.”

The Stutts’ contributions to Hospital for Special Surgery

have included gifts to arthroplasty and sports medicine

research, including support of the Russell F. Warren Chair

in Research. “It is getting increasingly difficult for these

institutions to have the flexibility in funds to do the

research, either developmental or basic,” says Mr. Stutt.

“Therefore it becomes more and more important to have

private funds to address those needs. We strongly believe

that the money should go to those institutions that are at

the top of their game.”

“If more discoveries can lead to improvements in quality

of life as we all get older – isn’t that wonderful?” says

Mrs. Stutt. “We both believe in that because we were

helped to regain our own quality of life through procedures

that would not have been possible that many years ago.

My husband is the best example – he’s going to be 82.

I’m going to be 67. We continue to be very active and are

grateful to HSS for enabling that to happen.”

William and Carolyn Stutt credit the expertise they found at Hospitalfor Special Surgery for being able to enjoy a very vital quality of life.

32

33

Philanthropic Highlights – More than $22 Million Raised in 2008

Hospital for Special Surgery continued to thrive in

2008, thanks to the thousands of individuals,

foundations and corporations that supported us

throughout the fiscal challenges we faced as a nation. With

the help of dedicated friends, HSS raised nearly $22.5 mil-

lion to support patient care, research, education, and the

renovation and expansion of our clinical facilities.

We cannot emphasize strongly enough the importance

of our individual donors to our success as an institution.

More than 75% of the funds raised in 2008 came from

individuals and their bequests, a continuing trend at HSS

and for philanthropy nationwide.

For each of the last three years, both the number of

gifts and the number of donors have grown. In 2008, HSS

received over 6,600 contributions from more than 5,200

donors, an increase of 15% over 2007.

Our success in 2008 was bolstered by the extraordinary

generosity of several donors, some making their first gift,

others continuing a long tradition of support for HSS.

Among them are Ellen and Joe Wright, who made a gift of

$2.5 million to the Children’s Pavilion, a ‘pediatric hospital

within a hospital’ that will consolidate our pediatric services

in an environment uniquely designed and built for children

and their families. This gift brought the Wright’s total com-

mitment to the Capital Campaign to $3 million.

Principal support was also received from an anonymous

donor who contributed over $1.7 million in support of the

Richard S. Laskin, M.D. Chair in Musculoskeletal Education

and the Division of Arthroplasty Endowment Fund, while

Rheuminations, Inc., made a gift of $1.4 million to benefit

the Mary Kirkland Center for Lupus Research.

Gifts of $1 million came from an anonymous donor and

the Li Ka Shing Foundation, whose first-time commitment

will support the Osteoarthritis Initiative. The OA Initiative is

an unprecedented collaboration of our clinicians, basic

scientists, and clinical researchers, undertaken to find new

ways to diagnose and treat this disease.

Total Number of Donors(amounts in thousands)

7000

6000

5000

4000

3000

2000

1000

0 06 07 08

Total Number of Gifts(amounts in thousands)

7000

6000

5000

4000

3000

2000

1000

0 06 07 08

Individuals 73%

Foundations 16%

Corporations 8%

Bequests 3%

HSS 2008 Giving by Source

Building on Success: The Campaign for the

Future of Hospital for Special Surgery remains a

top priority, dedicated to the expansion of our

clinical facilities and the development of a robust clinical

research program. HSS raised $17.2 million for the

campaign in 2008, including almost $5 million for capital

expansion and close to $10 million for research. This

brings the total raised for Building on Success to nearly

$98 million since it began in September 2005.

As the largest capital renovation and expansion in the

Hospital’s history, the campaign will help us to meet the

needs of increasing numbers of patients and build upon

the strength of our leadership and the extraordinary

volume of patients we serve to significantly advance

evidence-based medicine in orthopedics, rheumatology

and related disease. The David H. Koch Medical Building,

the first new clinical structure at HSS in a decade, will

play a critical role in these endeavors.

Building on Success is dedicated to improving the

quality of life for patients today and for generations to

come. It is a testament to the generosity of our supporters

and to Special Surgery’s commitment to providing the best

care to each person who passes through our doors.

Building on Success: The Campaign for the Future of HSS Approaches $100 Million Mark

In 2008, surgical volume grew by over 12 percent and

outpatient visits for non-surgical services such as radiol-

ogy and rehabilitation grew by over 11 percent. The

quality of our care continues to be outstanding, and we

were successful in recruiting the physicians, nurses, and

other staff needed to keep pace with this growth. The

consistent volume growth over the past 10-plus years is

attributable to a number of factors, including increased

awareness of the Hospital’s unique services and outstand-

ing outcomes; continued and growing acceptance of

orthopedic procedures due to superior implants and high

success rates; the general aging of the population; and the

growing number of younger individuals electing to have

orthopedic procedures to maintain their active lifestyles.

The Hospital continues to operate in an environment

that poses numerous financial challenges. The challenges

that the Hospital has historically faced such as reductions

to Medicare and Medicaid reimbursement, complex and

costly regulatory requirements, and the high cost of labor,

real estate, and construction in the New York City metro-

politan area are now exacerbated by significant declines in

the investment markets, tight credit markets, and a deep-

ening economic recession. The New York State budget for

the upcoming fiscal year will result in reductions to the

Hospital’s revenues substantially in excess of historical

levels. As we move ahead to 2009, the impacts on

fundraising, volume growth, access to credit markets, and

revenue remain uncertain; however our stellar reputation

and solid financial foundation have positioned us to

respond to these impacts.

Our consistently strong operating results in past years

provided the resources to make the significant investments

in personnel and capital infrastructure that were needed to

accommodate the demand for the Hospital’s services and

advance the strategic goals of our mission. The first phases

of a major facility expansion and renovation, which includ-

ed additional operating rooms, inpatient beds, doctor

offices, and magnetic resonance imaging (MRI) units, were

completed during 2006 and 2007. Other accomplishments

in recent years include the implementation of an inpatient

clinical information system, digital radiology, and other

advanced information technology systems.

The Hospital’s Research Division is internationally

recognized as a leader in the study of musculoskeletal

disorders and related autoimmune disease. Our commit-

Finance Report

ment to both basic and clinical research is an important

component of the overall Hospital mission and is critical

to Special Surgery maintaining and enhancing its status as

a premier institution in orthopedics, rheumatology, and

related disciplines. The close relationship between our

scientists and medical staff enables a rapid application of

scientific discovery to the patient care setting. During 2008,

$31.7 million was dedicated to a wide variety of research

initiatives and programs. The ongoing recruitment and

retention of gifted scientists and clinicians will enable the

Hospital to continue to expand the scope of its research

activities and maintain its leadership position in its fields.

With a history of achieving positive operating margins

through strong volume and revenue growth, successful

fundraising, and an organization-wide emphasis on

efficiently managing financial resources, the Hospital is

positioned to respond to its current challenges. We will

continue to monitor economic trends closely and prudent-

ly invest the resources and take the steps necessary to

continue to provide the highest quality musculoskeletal

care, train top physicians, conduct pacesetting research,

and accommodate the demand for our services. Our major

facility expansion will continue through 2012 and provide

additional operating rooms, inpatient beds, a pediatric

pavilion to serve the unique needs of our youngest

patients, doctor offices, and expanded space for radiology

and other outpatient services. This expanded capacity,

along with an ongoing focus on efficiency, will enable the

Hospital to keep pace with the anticipated growth in our

patient population. In addition, we are committed to

developing and implementing technology that will enhance

our ability to deliver care in a safe and efficient manner.

