Monday Meet the TOCA Team: Samuel M. Harmsen, MD!

Dr. Samuel Harmsen is thrilled to be joining the outstanding physicians at The Orthopedic Clinic Association. He is fellowship trained in shoulder and elbow surgery with advanced training in complex shoulder and elbow reconstruction. Dr. Harmsen specializes in the treatment of all shoulder and elbow conditions including sports related, reconstructive, and traumatic injury. He performs arthroscopic and open surgical techniques and is uniquely skilled with reverse shoulder replacement and revision shoulder surgery. He also treats general orthopaedic trauma of the upper and lower extremities.

Dr. Harmsen was born and raised in Salt Lake City, Utah. He attended the University of Utah majoring in Japanese and Asian Studies, interrupting his studies to serve a two-year mission for his church in Japan. Prior to medical school he enjoyed several years of ski instructing at one of his favorite ski resorts, Deer Valley, UT.

Dr. Harmsen has had the opportunity to train under some of the world’s most renowned leaders in shoulder and elbow surgery. Following orthopaedic residency, he completed a complex shoulder and elbow fellowship at the San Francisco Shoulder, Elbow and Hand Clinic under Drs. Tom Norris and James Kelly. After fellowship, he extended his training by spending time with Dr. Laurent LaFosse in Annecy, France, and Dr. Pascal Boileau in Nice, France. This specialty training has helped him gain unique skills in advanced shoulder and elbow arthroscopy and reconstruction that are not widely available in Arizona.

Dr. Harmsen is very active in orthopedic research, having published and presented at a number of local, national, and international meetings. His primary area of interest is shoulder surgery, particularly in clinical results with shoulder arthroplasty. Dr. Harmsen plans to establish the Arizona Shoulder and Elbow Institute and, together with TOCA, develop a center of excellence within Arizona for shoulder and elbow research, education, and patient care.

Dr. Harmsen likes to create a professional but relaxed clinical atmosphere where everyone feels comfortable and able to ask questions freely. He wants you to leave each visit confident and encouraged. His clinical approach is centered around each patient’s individual concerns and goals. He believes that clear communication, patient education, and patient participation are vital to the success of any treatment, whether operative or non-operative.

To schedule an appointment with Dr. Harmsen please call 602-277-6211. To learn more visit: www.tocamd.com

‪#‎Recovery‬ ‪#‎Results‬ ‪#‎Relief‬

602-277-6211

www.tocamd.com

TOCA Tip: BASEBALL INJURIES IN YOUTH AND INJURY PREVENTION

TOCA Tip: BASEBALL INJURIES IN YOUTH AND INJURY PREVENTION

Injuries in young athletes are on the rise, but elbow and shoulder injuries in children are on the verge of becoming an epidemic. Thousands of children are seen each year complaining of elbow or shoulder pain. Damage or tear to the ulnar collateral ligament (UCL) is the most common injury suffered and is often caused by pitchers throwing too much. This ligament is the main stabilizer of the elbow for the motions of pitching. When it becomes damaged, it can be difficult to repair and rehabilitate.

HOW IS AN ELBOW OR SHOULDER INJURY DIAGNOSED?
If a young athlete is throwing too hard, too much, too early, and without rest, a serious elbow or shoulder injury may be on the horizon. If the athlete complains of elbow or shoulder pain the day after throwing, or movement of the joint is painful or restricted compared to the opposite side, see a physician familiar with youth sports injuries immediately.

HOW CAN OVERUSE BASEBALL INJURIES BE PREVENTED?
Overuse injuries — especially those related to the UCL and shoulder — are preventable. Some tips to keep you in the game throughout your life include:

• Warm up properly by stretching, running, and easy, gradual throwing
• Rotate playing other positions besides pitcher
• Concentrate on age-appropriate pitching
• Adhere to pitch count guidelines, such as those established by Little League Baseball (See tables)
• Avoid pitching on multiple teams with overlapping seasons
• Don’t pitch with elbow or shoulder pain, if the pain persists, see a doctor
• Don’t pitch on consecutive days
• Don’t play year-round
• Never use a radar gun
• Communicate regularly about how your arm is feeling and if there is pain
• Develop skills that are age appropriate
• Emphasize control, accuracy, and good mechanics
• Master the fastball first and the change-up second, before considering breaking pitches
• Speak with a sports medicine professional or athletic trainer if you have any concerns about injuries or prevention strategies

HOW IS AN OVERUSE ELBOW OR SHOULDER INJURY TREATED?
The most obvious treatment for overuse is rest, especially from the activity that created the injury. Ice is also used to reduce soreness and inflammation. Ibuprofen can be takento help with any pain. If symptoms persist, it is critical that a physician be contacted, especially if there is a lack of full-joint
motion. An examination and radiographs should be done. An MRI scan may also be helpful.

Usually a simple “rest cure” approach will not be enough, because even though it allows symptoms to subside, it also creates loss of muscle bulk, tone, flexibility, and endurance.
Once pain is gone and full motion is present, a throwing rehabilitation program can start.

Under some circumstances, surgery may be necessary to correct a problem. Overuse and stress related problems can affect growing parts of bone, not just the soft tissue (muscles, tendons, and ligaments). If the condition is not treated, it could cause deformity of the limb and permanent
disability. The athlete should return to play only when clearance is granted by a health care professional.

