www.sprivail.org
Steadman Philippon Research Institute 2003 Annual Report
The area of regenerative medicine is an excit-
ing one. There are many new and innovative
techniques under investigation by scientists
around the world. In 2003, we focused our
efforts almost exclusively on regeneration of an
improved tissue for resurfacing of articular
cartilage defects that typically lead to degenera-
tive osteoarthritis. We have been working in
the promising area of gene therapy in collabo-
ration with Drs. Wayne McIlwraith and David
Frisbie at Colorado State University. Following is
some background information and a summary of our most recent findings. This work is ongoing, and the encouraging results presented here will allow us to continue to focus on this work in the coming years.
Osteoarthritis is a debilitating, progressive disease characterized by the deterioration of articular cartilage and accompanied by changes in the bone and soft tissues of the joint. Traumatic injury to joints is also often associated with acute damage to the articular carti- lage. Unfortunately, joint cartilage is a tissue with poor healing poten- tial. Once damaged, cartilage typically does not heal, or it may heal with fibrous tissue that does not function as it should. Such tissue does not possess the biomechanical and biochemical properties of the original hyaline cartilage; hence, the integrity of the articular sur- face and normal joint function are compromised. The result often is osteoarthritis.
CONTENTS:
The Year in Review
Mission and History
Governing and Advisory Boards
EARL GRAVES: AN ENTERPRISING TOUCH
Friends of the Foundation
Corporate and Institutional Friends
Basic Science Research: Understanding Joint Disease (Osteoarthritis)
CINDY NELSON: SKIING OR GOLF, STAYING THE COURSE
Clinical Research: “Outcomes” and “Process” Research (Microfracture)
Biomechanics Research (testing)
Laboratory
INSIDE THE STEADMAN◆HAWKINS FOUNDATION: A FELLOW’S PERSPECTIVE Education
Presentations and Publications
Recognition
Associates
Independent Accountants’ Report
Statement of Financial Position
Statement of Activities
Statement of Cash Flow
Statement of Functional Expenses
Notes to Financial Statements
www.sprivail.org
The Steadman Philippon Research Institute 2004 Annual Report
The area of regenerative medicine is an excit- ing one. There are many new and innovative techniques under investigation by scientists around the world. In 2004 we focused our efforts almost exclusively on regeneration of an improved tissue for resurfacing of articular cartilage (chondral) defects that typically lead to degenerative osteoarthritis. We have been working in the promising area of gene therapy in collaboration with Drs. Wayne McIlwraith and David Frisbie at Colorado State University. The following provides some background information and a summary of our most recent findings. This work is ongoing, and the encouraging results presented here will allow us to continue to focus on this work in the coming years.
Osteoarthritis is a debilitating, progres- sive disease characterized by the deterioration of articular cartilage and accompanied by changes in the bone and soft tissues of the joint. Traumatic injury to joints is also often associated with acute damage to the articular cartilage. Unfortunately, joint cartilage is a tissue with very poor healing potential. Once damaged, cartilage typically does not heal, or it may heal with fibrous tissue that serves no purpose. This tissue does not possess the
properties of the original cartilage, so the integrity of the articular surface and normal joint function are compromised. The result is often osteoarthritis.
Content:
2 The Year in Review 5 An Active Legacy
8 Governing Boards
9 Al Perkins
11 Scientific Advisory Board 13 Friends of the Foundation
23 Corporate and Institutional Friends
24 Basic Science Research (Gene Therapy)
28 Clinical Research (Joint Restoration)
36 Biomechanics Research Laboratory (Osteoarthritis Research)
44 Education
48 Presentations and Publications
57 Recognition
58 Media
60 Development 63 Associates
65 Independent Accountants’ Report
66 Statements of Financial Position
67 Statements of Activities
69 Statements of Cash Flow
70 Statements of Functional Expenses
www.sprivail.org
Approximately 250,000 anterior cruciate ligament (ACL) reconstructions are performed every year in the United States. ACL injuries are most commonly caused during an activ-
ity that involves a twisting or pivoting motion of the knee, causing the ACL to tear and creating a popping noise in the joint. Various studies have shown that ACL reconstructions with autograft tissue (tissue from the patient’s own knee) report a failure rate of approximately 5-10 percent of all surger- ies performed each year. Despite the
prevalence of this procedure, a debate still exists regarding the ideal graft choice. The use of allograft tissue (cadaveric donor tissue) continues to gain popularity because it lacks the inherent disadvan- tages that are specific to the utilization
of autograft tissue. Some of the disad- vantages of autograft use include harvest- site morbidity (disease), scarring and tendinitis, patella fracture, etc. Despite these disadvantages, ACL autograft use
is still considered advantageous for a number of reasons, including lower surgi- cal costs, lack of cell death, improved graft incorporation, and lack of donor- to-host disease transmission. Contrary to autograft tissue, the use of allograft tissue avoids harvest-site morbidity, provides less peri-operative pain, and shortens opera- tive time significantly. The preparation
of allograft tissue has changed significantly in recent years, significantly decreasing the chances of disease transmission, while still preserving the collagen integrity of the graft.
The purpose of this study was to document ACL revi- sion rates and subjective outcomes following anterior cruciate ligament reconstruction with Achilles allograft, bone-patel- lar tendon-bone (B-PT-B) allograft, hamstring autograft and B-PT-B autograft, while controlling for surgical technique and rehabilitation. Our hypothesis was that revision rates and outcomes of ACL allograft and ACL autograft procedures. would be similar among ACL reconstruction groups performed by the same surgeon with the same rehabilitation.
CONTENT:
2 The Year in Review
4 Governing Boards
6 Scientific Advisory Committee
12 Friends of the Foundation
26 Corporate and Institutional Friends 28 Research and Education
30 Basic Science Research (Joint Preservation)
32 Clinical Research (Patient-based outcomes research)
44 Biomechanics Research Laboratory 54 Imaging Research (Biomechanics Research)
59 Education
63 Presentations and Publications
75 In the Media
76 Recognition
79 Associates
83 Financial Statements
http://www.sprivail.org
Steadman Philippon Research Institute 2002 Annual Report.
The year will be remembered as a period of progress and excit- ing development in our Basic Science research. Our collaborative effort with the Equine Science Center at Colorado State University has been devoted to unlocking the promise of gene therapy in treating cartilage defects. We are encouraged by these findings this year which indicate that by combining growth factors with gene therapy we can control the quality of cartilage repair tissue.
One of the important objectives of our research is to develop highly replicable surgical procedures that are minimally invasive.
We have been involved in pioneering a system that helps simplify rotator cuff repair while aiming to match the outcomes of open proce- dures. Thanks to a series of groundbreaking biomedical innovations, this arthroscopic procedure has shown great promise.
Through our clinical research, we continue to learn from our patients. Our focus has been on determining predictors of disability and satisfaction, patient expectations, and patient outcomes from sur- gical procedures. In 2002, we completed several studies, such as those on Microfracture and Healing Response, that investigated the outcome of techniques developed here in Vail. In both cases, findings showed that patient activity level had increased and the patients were highly satisfied. We hope these and other outcomes will help establish future guidelines and expectations in the treatment of patients.
The quality of our research has attained a level of excellence rec- ognized throughout the world. The American Society of Biomechanics selected an abstract authored by Biomechanics Research Laboratory Staff Scientist Kevin Shelburne, Ph.D., and Director Michael Torry, Ph.D., as winner in the 2002 Journal of Biomechanics Award competition. This is one of the most prestigious international awards conferred in Biomechanics.
This report includes:
1 The Year in Review
2 History and Mission
3 Governing and Advisory Boards
5 Friends of the Foundation
13 Corporate and Institutional Friends
14 Bode Miller: The Healing Response (Microfracture) and the Comeback Kid
17 Basic Science Research: Understanding Joint Disease 20 Judy Collins: Shouldering on
22 Clinical Research: “Outcomes” and “Process” Research
32 Biomechanics Research Laboratory (Biomechanical Resesarch)
36 Major John Tokish, M.D.
38 Education
41 Presentations and Publications
47 Recognition
48 Knee Ligament Forces During Walking (ACL Functions)
50 In the Media
52 Associates
53 Independent Accountants’ Report
54 Statements of Financial Position
55 Statements of Activities
57 Statements of Cash Flow
58 Statements of Functional Expenses
60 Notes to Financial Statements
www.sprivail.org
The Steadman Philippon Research Institute 2011 Annual Report
Snapping scapula syndrome is a rare condition of the shoulder that is poorly understood. Due to the lack of knowl- edge about this syndrome, many patients are misdiagnosed
or suffer with symptoms for many years. The most common complaint is pain when the shoulder blade rubs and clicks against the ribs. There are many factors that can cause a snapping scapula, including problems between the scapula (shoulder blade) and chest wall, muscle tears, fractures in the shoulder area, a bony lump on the shoulder blade, rheumatoid diseases and shoulder injuries.
X-rays and CT scans (3-D imaging) are used to show bone spurs or abnormalities of the scapula. MRI is also used to look for related conditions, such as scapular bursitis—where the soft tissues between the scapula and the chest wall are thick, irri- tated, or inflamed. Treatment starts with injections of steroids to provide pain relief, along with physical therapy to improve muscle strength. Unfortunately, some bone or tissue abnormali- ties do not respond to these treatments—in which case surgery may be necessary.
Content:
2 The Year in Review
4 Governing Boards
9 Scientific Advisory Committee 13 Friends of the Institute
24 Corporate and Institutional Friends
25 Research and Education (Medial Knee Reconstruction)
26 Basic Science Research (Snapping Scapula Syndrome) (Microfracture in the Pediatric Knee)
29 Clinical Research (Hip Arthroscopy)
45 Biomechanics Research
48 Imaging Research
53 Education & Fellowship
57 Presentations and Publications
73 In the Media
74 Recognition
77 Associates
78 Audited 2010 Financial Statements
www.sprivail.org
The Steadman Philippon Research Institute 2004 Annual Report
The area of regenerative medicine is an excit- ing one. There are many new and innovative techniques under investigation by scientists around the world. In 2004 we focused our efforts almost exclusively on regeneration of an improved tissue for resurfacing of articular cartilage (chondral) defects that typically lead to degenerative osteoarthritis. We have been working in the promising area of gene therapy in collaboration with Drs. Wayne McIlwraith and David Frisbie at Colorado State University. The following provides some background information and a summary of our most recent findings. This work is ongoing, and the encouraging results presented here will allow us to continue to focus on this work in the coming years.
Osteoarthritis is a debilitating, progres- sive disease characterized by the deterioration of articular cartilage and accompanied by changes in the bone and soft tissues of the joint. Traumatic injury to joints is also often associated with acute damage to the articular cartilage. Unfortunately, joint cartilage is a tissue with very poor healing potential. Once damaged, cartilage typically does not heal, or it may heal with fibrous tissue that serves no purpose. This tissue does not possess the
properties of the original cartilage, so the integrity of the articular surface and normal joint function are compromised. The result is often osteoarthritis.