Now, more than ever, we remain focused on investing the

resources to build upon our foundation of excellence in

musculoskeletal care, research, and education.

Stacey L. Malakoff

Executive Vice President and

Chief Financial Officer

34

35

Financial Information(1)(2)

Hospital for Special Surgery and Affiliated Companies

Statement of Income(3)

Year Ended,

(In Thousands) 2008 2007(4)

Hospital for Special Surgery

Total Revenue(5,6) $515,892 $470,711Total Expenses(7) 507,103 456,240

Operating Income from Hospital for Special Surgery $ 8,789 $ 14,471

Affiliated Companies

Total Revenue(7) $ 47,030 $ 48,205Total Expenses(6) 44,933 46,869

Operating Income from Affiliated Companies $ 2,097 $ 1,336

Operating Income $ 10,886 $ 15,807

Statement of Financial Position

December 31,

(In Thousands) 2008 2007

Assets

Current Assets (Excluding Investments) $114,304 $ 98,972Investments(8)

Current 120,402 168,923Long Term 74,956 60,924Assets Limited as to Use 36,574 29,699

Property, Plant and Equipment – Net 307,671 310,236Other Non-Current Assets 30,481 38,010

Total Assets $684,388 $706,764

Liabilities and Net Assets

Current Liabilities $143,993 $136,405Long Term Debt 185,041 189,045Other Non-Current Liabilities 68,373 22,326

Total Liabilities 397,407 347,776

Net Assets 286,981 358,988

Total Liabilities and Net Assets $684,388 $706,764

(1) Includes activities relating to Hospital for Special Surgery and its affiliates (Hospital for Special Surgery Fund, Inc.,HSS Properties Corporation, HSS Horizons, Inc., HSS Ventures, Inc., and Medical Indemnity Assurance Company, Ltd).

(2) Complete audited Financial Statements of both Hospital for Special Surgery and affiliates are available upon request from theHSS Development Department at 212.606.1196.

(3) Excludes $18.0 and $43.0 million of restricted philanthropic contributions in 2008 and 2007, respectively.(4) For purposes of comparison, certain reclassifications have been made to the 2007 column to conform with the 2008 presentation.Such reclassifications had no effect on changes in net assets.

(5) Excludes changes in unrealized gains and losses on investments.(6) Includes $1.1 million of transactions between affiliates that are eliminated in consolidation in 2008 and 2007.(7) Includes $35.5 million and $32.7 million of transactions between affiliates that are eliminated in consolidation in 2008 and 2007, respectively.(8) Hospital for Special Surgery is the beneficiary in perpetuity of income from an outside trust. The fair values of investments in the trust arenot included above and were $26.7 million and $41.3 million at December 31, 2008 and 2007, respectively.

Medical Board

ChairmanThomas P. Sculco, MD

SecretaryPaul M. Pellicci, MD

Board MembersMathias P. Bostrom, MDCharles N. Cornell, MDTheodore R. Fields, MDStephanie Goldberg,

MS, RN, CNALisa A. Goldstein, MPSMarion Hare, MPA, RNDavid L. Helfet, MDWinfield P. Jones, TrusteeRichard L. Kahn, MDMichael J. Klein, MDGregory A. Liguori, MDGregory E. Lutz, MDConstance Margolin, Esq.Stephen A. Paget, MDHelene Pavlov, MDPaul M. Pellicci, MDLaura Robbins, DSWLeon Root, MDThomas P. Sculco, MDLouis A. Shapiro,

President and CEOScott W. Wolfe, MD

Medical Staff

Surgeon-in-Chief andMedical DirectorThomas P. Sculco, MD

Surgeons-in-Chief EmeritiRussell F. Warren, MDAndrew J. Weiland, MDPhilip D. Wilson, Jr., MD

Executive Assistant toSurgeon-in-ChiefMathias P. Bostrom, MD

Department ofOrthopedic Surgery

Clinical DirectorCharles N. Cornell, MD

Academic DirectorMathias P. Bostrom, MD

Orthopedic Research DirectorJo A. Hannafin, MD, PhD

Faculty Development DirectorScott W. Wolfe, MD

Orthopedic Surgeons EmeritiStanley E. Asnis, MDStephen W. Burke, MDMichael J. Errico, MD

Allan E. Inglis, MDLewis B. Lane, MDDavid B. Levine, MDPeter J. Marchisello, MDRichard R. McCormack, Jr., MDThomas D. Rizzo, MD

Attending Orthopedic SurgeonsDavid W. Altchek, MDOheneba Boachie-Adjei, MDMathias P. Bostrom, MDCharles N. Cornell, MDEdward V. Craig, MDJo A. Hannafin, MD, PhDJohn H. Healey, MDDavid L. Helfet, MDJoseph M. Lane, MDPaul M. Pellicci, MDChitranjan S. Ranawat, MDScott A. Rodeo, MDLeon Root, MDEduardo A. Salvati, MDThomas P. Sculco, MD

(Surgeon-in-Chief)Russell F. Warren, MD

(Surgeon-in-Chief Emeritus)Andrew J. Weiland, MD

(Surgeon-in-Chief Emeritus)Thomas L. Wickiewicz, MDPhilip D. Wilson, Jr., MD

(Surgeon-in-Chief Emeritus)Russell E. Windsor, MDScott W. Wolfe, MD

Associate AttendingOrthopedic SurgeonsAnsworth A. Allen, MDEdward A. Athanasian, MDJohn S. Blanco, MDWalther H.O. Bohne, MDRobert L. Buly, MDFrank P. Cammisa, Jr., MDFrank A. Cordasco, MDJonathan T. Deland, MDDavid M. Dines, MDJames C. Farmer, MDMark P. Figgie, MDFederico P. Girardi, MDDaniel W. Green, MDSteven B. Haas, MDRobert N. Hotchkiss, MDJohn P. Lyden, MDJohn D. MacGillivray, MDRobert G. Marx, MDBryan J. Nestor, MDStephen J. O’Brien, MDPatrick F. O’Leary, MDMartin J. O’Malley, MDDouglas E. Padgett, MDBernard A. Rawlins, MDS. Robert Rozbruch, MDHarvinder S. Sandhu, MDDavid M. Scher, MDGeoffrey H. Westrich, MDRoger F. Widmann, MDRiley J. Williams III, MD

Assistant AttendingOrthopedic SurgeonsMichael M. Alexiades, MDScott W. Alpert, MDDavid E. Asprinio, MDFriedrich Boettner, MDMichelle G. Carlson, MDStruan H. Coleman, MD, PhDMatthew E. Cunningham, MD, PhDAaron Daluiski, MDJoshua S. Dines, MDShevaun M. Doyle, MDAndrew J. Elliott, MDScott J. Ellis, MDStephen Fealy, MDAustin T. Fragomen, MDAlejandro Gonzalez DellaValle, MDCharles B. Goodwin, MDWilliam G. Hamilton, MDRussel C. Huang, MDEdward C. Jones, MDLana Kang, MDAnne M. Kelly, MDBryan T. Kelly, MDJohn G. Kennedy, MDAlejandro Leali, MDDavid S. Levine, MDJohn C. L’Insalata, MDDean G. Lorich, MDPatrick V. McMahon, MDDavid J. Mayman, MDMichael J. Maynard, MDMichael L. Parks, MDAndrew D. Pearle, MDCathleen L. Raggio, MDAmar S. Ranawat, MDAnil S. Ranawat, MDDaniel S. Rich, MDMatthew M. Roberts, MDJose A. Rodriguez, MDHoward A. Rose, MDAndrew A. Sama, MDMark F. Sherman, MDBeth E. Shubin Stein, MDSabrina M. Strickland, MDEdwin P. Su, MDWilliam O. Thompson, MDKurt V. Voellmicke, MDSteven B. Zelicof, MD, PhD

