For Professionals

What's the Diagnosis?

This popular feature provides cases for physicians and medical students to work through, with further information provided in successive screens. A special emphasis of this feature is the careful selection of especially clear and representative images from the teaching collection of the Department of Radiology and Imaging at HSS.
This Month's Case: 57 year old man with multiple medical problems and multiple sites of pain
- Review past cases

Building Relationships between Orthopedic Scientists and Surgeons: An Interview with Experts
Steven R. Goldring, MD
Linda Sandell, PhD

HSS.edu has posted a series of video interviews from the 2007 HSS Alumni Meeting, in which Drs. Sculco, Paget, and Goldring pose questions to visiting speakers from other institutions on a variety of musculoskeletal topics. In this interview, Dr. Goldring asks Dr. Sandell about her roles in the Orthopedic Research Society and at Washington University, including her efforts to build bridges between orthopedic scientists and surgeons, and her research regarding the resistance of cartilage to vascular invasion. Watch the interview

Rehabilitation Following Labral Surgery of the Hip
Matt Rivera, PT, CSCS

In this video of his PowerPoint presentation, Mr. Rivera covers the anatomy of labral injuries, treatment approaches, movement impairments, instructions for the day of surgery, the post-op evaluation, fundamental principles of rehabilitation, post-operative goals, precautions, and provides a detailed outline of the specific phases of rehabilitation of labral surgery of the hip. See the presentation

Managing Fatigue in Rheumatoid Arthritis: Strategies and Skills
Linda A. Russell, MD

This audio/video presentation was given by Linda A. Russell, MD, as part of the Early RA Support and Education Program. In this video, Dr. Russell discusses disease-related causes of fatigue and joint pain, and provides essential information of medications used to treat RA. She also explores issues related to family education about RA, the doctor-patient relationship, and identifying and managing associated stress and depression. See the presentation

Podcasts

Subscribe to the HSS patient and professional podcasts - free audio and video content available for downloading and listening/viewing using iTunes or your favorite podcast reader. These podcasts are comprised of interviews, patient testimonials, condition or treatment highlights, surgical videos, and many other subjects presented by the experts at HSS. Learn more

Professional Education Programs

Rheumatoid Arthritis: New Targeted Treatments
Free Online CME Program

Because the tumor necrosis factor (TNF) inhibitors have been so successful in treating RA, many clinicians are interested in how the newer agents fit into a treatment plan that includes anti-TNF agents. HSS program faculty describe the major immunologic mechanisms that both lead to rheumatoid arthritis and are potential targets for treatment; choose the most effective, responsive and most practical disease activity measures to assure the best outcome; and recognize the modern and effective treatment options for RA and when to employ them. This program is available from September 6, 2007 to September 5, 2008. Learn more

Management of the Upper Extremity in Children with Cerebral Palsy
February 29-March 1, 2008

This course will provide practical research tools and information, evaluation tools, surgical methods, and rehabilitation protocols through the use of didactic morning sessions and interactive afternoon workshops. Healthcare professionals will gain useful information to address pre-operative evaluation, surgical management, and post-surgical rehabilitation of the upper extremity in children with cerebral palsy. Learn more

Current Concepts in Sports Medicine & 10th Annual Sports Medicine for the Young Athlete
April 17-19, 2008

Today's clinicians are faced with many challenges and are seeking guidelines on how to care for their sports medicine population. This course will allow participants to gain knowledge regarding state-of-the-art management of sports medicine problems. Learn more

Controversies and Fundamentals in Regional Anesthesia: 12th Annual Symposium
May 17, 2008

This accredited Symposium is a comprehensive review of current regional anesthesia practice. Didactic sessions will include discussions on outcomes when ultrasound-guidance is used for regional blocks, effective discharge plans for the ambulatory patient who receives a regional anesthetic, and the safety and effectiveness of hypotensive epidural anesthesia. Learn more

Visiting Professor Lecture Series

Hospital for Special Surgery's Visiting Professor Lecture Series is a Professional Education Department presentation of both Distinguished Research Lectures and Honorary Service Lectures, presenting current musculoskeletal research and related science and perspectives. Upcoming lectures

Clinical Trials

A listing of the broad range of clinical trials currently being conducted at HSS can be found at the above link. Featured trials from the clinical trial directory are listed below:

Pilot Study Assessing Weight Bearing Multiplanar Imaging Compared to Supine CT and Upright Conventional Imaging of the Knee
Andrew Pearle, MD

This is a Pilot Study of ten patients, approximately ages 50-80. Cross-sectional imaging (CT) of the affected limb will be preformed on the hip, knee, and ankle. Weight-bearing cross sectional imaging of the hip, knee, and ankle of the affected extremity will be performed using the Philips MultiDiagnostic Eleva with 3D imaging, following a similar CT protocol. These methods will be compared for diagnostic information and for variations in angulation and alignment accuracy in surgical planning. Learn more

A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled 76 Week Study to Evaluate the Efficacy and Safety of Belimumab (GHS1006, LymphoStat-B), A fully Human monoclonal Anti-BlyS Antibody, in Subjects with Systemic Lupus Erythematosus (SLE)
Michael D. Lockshin, MD