Content:
2 The Year in Review 5 An Active Legacy
8 Governing Boards
9 Al Perkins
11 Scientific Advisory Board 13 Friends of the Foundation
23 Corporate and Institutional Friends
24 Basic Science Research (Gene Therapy)
28 Clinical Research (Joint Restoration)
36 Biomechanics Research Laboratory (Osteoarthritis Research)
44 Education
48 Presentations and Publications
57 Recognition
58 Media
60 Development 63 Associates
65 Independent Accountants’ Report
66 Statements of Financial Position
67 Statements of Activities
69 Statements of Cash Flow
70 Statements of Functional Expenses
www.sprivail.org
Approximately 250,000 anterior cruciate ligament (ACL) reconstructions are performed every year in the United States. ACL injuries are most commonly caused during an activ-
ity that involves a twisting or pivoting motion of the knee, causing the ACL to tear and creating a popping noise in the joint. Various studies have shown that ACL reconstructions with autograft tissue (tissue from the patient’s own knee) report a failure rate of approximately 5-10 percent of all surger- ies performed each year. Despite the
prevalence of this procedure, a debate still exists regarding the ideal graft choice. The use of allograft tissue (cadaveric donor tissue) continues to gain popularity because it lacks the inherent disadvan- tages that are specific to the utilization
of autograft tissue. Some of the disad- vantages of autograft use include harvest- site morbidity (disease), scarring and tendinitis, patella fracture, etc. Despite these disadvantages, ACL autograft use
is still considered advantageous for a number of reasons, including lower surgi- cal costs, lack of cell death, improved graft incorporation, and lack of donor- to-host disease transmission. Contrary to autograft tissue, the use of allograft tissue avoids harvest-site morbidity, provides less peri-operative pain, and shortens opera- tive time significantly. The preparation
of allograft tissue has changed significantly in recent years, significantly decreasing the chances of disease transmission, while still preserving the collagen integrity of the graft.
The purpose of this study was to document ACL revi- sion rates and subjective outcomes following anterior cruciate ligament reconstruction with Achilles allograft, bone-patel- lar tendon-bone (B-PT-B) allograft, hamstring autograft and B-PT-B autograft, while controlling for surgical technique and rehabilitation. Our hypothesis was that revision rates and outcomes of ACL allograft and ACL autograft procedures. would be similar among ACL reconstruction groups performed by the same surgeon with the same rehabilitation.
CONTENT:
2 The Year in Review
4 Governing Boards
6 Scientific Advisory Committee
12 Friends of the Foundation
26 Corporate and Institutional Friends 28 Research and Education
30 Basic Science Research (Joint Preservation)
32 Clinical Research (Patient-based outcomes research)
44 Biomechanics Research Laboratory 54 Imaging Research (Biomechanics Research)
59 Education
63 Presentations and Publications
75 In the Media
76 Recognition
79 Associates
83 Financial Statements
http://www.sprivail.org
Steadman Philippon Research Institute 2002 Annual Report.
The year will be remembered as a period of progress and excit- ing development in our Basic Science research. Our collaborative effort with the Equine Science Center at Colorado State University has been devoted to unlocking the promise of gene therapy in treating cartilage defects. We are encouraged by these findings this year which indicate that by combining growth factors with gene therapy we can control the quality of cartilage repair tissue.
One of the important objectives of our research is to develop highly replicable surgical procedures that are minimally invasive.
We have been involved in pioneering a system that helps simplify rotator cuff repair while aiming to match the outcomes of open proce- dures. Thanks to a series of groundbreaking biomedical innovations, this arthroscopic procedure has shown great promise.
Through our clinical research, we continue to learn from our patients. Our focus has been on determining predictors of disability and satisfaction, patient expectations, and patient outcomes from sur- gical procedures. In 2002, we completed several studies, such as those on Microfracture and Healing Response, that investigated the outcome of techniques developed here in Vail. In both cases, findings showed that patient activity level had increased and the patients were highly satisfied. We hope these and other outcomes will help establish future guidelines and expectations in the treatment of patients.
The quality of our research has attained a level of excellence rec- ognized throughout the world. The American Society of Biomechanics selected an abstract authored by Biomechanics Research Laboratory Staff Scientist Kevin Shelburne, Ph.D., and Director Michael Torry, Ph.D., as winner in the 2002 Journal of Biomechanics Award competition. This is one of the most prestigious international awards conferred in Biomechanics.
This report includes:
1 The Year in Review
2 History and Mission
3 Governing and Advisory Boards
5 Friends of the Foundation
13 Corporate and Institutional Friends
14 Bode Miller: The Healing Response (Microfracture) and the Comeback Kid
17 Basic Science Research: Understanding Joint Disease 20 Judy Collins: Shouldering on
22 Clinical Research: “Outcomes” and “Process” Research
32 Biomechanics Research Laboratory (Biomechanical Resesarch)
36 Major John Tokish, M.D.
38 Education
41 Presentations and Publications
47 Recognition
48 Knee Ligament Forces During Walking (ACL Functions)
50 In the Media
52 Associates
53 Independent Accountants’ Report
54 Statements of Financial Position
55 Statements of Activities
57 Statements of Cash Flow
58 Statements of Functional Expenses
60 Notes to Financial Statements
www.sprivail.org
The Steadman Philippon Research Institute 2011 Annual Report
Snapping scapula syndrome is a rare condition of the shoulder that is poorly understood. Due to the lack of knowl- edge about this syndrome, many patients are misdiagnosed
or suffer with symptoms for many years. The most common complaint is pain when the shoulder blade rubs and clicks against the ribs. There are many factors that can cause a snapping scapula, including problems between the scapula (shoulder blade) and chest wall, muscle tears, fractures in the shoulder area, a bony lump on the shoulder blade, rheumatoid diseases and shoulder injuries.
X-rays and CT scans (3-D imaging) are used to show bone spurs or abnormalities of the scapula. MRI is also used to look for related conditions, such as scapular bursitis—where the soft tissues between the scapula and the chest wall are thick, irri- tated, or inflamed. Treatment starts with injections of steroids to provide pain relief, along with physical therapy to improve muscle strength. Unfortunately, some bone or tissue abnormali- ties do not respond to these treatments—in which case surgery may be necessary.
Content:
2 The Year in Review
4 Governing Boards
9 Scientific Advisory Committee 13 Friends of the Institute
24 Corporate and Institutional Friends
25 Research and Education (Medial Knee Reconstruction)
26 Basic Science Research (Snapping Scapula Syndrome) (Microfracture in the Pediatric Knee)
29 Clinical Research (Hip Arthroscopy)
45 Biomechanics Research
48 Imaging Research
53 Education & Fellowship
57 Presentations and Publications
73 In the Media
74 Recognition
77 Associates
78 Audited 2010 Financial Statements
www.sprivailorg
The Steadman Philippon Research Institute 2007 Annual Report
Patients with hip pain may suffer from femoro- acetabular impingement, or FAI, in which bony abnormalities of both the femur and acetabulum irregularly and repetitively contact each other, creating damage to articular cartilage and labrum. This may lead to a more rapid onset of osteoar- thritis, which is the leading cause of disability in the United States. In the past, the treatment for FAI was an open surgical dislocation procedure to repair this pathology. It has shown good mid-term results, but it is a highly invasive procedure.
The recovery from this open surgical dislocation procedure may limit activities for nine months. This length of postoperative inactivity is not feasible for the recreational or professional athlete. Dr. Marc J. Philippon has developed an arthroscopic technique to repair this hip joint disease that allows individu- als to return to activities, including athletics, as early as three months.
Patients with osteoarthritis of the shoulder have pain and loss of function that significantly affect their quality of life. When the disease becomes more advanced and the symptoms do not respond to conservative methods, total shoulder arthroplasty (TSA) is the preferred surgical treatment. The number of TSAs performed annually in the U.S. has increased from about 5,000 in the early 1990s to more than 20,000 in 2005. This is largely because an aging population wants to stay active, but
it may also be due to better prosthesis designs, better surgical techniques, and better training of surgeons.
While the overall outcomes after shoulder replacements are excellent, the motions of the bones or implants inside the shoulder joint during motion in living subjects are not well known because we haven’t been able to “see” inside the joint.
Contents:
The Year in Review
2 Governing Boards
4 Scientific Advisory Committee
Femoroacetabular Impingement
5 Imaging Research Set to Become Newest Area of Science
6 Lee Schmidt: A Lesson in the Art of Giving
8 John Kelly: An Elite Photographer
20 Research and Education (Shoulder Joint Research)
22 Basic Science Research (knee micro fracture)
Osteoarthritis Knee Treatment
Patient Outcomes
GMRF’s 10 year anniversary annual report showcases their incredible achievements and advancements in research to enhance the health of the Australian community. Hanrick Curran is proud to support of GMRF and the milestones reached in the last decade.
Looking at how health research impacts health programming and policy-making in international development, the African Medical and Research Foundation hosted a discussion highlighting some of the themes laid out in this slideshow.
The Best Charitable Foundation in Medical Research-Changing the Health of the...CIOLOOKIndia
Imagine a world where diseases that ravage today are whispers of a forgotten past. Where chronic illnesses fade into flickering shadows, replaced by vibrant lives brimming with health and possibility. This is not a fantastical utopia, but the fertile ground promised by medical research, the tireless thread weaving a tapestry of healthier tomorrows for generations to come.
www.sprivailorg
The Steadman Philippon Research Institute 2007 Annual Report
Patients with hip pain may suffer from femoro- acetabular impingement, or FAI, in which bony abnormalities of both the femur and acetabulum irregularly and repetitively contact each other, creating damage to articular cartilage and labrum. This may lead to a more rapid onset of osteoar- thritis, which is the leading cause of disability in the United States. In the past, the treatment for FAI was an open surgical dislocation procedure to repair this pathology. It has shown good mid-term results, but it is a highly invasive procedure.
The recovery from this open surgical dislocation procedure may limit activities for nine months. This length of postoperative inactivity is not feasible for the recreational or professional athlete. Dr. Marc J. Philippon has developed an arthroscopic technique to repair this hip joint disease that allows individu- als to return to activities, including athletics, as early as three months.
Patients with osteoarthritis of the shoulder have pain and loss of function that significantly affect their quality of life. When the disease becomes more advanced and the symptoms do not respond to conservative methods, total shoulder arthroplasty (TSA) is the preferred surgical treatment. The number of TSAs performed annually in the U.S. has increased from about 5,000 in the early 1990s to more than 20,000 in 2005. This is largely because an aging population wants to stay active, but
it may also be due to better prosthesis designs, better surgical techniques, and better training of surgeons.
While the overall outcomes after shoulder replacements are excellent, the motions of the bones or implants inside the shoulder joint during motion in living subjects are not well known because we haven’t been able to “see” inside the joint.
Contents:
The Year in Review
2 Governing Boards
4 Scientific Advisory Committee
Femoroacetabular Impingement
5 Imaging Research Set to Become Newest Area of Science
6 Lee Schmidt: A Lesson in the Art of Giving
8 John Kelly: An Elite Photographer
20 Research and Education (Shoulder Joint Research)
22 Basic Science Research (knee micro fracture)
Osteoarthritis Knee Treatment
Patient Outcomes
GMRF’s 10 year anniversary annual report showcases their incredible achievements and advancements in research to enhance the health of the Australian community. Hanrick Curran is proud to support of GMRF and the milestones reached in the last decade.
