Injury to the spine, pelvis and hip are some of the most common injuries seen in an orthopaedic practice and may account for up to 15-20% of sporting related visits to the emergency room. Spinal, pelvic and hip injuries most commonly occur to soccer, baseball, volleyball and football athletes but they are also frequently seen in athletes who are involved start/stop activities, running and collision sports. Adolescents as well as adults can be dramatically impacted by these injuries.

Change of direction, hyperextension and overuse can place extremely high stresses on the spine, pelvis and hip resulting in injuries to the bony, ligamentous and muscular structures. Working in an integrated and coordinated fashion, the spine, pelvis and hip serve as the basis for support for locomotion and movement. Impairment of normal function can dramatically impact mobility, function and quality of life.

Athletes involved in collision sports may suffer traumatic injury to their spine, pelvis and hip. Fractures and subluxations can cause significant injury which may result in paralysis and death A firm grasp of anatomy, biomechanics, and early recognition of spinal, pelvis and hip disorders is vital for appropriate management strategies. Understanding the goals of conservative and surgical management is important for practitioners who are working with athletes with these injuries who wish to return to sporting activity. Preventative exercise programs are recommended to reduce the incidence of spine, pelvic and hip injury in sports.

This activity will comprehensively address hot topics related to spinal, pelvic and hip injury in sports and provide evidence based recommendations for optimal management of these injuries.

Upon completion of this program, attendees should be better able to:

• Recognize common risk factors of spinal, pelvic and hip injury.
• Describe common injury mechanisms of spinal, pelvic and hip injury.
• Review various conservative and operative treatment options for athletes with spinal, pelvic or hip injury.
• Describe the current imaging methodologies used to evaluate patients with spinal, pelvic and hip injury.
• List the goals, criteria and benchmarks for spinal rehabilitation and progression.
• Identify factors that influence femoral acetabular injury.
• Describe the imaging approaches for the identification of pubalgia and the conservative and operative treatment options.
• Discuss preventative strategies for reducing spinal, pelvic and hip injury.

We will be offering a live webinar of the seminar. The broadcast will begin 10 minutes prior to the actual live event. For those who wish to tune in, to facilitate viewing of the webinar, we suggest that you please visit http://www.ustream.tv/channel/uoa in advance of the event to assure that you can access the Ustream channel. (The Ustream channel will stream better if your computer is connected directly to an Ethernet cable instead of a wireless connection; however, the broadcast will work with both applications.)

Viewing the Webinar? If you have any questions, please send them to our discussion. There is a 20 second delay between your at-home view and the actual live presentation. If a talk generates a thought or question, please send us a question in the text box and we will try to add it to the discussion. General questions can be entered in the text box or sent to erin@uognj.com

Course Evaluation

University Orthopaedic Associates deeply mourns the loss of our colleague and friend, Dr. Timothy Hosea. Dr. Hosea was a key member of our practice—a widely-respected and accomplished orthopaedist with special expertise in sports medicine. He was also an extremely caring and compassionate physician to scores of patients, his teams, and the entire community. His vital contribution to our practice is matched by a passion for his profession. Among his accomplishments, he served as Team Physician for the USRowing national team at 12 world rowing championships, and most recently, was the U.S. Olympic Team Physician for the rowing and athletic teams at the London Games in 2012. Locally, he was the Orthopaedic Consultant and Team Physician for Rutgers University. He is survived by his wife and their three daughters. Dr. Hosea will be greatly missed by all who were privileged to know and work with him.

If you’re interested in the information presented at past Evidence Update Meetings, please visit the videos section on our our website.

Past Compendiums:

• 2015: ACL Compendium
• 2016: The Shoulder Compendium
• 2017: The Lower Leg, Ankle, and Foot Compendium

Lecture

• The Spine, Pelvis and Hip: An Evidence Based Update

In support of improving patient care, this activity has been planned and implemented by Rutgers Biomedical and Health Sciences and University Orthopaedic Associates, LLC. Rutgers Biomedical and Health Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit^™ from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 3.75 Category 1 credits for completing this activity.

