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Dr. Noyes featured for winning Top Knee Surgeon honors
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Patients travel great distances to visit Dr. Frank Noyes when they have serious knee injuries, and with good reason.
The Indian Hill resident has been named one of the top 25 knee surgeons in the U.S. by Becker’s Hospital Review, a bimonthly publication offering business and legal news relating to hospitals and health systems.
Noyes specializes in sports medicine. He received his medical degree from George Washington University, completed his internship and orthopaedic residency at the University of Michigan and started the University of Cincinnati’s sports medicine program after joining the school’s orthopaedic surgery department in 1975.
Noyes said he’s devoted much of his medical career to the knees because when he began practicing, there was very little science devoted to the knees. He said knee and ligament problems were much more difficult to treat than they are today.
“We didn’t have the basic research or knowledge to deal with that,” Noyes said.
Joseph Siebenaler, who traveled from Hawaii to Montgomery to be treated by Noyes, said he went to numerous knee surgeons on various Hawaiian islands who couldn’t help him. He said upon doing research on his issues he found Noyes’s achievements in repairing knee ligaments.
Noyes actually invented the surgery Siebenaler needed to recover from his injury, which he’s been dealing with for two years. “Of course, I’m going to go with (Noyes),” he said. Siebenaler said doctors near his home gave his injury a 10 percent chance of recovery. He said after visiting with Noyes for several weeks, his chance of recovery is now 90 percent.
Dr. Noyes presented eight lectures including Instructional Courses on surgical techniques and treatment of knee disorders at the Annual Meeting of the American Academy of Orthopedic Surgeons
Dr Frank R Noyes an orthopedic surgeon and Chairman and CEO of the Cincinnati Sportsmedicine and Orthopedic Center presented eight lectures including Instructional Courses on surgical techniques and treatment of knee disorders at the Annual Meeting of the American Academy of Orthopedic Surgeons in New Orleans in March 2010.
One of the clinical studies Dr Noyes presented was the longest clinical follow-up to date on the ability to successfully repair knee meniscus cartilage tears using an arthroscopic technique with fine sutures placed to repair complex meniscus tears with limited blood supply. These meniscus tears are frequently not repaired and the meniscus removed. However with this technique the meniscus function can be saved in the majority of patients. These tears are a result of trauma and frequently with anterior cruciate knee tears in younger patients and not the degenerative type tears that occur with advancing age. Lost of a knee meniscus results in arthritis in the majority of patients 7-15 years after their removal. Patients travel from throughout the United States to have Dr Noyes repair damaged meniscus tissues often in conjunction with other knee ligament surgery to restore stability.
State Champion Ursuline Wins Ohio Volleyball Title with Sportsmetrics™ Training
(Source: http://www.pitchengine.com/sportsmetrics/state-champion-ursuline-wins-ohio-volleyball-title-with-sportsmetrics-training/33984/)
Cincinnati High School Volleyball team credits training program as part of success
11.16.2009 – Ursuline Academy, fresh off its latest Ohio Division 1 volleyball championship and undefeated season, gives Sportsmetrics™ training from Cincinnati SportsMedicine and Orthopaedic Center much of the credit for this year’s success.
Entering the weekend ranked #2 in the country by PrepVolleyball.com, the Lions won their fourth state title and their first since 2002 by defeating Dublin Coffman in four sets at the state finals Saturday in Dayton. It was the second straight year the Lions had reached the state finals.
“The Ursuline Academy volleyball team has spent the last two summers participating in the Sportsmetrics™ program,” said Diane Redmond, Ursuline athletic director. “The six week Sportsmetrics™ program has been a great addition to the Ursuline volleyball team’s summer conditioning and has helped reduce injuries. The success that the volleyball team has experienced with Sportmetrics™ has led to the Ursuline Academy Athletic Department offering the program seven weeks prior to the start of the fall, winter and spring seasons.”
“Anterior cruciate ligament (ACL) injury rates are up to 10 times higher in female athletes than in male athletes,” said Dr. Frank Noyes from Cincinnati SportsMedicine. “Sportsmetrics™ not only helps prevent those knee injuries, but improves performance. Ursuline’s success shows how specialized training can help a good team become great.”