Looking at how health research impacts health programming and policy-making in international development, the African Medical and Research Foundation hosted a discussion highlighting some of the themes laid out in this slideshow.
The Best Charitable Foundation in Medical Research-Changing the Health of the...CIOLOOKIndia
Imagine a world where diseases that ravage today are whispers of a forgotten past. Where chronic illnesses fade into flickering shadows, replaced by vibrant lives brimming with health and possibility. This is not a fantastical utopia, but the fertile ground promised by medical research, the tireless thread weaving a tapestry of healthier tomorrows for generations to come.
1. Steadman ◆ Hawkins
Sports Medicine Foundation
A N N U A L R E P O R T 2 0 0 3
15 years of
e xcellence
2. Table of Contents
1 The Year in Review
2 Mission and History
3 Governing and Advisory Boards
5 EARL GRAVES: AN ENTERPRISING TOUCH
6 Friends of the Foundation
13 Corporate and Institutional Friends
14 Basic Science Research: Understanding Joint Disease
16 CINDY NELSON: SKIING OR GOLF, STAYING THE COURSE
17 Clinical Research: “Outcomes” and “Process” Research
24 Biomechanics Research Laboratory
29 INSIDE THE STEADMAN◆HAWKINS FOUNDATION: A FELLOW’S PERSPECTIVE
31 Education
34 Presentations and Publications
43 Recognition
44 Associates
45 Independent Accountants’ Report
46 Statement of Financial Position
47 Statement of Activities
49 Statement of Cash Flow
50 Statement of Functional Expenses
52 Notes to Financial Statements
‘ The Steadman◆Hawkins Sports Medicine Foundation wishes to express deep appreciation to John P. Kelly, who donated many
of the stock photos in this year’s Annual Report and contributed his time to photograph the many Foundation and operating
room subjects.
Kelly is a renowned sports and stock photographer who approaches every photo shoot like a commando. His sense of motion
combines with his obvious love of natural light to produce vibrant graphic images. He shoots extensively for a variety of prominent
manufacturers in the sports and recreation industry; and his experience includes numerous assignments at the Olympics,
Wimbledon, U.S. Open Golf, and World Cup Skiing. When Robert Redford needed a poster that reflected the spirit of his movie
“A River Runs Through It,” he called Kelly. More recently, Redford employed Kelly’s photographic talents during the making of
the “Horse Whisperer.” Whether covering the Olympics or trekking in the Himalayas, Kelly is always ready for his next
photographic adventure.
3. The Year in Review
DEAR FRIENDS:
In 2003, we celebrated the 15th anniversary of the Steadman◆Hawkins Sports
Medicine Foundation! It is hard to believe that 15 years have passed. During this period,
new surgical procedures and non-operative treatments to combat arthritis have been
pioneered and developed. Our Fellowship Program has trained a new generation of
orthopaedic surgeons who are now practicing throughout the world. We are indebted
to the many individual and corporate supporters who have made these achievements
possible. Since our founding in 1988, 2,100 individuals, foundations, and corporate
sponsors have made more than 7,200 gifts to the Foundation. In this Annual Report,
you will read about some of the noteworthy achievements and the progress we are
making every day.
For example, microfracture, pioneered and developed by the Foundation, is
now accepted as a treatment that may make it possible to postpone or even eliminate
the need for knee replacement surgery. Just ten years ago, only a small percentage of the world’s orthopaedic surgeons performed microfrac-
1
ture. Today, it is the treatment of choice among surgeons all over the world to relieve pain and slow the progression of arthritis in the knee.
Once again employing the body’s own recuperative power, the Healing Response technique was another product of the Foundation’s
research and development environment. This alternative to anterior cruciate ligament (ACL) reconstruction in the knee provides treatment for
certain types of ACL injuries.
5
The shoulder presents another area where injuries often lead to arthritis. In this complex joint, our researchers have been improving
arthroscopic techniques that are far less invasive than open surgical procedures.
Increasing in size every year, the clinical research database developed by the Foundation offers researchers access to information on
thousands of cases on injured or arthritic joints. Numerous peer-reviewed publications based on the information stored here have been pro-
duced by the Foundation. One of the many applications of the patient database was its use by researchers to identify risk factors that lead to
arthritis.
Our biomechanics research group has become a leader in the development of computer modeling technology. Being able to see how
a moving joint’s different components interact is immensely valuable to doctors and therapists. Armed with this information, they can design
therapies uniquely suited to each injured or diseased joint.
To reach professionals who are unable to come to us, Foundation scientists and physicians have reported their research worldwide
through peer-reviewed publications and presentations. During the past decade and a half, we have produced more than 400 papers, 1,000
presentations, and 60 teaching videos—many award winning—that have been accepted by medical and scientific journals and organizations
worldwide.
In fulfillment of our mission to educate and disseminate the results of our research, the Foundation in 2003 hosted the webcast
Overcoming the Challenge of Degenerative Joint Disease: Innovative Surgical and Pain Management Techniques. The four-hour round-
table discussion sponsored by Pfizer was made available to orthopaedic surgeons throughout the world on the World Wide Web for continuing
medical education credit.
As evidence that the quality of our research has attained a level of excellence recognized throughout the medical and scientific
community, the prestigious American Academy of Orthopaedic Surgeons selected the poster presentation Factors Associated with Disability
and Activity in Patients Seeking Care for Osteoarthritis as one of 12 award winners.
The Foundation owes a special thanks to our staff, scientists, and physicians. They dedicate their time and effort to conduct research
that is meeting the highest and most rigorous standards of excellence and educational programs that will help all of us lead healthy and active
lives for years to come.
As we look forward to the future, the legacy of the Steadman◆Hawkins Sports Medicine Foundation is constantly expanding as we con-
tinue to develop innovative treatments to heal the body. The Foundation has already set definitive goals that, when reached in the coming
decades, will restore quality, activity, and health to countless lives.
Sincerely yours,
J. Richard Steadman, M.D. Richard J. Hawkins, M.D.
Chairman of the Board Vice President
1
4. Mission
THE STEADMAN◆HAWKINS SPORTS MEDICINE FOUNDATION IS DEDICATED TO KEEPING PEOPLE
OF ALL AGES PHYSICALLY ACTIVE THROUGH ORTHOPAEDIC RESEARCH AND EDUCATION IN THE
AREAS OF ARTHRITIS, HEALING, REHABILITATION, AND INJURY PREVENTION.
HISTORY
Founded in 1988 by orthopaedic surgeon Dr. J. Richard Steadman, the Foundation is an independent, tax-exempt (IRS code 501(c)(3)) charita-
ble organization. Known throughout the world for its research into the causes, prevention, and treatment of orthopaedic disorders, the
Steadman◆Hawkins Sports Medicine Foundation is committed to solving orthopaedic problems that limit an individual’s ability to maintain an active
life. In 1990, he was joined by renowned shoulder surgeon Dr. Richard J. Hawkins. Together, they brought the Foundation’s research production
in knee and shoulder studies to a new level.
The Foundation has influenced the practice of orthopaedics—from diagnosis to rehabilitation. Recognizing that the body’s innate healing powers
can be harnessed and manipulated to improve the healing process has led to exciting advances in surgical techniques that are used today by
orthopaedists in many practices. The microfracture technique, for example, is now accepted as a treatment that may make it possible to postpone
or even eliminate the need for knee replacement surgery.
One of the largest independent orthopaedic research institutes in the world, the Steadman◆Hawkins Sports Medicine Foundation has become one
of the most productive and innovative foundations in orthopaedic research and education.
Philanthropic gifts are used to advance scientific research and to support scholarly academic programs that train physicians for the future. Through
its Fellowship program, the Foundation has now built a network of 130 Fellows and associates worldwide who share the advanced ideas and com-
municate the concepts they learned in Vail.
THE FOUNDATION’S PRIMARY AREAS OF RESEARCH AND EDUCATION ARE:
◆ Basic Science Research – Undertakes studies to investigate the ◆ Biomechanics Research Laboratory – Performs knee and shoulder
mysteries of degenerative arthritis, cartilage regeneration, and computer modeling and related studies in an effort to reduce the
arthritic changes in the knee and shoulder. need for surgical repair.
◆ Education and Fellowship Program – Administers and coordinates
◆ Clinical Research – Conducts “process” and “outcomes” research
the physicians-in-residence fellowship program, hosts
in orthopaedic sports medicine that aids both physicians and
conferences and international medical meetings, and produces
patients in making better-informed treatment decisions.
and distributes publications and videotapes.
SINCE ITS INCEPTION, THE FOUNDATION HAS HELPED PEOPLE OF ALL AGES REMAIN PHYSICALLY ACTIVE
THROUGH ORTHOPAEDIC RESEARCH AND EDUCATION. IT CONTINUES TO PURSUE ITS GOALS OF:
◆ Understanding and enlisting the body’s innate ability to heal. ◆ Producing and publishing scientifically validated research in
◆ Designing and validating surgical and rehabilitation techniques, leading medical and scientific journals.
as well as non-operative treatments for arthritis.
2
5. Governing Boards
BOARD OF DIRECTORS Betsy Nagelsen-McCormack OFFICERS
Professional Tennis Player
H.M. King Juan Carlos I of Spain Orlando, Fla. J. Richard Steadman, M.D.
Honorary Trustee Cynthia L. Nelson Chairman
Adam Aron Cindy Nelson LTD
James F. Silliman, M.D.
Chairman of the Board and Vail, Colo.
President
Chief Executive Officer Mary K. Noyes
Vail Resorts, Inc. Director of Special Services Richard J. Hawkins, M.D.
Vail, Colo. Aircast, Inc. Vice President
Howard Berkowitz Freeport, Me.
John G. McMurtry
Chairman and Chief Executive Officer Al Perkins Secretary/Treasurer
BlackRock HPB Chairman
New York, N.Y. Darwin Partners COLORADO COUNCIL
Julie Esrey Wakefield, Mass.
Board of Trustees Cynthia S. Piper The Colorado Council was established as
Duke University Trustee
Kansas City, Mo. an auxiliary board of prominent Colorado
Metropolitan State University Foundation
citizens who serve as ambassadors for the
Jack Ferguson of Minneapolis
Hamel, Minn. Foundation within the state.
Founder and President
Jack Ferguson Associates Steven Read Bruce Benson
Washington, D.C. Co-Chairman Benson Mineral Group, Inc.
Read Investments Denver
George Gillett
Chairman Orinda, Calif.
Joan Birkland
Booth Creek Management Corporation James F. Silliman, M.D. Executive Director
Vail, Colo. President Sports Women of Colorado
Steadman-Hawkins Clinic of the Carolinas Denver
Earl G. Graves
Publisher and Chief Executive Officer Spartanburg, S.C.