Associate Attending SurgeonsGary A. Fantini, MD

(Vascular Surgery)Francis W. Gamache, Jr., MD

(Neurosurgery)Lloyd B. Gayle, MD

(Plastic Surgery)

Assistant Attending SurgeonsLloyd A. Hoffman, MD

(Plastic Surgery)Kenneth O. Rothaus, MD

(Plastic Surgery)

Orthopedic Surgeons toAmbulatory Care CenterConsulting StaffSteven Z. Glickel, MD

(Pediatric Hand)

Fellows in Orthopedic SurgeryTimothy Achor, MD

(Trauma)Jaimo Ahn, MD, PhD

(Trauma)Kashif Ashfaq, MBBS

(Limb Lengthening andReconstruction)

Olufemi Ayeni, MD(Sports Medicine/Shoulder)

Asheesh Bedi, MD(Sports Medicine/Shoulder)

Patrick Birmingham, MD(Sports Medicine/Shoulder)

Yossef Blum, MD(Adult Reconstruction)

Edwin Cadet, MD(Sports Medicine/Shoulder)

Gilbert Chan, MD(Pediatrics)

Christopher Dodson, MD(Sports Medicine/Shoulder)

Mark Dolan, MD(Adult Reconstruction)

Mark Drakos, MD(Sports Medicine/Shoulder)

Marco Ferrone, MD(Spine/Scoliosis)

David Gay, MD(Hand)

A. Ylenia Giuffrida, MD(Hand)

Matthew Hepinstall, MD(Adult Reconstruction)

Alexander Hughes, MD(Spine/Scoliosis)

Antony Kallur, MBBS(Spine/Scoliosis)

Aleksandr Khaimov, DO(Adult Reconstruction)

Jonathan Lam, MD PhD(Hand)

Aamer Malik, MD(Adult Reconstruction)

Theodore Manson, MD, MS(Adult Reconstruction)

Satyajit Marawar, MBBS(Spine/Scoliosis)

Daniel Markowicz, MD(Adult Reconstruction)

Volker Musahl, MD(Sports Medicine/Shoulder)

Irvin Oh, MD(Foot/Ankle)

Kenneth Park, MD(Foot/Ankle)

Mark Prasarn, MD(Trauma)

Professional Staff (April 1, 2009)

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37

Catherine Robertson, MD(Sports Medicine/Shoulder)

James Ryan, MD(Adult Reconstruction)

David Schroder, MD(Adult Reconstruction)

Raheel Shafi, MD(Limb Lengthening andReconstruction)

Amit Sharma, MBBS(Spine/Scoliosis)

Aasis Unnanuntana, MD(Metabolic Bone Diseases)

Adam Wagshul, MD(Foot/Ankle)

Hiroyuki Yoshihara, MB(Spine/Scoliosis)

ResidentsPGY5Joseph Barker, MDLawrence Gulotta, MDR. Frank Henn, MDBenton Heyworth, MDChristoper Mattern, MD, MBAMichael Shindle, MDAdrian Thomas, MDJames Voos, MD

PGY4Cassie Gyuricza, MDCarolyn Hettrich, MD, MPHChristopher Kepler, MD, MBAAnna Noel Miller, MDNgozi Mogekwu, MDAndrew Neviaser, MDDaryl Osbahr, MDBradley Raphael, MDSeth Sherman, MD

PGY3Haydee Brown, MDMichael Cross, MDDemetris Delos, MDDuretti Fufa, MDSommer Hammoud, MDPatrick Jost, MDHan Jo Kim, MDTravis Maak, MDDaniel Osei, MD

PGY2Constantine Demetracopoulos, MDKristofer Jones, MDAlison Kitay, MDDennis Meredith, MDCurtis Mina, MDDenis Nam, MDKeith Reinhardt, MDMark Schrumpf, MD

PGY1Marschall Berkes, MDTai-Li Chang, MDChristopher Dy, MD, MSPeter Fabricant, MDMilton Little, MDBenjamin McArthur, MDMoira McCarthy, MDSamuel Taylor, MD

Department of AppliedBiomechanics inOrthopedic Surgery

DirectorTimothy M. Wright, PhD

Associate EngineersJoseph Lipman, MSDarrick Lo, MEng

Department of Medicine

Physician-in-Chief andDirector of MedicineStephen A. Paget, MD

Physician-in-Chief EmeritusCharles L. Christian, MD

Physicians EmeritiKlaus Mayer, MDWilliam C. Robbins, MDErnest Schwartz, MD

Peri-operative CenterDirectorC. Ronald MacKenzie, MD

Rheumatology FacultyPractice PlanDirectorTheodore R. Fields, MD

Rheumatology Training ProgramDirectorAnne R. Bass, MD

Inflammatory Arthritis CenterDirectorSergio Schwartzman, MD

Associate DirectorAllan Gibofsky, MD, JD

Mary Kirkland Lupus CenterCo-DirectorsDoruk Erkan, MD, MPHKyriakos A. Kirou, MD

Attending PhysiciansRichard S. Bockman, MD, PhD

(Endocrinology)Barry D. Brause, MD

(Chief, Infectious Disease)Mary K. Crow, MDAllan Gibofsky, MDLawrence J. Kagen, MDThomas J.A. Lehman, MD

(Chief, Pediatric Rheumatology)Michael D. Lockshin, MDJoseph A. Markenson, MDIrwin Nydick, MD

(Cardiovascular Disease)Stephen A. Paget, MD

(Physician-in-Chief)Francis Perrone, MD

(Cardiovascular Disease)Richard S. Rivlin, MDJane E. Salmon, MDJames P. Smith, MD

(Pulmonary Medicine)Harry Spiera, MD

Associate Attending PhysiciansAnne R. Bass, MDHarry Bienenstock, MDLisa R. Callahan, MD

(Sports)Theodore R. Fields, MDLionel B. Ivashkiv, MDC. Ronald MacKenzie, MDSteven K. Magid, MDCarol A. Mancuso, MDJordan D. Metzl, MD

(Sports)Martin Nydick, MD

(Endocrinology)Sergio Schwartzman, MDRobert F. Spiera, MDRichard Stern, MD

Assistant Attending PhysiciansAlexa B. Adams, MDJuliet Aizer, MDDalit Ashany, MDLaura V. Barinstein, MDJessica R. Berman, MDMatthew L. Buchalter, MDGina DelGiudice, MDStephen J. DiMartino, MD, PhDDoruk Erkan, MDEvette Ferguson, MDRichard A. Furie, MDJacobo Futran, MDFlavia A. Golden, MDSusan M. Goodman, MDStewart G. Greisman, MDBrian C. Halpern, MD

(Sports)Wesley Hollomon, MDMichael I. Jacobs, MD

(Dermatology)Osric S. King, MD

(Sports)Kyriakos K. Kirou, MDMary J. Kollakuzhiyil, MDEmma Jane MacDermott, MB, BChLisa A. Mandl, MDJaqueline M. Mayo, MDCharis F. Meng, MDSonal S. Parr, MDEdward J. Parrish, MDJill M. Rieger, MDLinda A. Russell, MDLisa R. Sammaritano, MDAriel D. Teitel, MDLisa C. Vasanth, MDMary Beth Walsh, MDArthur M.F. Yee, MD, PhDDiana A. Yens, MDWendy S. Ziecheck, MD