To evaluate the efficacy, safety, and tolerability of belimumab in subjects with SLE, and to evaluate the impact of belimumab on quality of life in subjects with SLE, six patients will be enrolled and followed for a year and a half. Patients must have active lupus despite treatment at the time of enrollment. Learn more

A Sequential Adaptive Phase II/III Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Abatacept Versus Placebo on a Background of Mycophenolate Mofetil and Glucocorticosteroids in Subjects with Active Proliferative Glomerulonephritis Due to Systemic Lupus Erythematosus (SLE)
Kyriakos A. Kirou, MD, FACR

The purpose of this study is to see if abatacept is better than placebo (inactive substance) on a background of Mycophenolate Mofetil and Glucocorticoids for the treatment of lupus nephritis. Intravenous abatacept has been approved in the United States for the treatment of moderate to severe rheumatoid arthritis (RA). Learn more

RITAPS: A Pilot Study of Rituximab for the Anticoagulation-Resistant Manifestations of Antiphospholipid Syndrome (APS)
Doruk Erkan, MD

Persistently antiphospholipid antibody (aPL)-positive patients, 18-75 years of age, with anticoagulation-resistant manifestations of APS and fulfilling protocol-defined study inclusion criteria will receive two doses of Rituximab and will be followed for six and 12 months for clinical and safety outcomes, respectively. Learn more

For Your Patients

Pilates Core Fundamentals: Core Stabilization
Sarah Faller, Certified Pilates Instructor

Pilates can be defined in most simple terms as the art of strength, stretch and control. Learn more about the role of core stabilization in the Pilates process with this concluding installment of our four-part Pilates video series. Watch video

Ankle Arthritis, Fusion, and Ankle Replacement: An Interview with Experts
Jonathan T. Deland, MD
Charles Saltzman, MD

In this interview, Drs. Deland and Saltzman discuss the causes of ankle arthritis and review the options available to those affected by it. Ankle arthritis affects both adults and children, and the application of available treatment options (including fusion and replacement) depend on both the age of the patient and the severity of the arthritis. Watch video

Lupus Research, Medication, and Treatment: Past, Present, and Future
Stephen A. Paget, MD, FACP, FACR

In this presentation, Dr. Paget describes the importance of multidisciplinary treatments and the complex interactions lupus medications have with the disease, as well as the promise of medications and treatments on the horizon. Read more

Public and Patient Education Programs

Public and Patient Education Division: Spring 2008 Calendar of Events

The HSS Public and Patient Education Department strives to provide current and useful information to public and patient audiences through education programs, lectures/symposia, workshops, exercise classes, support groups, publications, and a patient education library. Upcoming programs

The Importance of Good Nutrition
Deborah McInerney, RD
March 4, 2008

A balanced diet with proper nutrition is essential to living healthy with osteoporosis. It's important that your diet is not just balanced, but also has the particular ingredients you need for strong, healthy bones. This includes getting the right amounts of calcium and vitamin D in foods or with a supplement. This lecture will teach you about maintaining balanced nutrition in regard to osteoporosis. Learn more

Running Pre-Season Training Program
Sports Rehabilitation and Performance Center
March 12, 2008

To help runners and coaches get into top shape for the upcoming season, this 90-minute course was designed to work on running-specific exercises, strength training, and instruction for injury prevention and performance enhancement. Learn more

Beginner Yoga-lates and Intermediate Yoga-lates
Eve Delachartre
5 Mondays, March 10 - April 7

Yoga-lates is a popular form of exercise that blends the best of Yoga and Pilates. Both techniques combine to help to improve stamina and posture while developing a general sense of well-being. In the beginner level class, participants focus on integrating breathing with movements and basic stretching, while learning the importance of core muscle strength for better posture. In the intermediate level class, the focus will be on elements learned in the beginner level class, along with more advanced movement sequences to improve strength and flexibility. Learn more about beginner or Learn more about intermediate

Beginner Pilates Mat Class
Advanced Pilates Mat Class
Katerhine Witzen-Roelofsen
6 Wednesdays, March 12 - April 9

Pilates is a series of specific movements designed to strengthen the powerhouse: muscles of the abdomen, back and waist (torso). Beginner Pilates will focus on strengthening the core, making movements more fluid, and balancing the body, all coupled with focused breathing patterns. Advanced Pilates is recommended for the beginning Pilates mat student who has a clear understanding of the basic fundamentals and exercises, but needs to work on improving strength and flexibility. Learn more about beginner or Learn more about advanced

Greenberg Academy for Successful Aging Workshop:
Health Information on the Web: Just a Click Away
Timothy Roberts, MLS
April 10 and June 12, 2008

This hands-on workshop is designed to help you make sense out of health information on the Internet. Using a computer provided during class, you will learn the following: 1) Getting started (World Wide Web basics); 2) Introduction to reliable consumer health information; 3) Sources on the Internet (e.g., tips for healthy living, doctor's credentials, hospitals and drug information) and 4) How to discuss the information you find online with your doctor. Space is limited to 10 participants. Learn more