Robert Craig
Black Enterprise Magazine Damaris Skouras Founder and President Emeritus
Scarsdale, N.Y. Senior Advisor The Keystone Center
Morgan Stanley, Inc. Keystone
Ted Hartley
Chairman and Chief Executive Officer New York, N.Y.
Dave Graebel
RKO Pictures, Inc. Gay L. Steadman Founder
Los Angeles, Calif. Steadman-Hawkins Clinic Graebel Van Lines
Steadman◆Hawkins Sports Medicine Foundation Denver
Susan Hawkins
Steadman-Hawkins Clinic of the Carolinas Vail, Colo.
John McBride
Spartanburg, S.C. J. Richard Steadman, M.D. Aspen Business Center Foundation
Steadman-Hawkins Clinic Aspen
Richard J. Hawkins, M.D.
Steadman-Hawkins Clinic of the Carolinas Steadman◆Hawkins Sports Medicine Foundation
Charlie Meyers
Spartanburg, S.C. Vail, Colo.
Outdoor Editor
The Honorable Jack Kemp William I. Sterett, M.D. The Denver Post
Steadman-Hawkins Clinic Denver
Director and Co-Founder
Empower America Steadman◆Hawkins Sports Medicine Foundation
Tage Pederson
Washington, D.C. Vail, Colo.
Co-Founder
David Maher John C. Tolleson Aspen Club Fitness and Sports Medicine Institute
Chairman and Chief Executive Officer Aspen
DMM Enterprises, LLP
Beverly, Mass. Tolleson Wealth Management
Warren Sheridan
Dallas, Texas
Alpine Land Associates, Ltd.
Arch J. McGill
President (retired) Stewart Turley Denver
AIS American Bell Chairman and Chief Executive Officer (retired)
Vernon Taylor, Jr.
Scottsdale, Ariz. Jack Eckerd Drugs
The Ruth and Vernon Taylor Foundation
Bellaire, Fla.
Denver
John G. McMillian
Chairman and Chief Executive Officer (retired) Norm Waite William Tutt
Allegheny & Western Energy Corporation Vice President
Tutco, LLC
Coral Gables, Fla. Booth Creek Management Corporation
Colorado Springs
Vail, Colo.
3
6. Scientific Advisory Board
THE SCIENTIFIC ADVISORY BOARD CONSISTS OF DISTINGUISHED RESEARCH SCIENTISTS WHO REPRESENT
THE FOUNDATION AND SERVE AS ADVISORS IN OUR RESEARCH AND EDUCATION EFFORTS, FELLOWSHIP PROGRAM,
AND TO OUR PROFESSIONAL STAFF.
Steven P. Arnoczky, D.V.M. Mininder Kocher, M.D., M.P.H. Juan J. Rodrigo, M.D.
Director Assistant Professor of Orthopaedic Steadman-Hawkins Clinic of the Carolinas
Laboratory for Comparative Surgery, Harvard Medical School, Spartanburg, S.C.
Orthopaedic Research Harvard School of Public Health
Michigan State University Children’s Hospital, Boston Theodore Schlegel, M.D.
East Lansing, Mich. Department of Orthopaedic Surgery Steadman-Hawkins Clinic
Boston, Mass. Denver, Colo.
John A. Feagin, M.D.
Emeritus Professor of Orthopaedics C. Wayne McIlwraith, D.V.M., Ph.D. J. Richard Steadman, M.D.
Duke University Director of the Orthopaedic Steadman-Hawkins Clinic
Durham, N.C. Research Laboratory Vail, Colo.
Colorado State University
Richard J. Hawkins, M.D. Fort Collins, Colo. William I. Sterett, M.D.
Steadman-Hawkins Clinic of the Carolinas Steadman-Hawkins Clinic
Spartanburg, S.C. Marcus Pandy, Ph.D. Vail, Colo.
Associate Professor
Charles Ho, M.D., Ph.D. Biomedical Engineering Savio Lau-Yuen Woo, Ph.D., D. Sc. (Hon.)
National Orthopaedic Imaging Associates University of Texas/Austin Ferguson Professor and Director
Sand Hill Imaging Center Austin, Texas Musculoskeletal Research Center
Menlo Park, Calif. Department of Orthopaedic Surgery
William G. Rodkey, D.V.M. University of Pittsburgh
Director of Basic Science Research Pittsburgh, Pa.
Steadman◆Hawkins Sports Medicine
Foundation
Vail, Colo.
Scientific Advisory Board, rear, left to right: C. Wayne McIlwraith, D.V.M., Ph.D.; Charles Ho, M.D., Ph.D.;
William I. Sterett, M.D.; Steven P. Arnoczky, D.V.M.; Mininder Kocher, M.D.; and J. Richard Steadman, M.D.
Front row, left to right: Theodore Schlegel, M.D.; William G. Rodkey, D.V.M.; John A. Feagin, M.D.; Juan J.
Rodrigo, M.D.; Savio Lau-Yuen Woo, Ph.D., D. Sc. (Hon.); and Richard J. Hawkins, M.D.
4
7. Editor’s Note: The following profile is based on an should, and trimming back on med-
interview by Richard Needham. Mr. Needham is
ications sooner than he should.
editor of Skiing Heritage magazine and the health
newsletter Arthritis Advisor. “What really bothers me,” he says,
“is that it’s going to knock out skiing
If ever there were a role model for the this winter, and for me that’s tragic.”
self-made entrepreneur—the kind of An active outdoorsman—hiking,
individual business school students swimming, golf, in addition to skiing—
study to emulate when they finally step Graves bought a home 20 years ago
into the real world—it might be Earl in Beaver Creek, Colorado, where he
Graves. The charismatic founder of and his family spend most of their
Black Enterprise magazine, Graves is winters. It was in Beaver Creek in
an African American who started his 1997 that he found himself riding a
spiraling success story by selling chairlift with former HUD secretary
Christmas cards door-to-door at age and 1996 Vice Presidential candidate
EARL GRAVES:
seven (“I was not in a community Jack Kemp. Graves asked Kemp what
AN ENTERPRISING TOUCH
[Brooklyn, N.Y.] where you could cut brought him to Beaver Creek. When
grass.”), and 27 years later, in 1970, Kemp told him he was attending a
launched the nation’s first publication Steadman◆Hawkins Foundation
devoted to black entrepreneurs and business executives. Last meeting, Graves asked, incredulously, “Let me understand this. You
year, Graves’ Black Enterprise-driven media empire generated mean you came all the way out here just for a meeting?”
$53 million in revenues. Fast forward. Earl Graves, six years later, is now the
Years before launching his magazine, Graves, like many of Foundation’s Development Committee chairman, a key position in
the ‘60s’ brightest, served in the political arena as an aide to the which he has been able to attract much-needed funding for the
late Sen. Robert Kennedy. He was with the presidential candidate, Foundation’s work, including $150,000 for the Foundation’s 15th
in fact, on June 5, 1968, the night Kennedy was assassinated in anniversary event held last summer.
Los Angeles. Why does he do it? “The reason I volunteered for the
It was a dark moment for Graves, but it was also a turning Steadman◆Hawkins Foundation is because of Dr. Steadman and
point. Offered a high-paying job with IBM, he turned that down to Dr. Hawkins. These are two unique individuals. They, and their
sign on for a Ford Foundation fellowship. It was an opportunity to staff, really care—and not during just pre-care and operative care.
study entrepreneurship and economic development, studies that Most significant is the concern and interest that the Steadman-
would serve him well in pursuit of his goal, which was to advise Hawkins staff have in how well and quickly you recover. And the
American businesses on tapping into the emerging African- Board is a totally committed group of people who very much care
American market and, his ultimate goal, to put “black” and “capi- about what the Foundation is doing and what it’s capable of doing.”
talism” in the same sentence. After 33 years of publishing, and Graves should know. An expert skier (“When you’ve spent as
with the help of his three sons, the Black Enterprise empire based much money as I have on lessons, you’re bound to get good.”), he’s
in New York City shows no signs of slowing. suffered his share of knee problems during his 68 years. Dr.
Through it all, Graves also took his lumps. Jumping out of air- Steadman has scoped his knee twice, advising Graves to think of it
planes as a member of the U.S. Army Special Forces after college as getting a tune-up on his legs every two to three years.
took its toll on his back. Recently diagnosed with stenosis of the “Eventually,” he says, “I’ll have to have a knee replacement.
spine, he underwent spinal fusion in July at New York City’s Nonetheless, I consider any of my infirmities incidental to the times
Hospital for Special Surgery. The operation was recommended by I’ve enjoyed skiing—you gotta pay to play.”
Steadman-Hawkins Fellow Dr. David Johnson, who had interned And Black Enterprise? Graves grins broadly. “My sons have
at the hospital. The rehabilitation is proceeding well, although, as pretty much taken over the business. I’m honest enough to admit
Graves puts it, “Sitting around the house isn’t me.” So he cheats a that I’m working for them these days.”
bit by pushing his recovery regimen, taking longer walks than he
5
8. Friends of the Foundation
IN 2003, WE RECEIVED CONTRIBUTIONS AND GRANTS FROM 807 INDIVIDUALS AND FOUNDATIONS. THIS COMBINED SUPPORT,
INCLUDING SPECIAL EVENTS, AMOUNTED TO MORE THAN $1.6 MILLION.
THE STEADMAN◆HAWKINS SPORTS MEDICINE FOUNDATION IS GRATEFUL FOR THIS SUPPORT AND TO THOSE WHO HAVE ENTRUSTED
US WITH THEIR CHARITABLE GIVING.
WE ARE ESPECIALLY PLEASED TO HONOR THE FOLLOWING INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS WHO HAVE PROVIDED
THIS SUPPORT. THEIR GIFTS AND PARTNERSHIP DEMONSTRATE A COMMITMENT TO KEEP PEOPLE ACTIVE THROUGH INNOVATIVE PROGRAMS IN
MEDICAL RESEARCH AND EDUCATION. WITHOUT THIS SUPPORT, OUR WORK COULD NOT TAKE PLACE.
Ormed GmbH & Co. KG Smith + Nephew Endoscopy
IN MEMORY OF
During 2003 the following gifts were received Pepsi Cola Center Pulse
in memory of Colonel Beverly Steadman: Pfizer, Inc. Vail Valley Medical Center
Mr. and Mrs. Gary Bisbee
GOLD MEDAL CONTRIBUTORS
Mr. and Mrs. Shirley Carlson
We are grateful to the following individuals, foundations, and corpora-
Dr. John A. Feagin
tions who contributed $20,000-$49,999 to the Foundation in 2003.
Mr. and Mrs. Russell Fritz Their continued generosity and commitment helps fund research in
Mr. and Mrs. George Gillett degenerative arthritis and train physicians for the future.
Charles Ho, M.D., Ph.D.