Physicians toAmbulatory Care CenterJames P. Halper, MDBento R. Mascarenhas, MDLakshmi Nandini Moorthy, MDHendricks H. Whitman III, MDDee Dee Wu, MDDavid A. Zackson, MD

Consulting StaffThomas M. Novella, DPM

(Podiatric Medicine)

Fellows in Rheumatic DiseaseSabeen Anwar, MDKun Chen, MD, PhDDiana Goldenberg, MD, MPHJessica Gordon, MDSuhail Hameed, MBBSArundathi Jayatilleke, MD, MSNeal Moskowitz, MD, PhDDana Orange, MDOra Singer, MDAntigoni Triantafyllopoulou, MDWeijia Yuan, MB

Fellows in PediatricRheumatologyRisa Alperin, MDJennifer Belasco, MDJulie Cherian, MDAnusha Ramanathan, MD

Neurology

ChiefMoris Jak Danon, MD

Neurologist EmeritusPeter Tsairis, MD

Attending NeurologistsAbe M. Chutorian, MDMoris Jak Danon, MD

Associate Attending NeurologistsBarry D. Jordan, MDHoward W. Sander, MD

Assistant Attending NeurologistsBridget T. Carey, MDCarl W. Heise, MDBrion D. Reichler, MDTeena Shetty, MDGerald J. Smallberg, MDDexter Y. Sun, MD, PhDAnita T. Wu, MD

Fellow in NeurologyReza Zarnegar, DO

Pediatric Service

ChiefLisa S. Ipp, MD

Attending PediatricianThomas J.A. Lehman, MD

(Chief, PediatricRheumatology)

Associate Attending PediatriciansJessica G. Davis, MD

(Genetics)Donna DiMichele, MDNunzia Fatica, MDJordan D. Metzl, MD

(Sports)Gail E. Solomon, MD

(Neurology)

Assistant Attending PediatriciansAlexa B. Adams, MDLaura V. Barinstein, MDSusan B. Bostwick, MD

Hyun Susan Cha, MDMary F. DiMaio, MDLisa S. Ipp, MDEmma Jane MacDermott,MB, BCh

(Rheumatology)Stephanie L. Perlman, MD

Psychiatry Service

Chief and Attending PsychiatristJ. Warren Brown, MD

Assistant Attending PsychiatristRuth Cohen, MD

Consulting PsychiatristAllan M. Lans, DO

Department of Anesthesiology

Anesthesologist-in-Chiefand DirectorGregory A. Liguori, MD

Education DirectorDavid L. Lee, MD

Clinical Research DirectorJaques T. YaDeau, MD, PhD

Attending AnesthesiologistsSpencer S. Liu, MD

(Director, Acute andRecuperative Pain Services)

Nigel E. Sharrock, MD

Associate AttendingAnesthesiologistsStephen N. Harris, MDGregory A. Liguori, MDJeffrey Y.F. Ngeow, MDCephas Swamidoss, MDMichael K. Urban, MD, PhD

(Medical Director, PACU)William F. Urmey, MDVictor M. Zayas, MD

(Director, Pediatric Anesthesia)

Assistant AttendingAnesthesiologistsJonathan C. Beathe, MDJames D. Beckman, MDDevan B. Bhagat, MDBradford E. Carson, MDMary F. Chisholm, MDKathryn DelPizzo, MDChristopher Dimeo, MDChris R. Edmonds, MDMichael A. Gordon, MDEnrique A. Goytizolo, MDDouglas S.T. Green, MDSemih Gungor, MDMichael Ho, MDKethy M. Jules, MDRichard L. Kahn, MD

(Medical Director,Ambulatory Surgery)

Richard S. King, MDVincent R. LaSala, MDAndrew C. Lee, MD

David L. Lee, MDYi Lin, MDDaniel Maalouf, MDStavros Memtsoudis, MDJohn G. Muller, MDJoseph A. Oxendine, MDLeonardo Paroli, MD, PhDThomas J. Quinn, MDDaniel I. Richman, MDJames J. Roch, MDLauren H. Turteltaub, MDPhilip J. Wagner, MDSeth A. Waldman, MD

(Director, Pain Management)David Y. Wang, MDJacques T. YaDeau, MD, PhD

Fellows in AnesthesiologyDaniel Chen, MDChristopher Cook, DOPratima Gondipalli, MDDavid Kim, MDKanupriya Kumar, MDEdward Lin, MDVrunda Pandya, MD

Department ofLaboratory Medicine

Pathologist-in-Chief and DirectorMichael J. Klein, MD

Pathologist EmeritiPeter G. Bullough, MDKlaus Mayer, MD

Surgical Pathology DirectorEdward F. DiCarlo, MD

Attending PathologistsManjula Bansal, MDMichael J. Klein, MD

Associate Attending PathologistEdward F. DiCarlo, MD

Assistant Attending PathologistGiorgio Perino, MD

Chief of Blood Bank,Attending Hematologist andImmunohematologistDavid L. Wuest, MD

Associate Attending Hematologistand ImmunohematologistLilian M. Reich, MD

Consulting Neurologistin PathologyMoris Jak Danon, MD

Department of Physiatry

Physiatrist-in-Chief and DirectorGregory E. Lutz, MD

Academic DirectorPaul M. Cooke, MD

Fellowship DirectorChristopher Lutz, MD

EMG Laboratory DirectorJoseph H. Feinberg, MD

Associate Attending PhysiatristsJoseph H. Feinberg, MDGregory E. Lutz, MD

Assistant Attending PhysiatristsVincenzo Castellano, MDPaul M. Cooke, MDStephen G. Geiger, MDChristopher Lutz, MDElizabeth M. Manejias, MDPeter J. Moley, MDAlex C. Simotas, MDJennifer L. Solomon, MDVijay B. Vad, MD

Consulting StaffRock G. Positano, DPM

(Podiatric Medicine)

Fellows in PhysiatryCarroll Cooper, MDStefan Muzin, MDKevin Pak, MDJeffrey Radecki, MD

Department ofRadiology and Imaging

Radiologist-in-Chiefand DirectorHelene Pavlov, MD

Academic DirectorCarolyn M. Sofka, MD

Research DirectorHollis G. Potter, MD

Radiologist EmeritusRobert H. Freiberger, MD

Attending RadiologistsRonald S. Adler, MD, PhD

(Chief, Ultrasound andBody CT)

Bernard Ghelman, MDRichard J. Herzog, MD

(Chief, Teleradiology)Theodore T. Miller, MDHelene Pavlov, MDHollis G. Potter, MD

(Chief, MagneticResonance Imaging)

Robert Schneider, MD(Chief, Nuclear Medicine)

Associate Attending RadiologistsDouglas N. Mintz, MDCarolyn M. Sofka, MD

Assistant Attending RadiologistsEric A. Bogner, MDAnthony Chang, MDLi Foong Foo, MDGregory R. Saboeiro, MD

(Chief, InterventionalProcedures and CT)

Radiologist toAmbulatory Care CenterBonnie G. Lemberg, MD

Fellows inMusculoskeletal RadiologyTimothy Deyer, MDCono Gallo, MDKevin Johnson, MDValeriy Kheyfits, MDMichael Ngo, MDAnuraag Sahai, MD