University Orthopaedic Associates, LLC (BOC AP# P959) is approved by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program is eligible for a maximum of 3.75 EBP Category hours/CEUs. ATs should claim only those hours actually spent in the educational program.

This event has been approved for 3.75 CME Credits and 3.75 CEUs by the BOC.
Jointly provided by University Orthopaedic Associates, LLC, Rutgers Robert Wood Johnson Medical School, Department of Orthopaedic Surgery and the Center for Continuing and Outreach Education at Rutgers Biomedical and Health Sciences.
    

Planning Committee:

Charles J. Gatt, Jr., MD
Eric Nussbaum, MEd, ATC, LAT ericn@uognj.com

Method of Participation:

In order to meet the learning objectives and receive continuing education credits, participants are expected to check in at the registration desk, attend the educational program, and complete the credit request and evaluation forms at the conclusion of the activity. Athletic Trainers are required to complete the activity post-test as well.

A letter certifying attendance and credit verification will be mailed to participants within four weeks.

Athletic trainers will be provided with their certificate of attendance/CEUs upon receipt of their completed evaluation and post-test.

Peer Review

In order to help ensure content objectivity, independence, and fair balance, and to ensure that the content is aligned with the interest of the public, Rutgers Biomedical and Health Sciences (RBHS) has resolved all potential and real conflicts of interest through content review by non-conflicted, qualified reviewers. This activity was peer-reviewed for relevance, accuracy of content, and balance of presentation by: Eric Nussbaum, Med, ATC, LAT and Kenneth G. Swan, MD.

Disclosure Declarations:

In accordance with the disclosure policies of RBHS and to conform with Joint Accreditation requirements and FDA guidelines, individuals in a position to control the content of this educational activity are required to disclose to the activity participants: 1) the existence of any relevant financial relationship with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, with the exemption of non-profit or government organizations and non-health care related companies, within the past 12 months; and 2) the identification of a commercial product/device that is unlabeled for use or an investigational use of a product/device not yet approved.

Faculty

The following faculty have no relevant financial relationships to disclose.

Jeffrey R. Bechler, MD
Mark S. Butler, MD
Charles J. Gatt, Jr., MD
Donald Kessler, MEd, ATC, LAT
Eric Nussbaum, MEd, ATC, LAT
Kenneth G. Swan, MD

Carlos A. Sagebien, MD has disclosed the following relevant financial relationships: Consultant and Speakers Bureau: DePuy Synthes, Smith and Nephew

RBHS Center for Continuing and Outreach Staff

Patrick Dwyer, Director, Continuing Medical Education, has no relevant financial relationships to disclose.

Off-Label/Investigational Use

This activity does not contain information of commercial products/devices that are unlabeled for use or investigational uses of products not yet approved.

Disclaimer

The views expressed in this activity are those of the faculty. It should not be inferred or assumed that they are expressing the views of any manufacturer of pharmaceuticals or devices, University Orthopaedic Associates, or RBHS.

It should be noted that the recommendations made herein with regard to the use of therapeutic agents, varying disease states, and assessments of risk, are based upon a combination of clinical trials, current guidelines, and the clinical practice experience of the participating presenters. The drug selection and dosage information presented in this activity are believed to be accurate. However, participants are urged to consult all available data on products or procedures before using them in clinical practice.

University Orthopaedics Associates and RBHS reserve the right to modify the program contents and faculty if necessary.

Copyright ^© 2018 University Orthopaedics Associates and Rutgers Biomedical and Health Sciences. All rights reserved including translation into other languages. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval systems, without permission in writing from Rutgers.

For questions or concerns regarding this activity, please call Eric Nussbaum at 908-300-5833 or by email nussatcjb@aol.com or Patrick Dwyer at 973-972-8377 or by email patrick.dwyer@rutgers.edu.