Mr. and Mrs. Paul Johnston
Aircast, Inc. Mr. David Maher
Mr. and Mrs. John McMurtry
American Express Dr. and Mrs. Glen D. Nelson
Dr. and Mrs. Van Mow
Mr. and Mrs. Harold Anderson Mr. Edward D. O’Brien
Mr. Ed O’Brien
Palladian Group Mr. and Mrs. Howard Berkowitz Mr. Alan Perkins
ReGen Biologics Mr. Douglas N. Daft Mr. and Mrs. Steve Read
William Rodkey, D.V.M. Mr. and Mrs. Lawrence Flinn, Jr. Dr. and Mrs. J. Richard
Ms. Mary Steadman Frito Lay Steadman
Dr. and Mrs. Mike Torry Mr. Richard Goodman Dr. and Mrs. William I. Sterett
Mr. and Mrs. Harry Turvey Mr. Warren Hellman Sulzer Orthopaedics Ltd.
Dr. and Mrs. Wayne Wenzel Mr. and Mrs. John W. Jordan II Vail Associates, Inc.
Dr. and Mrs. Savio Woo Mr. and Mrs. Peter R. Kellogg
HALL OF FAME SILVER MEDAL CONTRIBUTORS
The Steadman◆Hawkins Sports Medicine Foundation is grateful to the Silver Medal donors contribute $5,000-$19,999 annually to the
following individuals, corporations, and Foundations for their support Foundation. Their support makes it possible to fund research to
of the Foundation in 2003 at a level of $50,000 or more. Their vision develop new rehabilitation protocols for patients with ACL-recon-
ensures the advancement of medical research, science, and care, as structed knees, to improve the effectiveness of knee braces, and to
well as the education of physicians for the future. We extend our support the basic science studies of healing factors and gene therapy.
gratitude to these individuals for their generous support: We extend our deep appreciation to these following individuals for
their generous support in 2003:
Mr. Herb Allen - Mr. and Mrs. Earl G. Graves
Allen & Company 12 Mr. Kenneth C. Griffin Mr. and Mrs. Don Ackerman Mr. and Mrs. Robert A. Bourne
The Cliffs Communities HealthONE Mr. and Mrs. Paul Baker Mr. and Mrs. Harry B. Clow III
EBI Medical Systems, Inc. Innovation Sports Mr. and Mrs. Erik Borgen Mr. Bruce R. Cohn
6
9. F I F T E E N Y E A R S O F E X C E L L E N C E
PFIZER SPONSORS FOUNDATION WEBCAST
On-Line Program Provides Continuing
Education for Orthopaedic Surgeons Treating
Dr. and Mrs. Donald S. Mr. and Mrs. Trygve E. Myhren
Degenerative Joint Disease
Corenman Mr. and Mrs. Brian Noyes
Ms. Joanne Corzine Mr. and Mrs. Paul Oreffice The pioneering work of the Foundation’s cartilage research
Mr. and Mrs. Henry Ellis Mr. and Mrs. Preston Parish program was the topic for a webcast that will be available on
ESPN Golf Schools Mr. and Mrs. Bob Penkhus the World Wide Web for one year beginning January 1, 2004.
Mr. and Mrs. Chad Fleischer Perot Foundation Titled Overcoming the Challenge of Degenerative Joint
Genzyme Biosurgery Mr. and Mrs. Jay A. Precourt Disease: Innovative Surgical and Pain Management
Mr. and Mrs. George Gillett Mr. and Mrs. Tom Quinn Techniques, the program was hosted by the professionals and
Dr. and Mrs. Gaines Hammond Mr. and Mrs. Paul Raether staff of the Steadman◆Hawkins Sports Medicine Foundation.
Mr. and Mrs. Mitch Hart The House of Remy Martin The four-hour roundtable, funded by Pfizer, Inc., and
Dr. and Mrs. Richard J. Hawkins Mr. George Roberts sponsored by the Postgraduate Institute for Medicine, fea-
Mrs. Martha Head Mr. and Mrs. Arthur Rock tured a world-renowned, international faculty of orthopaedic
Mr. and Mrs. Walter Hewlett Dr. William Rodkey surgeons, pain specialists, and researchers, each of whom
Highline Sports & Entertainment Seabourn Cruise Line has pioneered innovative treatments for treating articular car-
Mr. and Mrs. Landon Hilliard Dr. and Mrs. James F. Silliman tilage injuries. The webcast, which offers continuing medical
Hilliard Family Fund Mr. and Mrs. Gary Sitzmann education credit, was designed to meet the educational needs
Fred & Elli Iselin Foundation Steadman-Hawkins Clinic of orthopaedic surgeons involved in the care of patients with
Mr. and Mrs. Douglas E. Mr. and Mrs. Paul Stoffel degenerative joint disease.
Jackson Mr. and Mrs. Vernon Taylor, Jr. With growing worldwide interest and concern over the
increase in degenerative arthritis, this webcast will be timely
Mr. and Mrs. J. B. Ladd Mr. and Mrs. William R. Timken
and relevant to both the orthopaedic world and lay community.
Mr. S. Robert Levine Mr. and Mrs. John Tolleson
Mr. and Mrs. Soren Lind Mr. and Mrs. Stewart Turley
Mr. and Mrs. Kent Logan Mr. and Mrs. Norm Waite
Mr. Douglas Mackenzie Mr. and Mrs. Randolph M.
Mr. and Mrs. Richard Allen Mr. and Mrs. John H. Bemis
Mr. Charles McAdam Watkins
Ms. Rebecca Amitai Mr. and Mrs. Peter Benchley
Mr. Michael Merriman Ms. Lucinda Watson
Mr. and Mrs. Jack R. Anderson Mr. Brent Berge
Mr. Ike Misali Dr. and Mrs. Wayne Wenzel
Mr. Ohmer Anderson Beringer Blass Wine Estates
Gordon & Betty Moore WestStar Bank
Applejack Wine & Spirits Mr. and Mrs. James Billingsley
Foundation The Wheless Foundation
Mr. Larry S. Arbuthnot and Mr. and Mrs. Robert W. Bilstein
Norman M. Morris Foundation Wyeth Pharmaceuticals
Ms. Ann Crammond Ms. Ella F. Bindley
Col. and Mrs. Ralph D. Arnold Mr. and Mrs. Frank G.
BRONZE MEDAL CONTRIBUTORS Ms. Wendy Arnold Binswanger, Jr.
Medical research and education programs are supported by gifts to Mr. and Mrs. Michael J. Badar Mr. and Mrs. Frank J. Biondi, Jr.
the Steadman◆Hawkins Sports Medicine Foundation’s annual fund. Mr. and Mrs. John A. Baghott Ms. Joan Birkland
The Bronze Medal level was created to recognize those patients and Mr. J. S. Bainbridge Mr. and Mrs. Gary Bisbee
their families, trustees, staff, and foundations who contribute $10-
The Balance Wheel Mr. and Mrs. Michael R. Black
$4,999 annually to the Foundation. Donors at this level support many
programs, including the Foundation’s research in degenerative Mr. and Mrs. William Baldaccini Dr. and Mrs. Eddie Blender
arthritis and the development of gait retraining protocols for patients Mr. Herbert Bank Mr. and Mrs. Richard Blide
with ACL-reconstructed knees. We thank the following for their Mr. and Mrs. Matthew Barger Ms. Margo A. Blumenthal
support in 2003: Mr. and Mrs. John Barker Ms. Lyndall Boal
Mr. and Mrs. Bryant P. Barnes Mr. and Mrs. Salvatore
Anonymous (3) Ms. Roxie Albrecht Mrs. Edith Bass Bommarito
Mr. and Mrs. Roger B. Affa Ms. Judy Alexander Ms. Ruth M. Baughman Mr. and Mrs. Michael Bond
Mr. and Mrs. Ronald Ager Allegria Spa Mr. and Mrs. Joachim Bechtle Mr. and Mrs. Wayne Boren
Mr. and Mrs. Ricardo A. Aguilar Mr. and Mrs. John L. Allen Mr. and Mrs. Roger Behler Mr. and Mrs. Edwin Bosworth
7
10. F R I E N D S O F T H E F O U N DAT I O N
FELLOWSHIP BENEFACTOR
Dr. and Mrs. Martin Boublik Mr. Joe Chess
Fellowship Benefactors fund the research of one Fellow for Dennis D. Bowman, D.D.S. Mr. Victor Chigas
one year at a level of $10,000. This is a fully tax-deductible Ms. Mary B. Bowman Mr. Martin D. Chitwood
contribution that provides an opportunity for the benefactor Mr. Michael J. Bradley Mr. Bryan D. Chojnowski
to participate in a philanthropic endeavor by not only making Mr. and Mrs. David R. Braun Christ Furs
a financial contribution to the educational and research Dr. Michael T. Breen and Dr. Mr. Arthur Cinader
year but also to get to know the designated Fellow. Each
Anne Lozano Ms. Caryn Clayman
benefactor is assigned a Fellow, who provides written reports
Mr. and Mrs. Bernard A. Coach
and updates of his work. We extend our gratitude to the
Bridgewater Mr. Ned C. Cochran
following individuals for their generous support:
Ms. Karen Briggs and Mr. Mr. and Mrs. Jeffrey E. Coe
Daryn Miller Mr. John P. Cogan
Mr. and Mrs. Mitch Hart
Mr. and Mrs. Ronald M. Brill Mr. and Mrs. John Cole
The Fred and Elli Iselin Foundation
Ms. Florence L. Brizel Colorado Ski Museum-Ski Hall
Mr. and Mrs. John W. Jordan
Mr. Alan Bronstein Of Fame
Mr. S. Robert Levine
Mr. and Mrs. Michael C. Brooks Cordillera
Mr. and Mrs. Kent Logan Mr. and Mrs. T. Anthony Brooks Country Club of the Rockies
Mr. Charles McAdam Mr. and Mrs. Keith L. Brown Mr. Archibald Cox, Jr.
Mr. and Mrs. Jay Precourt Brown-Foreman Ms. Patricia Craus
Mr. Tom Quinn Mr. and Mrs. C. Willing Mr. and Mrs. Patrick B. Crotty
Mr. and Mrs. Stewart Turley Browne III Ms. Karen Cucura
Mr. John Bryngelson Dr. Dennis Cuendet
Dr. and Mrs. John V. Buglewicz Dr. and Mrs. Kelly Cunningham
Mr. W. Douglas Burden, Jr. Mr. and Mrs. Ralph B. Currey III
Ms. Marge Burdick Ms. Sherrie S. Cutler
CHAIRS SUPPORT FOUNDATION WORK Mr. Kurt Burghardt Mr. and Mrs. Franco D’Agostino
Ms. Martha H. Butner Mr. and Mrs. Daniel Dall’Olmo
The education of orthopaedic surgeons is a critically impor- Ms. Mary J. Butterly Mr. and Mrs. Darwin R. Datwyler
tant mission of the Steadman◆Hawkins Sports Medicine Mr. and Mrs. Sam Butters Mr. Jason Davis
Foundation. Academic Chairs provide the continuity of funding Mr. and Mrs. Rodger W. Bybee Mr. Ross M. Davis
necessary to train physicians for the future, thus ensuring the Mrs. Nancy Byers Mr. and Mrs. Peter Dawkins
continued advancement of medical research. Currently, more
Cakebread Cellars Mr. Jimmy L. Debardelaben
than 130 Steadman-Hawkins Fellows practice around the
Mr. and Mrs. Charles G. Cale Mr. and Mrs. Michael Dee
world. We wish to express our gratitude and appreciation to
Ms. Margie Cameron Mr. Jim Deighan
the following individuals and foundations that have made a
Mr. and Mrs. John Carlson Mr. and Mrs. Kevin P. Deighan
five-year $125,000 commitment to the Fellowship Program to
support medical research and education. Curtis L. Carlson Family Mr. and Mrs. Frederick W.