Department ofRehabilitation Medicine

Director and ChiefLeon Root, MD

Honorary Staff

Peter G. Bullough, MD(Laboratory Medicine)

Stephen W. Burke, MD(Orthopedic Surgery)

Charles L. Christian, MD(Medicine)

Robert H. Freiberger, MD(Radiology)

David B. Levine, MD(Orthopedic Surgery)

Klaus Mayer, MD(Laboratory Medicine)

Robert C. Mellors, MD, PhD(Laboratory Medicine)

Peter Tsairis, MD(Neurology)

NewYork-PresbyterianHospital Consultantsto Department of OrthopedicSurgery

Cardiothoracic SurgeryLeonard N. Girardi, MDCharles A. Mack, MD

General SurgeryPhilip S. Barie, MDSoumitra R. Eachempati, MDFaith A. Menken, MDKevin P. Morrissey, MD

NeurosurgeryMark H. Bilsky, MDJam Ghajar, MDRoger Hartl, MDMichael H. Lavyne, MDBenjamin Levine, MDHoward A. Riina, MDTheodore H. Schwartz, MDRobert B. Snow, MDMark M. Souweidane, MDPhilip E. Stieg, PhD, MD

OphthalmologyEdward Lai, MDJason A. Liss, MDSophia Pachydaki, MDScott Warden, MD

OtorhinolaryngologyMax M. April, MDJacqueline E. Jones, MDAshutosh Kacker, MD

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39

William I. Kuhel, MDDavid I. Kutler, MDAnthony N. LaBruna, MDMukesh Prasad, MDWilliam Reisacher, MDRita M. Roure, MDSamuel H. Selesnick, MDMichael G. Stewart, MDLucian Sulica, MDErich Voigt, MDRobert F. Ward, MD

Pediatric SurgeryMichael P. La Quaglia, MDNitsana A. Spigland, MD

Plastic SurgeryJohn G. Hunter, MDMark H. Schwartz, MDJason A. Spector, MD

UrologyJerry G. Blaivas, MDBenjamin Choi, MDScott G. David, MDMarc Goldstein, MDSteven A. Kaplan, MDMarcus H. Loo, MDThomas P. McGovern, MDCarlos Medina, MDDix P. Poppas, MDRajveer S. Purohit, MDHoward I. Schiff, MDJonathan D. Schiff, MDPeter N. Schlegel, MDAlexis E. Te, MD

Vascular SurgeryAnthony C. Antonacci, MDJohn Karwowski, MD

(Chief)

NewYork-PresbyterianHospital Consultants toDepartment of Medicine

Allergy-ImmunologyDaniel A. Burton, MDBarton Inkeles, MDGillian M. Shepherd, MD

Cardiovascular DiseaseJames A. Blake, MDDavid S. Blumenthal, MDJeffrey S. Borer, MDRobert D. Campagna, MDRichard B. Devereux, MDTimothy C. Dutta, MDFrederick J. Feuerbach, MDJeffrey D. Fisher, MDKenneth W. Franklin, MDRichard M. Fuchs, MDHarvey L. Goldberg, MDEdmund M. Herrold, MDClare A. Hochreiter, MDLawrence A. Inra, MDErica C. Jones, MDMazen O. Kamen, MDLawrence A. Katz, MDRobert O. Kenet, MD

Daniel Krauser, MDDavid Lefkowitz, MDLawrence F. Levin, MD

(Chief)Norman M. Magid, MDDavid H. Miller, MDRobert M. Minutello, MDElizabeth C. Muss, MDMartin R. Post, MDMary J. Roman, MDAllison Spatz, MDTheodore I. Tyberg, MDCraig H. Warschauer, MDStephen R. Weiss, MDHooman Yaghoobzadeh, MDGerardo L. Zullo, MDMichael A. Zullo, MD

DermatologyJohn A. Carucci, MDMaria Colavincenzo, MDAnjali Dahiya, MDJalong Gaan, MDRichard D. Granstein, MDPeter S. Halperin, MDHenry Lee, MDNeil S. Sadick, MDMathew Varghese, MDHoratio F. Wildman, MD

EndocrinologyJason C. Baker, MDBarry J. Klyde, MDRichard J. Mahler, MDAndrew J. Martorella, MD

Family PracticeGeorge J. Kessler, DO

GastroenterologyBrian P. Bosworth, MDBradley A. Connor, MDJohn E. Franklin, Jr., MDChristine Frissora, MDHoward Goldin, MDArthur D. Heller, MDIra M. Jacobson, MDArnon Lambroza, MDBrian R. Landzberg, MDCharles Maltz, MDPaul F. Miskovitz, MDJerry Nagler, MDRobert A. Schaefer, MDMichael J. Schmerin, MDArnold L. Weg, MDGil Weitzman, MD

Hematology-OncologyMark S. Brower, MDMaria DeSancho, MDJonas M. Goldstone, MDBruce R. Gordon, MDBarbara L. Hempstead, MDCharles I. Jarowski, MDJeffrey Laurence, MDMargaret Lewin, MDDavid M. Nanus, MDAllyson J. Ocean, MDMark W. Pasmantier, MDRaymond D. Pastore, MDRoger N. Pearse, MD

Jia Ruan, MDAndrew I. Schafer, MDJeffrey Tepler, MDBabette B. Weksler, MD

Infectious DiseaseLewis M. Drusin, MDMarshall J. Glesby, MDLinnie M. Golightly, MDRoy M. Gulick, MDBarry J. Hartman, MDDavid C. Helfgott, MDJohn L. Ho, MDSian Jones, MDJason S. Kendler, MDLaura A. Kirkman, MDGeorge V. Lombardi, MDKristen Marks, MDHenry W. Murray, MDThomas W. Nash, MDAnthony Ogedegbe, MDKyu Y. Rhee, MDHoward E. Rosenberg, MDLawrence Siegel, MDHarjot K. Singh, MDPaul T. Smith, MDRosemary Soave, MDCarlos M. Vaamonde, MDMary A. Vogler, MDScott Weisenberg, MDTimothy Wilkin, MDCecilia Yoon, MDGianna J. Zuccotti, MD

Internal MedicineRichard P. Cohen, MDMark S. Dursztman, MDDaniel Goldin, MDChristina Harris, MDKeith A. LaScalea, MDSamuel J. Mann, MDMark S. Pecker, MDJacek J. Preibisz, MDR.A. Rees Pritchett, MDRichard F. Scofield, MDCarolyn R. Steinberg, MD

NephrologyNathaniel Berman, MDJon D. Blumenfeld, MDRoxana M. Bologa, MDJames Chevalier, MDDavid L. Globus, MDCholi Hartono, MDJun B. Lee, MDFrank Liu, MDJonathan A. Lorch, MDAlan S. Perlman, MDJohn S. Rodman, MDStuart D. Saal, MDDavid Serur, MDRaymond L. Sherman, MDJeffrey L. Silberzweig, MDJohn F. Sullivan, MDManikkam Suthanthiran, MDJohn Wang, MDAlan M. Weinstein, MD

NeurologyRussell L. Chin, MDMurray Engel, MDErik J. Kobylarz, MD, PhDBarry E. Kosofsky, MDNorman Latov, MDMichael Rubin, MDJohn A. Schaefer, MDNicholas D. Schiff, MDJ. Patrick Stubgen, MDJonathan D. Victor, MD

