Current Concepts in

Orthopedic Sports Medicine

L. Pearce McCarty, III M.D.Shoulder, Elbow, Orthopaedic Sports Medicine

Sports and Orthopaedic Specialists

Team Physician - Minnesota Twins

Abbott Northwestern Innovation Conference – September 26, 2014

Current Concepts in Sports

Medicine

Concussion management

Cartilage restoration

Autologous chondrocyte

implantation

Osteochondral allograft

Hip arthroscopy

Biologics

Platelet Rich Plasma

Stem Cells

Scaffolds

Concussion Management

Traumatic brain injury

in collision / contact

sports

Risk of chronic

traumatic

encephalopathy

(CTE)

Pugilistica dementia

Depression

Personality changes

Parkinsonism

Dementia

Concussion Management

ImPACT neurocognitive

testing

Baseline

Post – injury

Sideline management

SCAT3

Post – injury management

Diagnosis

Physical therapy

Return to play decisions

Concussion Management

ANW – affiliated and all -

Allina ATC education for

sideline diagnosis and

care

Downstream follow-up

with Primary Care

Sports Medicine and

physical therapy

Return to play

Cartilage Restoration

Focal injury to cartilage

inside joint (predominantly

knee)

Not arthritis (think “pothole”

instead of “gravel road”)

Function and quality of life

affected to same degree

as ACL rupture or patients

with OA

Increasing capacity to

restore damaged area of

cartilage

Mitigate risk of OA

Cartilage Restoration

Autologous chondrocyte

implantation

Juvenile cartilage allograft

Osteochondral

allo/autograft

Cartilage Restoration

Utilizing these

restoration

techniques at ANW

Pushing boundaries

of accelerated

rehabilitation using

Alter G with Courage

Kenny Institute

Hip Arthroscopy

It’s not just for knees and

shoulders any more!

Increased role for

arthroscopy in treatment of

Femoral Acetabular

Impingement (FAI)

Pincer: socket issue

Cam: ball issue

Labral issues (“ligament”

that encircles socket)

Hip Arthroscopy

Up to 96% pain relief with

FAI corrective procedure

Labral pathology

Labral repair reported to

have better outcomes

92% good to excellent

results vs 68% good to

excellent results

Biologics

Platelet Rich Plasma

Concept: harness natural

“growth / healing factors”,

concentrate them and

apply them at site of injury

/ tissue damage

Traumatic injury

Degenerative processes

Liquid / gel form

Injectable

Semi – solid form

Can be sutured

Biologics

Current applications

Non – surgical

(injection)

“Tennis” elbow

“Jumper’s” knee

(patellar tendon)

Proximal hamstring

Osteoarthritis of knee

Surgical

Tendon (e.g. rotator

cuff) repair

Labral repair

Biologics

Scaffolds

Collagen

Dermis

Growth – factor imbued

Tendon repair

Rotator cuff

Gluteus medius

Summary

Concussion diagnosis

and management

Cartilage restoration

and joint preservation

Hip arthroscopic

treatment

Biologics for traumatic

tissue repair and

degenerative tissue

regeneration

THANK YOU!

L. Pearce McCarty, III M.D.

Shoulder , Elbow, Orthopaedic Sports Medicine