‪#‎baseballseason‬ ‪#‎injuryprevention‬ ‪#‎RESULTSRECOVERYRELIEF‬

TOCA

602-277-6211

www.tocamd.com

Dr Grant Padley was recently asked to teach a mobile cadaver lab in Tuscon, AZ

Dr Grant Padley was recently asked to teach a mobile cadaver lab in Tuscon, AZ. The main focus of the lab was educating orthopedic surgeons on newer techniques and products used in shoulder and knee arthroscopic surgery. This included rotator cuff repairs, shoulder labral repairs and knee anterior cruciate ligament reconstruction. Dr Padley is fellowship trained in sports medicine with an emphasis on shoulder and knee arthroscopy as well as expertise in advanced hip arthroscopy. The growing popularity of mobile labs offer the opportunity to bring the training facility to the surgeons. This allows for a lower surgeon to educator ratio and a more convenient way for a group of surgeons to learn without having to leave their practice.



#RESULTS.RECOVERY.RELIEF.

TOCA
602-277-6211
www.tocamd.com

Shoulder pain and rotator cuff injuries with Dr. Bailie

This past Saturday Dr. Bailie joined Todd Ellenbecker and Host Carrie Bordinko, MD on Doctor Talk (KFNN Money Radio 1510 AM 99.3 FM, Saturday’s at 1:00pm). Dr. Bailie and Mr. Ellenbecker discussed shoulder pain, which is the third most common cause of musculoskeletal disorders and rotator cuff injuries.

The rotator cuff is the most commonly torn structure in the shoulder. Rotator cuff tears usually produce symptoms of weakness and pain especially on trying to lift the arm. When an acute injury results in a rotator cuff tear consideration should be given to a surgical repair within six weeks of the injury to avoid atrophy of the muscle and tendon.

Rotator cuff tears are one of the most common reasons patients enter an Orthopedic Surgeons office. There are many common misconceptions about rotator cuff tears and their management.
The rotator cuff is made up of 4 muscles which control how well your shoulder works.
Rotator cuff tears can occur because of an injury, trauma or simply because our tissue wore out.

Fast Facts:

• 4.5 million Patients seek medical care for shoulder pain annually in the U.S.
• 250,000 patients get rotator cuff surgery in the U.S. annually
• Those rotator cuff surgeries produce a societal savings of $3.44 billion per year; averaging $13,771 per patient younger than age 61
• The prevalence of rotator cuff tears increases with age

#RESULTS.RECOVERY.RELIEF

TOCA

602-277-6277

www.tocamd.com

Gea Johnson, a patient of Dr. David Bailie, is bound for the Masters World Championships in Manchester!

Hello Dr. Bailie (The Rock Star Doctor),

Gea Johnson here! I realize you are very busy, but I am very excited to share with you what I
have been doing! A few years ago, I started track cycling even though Arizona doesn't have a
velodrome! I have had several successes…I even smashed a track record held by a woman, who
is bound for the 2016 Olympic Games and who is nearly half my age! Below, you will find my
“GoFundMe” link that also includes a very recent article detailing some of these successes.

For this next coming month, I will be competing “again” at the Masters World Championships in
Manchester, England. Unfortunately, this is very expensive. Dr Emerson and Dr. Martin have
both donated on and off of my “GoFundMe” site. I knew you would be interested too once you
heard of my successes; especially, since I am doing all of this at age 47 and with your shoulder
replacement! I would greatly appreciate any help you can provide.

I would also appreciate your help getting in touch with your contact at Biomet Orthopedics. I
have a partnership/sponsorship proposal to present to them. I would love to tell them the story
about my shoulder and how I am succeeding at such a “high” athletic level despite my so-called
shoulder “limitation.” I, regrettably, need serious funding to be able to train full-time near a
velodrome (located in Los Angeles) and to compete at UCI events to vie for a spot on the 2016
Olympic Team.

Sincerely,

Gea Johnson

P.S. I can still do ALOT of pull-ups!

http://www.gofundme.com/e2qoag

Nano Shoulder Replacement

Physician News: Dr. David Bailie

Nano Shoulder replacement

An FDA approved study for the Nano Shoulder Replacement is to begin soon. Only 12 Doctors in the US are allowed to participate in this study. Dr. David Bailie is the only physician in the Southwest. This is a new stemless total shoulder system of which Dr. Bailie is a a co-designer. This device is made by Biomet- one of the largest worldwide Ortho implant companies. Co-designers are docs at Mayo-Rochester, Johns Hopkins and University of Toronto.


This shoulder implant was released for use in Europe fall 2012 and surgeons from Italy, France, Germany are stating they love it and are switching to use it exclusively.  Hundreds have been placed. The Start date of the FDA study is currently unknown but sometime mid-late 2013.

Dr. Bailie is currently looking for patients who would like to participate in this FDA shoulder replacement study. The only way for a shoulder patient to receive this devices for the next 3 years will be through the FDA study, and will not be available to other surgeons not participating until the study is concluded. 

To read more about Dr. Bailie please visit: www.tocamd.com or http://sportsmeddoc.com/