PediatricsAlexander Aledo, MD

(Hematology-Oncology)Rubin S. Cooper, MD

(Cardiology)Patricia A. DeLaMora, MD

(Infectious Disease)Murray Engel, MDAlfred Gilbert, MD

(Genetics)Valerie L. Johnson, MD

(Nephrology)Gerald M. Loughlin, MD

(Pulmonology)Aeri Moon, MD

(Gastroenterology)Roja Motaghedi, MD

(Endocrinology)Eduardo M. Perelstein, MD

(Nephrology)Maria G. Vogiatzi, MD

(Endocrinology)

Pulmonary MedicineDavid A. Berlin, MDJoseph T. Cooke, MDRonald G. Crystal, MDBrian Gelbman, MDRobert J. Kaner, MDThomas King, MDDaniel M. Libby, MDAbraham Sanders, MDAnne E. Tilley, MDMeredith Turetz, MD

PsychiatryJohn W. Barnhill, MDStephan J. Ferrando, MD

NewYork-PresbyterianHospital Consultants toDepartment of Radiologyand Imaging

Joseph P. Comunale, MDLinda A. Heier, MD

(Neuroradiology)Carl E. Johnson, MD

(Neuroradiology)Apostolos J. Tsiouris, MD

(Neuroradiology)Robert D. Zimmerman, MD

(Neuroradiology)

Research Division

Chief Scientific OfficerSteven R. Goldring, MD

Associate Chief Scientific Officerand Director of Basic ResearchLionel B. Ivashkiv, MD

Director of Clinical ResearchRobert N. Hotchkiss, MD

Senior ScientistsCarl Blobel, MD, PhDAdele L. Boskey, PhDPeter G. Bullough, MDMary K. Crow, MDStephen B. Doty, PhDMary Goldring, PhDRichard Herzog, MDLionel B. Ivashkiv, MDJoseph M. Lane, MDThomas J.A. Lehman, MDMichael D. Lockshin, MDStephen A. Paget, MDHelene Pavlov, MDJane E. Salmon, MDThomas P. Sculco, MDNigel E. Sharrock, MDPeter A. Torzilli, PhDRussell F. Warren, MDAndrew J. Weiland, MDPhilip D. Wilson, Jr., MDTimothy M. Wright, PhD

Associate ScientistsRonald S. Adler, MD, PhDDavid W. Altchek, MDMadhu Bhargava, PhDOheneba Boachie-Adjei, MDRichard S. Bockman, MD, PhDFrank P. Cammisa, Jr., MDFrank A. Cordasco, MDJonathan T. Deland, MDEdward DiCarlo, MD

Guillermina Girardi, PhDJo A. Hannafin, MD, PhDJohn H. Healy, MDDavid L. Helfet, MDRobert N. Hotchkiss, MDSpencer Liu, MDC. Ronald MacKenzie, MDCarol A. Mancuso, MDRobert G. Marx, MDHollis G. Potter, MDPaul Edward Purdue, PhDLaura Robbins, DSWEduardo A. Salvati, MDMichael Urban, MDWilliam F. Urmey, MDThomas L. Wickiewicz, MD

Assistant ScientistsMathias P. Bostrom, MDChih-Tung Chen, PhDCharles N. Cornell, MDAaron Daluiski, MDXianghua Deng, MDMark P. Figgie, MDFederico P. Girardi, MDQiu Guo, PhDSteven B. Haas, MDChisa Hidaka, MDXiaoyu Hu, MD, PhDRussell Huang, MDKyriakos Kirou, MDMatthew F. Koff, PhDGregory A. Liguori, MDTheresa Lu, MD, PhDSuzanne A. Maher, PhDJoseph A. Markenson, MDPhilipp Mayer-Kuckuk, PhDStavros Memtsoudis, MD, PhDBryan J. Nestor, MDStephen J. O’Brien, MDCathleen L. Raggio, MDBruce Rapuano, PhD

Bernard A. Rawlins, MDScott A. Rodeo, MDInez Rogatsky, PhDAndrew A. Sama, MDLisa R. Sammaritano, MDHarvinder S. Sandhu, MDGisela Weskamp, PhDGeoffrey H. Westrich, MDRiley J. Williams, MDScott W. Wolfe, MDJacques Yadeau, MD

InstructorsMatthew E. Cunningham, MD,

PhDWei Zhu, PhD

Visiting ScientistsItzhak Binderman, DDSYingxin Goa, PhDFrancisco Valero-Cuevas, PhD

Fellows in ResearchDanieli C. Andrade, MD, PhDYuri Chinenov, PhDSamuel Gourian, PhDVictor Guaiquil, PhDJing Hua, MD, PhDCarl Imhauser, PhDGeorge Kalliolias, PhDSylvain LeGall, PhDThorsten Maretzky, PhDMikhail Olferiev, MDSeonghun Park, PhDEric Pourmand, MDAnju Roy, PhDMarie K. Reumann, MDIrina Z. Sagalovskiy, PhDSteven Swendeman, PhDKonstantinos Verdelis, DDSMilena Vukelic, MDLu Wang, PhDXu Yang, MDAnna Yarilina, PhD

Scientists EmeritiAlbert H. Burstein, PhDCharles L. Christian, MDLeonhard Korngold, PhDRobert C. Mellors, MD, PhDAaron S. Posner, PhD

Adjunct Senior ScientistsDonald L. Bartel, PhDJoseph Mansour, PhDCarl F. Nathan, MDMargaret G.E. Peterson, PhDFrancesco Ramirez, PhDThomas H. Santer, PhDMarjolein C.H. van der Mullen,

PhD

Adjunct Associate ScientistsRobert Blank, MD, PhDLawrence Bonnassar, PhDPhilip Giampietro, MD, PhDElizabeth Kozora, PhDMark Lachs, MDDaniel MacDonald, DDSNancy Pleshko, PhDLuminita Pricop, MDAnimesh Sinha, MD, PhDMarjana Tomic-Canic, PhD

Adjunct Assistant ScientistsRobert Closkey, MDThombai Dorai, PhDLara Estroff, PhDMelanie Harrison, MDPeter Kloen, MD, PhDEric Meffre, PhDMartin Sanzari, PhDLicia Selleri, MD, PhDLance D. Silverman, MD, PhD

Adjunct InstructorHassan Ghomrawi, PhD

40

Members of the Hospital’sResearch Division areroutinely recognized for theirachievements with awardsand election to national andinternational leadershippositions. Following are justa few of the individuals whohave recently been honored.

Adele L. Boskey, PhD, waselected a Fellow of theAmerican Institute for Medicaland Biomedical Engineering.Dr. Boskey also received theOrthopaedic Research Women’sLeadership Award honoringher contributions to scienceand mentoring of women inorthopaedics.

Mathias P. Bostrom, MD, wasawarded the prestigious CareerDevelopment Award from theOrthopedic Research andEducation Foundation, which isgiven annually to one orthopedicsurgeon in the country.

Mary Goldring, PhD, was electedto the Board of Directors of theOsteoarthritis Research SocietyInternational.

Steven R. Goldring, MD, ChiefScientific Officer, was appointedChairman of the ResearchCommittee of the NationalArthritis Foundation. Dr.Goldring was recently awardedthe Paul Klemperer Award fromthe New York Academy of

Medicine, which is given to anoutstanding scientist in the areaof connective tissue diseasesand arthritis.

Jo A. Hannafin, MD, PhD, was the2009 recipient of the OrthopaedicResearch Society’s Women’sLeadership Forum Award.Dr. Hannafin was also namedVice Chair for Developmentfor the Orthopaedic ResearchEducational Foundation.