The Sportsmetrics™ program is the first ACL injury prevention program proven to decrease serious knee ligament injuries in female athletes. Sportsmetrics™ also includes drills to work on strength, coordination and overall physical conditioning in sports-specific skills. Studies have shown that athletes going through the Sportsmetrics™ program have an average two inch improvement in jump height, 12% improvement in cardiovascular endurance and 54% improvement in knee separation distances, measured through drop jumps which are the main test used for injury prevention.
The Sportsmetrics™ program is available to athletes and teams through certified programs across the country, and certification classes are offered throughout the year. For more information on Sportsmetrics™ training, visit www.sportsmetrics.net for certification information and contacts.
Ursuline (29-0) wins state volleyball title
By Mark Schmetzer • Enquirer contributor • November 14, 2009
Source: http://news.cincinnati.com/article/20091114/SPT0301/311140034/Ursuline+wins+state+volleyball+title
 - Ursuline Volleyball Team
FAIRBORN, Ohio – After months of living with sacrifices, Dani Reinert finally got to set a goal.
“I just didn’t want to get trampled,” the Ursuline senior said Saturday.
Reinert was talking about surviving the Lions’ celebration on the volleyball court at Wright State University’s Nutter Center after Ursuline dispatched Dublin Coffman 25-16, 25-19, 18-25, 25-17 to complete a 29-0 season and win the school’s fourth Division I state championship.
Reinert, Ursuline’s senior setter, cranked out 48 assists, helping set up senior Jade Henderson for 18 kills and junior Christina Beer for another 10. Junior Kori Moster logged 15 digs while senior Anna Prickel added 13 as the Lions completed a job they felt they’d left unfinished last season.
Ursuline also was undefeated going into last season’s championship match, which they lost to Olmstead Falls in four sets. Lions’ fourth-year coach Jeni Case felt that loss helped her returning players focus.
“We’ve been waiting all year for this,” said Case, who led Ursuline to its first state championship since 2002. “Last year was horrible. I didn’t forget all year. They didn’t forget all year. We took things differently this year.”
Operating on the theory that winning the state championship should be everybody’s goal, Case suggested that her players trade setting goals for making sacrifices – sort of a volleyball version of the Roman Catholic season of Lent, a period of cleansing that leads up to Easter.
She and her players gave up everything from soda to junk food. Others devoted more time to prayer or set self-imposed curfews.
The slightly-built Reinert’s “sacrifice” was to eat more and do pushups to build strength.
The Lions also drew motivation from junior Jamie Goldschmidt, who’s been unable to even practice for months because of medical problems. She still showed up for every practice and match, and she was on hand Saturday, wearing a brace around her midriff that didn’t clash at all with Case’s state championship medal hanging around her neck.
“She’s as much a part of the team as anyone,” Moster said.
With all of that going for Ursuline, which finished the season ranked No. 1 in the statewide Division I coaches poll, the second-ranked Shamrocks didn’t have much of a chance in their first trip to the state tournament.
“Ursuline came out tough,” Coffman coach Mary Anne Souder said. “You have to start very strong against that type of team. We knew Jade Henderson would get a lot of sets, but they have a lot of weapons. We’d set blocks, but they did a good job of getting around them.”
Ursuline, attacking from each end of the net, set the tone by jumping out to leads of 6-1 in the first set and 5-1 in the second. Coffman never led until the start of the third set.
Case figured that Ursuline’s experience would pay off.
“Coffman’s an awesome team, but like I told the girls before the game, experience has to count for something,” she said.
How Sportsmetrics cuts injuries off at the knees
By Marc Pietropaoli
(Source:http://www.auburnpub.com/articles/2009/11/10/lake_life/lakelife02.txt)
Tuesday, November 10, 2009 12:30 AM EST
The first scientific knee injury prevention program, Sportsmetrics, has multiple branches to target specific needs. There is a program that can be utilized following an injury and/or reconstructive surgery, or it can be used strictly as an injury prevention program. The injury prevention program is titled Sportsmetrics Speed and Agility (SAS).