In 2003, five chairs provided important funding for the Foundation Deming
Foundation’s research and educational mission. We are most Mr. and Mrs. J. Marc Carpenter Ms. Danielle DenBleyker
grateful for the support from the following: Mr. Dennis E. Carruth Mr. and Mrs. Paul A. DeNuccio
Dr. Steve Carveth Mr. and Mrs. Jack A. DePagter
Mr. and Mrs. Harold Anderson Mr. Nelson Case Mr. and Mrs. William DeStefano
Mr. and Mrs. Lawrence Flinn, Jr. Ms. Carolyn Casebeer Mr. Jack Devine
Mr. and Mrs. Jay Jordan Mr. Pedro E. Castillo Mr. and Mrs. Nicholas Dewolf
Mr. and Mrs. Peter Kellogg Mr. and Mrs. Pedro Cerisola Mr. Frederick A. Dick
Ms. Judith B. Chain Mr. and Mrs. Thomas R.
Mr. and Mrs. Steven Read
Ms. Christee Chargot Dickens
Dr. Teresa Cherry Mr. Jack Doak
8
11. F I F T E E N Y E A R S O F E X C E L L E N C E
Mr. and Mrs. Neal Donaldson Ms. Karen Floyd Mr. and Mrs. William A. Mr. Wallace H. Grant
Mr. Wayne B. Dondelinger Flying Colors Saddlery & Goodson Mr. and Mrs. August Grasis
Duke Energy Foundation Apparel Gore Range Mountain Works Mr. and Mrs. Robert G. Green
Matching Gifts Program FMC Technologies Corporate Mr. John H. Gorman Mr. Gary G. Greenfield
Mr. Robert B. Dunlop Contributions Program Mr. and Mrs. David Gorsuch Ms. Judith Greenwald
Mr. and Mrs. Mark E. Dusbabek Mr. and Mrs. David A. Forbes Mr. and Mrs. Richard M. Goss Ms. Linda Gregg
Mr. and Mrs. Mark A. Eberle President and Mrs. Gerald R. Mr. and Mrs. Bernard L. Gottlieb Mr. Richard M. Gribble
Mr. David Ebershoff Ford Mr. Robert W. Graham Mr. and Mrs. Bill Griffith
Dr. and Mrs. Jack Eck Dr. William R. Ford Mr. and Mrs. Pepi Mr. Wayne Griffith
Mr. and Mrs. James Eddy Mr. and Mrs. Stephen Fossett Gramshammer Mrs. Joanne Grimm
Mr. and Mrs. John Egan Mr. and Mrs. Howard C.
Mr. and Mrs. Norman A. Foster II
Eggleston Mr. Richard L. Foster
Mr. Burton M. Eisenberg Mr. John M. Fox
THE FOUNDERS’ LEGACY SOCIETY
Mr. and Mrs. Arthur H. Elkind Mr. and Mrs. Thomas Francis
Over the years, the Steadman◆Hawkins Sports Medicine
Mr. and Mrs. Buck Elliott Mr. and Mrs. John D. Frantz Foundation has been privileged to receive generous and
Dr. and Mrs. Steve Ellstrom Ms. Anita Fray thoughtful gifts from friends and supporters who remembered
Mr. and Mrs. Heinz Engel Mr. Steffen Freund the Foundation in their estate plans. In fact, many of our
Ms. Slavica Esnault-Pelterie Mr. and Mrs. Olin Friant friends—strong believers and supporters of our work today—
want to continue their support after their lifetimes. Through the
Mr. and Mrs. William T. Esrey Mr. and Mrs. Gerald V. Fricke
creation of bequests, charitable trusts, and other creative gifts
Mr. Paul Esserman Mr. and Mrs. Robert F. Fritch
that benefit both our donors and the Foundation, our supporters
Dr. and Mrs. Fred Ewald Mr. and Mrs. Russell C. Fritz have become visible partners with us in our mission to keep
Mr. and Mrs. Wylie Ewing Mr. and Mrs. Harry R. people physically active through orthopaedic research and
Exxon/Mobil Foundation, Inc. Fruehauf III education in arthritis, healing, rehabilitation, and injury
Mr. and Mrs. William L. Fanning Mr. Saman K. Adamiyatt and prevention.
To honor and thank these friends, the Founders’ Legacy
Far Niente Winery Ms. Annette M. Fry
Society was created to recognize those individuals who have
Dr. and Mrs. Tim Farley Mr. and Mrs. Morton Funger
invested not only in our tomorrow but also in the health and
Dr. John A. Feagin Mr. Gerald Gallegos vitality of tomorrow’s generations.
Mr. Harold B. Federman Ms. Barbara Gameroff Our future in accomplishing great strides—from under-
Mr. Daniel J. Feeney Dr. Richard Gardner standing degenerative joint disease, joint biomechanics, and
Ms. Eva Maria Felahy Ms. Rita Garson osteoarthritis, to providing high-quality health care, treatment,
and rehabilitation, and to providing education and training
Mr. and Mrs. Stephen G. Mr. and Mrs. Robert S. Gaza
programs—is assured by the vision and forethought of friends
Fendrich Ms. Pamela G. Geenen
and supporters who include us in their estate plans. The
Mr. and Mrs. Jack Ferguson Mr. Jay C. Gentry Foundation’s planned giving program was established to help
Mr. and Mrs. Paul Ferzacca Mr. Egon Gerson donors explore a variety of ways to remember the Foundation.
Mr. and Mrs. Ned Fine Mr. and Mrs. Bradley Ghent We are most grateful to these individuals for their support
Mr. Roland Fischer Mr. John Gilleland in becoming founding members of the Founders’ Legacy
Society:
Mr. and Mrs. John N. Fisher Mr. Donald Gillespie
Julian M. Fitch, Esq. Ms. Donna Giordano
Mr. and Mrs. Robert M. Fisher
Mr. and Mrs. Brian D. Fitzgerald Mr. and Mrs. Herb Glaser Ms. Margo Garms
Mr. and Mrs. Michael F. Mr. and Mrs. Dan Godec Mr. Albert Hartnagle
Fitzgerald The Golden Bear, Inc. Mr. and Mrs. John McMurtry
Ms. Holly Flanders Ms. Julie A. Goldstein Mr. and Mrs. Edward J. Osmers
Mr. Al Perkins
Mr. and Mrs. Walter Florimont Ms. Lari Goode
Mr. Robert E. Repp
9
12. F R I E N D S O F T H E F O U N DAT I O N
Mr. and Mrs. Neal C. Groff Mr. Charles Hirschler and Ms. Mr. and Mrs. Paul Johnston Mr. and Mrs. Thomas Kyllo
Mr. Kim Gustafson Marianne Rosenberg Ms. Charlotte H. Jones La Bottega
Mr. and Mrs. James A. Hagen Dr. Charles Ho Mr. and Mrs. Daniel S. Jones Mr. and Mrs. Marvin V.
Dr. and Mrs. Topper Hagerman Mr. and Mrs. Donald P. Hodel Mr. and Mrs. Jack Jones Lancaster
Mr. and Mrs. Joe Haggar Mr. and Mrs. David Hoff Mr. and Mrs. Darrell L. Jordan Mr. and Mrs. S. Robert Landie
Ms. Roslyn Halbert Mr. and Mrs. William K. Dr. and Mrs. Jay Kaiser Larkspur
Mr. and Mrs. Bo Hale Hohlstein Mr. and Mrs. Han M. Kang Mr. Alex C. Lasater
Mr. and Mrs. Duane L. Haley Mr. Brandon J. Holtrup Dr. George C. Kaplan Mr. Chester A. Latcham
Mr. Conrad Hall Ms. Sara Holtz Dr. Sara Karabasz Mr. and Mrs. Conrad R. Lattes
Mr. and Mrs. Thomas M. Hallin Ms. Jane Hood Karats Ms. Debra Layne
Mr. and Mrs. Allan R. Hallock Dr. Thomas G. Hopkins Ms. Beth Kasser Ms. Joan Leader
Ms. Carole A. Hansen Ms. Marilee Horan Mr. and Mrs. Joel M. Kaufman Mr. and Mrs. Alfred S. Leavitt
Harlan Estate Ms. Edith Hornik Mr. and Mrs. Raymond Kelley Mr. and Mrs. Edward M. Lee, Jr.
Mr. Densmore Hart Mr. and Mrs. Preston Hotchkis Mr. Charles G. Kellogg Mr. and Mrs. Gregory D. Leibold
Mr. and Mrs. Frank P. Hart Mr. and Mrs. David G.Howard Mr. and Mrs. Jack Kemp Mr. and Mrs. Theodore D. Less
Ms. Shelly M. Hart Howard Head Sports Medicine Mr. and Mrs. Roger W. Kendall Brigadier General Samuel
Mr. and Mrs. Harry L. Hathaway Center Mr. and Mrs. David V. King K. Lessey, Jr.
Mr. and Mrs. Ron Hauptman Mr. and Mrs. George H. Hume Mr. and Mrs. Skip Kinsley, Jr. Mr. and Mrs. Trudo T. Letschert
Mr. R. Neil Hauser Mr. and Mrs. Walter Hussman Steven and Michele Kirsch Mr. Burton Levy
Mrs. Horace Havemeyer, Jr. Mr. and Mrs. Paul H. Huzzard Foundation Mr. Marvin B. Levy
Mrs. Marian Hawkins Mr. and Mrs. Dunning Idle IV Mr. and Mrs. Stewart C. Mr. and Mrs. Haston Lewis
Ms. Rosemary Hawkins Mr. and Mrs. Michael Immel Kissinger Dr. and Mrs. Joe Lewis
Ms. Elise Hayes Mr. and Mrs. Nathan Ingram Ms. Barbara B. Kittredge Mr. George Lichter
Mr. Frank E. Healey Admiral and Mrs. Bobby Inman Ms. Phyllis Klawsky Mr. and Mrs. William G.
Mr. and Mrs. Peter S. Hearst Mr. and Mrs. Joe R. Irwin Mr. Kevin R. Klein Lindsay, Jr.