Lionel B. Ivashkiv, MD, SeniorScientist and Director of BasicResearch, has been appointedAssociate Chief Scientific Officerat HSS. Dr. Ivashkiv has an out-standing record of NIH fundingand publication.

Joseph M. Lane, MD, wasappointed to a four year termon a Study Section for the NIH/National Institute of Arthritisand Musculoskeletal and SkinDiseases (NIAMS).

Stephen A. Paget, MD, has beenelected as the RheumatologyMember American Board ofInternal Medicine and also as aBoard of Trustees Member ofthe American College ofRheumatology’s Research andEducation Foundation.

Russell F. Warren, MD, wasinducted into the AmericanOrthopaedic Society forSports Medicine Hall of Fame.

Research Division: Achievements of Note

41

Executive Officers

President andChief Executive OfficerLouis A. Shapiro

Executive Vice President andChief Operating OfficerLisa A. Goldstein

Executive Vice Presidentfor Finance andChief Financial OfficerStacey L. Malakoff

Executive Vice Presidentfor External AffairsDeborah M. Sale

Senior Vice President for LegalAffairs and General CounselConstance B. Margolin, Esq.

Vice Presidents

Corporate Compliance andExternal AuditSharon KurtzChief Compliance Officer

DevelopmentRobin Merle

Education and Academic AffairsLaura Robbins

FinanceMarc Gould

Human ResourcesBruce Slawitsky

Information TechnologyJohn P. CoxChief Information Officer

OperationsRalph J. BiancoMarion Hare

Patient Care ServicesStephanie GoldbergChief Nursing Officer

Research AdministrationVincent Grassia

Service LinesCatherine Krna

Assistant Vice Presidents

FinanceStephen BellBrian Fullerton

LaboratoriesStephanie Lovece

NursingMary McDermottWilliam McDonaghPerioperative Support Services

Ronald PerezPerioperative Clinical Services

OperationsSusan Flics

Patient AccountingJanit Maguire

Physician ServicesRichard Crowley

Quality ManagementMichelle Horvath

Radiology and ImagingEdward White

Rehabilitation ServicesJeMe Cioppa-Mosca

Directors

Ambassador ServicesRoberta Mignone

Ambulatory Care ServicesVirginia Forbes

Ambulatory SurgeryLisa Autz

AnesthesiaRoberta Stack

Biomedical EngineeringPaul Sloane

Case ManagementRachelle Schwartz

CommunicationsSara Kosowsky

EducationMartha O’Brasky

Environmental ServicesJoseph PoblinerJames Streeter

FinanceGeorge Spencer

Food and Nutrition ServicesEden Kalman

Health Information ManagementGlenn Rispaud

Infection Control/Occupational Health ServicesEileen Finerty

Managed CareRoss Sadler

MarketingRachel Sheehan

Materials ManagementPeter Zenkewich

Medical Staff ServicesMaureen Bogle

NeurologyElizabeth Pinkhasov

NursingAnne LoBassoInpatient

Patricia QuinlanNursing Education, Qualityand Research

Pastoral CareSr. Margaret Oettinger

Patient AccessServices/AdmittingGwendolyn Rhoss

PharmacyTina Yip

Physician AssistantsPamela Katkin

Public RelationsPhyllis Fisher

Risk ManagementJoanne Melia

SafetyGiovanni Abbruzzese

SecurityDonald J. Foiles

Service ExcellenceChao Wu

Social Work/Staff DevelopmentRoberta Horton

Standards and AccreditationGayle White

Strategic Planningand Business DevelopmentLaura Dicker

WebJulie Pelaez

Nurse Managers

Geri Dilorenzo6 East

Catherine DrummPrivate Ambulatory

Maryann EiselePrivate Duty Liaison

Alicia Fisher7 East

Debbie HarrisAmbulatory Surgery

Jayne HoffmannPre-SurgicalScreening/Holding Area

Maura Keenan5 East

Linda LeffInfusion Therapy

Ken OsorioSpecial Procedures Unit

Imsoo ParkPerioperative Services

Julie Pollino-TannerRheumatology

Noreen RyanPACU/4 East

Anne Stroud8 East

Hospital Chaplains

Rev. Arnd Braun-StorckChaplain Chenault ConwayRabbi Ralph KregerFr. Louis MasonFr. Jordan McConwaySr. Margaret OettingerFr. Carlos Quijano

Volunteers

50 years or overMrs. Charles Bannerman

30 years or overMrs. John W. FankhauserMrs. Robert H. Freiberger

25 years or overMrs. Bernard AronsonMs. Rose PonticelloMrs. John Steel

20 years or overMs. Maria Elena-HodgsonMs. Brunilda ItturaldiMs. Judith Johnston-GroganMs. Lisa W. Rosenstock

15 years or overMs. Margaret CollisonMs. Anita CrusoMs. Lauren FoxMrs. James Graham, Jr.Ms. Barbara GrooMs. Geraldine McCandlessMs. Mary MurphyMs. Dola PollandMs. Theresa TomasuloMs. Doris Wind

10 years or overMs. Ethel AlbertMs. Doris BarthMr. Victor BozzuffiMs. Barbara BrandonMs. Elisa ClarkeMs. Aseye DemasioMs. Frances FrankMs. Shirley HyppoliteMs. Marie SherryDr. Beth Viapiano

Management and Volunteers (April 1, 2009)

2525

Officers

Co-ChairsDean R. O’HareAldo Papone

Vice ChairDaniel G. Tully

President andChief Executive OfficerLouis A. Shapiro

Surgeon-in-Chief andMedical DirectorThomas P. Sculco, MD

Executive Vice PresidentLisa A. Goldstein

Executive Vice Presidentand TreasurerStacey L. Malakoff

Executive Vice PresidentDeborah M. Sale

Senior Vice President andSecretaryConstance B. Margolin, Esq.

Chairman, EmeritusRichard L. Menschel

Board Members

Atiim “Tiki” BarberJames M. BensonRichard A. Brand, MDPeter L. Briger, Jr.Michael C. BrooksFinn M.W. CaspersenCharles P. Coleman IIICharles N. Cornell, MDLeslie CornfeldBarrie M. DamsonMelvin J. Glimcher, MDSteven R. Goldring, MDDavid L. Helfet, MDJames R. HoughtonWinfield P. JonesMonica KeanyDavid H. KochLara R. LernerMarylin B. LevittAlan S. MacDonaldC. Ronald MacKenzie, MDDavid M. MaddenRichard L. MenschelCarl F. Nathan, MDDean R. O’HareStephen A. Paget, MDAldo PaponeGordon PatteeCharlton Reynders, Jr.Scott A. Rodeo, MDSusan W. RoseWilliam R. SalomonThomas P. Sculco, MDLouis A. ShapiroDaniel G. TullyMrs. Douglas A. Warner IIIRussell F. Warren, MDGene WashingtonTorsten N. Wiesel, MDHenry A. Wilmerding, Jr.Kendrick R. Wilson IIIPhilip D. Wilson, Jr., MDEllen M. Wright

Officers and Board Members (As of April 1, 2009)

Life Trustees

Loring CatlinMrs. James D. FarleyKathryn O. GreenbergJ. Peter HoguetCarl B. MengesDavid M. MixterJohn J. Phelan, Jr.Samuel S. PolkKatherine O. RobertsDonald StoneMrs. Ezra K. Zilkha