SAS is a six-week program that incorporates each of the aspects that were discussed in a previous article: dynamic warm-up, jump training, speed and agility, strength training and flexibility. The program is broken into three different two-week phases that include each of the five aspects.
The dynamic warm-up prepares the body for increased activity by increasing blood flow to the muscles and lengthening the fibers of the muscles. This portion takes approxiamately 10 minutes and will change as needed based the rest of the programming.
Jump training is the primary focus of the program. Here the athlete learns to land with soft feet, distributing the stresses and taking additional pressure off of the knee joint. Maintainence of the athletic position – hips, knees and feet in alignment – is enforced throughout this segment to help alleviate the valgus (knock-kneed) positioning of the knees. The jumps are progressive in nature and build on each previous phase to increase stability and teach athletes how to jump and land off of one foot versus both feet. Each jump is designed to build leg strength and proprioception (the ability of a joint to perceive its position in space), re-training the body to maintain particular positions throughout the jumping motion.
The next segment, speed and agility, incorporates reaction drills and is an intense 20 minutes of anaerobic activity. The drills are comprised of quick feet, sharp cuts, straight sprints, backpedaling and unpredicted agility. Again, proper techique is emphasized when cutting, pivoting and decelerating – all activities that are highly associated with ACL injuries. Body positioning/posture is the most important aspect of this segment, decelerating in more of squat position to keep the knees from going over the toes and not allowing the muscles to pull the knees into the valgus positioning. Power, explosion and correct running form during each drill are key for the athlete to work on when in this aspect of the SAS program. In this segment, drills can be curtailed to each individual sport based on the dynamics of the group.
The strength training portion of SAS is designed to be portable and can be used in any setting, on the field or in the gym. Traditionally, therabands are used for resistance and each activity is done for a time versus repetitions. Strengthening does include upper and lower body, as well as core strengthening. For the most part, exercises will alternate between upper and lower body to not fatigue one muscle group over the other. Hip stabilization and core training are addressed at each session to help balance leg musculature and relieve unwanted stresses on the knees. Through proper hip strength, the valgus (knock-kneed) position is diminished, thereby decreasing the number of serious knee injuries. Weight rooms can be utilized for the strength training portion of the program depending on the facilities that are offered.
When performing the flexibility, proper techniques are stressed to optimize the greatest lengthening of the muscle fibers and diminish injuries that occur from poor stretching. Each muscle group will be addressed. Stretching after activity is important when trying to maintain and/or increase full strength gains. Any athlete, recreational or on a team, should always stretch following activity so that the muscle fibers do not tighten up and begin a vicious cycle of tightening and sudden stretching from increased activity.
SAS is a vigorous conditioning program that promotes power, speed and endurance while focusing on proper technique to decrease serious knee injuries. When participating in Sportsmetrics Speed and Agility, the athlete will participate three days a week for an hour and a half each session. It is to be utilized as a precursor for an upcoming season. Ideally, an athlete should not be in season when participating in SAS, since excess fatigue could hinder the progress and/or techniques that an athlete is trying to instill through this program. The program is designed and structured to progress the athlete from technique development to performance enhancement. SAS offers athletes, coaches and parents the same benefits of an injury prevention program along with the added benefits of a complex conditioning/performance enhancement program.
For more information on the Sportsmetrics injury prevention/performance enhancement program, feel free to contact Erin Johnson, ATC, at 658-7544. She is a certified Sportsmetrics trainer and also spent a six-week internship at Cinncinnati Sports Medicine working with Dr. Noyes and his certified Sportsmetrics staff during the spring of 2009.
Dr. Marc P. Pietropaoli is a board certified/fellowship trained orthopedic surgeon/sports medicine specialist and is president of Victory Sports Medicine & Orthopedics in Skaneateles
How Sportsmetrics helps athletes
By Marc Pietropaoli
(Source: http://www.auburnpub.com/articles/2009/10/13/lake_life/lakelife02.txt)
Monday, October 12, 2009 11:45 PM EDT
As an orthopedic surgeon, I take care of/repair many injuries caused by playing sports. Many of these injuries are actually preventable! Believe it or not, even though I am a surgeon, I do have a very keen interest in prevention. I believe that the only true way to cut the high cost of health care in the long run is to emphasize prevention in all aspects of medicine. In sports medicine, there are many injuries/ailments that are preventable. I am going to spend the next three columns on talking about one of the many injuries that are preventable – or at least we know scientifically that we can lessen the number of these injuries. I want to give credit to Erin Johnson, ATC, the director of the Sportsmetrics training program at Victory Sports Medicine & Orthopedics for providing much of the specific details of the content of the next few columns I am going to write.