Ms. Madeleine Heath Iscol Family Foundation Ms. Joanne P. Kleinstein Ms. Robin I. Linker
Ms. Lynne Heilbron Mr. and Mrs. Paul M. Isenstadt Mr. and Mrs. Peter Knoop Ms. Linda Litchi
Mr. and Mrs. Richard D. Mr. Robert Jacobsen Ms. Gwyn Gordon Knowlton Mr. Paul Litowitz
Heninger Mr. and Mrs. Arnold Jaeger Mr. and Mrs. Paul Kobey Mr. and Mrs. Paul K. Litz
Mr. George Henschke Ms. Mary H. Jaffe Mr. Gary Koenig Ms. Kathryn Lloyd
Dr. and Mrs. Alfred D. Mr. and Mrs. John V. Jaggers Mr. and Mrs. Rudolf Kopecky Mr. and Mrs. Walter
Hernandez Mr. Howard James Ms. Brigitte E. Kopper Loewenstern
Mr. Gerald Hertz and Ms. JAS-Joint Active Systems, Inc. Ms. Karen Korfanta Mr. and Mrs. John Lohre
Jessica Waldman Mr. and Mrs. Gary Jenkins Ms. Sally L. Korth Mr. and Mrs. Ian Long
The William and Flora Hewlett Mr. and Mrs. Lawrence T. Mr. Jack Koson Mr. and Mrs. Thomas L. Lupo
Foundation Jennings Dr. and Mrs. Alex Kowblansky Mr. and Mrs. William Lurtz
Ms. Carol Hiett Ms. Sandra Jennings Ms. Grazyna Kras Mr. Gerard Lynch
Ms. Lyda Hill Mr. and Mrs. Bill Jensen Mr. Paul R. Krausch Mr. and Mrs. Charles E. Maclay
Mr. Jaren Hiller Mr. and Mrs. Thomas J. John Dr. and Mrs. Sumant G. Mr. John MacLean
Mrs. Joy R. Hilliard Mr. Calvin R. Johnson Krishnan Ms. Jane G. Madry
Mr. Art Hilsinger and Ms. Mr. and Mrs. Charles Johnson Mr. and Mrs. Bob Krohn Mr. and Mrs. James Mahaffey
Barbara Janson Ms. Kim Johnson Ms. Tani Krouse Ms. Roni Mahler
Dr. and Mrs. Michael E. Himmel Mr. and Mrs. Scott Johnson Mr. James Kurtz Dr. Neil Maki
Mr. John Hire Mr. and Mrs. Howard J. Mr. and Mrs. G. Siegfried Kutter Ms. Sylvia Malinski
Johnston
10
13. F I F T E E N Y E A R S O F E X C E L L E N C E
Ms. Betsy Mangone Mr. and Mrs. Bill Miller Mr. and Mrs. Denny O’Brien Mr. and Mrs. Paul C. Raemer
Mr. and Mrs. Charles Manning Mr. Dan Miller Mr. and Mrs. Tom O’Dwyer Mr. and Mrs. David Rahn
Ms. Paulett Marcus Mr. Robert E. Miller Mr. Larry O’Reilly Mr. Rick Rainwater
Ms. Adrienne K. Marks Dr. Michael J. Milne Mr. and Mrs. John Orvis Mr. and Mrs. Herbert G.
Mr. Herbert E. Marks Mr. and Mrs. Edward R. Mr. John Osterweis Rammrath
Mr. Kenneth Marlin Milstein Mr. and Mrs. Robert M. Owens Rancho Caracol
Mr. Maxwell Marolt Mr. Peter Mindock Mr. and Mrs. L. G. Oxford Mr. Carl Rand
Mr. and Mrs. Mike Marsh Mr. Thomas Mines Palladian Group Mr. Darrell Rankin
Mrs. Dorothy P. Marshall Mr. and Mrs. Allan Mirkin Mr. Frank Palski Mr. and Mrs. Robert Rasberry
Mr. and Mrs. Rocco J. Martino Mr. and Mrs. Chandler J. Pano Jewelry & Gifts Regen Biologics
Ms. Nadena Martinovich Moisen Mr. and Mrs. Samuel C. Ms. Lorraine M. Remza
Mr. Robert E. Martinson Mr. Alan D. Moore Pantaleo Mr. and Mrs. Douglas J. Renert
Ms. Patricia L. Marx Mr. Jim Moran Ms. DiAnn Papp Mr. Horst Essl and Ms. Jean
Mary Black Health System Mr. and Mrs. Jean-Claude Mr. and Mrs. Roger Parkinson Richmond
Mr. and Mrs. Ermanno Masini Moritz Ms. Carol S. Parks Mr. Kirk Rider
Mr. Frank Mastriana Mr. and Mrs. Danny Morrison Mr. and Mrs. William K. Mr. and Mrs. Donald Riefler
Ms. Heather Maxwell Mr. and Mrs. William Morton Parsons Mr. Bernardo A. Riojas
Ms. Jan P. Mayer Mr. Michael Moss Mr. Richard Pearlstone Ristorante Ti Amo
Mr. and Mrs. David Mazer Ms. Anne Mounsey Mr. and Mrs. Tage Pedersen The Robbins Foundation
Mr. and Mrs. Frank G. McAdam Mount-N-Frame Ms. Pat Peeples Mr. and Mrs. Sanford
Mr. and Mrs. John McBride Dr. and Mrs. Van C. Mow Dr. and Mrs. John Peloza Robertson
Mr. Donald S. McCluskey Mr. Richard L. Mugg Mr. and Mrs. Ralph Pelton Mr. and Mrs. Wayne A. Robins
Mr. and Mrs. Robert B. Ms. Jane Muhrcke Mr. Anthony G. Perry Mr. R. Thomas Roe
McCormick Mr. and Mrs. Gregory A. Ms. Mary S. Peter Mr. and Mrs. R. J. Rogers
Mr. and Mrs. Sean McEnroe Muirhead Mr. Eugene Petracca Mr. Daniel G. Roig
Mr. Rick McGarrey Mr. Paul Munro Pfizer Foundation Matching Mr. Charles Rolles
Mr. and Mrs. E. G. McGhee, Jr. Ms. Bonnie E. Murray Gifts Mr. Nathaniel J. Roper
Mr. and Mrs. Arch McGill Ms. Dorothy Muser Mr. and Mrs. Brian Phillips Mr. and Mrs. Michael Rose
Mr. and Mrs. Calvin McLachlan Ms. Caree E. Musick Mrs. Allan Phipps Rosenberg Builders Supply, Inc.
Ms. Carrie D. McLane Mr. and Mrs. Jonathan P. Myers Mr. Robert H. Pickens Mrs. Ann M. Ross
Ms. Caro McMurtry Dr. and Mrs. Richard K. Myler Mr. and Mrs. Addison Piper Rossignol
Mr. and Mrs. John G. McMurtry Dr. and Mrs. R. Deva Nathan Mr. and Mrs. Charles W. Plett Mr. and Mrs. Gary L. Roubos
Meadowood Napa Valley Mr. and Mrs. Robert Neal Ms. Katherine F. Pope Mr. and Mrs. Keith E. Rubio
Mr. and Mrs. Karl Mecklenburg Ms. Dora Neidecker Porsche Design Performance Mr. and Mrs. K. J. Ruff
Mr. and Mrs. Clifford A. Meek Mr. and Mrs. Daniel P. Neil Driven Golf Products Mr. and Mrs. Stanley
Mr. and Mrs. Frank N. Mehling Neiman Marcus Mr. Robert E. Porter Rumbough, Jr.
Ms. Karen Melhart Ms. Cindy Nelson Dr. Robert H. Potts, Jr. Mrs. Helen M. Rust
Ms. Mina Mercado Ms. Wendy M. Nelson Mr. and Mrs. Graham Powers Ms. Alice Ruth and Mr. Ron
Mr. and Mrs. Eugene Mercy, Jr. Dr. Todd Neugent Mr. Michael Price Alvarez
Mr. and Mrs. Luc Meyer Ms. Susan Nichols Mrs. Ashley H. Priddy Mr. and Mrs. Larry W. Ruvo
Mr. Ron Michaud Ms. Catherine Nolan Ms. S. Hannah Prowse Mr. Herbert E. Sackett
Mr. and Mrs. George Ms. Julie Noolan Mr. W. James Prowse Ms. Jolanthe Saks
Middlemas Dr. and Mrs. Thomas Noonan Mr. and Mrs. Merrill L. Quivey Mr. Peter Sallerson
Mr. Andy Mill and Ms. Ms. Colleen K. Nuese-Marine Mr. Bernard Radochonski Mr. Thomas C. Sando
Chris Evert
11
14. F R I E N D S O F T H E F O U N DAT I O N
Mr. and Mrs. Steve Sanger Ms. Leslie B.Speed Mr. Terry Thomas Mr. Martin Waldbaum
Mr. and Mrs. Noel E. Sankey The Spritus Gladius Foundation Mr. and Mrs. Jere W. Dr. and Mrs. Mark H. Wall
Ms. Francesanna T. Sargent Splendido at the Chateau Thompson Mr. Anthony Wallace
Mr. Tom Sanders Squash Blossom Ms. Laurene Thompson Ms. Pamela O. Wallen
Mr. Les H. Schacht Mr. and Mrs. Richard Stampp Ms. Margaret D. Thompson Mr. and Mrs. Ronnie J. Walls
Mr. Heinz Schaefer Mr. Stanley J. Starn Ms. Leila C. Thorne Mr. Bill Walsh
Mr. and Mrs. Benjamin S. Mr. and Mrs. Stephen M. Stay Mr. and Mrs. James Tiampo Mr. and Mrs. Jerry B. Ward
Schapiro Mr. and Mrs. Lyon Steadman Dr. and Mrs. Mike Torry Mr. and Mrs. Robert E. Weber
Ms. Jean Schikora Ms. Mary Steadman Tourism Whistler Ms. Valerie Weber
Dr. and Mrs. Theodore Schlegel Steadman◆Hawkins Sports Mr. and Mrs. Mark Train Mr. Timothy Webster
Mr. William Schneiderman Medicine Foundation Mr. and Mrs. Sandy M. Treat, Jr. Sir and Lady Mark Weinberg
Mr. and Mrs. Tom Schouten John Steel & Bunny Freidus Triad Hospitals, Inc. Mr. and Mrs. Marty Weinberg
Ms. Emely C. Scioli Fund Mr. Dan E. Trygstad Mr. and Mrs. Lawrence Weiss
Mr. and Mrs. Gordon I. Segal Ms. Andra Stein Mr. and Mrs. Otto Tschudi Mr. John Welaj
Mr. and Mrs. George W. Seger Mr. Keith Stein Mr. and Mrs. James Z. Turner Mr. Joshua Wells
Ms. Christianna E. Seidel Ms. Deana E. Stempler Mr. and Mrs. James E. Turre Mr. and Mrs. Patrick Welsh
Mr. John P. Sellis Mr. John Stern Mr. and Mrs. Harry D. Turvey Mr. Al Whaley
Mrs. Joann Sessions Mr. Dan F. Stewart Mr. William Tutt Mr. and Mrs. Darrell Whitaker
Mr. O. Griffith Sexton Dr. John A. Strache Mr. John L. Tyler Whitehall Lane Winery
Shafer Vineyards Ms. Charlene Strate Mr. Robert L. Uceda Mr. George Wiegers
Ms. Michelle Sheetz Dr. and Mrs. Barry S. Strauch Mr. Robert M. Umbreit Mr. Donahue L. Wildman
Mr. Denny Shelton Mr. and Mrs. Albert I. Strauch Mr. and Mrs. Bruce Ungari Mr. John Wilke
Mr. and Mrs. Warren Sheridan Mr. and Mrs. Eric Strauch Dr. and Mrs. Luis H. Urrea Mr. and Mrs. Joel A. Wissing
Mr. and Mrs. James H. Shermis Mr. Craig Struve Vacation Retreats Mr. and Mrs. Jack A. Witkin
Mr. and Mrs. James Shpall Mr. and Mrs. Steven C. Stryker Ms. Patricia Vander Molen Mr. Richard E. Witte
Mr. and Mrs. Jeffrey Shroll Ms. Candace K. Sutfin Vanoff Family Foundation Mr. Willard E. Woldt
Mr. Mort Silver Mr. Bill Sutphen Ms. Rose Vardanian Mr. and Mrs. Tim Wollaeger
Silverado Vineyards Mr. and Mrs. B. K. Sweeney, Jr. Mr. and Mrs. Leo A.Vecellio, Jr. Ms. Stephanie Überbacher
Mr. Ronnie Silverstein Ms. Kassandra Swenson Mr. and Mrs. Arthur W. Vietze Dr. and Mrs. Savio L.Y. Woo
Mr. and Mrs. John Simon Mr. and Mrs. Mark Tache Mr. and Mrs. Pete Villano Mr. and Mrs. Gary Worth
Dr. and Mrs. Steve B. Singleton Mr. and Mrs. Dominick A. Ms. Sandra Vinnik Mr. and Mrs. Everett M. Wren
Barbara and Spyros Skouras Taddonio Mr. Ron Vloisich Mr. Oliver Wuff and Ms. Monika
Foundation Ms. Catarina Tamm Mr. and Mrs. David S. Vogels Kammel
Slifer Design Mr. and Mrs. Oscar L. Tang Mr. Julio Volante Dr. Douglas J. Wyland and Dr.