Board of Advisors

Erick BronnerMary Ann DeignanAnne EhrenkranzStephan FeldgoiseRajesh K. GargEarl G. Graves, Sr.Rachel GrodzinksyKenneth V. HandalHenry U. Harris IIIHolly Johnson, MDKurt JohnsonDouglas L. SacksCarter Brooks SimondsJonathan SobelRobert D. Yaffa

InternationalAdvisory Council

Finn M.W. CaspersenAndreas C. DracapolousDr. Henry A. KissingerSir David LiRichard L. MenschelDavid RockefellerPaul VolckerThe Honorable John C.Whitehead

Torsten N. Wiesel, MD

Printed on recycled paper

HorizonIN THIS ISSUE:

Success in Sports and Sports Medicine 1

Our Professional Teams 4

The Professional Athlete 7

The School Athlete 13

Rehabilitation and Recovery 17

Science and Sports 21

Sports Medicine and Shoulder Service 24

2008 Annual Report 26

Leadership Report 26

William and Carolyn Stutt:Friends for Quality of Life 32

Philanthropic Highlights 33

Finance Report 34

Professional Staff, Management, and Volunteers 36

Benefactors 42

Officers and Board Members 52

William R. Salomon:Thoughtful Giving with a Charitable Lead Trust 53

William R. Salomon: Thoughtful Giving with a Charitable Lead Trust

In the 1970s William R. Salomon decid-ed he had been suffering too long withhip pain. Knowing that hip replacement

surgery could be the answer, he sought tofind an orthopedic surgeon who didn’tthink that at age 60 he was too young forthe procedure. He found that physician inPhilip D. Wilson, Jr., MD, then Surgeon-in-Chief of Hospital for Special Surgery. Atthat time, hip replacement in the UnitedStates was still very new, and surgeonswere reluctant to perform the procedurein someone in their sixties. But Dr. Wilsonand his colleagues at HSS were at theforefront of hip replacement surgery,having traveled to England to learn fromSir John Charnley, the “father of moderntotal hip replacement,” who had originat-ed the procedure in the early 1960s.“My wife, Virginia, happened to be at

the Hospital seeing Dr. Lee RamsayStraub, and he saw me limping away,”recalls Mr. Solomon. “He said to Virginia,‘Why doesn’t Billy have that repaired?and she said, ‘He would love to.’ So hesent me to Dr. Wilson, and I had the oper-ation. Obviously it was quite successful.”Mr. Salomon’s new hip served him wellfor 22 ½ years before he needed revisionsurgery – performed at HSS by DouglasE. Padgett, MD, a protégé of Dr. Wilson.Wanting to do something for the

Hospital, Mr. Salomon, HonoraryChairman of Citigroup and formerManaging Partner at Salomon Brothers,Inc., recalls, “Dr. Wilson asked me if Iwould be interested in going on theBoard and I said I would love to.” Mr.Salomon became a member of the Boardof Trustees in 1979, with he and hiswife becoming among the Hospital’s mostgenerous and devoted benefactors.

Almost 10 yearsago, the Salomonscreated a CharitableLead Trust – a plannedgiving method thatprovides critical sup-port for the Hospital’sresearch efforts.Their gift included theestablishment of anendowment fund tocreate the Virginia F.and William R.Salomon Chair inMusculoskeletalResearch. “When Iwanted to make acontribution to SpecialSurgery, I learned that the charitable leadtrust was a very rewarding method bywhich a person could make a gift,” saysMr. Salomon. “I also wanted it to do themost good for the Hospital.”Today, charitable lead trusts are

becoming popular additions to donorretirement planning as they offer attrac-tive, fixed, secure payments donors cancount on, even in an unpredictable mar-ket. They provide the donor with controlover the investment and an opportunityto balance what they want to leave fortheir heirs with their philanthropic goals.With a charitable lead trust, a donor cantransfer assets (including cash, art, andstocks) to a trust for a set term of yearsand receive preferential tax treatment,including current income tax deductionsand a reduction of capital gains taxes.Annual payments – as either a fixedamount or a set percentage of the trust’svalue each year – are made from the trustto a designated charity or charities. Thecharity is the beneficiary throughoutthe term of the trust. At the expiration ofthe trust, the heirs inherit the assets.According to a recent article in theWall Street Journal, “What makes them[charitable lead trusts] especially attrac-

tive now is an historically low specialrate that the Internal Revenue Serviceuses to predict how much your assetswill grow in the trust.” This potentiallyallows heirs to receive substantial gainstax-free.“Hospital for Special Surgery is a very

personal place that takes an interest inthe patient,” says Mr. Salomon, whosegenerosity has also supported the VirginiaF. and William R. Salomon RehabilitationDepartment at HSS. “All the people that Ihave come in contact with here over theyears are enthusiastic about what theyare doing and there is a warmth about theHospital that is quite unusual in this dayand age. I think most people who have aserious operation there would somehowor another like to become involved. I’veenjoyed the privilege.”

If you would like more informationon planned giving opportunities, pleasecontact Rachel Cameau, AssociateDirector, Planned Giving, at212.774.7252

Cover: New York Metspitcher Johan Santanareturns to the mound aftersuccessful surgery at HSSto repair a torn meniscus.

At right: Dr. David Altchekreviews the pre-operativeMRI images of the tornmeniscus in Santana’s leftknee in preparation forarthroscopic surgery.

Below: Santana warms upduring the Mets springtraining in Port St. Lucie,Florida.

William R. Salomon and his late wife, Virginia.

Executive Editorial BoardSteven R. Goldring, MDEdward C. Jones, MDStephen A. Paget, MDAldo Papone, ChairmanDeborah M. SaleThomas P. Sculco, MDLouis A. ShapiroPhilip D. Wilson, Jr., MD

Director of MarketingRachel Sheehan

Assistant Director,Sponsorship MarketingMichelle Mulbauer

Editor-in-ChiefSara Kosowsky

Managing EditorLinda Errante

Assistant EditorRachel Jager

DesignArnold Saks Associates

PrintingMonroe Litho

Cover PhotographyMarc Levine/Getty

Major PhotographyRobert Essel

Other PhotographyBrad Hess

Sports Photography CreditsSee page 51

Horizon is published twice a yearby the External Affairs Department,Hospital for Special Surgery,535 East 70th Street, New York,NY 10021.

866.976.1196 | horizon@hss.edu

©2009 Hospital for Special Surgery.All rights reserved.

HOSPITALFOR SPECIALSURGERY535 EAST 70TH STREETNEW YORK, NY10021212.606.1000www.hss.edu

Hospital for Special Surgeryis an affiliate of NewYork-Presbyterian HealthcareSystem and Weill CornellMedical College.

HORIZO

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ING2009

HorizonHOSPITALFOR SPECIALSURGERY:SPECIALISTSIN MOBILITY

SPRING2009

2008 ANNUALREPORT

Successin Sports –and SportsMedicine

Team PlayersHospital for SpecialSurgery’s sports medicineprofessionals overseecare for competitiveathletes and teams invirtually every sport.

Middle: Brandon Jacobs,New York GiantsClockwise, from the top:Devin Harris, NetsBasketball; Sarah BatesJohnson, US RowingTeam; Andy Roddick,ATP; Wilson Chandler,New York Knicks;Seth Stammler, New YorkRed Bulls; AdenikeOyesile, St. Peter’sCollege; Richard Kiplagat,Iona College; andMichael Phelps, USASwimming team