An alarming number of young athletes are experiencing serious knee injuries. The question arises: What is the reasoning behind this? There are many possibilities: Is it due to an increase of athletes focusing on just one sport? Are the technologies in field surfaces and/or equipment a contributing factor? Or is just that more females are participating in sport and raising the injury rate? If that is the case, are females more prone to injury and if so, why?
There has been a large increase in female athletic programs, beginning at an early age, that encompass a broad range of activities, from individual to team sports and contact versus non-contact activities. Research has shown that females are 10 times more prone to knee ligament injuries than males, particularly the anterior cruciate ligament (ACL). These injuries, from non-contact sports that involve pivoting, cutting and jumping, could sideline an athlete for an entire year. One may ask, “Why is the ACL important and what function does it play with knee movements and sports?”
The ACL, along with the hamstring muscles, help to control twisting and anterior movement/translation of the knee. If the knee experiences excessive shear forces, it can tear an ACL. Weak musculature and jumping/twisting motions incurred in sport can lead to these excessive shear forces. The hamstrings flex the knee, which in turn protects the ACL from injury when landing. When jumping, females tend to depend on ligaments to protect their knee joints rather than controlling the slack with their muscles, and are more prone to landing from a jump in a “knock-kneed” position that will increase the pressure on the knee/ACL. Females also tend to have greater power and strength in the quadriceps (front thigh muscles) versus the hamstrings (back thigh muscles) with activity, therefore increasing the chance for injury compared to males that have a more balanced musculature of the leg. This is not something that affects only “professional” athletes. Research has shown that injuries generally start to manifest themselves starting during middle school. It has been proven that each year in the United States, one in 100 high school female athletes and one out of 10 female college athletes will suffer a serious knee injury.
With ACL injuries on the rise, there has been much scientific energy focused on creating and finding a prevention program for females to help diminish such injuries in sports such as volleyball, soccer, basketball, lacrosse and hockey. The physicians and researchers at Cincinnati Sports Medicine Research and Education Foundation, under the direction of Dr. Frank Noyes, spent more than 10 years to scientifically develop an injury prevention/performance enhancement program named Sportsmetrics, and have continued to be leaders in developing programs to ensure that athletes play well and stay well. Many trained professionals, including orthopedic surgeons, athletic trainers, personal trainers and physical therapists, collaborated together to produce a well-rounded injury prevention program. This is the first scientifically proven program that utilizes proper training and techniques for jumping, landing from a jump and decelerating to decrease serious ACL injuries in middle school and high school athletes. Since 1992, when it was conceptualized, Sportsmetrics has become a world-wide program with certified Sportsmetrics trainers across the United States, Europe and Australia.
The Sportsmetrics program focuses on developing overall leg strength and improving the balance of strength between the quadriceps and the hamstrings. Through proper jumping techniques, strengthening, speed and agility, an athlete will refine their neuromuscular control of the lower limbs, thereby reducing the amount of serious knee injuries. As a result, one will be able to utilize proper muscle recruitment, land with less valgus (knock-kneed) stresses and decelerate properly. Sportsmetrics is progressive in nature, building on previous exercises and drills. It includes five aspects: a dynamic warm-up, jump training, speed and agility, strength training and flexibility. Each of the certified Sportsmetrics trainers emphasizes technique and proper training throughout each section of the program to help cue the athlete where their body should be when in motion or preparing for motion.
Members of the Cincinnati Sportsmedicine Research and Education Foundation team came to Skaneateles in January 2009 to train 15 members of the staff at Victory Sports Medicine & Orthopedics in Sportsmetrics, making Victory Sports Medicine and Orthopedics the largest certified site in New York state. Having a large number of certified Sportsmetrics trainers allows Victory Sports Medicine & Orthopedics the opportunity to work with local high schools and community programs to help instill proper training techniques and hopefully decrease the incidence of knee injuries. For more information on the Sportsmetrics injury prevention/performance enhancement program, feel free to contact Erin Johnson, ATC, at 658-7544. She is a certified Sportsmetrics trainer and also spent a six-week internship at Cincinnati Sports Medicine working with Dr. Noyes and his certified Sportsmetrics staff during the spring of 2009.
Dr. Marc P. Pietropaoli is a board certified/fellowship trained orthopedic surgeon/sports medicine specialist and is president of Victory Sports Medicine & Orthopedics in Skaneateles
Knee Injuries May Start With Strain On The Brain, Not The Muscles
Source: ScienceDaily (July 27, 2009) – New research shows that training your brain may be just as effective as training your muscles in preventing ACL knee injuries, and suggests a shift from performance-based to prevention-based athletic training programs.
The ACL, or anterior cruciate ligament, is one of the four major ligaments of the knee, and ACL injuries pose a rising public health problem as well as an economic strain on the medical system.
University of Michigan researchers studying ACL injuries had subjects perform one-legged squats to fatigue, then tested the reactions to various jumping and movement commands. Researchers found that both legs-not just the fatigued leg-showed equally dangerous and potentially injurious responses, said Scott McLean, assistant professor with the U-M School of Kinesiology. The fatigued subjects showed significant potentially harmful changes in lower body movements that, when preformed improperly, can cause ACL tears.
“These findings suggest that training the central control process-the brain and reflexive responses-may be necessary to counter the fatigue induced ACL injury risk,” said McLean, who also has an appointment with the U-M Bone & Joint Injury Prevention Center.
McLean says that most research and prevention of ACL injuries focuses below the waist in a controlled lab setting, but the U-M approach looks a bit north and attempts to untangle the brain’s role in movements in a random, realistic and complex sports environments.
The findings could have big implications for training programs, McLean said. Mental imagery or virtual reality technology can immerse athletes to very complex athletic scenarios, thus teaching rapid decision making. It might also be possible to train “hard wired” spinal control mechanisms to combat fatigue fallout.
In a related paper, McLean’s group again tested the single leg landings of 13 men and 13 women after working the legs to fatigue. While both men and women suffer an epidemic of ACL injuries, women are two to eight times likelier to tear this ligament than men while playing the same sport. However, the study showed that men and women showed significant changes in lower limb mechanics during unanticipated single leg landings. Again, the findings point to the brain, McLean says.
During testing, a flashing light cued the subjects to jump in a certain direction, and the more fatigued the subjects became, the less likely they were able to react quickly and safely to the unexpected command.
The research suggests that training the brain to respond to unexpected stimuli, thus sharpening their anticipatory skills when faced with unexpected scenarios, may be more beneficial than performing rote training exercises in a controlled lab setting, which is much less random than a true competitive scenario. In this case, expanding the anticipated training to include shorter stimulus-response times could improve reaction time in random sports settings.
“If you expose them to more scenarios, and train the brain to respond more rapidly, you can decrease the likelihood of a dangerous response,” he said. It’s analogous to how a seasoned stick shift driver versus a novice learner might both respond to a sudden stall. The inexperienced driver might make a slow or even incorrect decision.
August 4, 2009, from http://www.sciencedaily.com /releases/2009/07/090724102915.htm
Ursuline Academy Completes Another Season of Training
Ursuline Academy Volleyball recently comleted another season of our new ACL Prevention and Volleyball Enhancement Program. This is one of the many new sport specific programs now offered at Sportsmetrics. Congratulations to Ursuline on completion of the program and good luck on your upcoming season. Also check out Diane Redmond and her thoughts about the Sportsmetrics program and her athletes. Diane is the Athletic Director for Ursuline Academy in Cincinnati, Ohio.
ACL Tunnel Placement
This video clip is Dr. Matthew Busam discussing tunnel placement in ACL reconstruction.
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