Ms. Leslie A. Slipakoff Mr. Peter C. Taub Ms. Beatrice B. Von Gontard Meica Efird
Ms. Suzanne Sloan Mr. and Mrs. George Tauber Mr. and Mrs. Charles S. Von Mr. and Mrs. Robert W. Yank
Mr. Todd Sluder Mr. Gerald Taylor Stade, Jr. Mr. Henry Yost
Mr. Edmond W. Smathers TEAM PRO 2 Mr. and Mrs. George Mr. and Mrs. Robert L. Young
Mr. and Mrs. Ron G. Smith Mr. Stephen M. Tenney Vonderlinden Mr. and Mrs. Philip P. Yuschak
The Patricia M. & H. William Mr. Tim Tenney Mr. and Mrs. Peter Wagner Mr. and Mrs. Jack Zerobnick
Smith, Jr. Foundation The Southern Conference Mr. and Mrs. Dennis Wahlstrom
Mr. and Mrs. John Sondericker Ms. Joanne Thieme-Weinberg Mr. and Mrs. Edward H.
Mr. Alfred Southall Mr. and Mrs. E. A. Thomas Wahtera
Mr. James L. Spann Mr. J. G. Thomas Mr. and Mrs. Mike R. Walck
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15. Corporate and Institutional Friends
THE STEADMAN◆HAWKINS SPORTS MEDICINE FOUNDATION IS GRATEFUL FOR THE GENEROUS SUPPORT OF OUR CORPORATE DONORS.
IN 2003, WE RECEIVED $1 MILLION IN CORPORATE SUPPORT TO HELP FUND THE FOUNDATION’S RESEARCH AND EDUCATION PROGRAMS IN VAIL,
COLORADO, AND AT SIX UNIVERSITY SITES. THIS WORK WILL BENEFIT PATIENTS AND PHYSICIANS FOR GENERATIONS TO COME.
◆
EBI Medical Systems
◆
Genzyme Biosurgery/Wyeth
◆
Innovation Sports
◆
Ormed, GmbH & Co. KG
◆
Peak Performance Technologies, Inc.
◆
Pfizer, Inc.
◆
Smith & Nephew Endoscopy
◆
Center Pulse
◆
HealthOne Alliance
◆
Vail Resorts, Inc.
◆
Vail Valley Medical Center
GENZYME BIOSURGERY/WYETH NEW CORPORATE SPONSORS TO THE
STEADMAN◆HAWKINS SPORTS MEDICINE FOUNDATION
Genzyme Biosurgery and Wyeth joined forces in 2003 to become corporate sponsors of the Steadman◆Hawkins Sports Medicine
Foundation. Genzyme Biosurgery is a division of Genzyme Corporation and a leading business in the rapidly emerging market for sophisti-
cated biotechnology products. Wyeth is one of the world’s largest research-driven pharmaceutical and health care products companies.
It is considered a leader in the discovery, development, manufacturing, and marketing of pharmaceuticals, vaccines, biotechnology
products, and nonprescription medicines that improve the quality of life for people worldwide.
“We are excited about the relationship between Wyeth and the Foundation with regard to our mutual involvement with such beneficial
activities as the annual Fellows Conference, a Public Education Speaker Series, and the shared goal of providing beneficial health care
through research and education,” said John Johlfs, Wyeth Musculoskeletal Specialty District Manager. “Being involved with continuing
efforts investigating the causes, prevention, and medical intervention of osteoarthritis is a worthy and lofty goal in which we are very
proud to be a part.”
Genzyme Biosurgery has two products on the market that provide solutions for treating damaged knee joints. They are Synvisc-
(hylan G-F 20) and Carticel (autologous cultured chondrocytes). These products have made a significant contribution to clinical
orthopaedics. Synvisc is a biomaterial used in the treatment of pain caused by osteoarthritis of the knee. Carticel uses a patient’s own
cartilage cells to treat knee cartilage defects.
13
16. Basic Science Research:
Understanding Joint Disease
THE PURPOSE OF OUR BASIC SCIENCE RESEARCH IS TO GAIN A BETTER UNDERSTANDING OF FACTORS THAT LEAD TO DEGENERATIVE JOINT DISEASE AND
OSTEOARTHRITIS. OUR FOCUS IS TO DEVELOP NEW SURGICAL TECHNIQUES, INNOVATIVE THERAPIES, REHABILITATIVE TREATMENTS, AND RELATED PRO-
GRAMS THAT WILL EITHER HELP PREVENT THE DEVELOPMENT OF DEGENERATIVE JOINT DISEASE OR LESSEN ITS EFFECTS. IN 2003, WE COLLABORATED
WITH COLORADO STATE UNIVERSITY AND OTHER EDUCATIONAL INSTITUTIONS. WE BELIEVE THAT OUR COMBINED EFFORTS WILL LEAD DIRECTLY TO
SLOWING THE DEGENERATIVE PROCESSES, AS WELL AS FINDING NEW WAYS TO ENHANCE REGENERATION OF INJURED TISSUES.
William G. Rodkey, D.V.M., Director
The area of regenerative medicine is an excit- bone plate to gain access to the cells and
ing one. There are many new and innovative growth factors present in the underlying bone
techniques under investigation by scientists marrow. The technique relies on the cells and
around the world. In 2003, we focused our proteins present in the marrow to promote
efforts almost exclusively on regeneration of an healing, thus avoiding concerns of immune
improved tissue for resurfacing of articular reactions to transplanted tissues, the need for a
cartilage defects that typically lead to degenera- second surgical site, or a second surgery to col-
tive osteoarthritis. We have been working in lect grafts or cells.
the promising area of gene therapy in collabo- When we evaluated the healing of full-
Microfracture
ration with Drs. Wayne McIlwraith and David thickness defects in horses, we were able to
Frisbie at Colorado State University. Following is show that the use of microfracture increased
some background information and a summary of our most recent the amount of repair tissue present in the defect and improved the
findings. This work is ongoing, and the encouraging results presented quality of cartilage repair by increasing the amount of type II collagen
here will allow us to continue to focus on this work in the coming present in that repair tissue. It is the basic building block protein of
years. articular cartilage. Although microfracture was able to increase the
Osteoarthritis is a debilitating, progressive disease characterized major component of articular cartilage outside the cells, it did not
by the deterioration of articular cartilage and accompanied by enhance the production of proteoglycans, the other major component
changes in the bone and soft tissues of the joint. Traumatic injury to of cartilage thought to be necessary for long-term joint health.
joints is also often associated with acute damage to the articular carti- The imbalance between the building up and tearing down of
lage. Unfortunately, joint cartilage is a tissue with poor healing poten- components may be responsible for the inability of cartilage to heal
tial. Once damaged, cartilage typically does not heal, or it may heal itself. Interleukin-1, an inflammatory molecule, is considered the
with fibrous tissue that does not function as it should. Such tissue predominant substance involved in the process of cartilage break-
does not possess the biomechanical and biochemical properties of down. Blocking Interleukin-1’s inflammatory effects to improve carti-
the original hyaline cartilage; hence, the integrity of the articular sur- lage health and simultaneously using it to counteract negative effects
face and normal joint function are compromised. The result often is seemed like an attractive approach. In addition, insulin-like growth
osteoarthritis. factor-1, which plays a pivotal role in cartilage growth and repair, has
Several of our earlier studies have shown that a technique called been shown to enhance cartilage healing and appeared to be another
microfracture is a successful method to promote adequate cartilage logical candidate to promote cartilage healing. Unfortunately, the use
healing. Microfracture consists of making small perforations in the
14
17. F I F T E E N Y E A R S O F E X C E L L E N C E
joints by gene transfer would sig-
nificantly improve the quality of
of these molecules has been limit- the repair tissue.
ed by a lack of an effective delivery Our first gene therapy proj-
system to the joint. Even with ect evaluated the healing of carti-
direct injections, they are rapidly lage defects in horses. We com-
cleared from the joint, creating pared the quantity and quality of
the need for costly, repeated the repair tissue in defects that
injections and increasing the risk received an injection containing
of complications. the genes to that of horses receiv-
An alternative therapeutic ing a placebo and to another
method is the use of gene therapy. A virus carrying genes can be group that was never in contact with the viral preparations. The study
injected into the diseased joint after damaged tissue has been also looked at the effects of gene therapy by evaluating lameness, the
removed and microfracture performed. The modified virus infects the escape of fluid from the area, and the composition of fluid. The inves-
cells of the membrane and produces large amounts of an antagonist tigation confirmed that joints receiving gene therapy produced signifi-
protein and growth factor in hopes of improving cartilage healing. cantly more protein than the joints that were not treated. The results
The advantage of this technique is the relative long life of the mole- indicate that the carriers of the virus were able to infect the cells of
cules (3 to 4 weeks), which would eliminate the need for repeated the joint and use the cells to produce the proteins for a period of
injections. We undertook the task to evaluate the effect of the one- three weeks.
time injection on the healing of cartilage defects treated by microfrac- Overall, gene therapy did not affect the composition or the
ture. Our working hypothesis was that the combined anti-inflammato- amount of repair tissue found in the defects and had no effects on the
ry effects of the antagonist protein and growth factor delivered to the porous nature of the bone. However, we concluded that gene therapy
increased the amount of protein present in the repair tissue of the
treated joints as well as in non-treated joints. We speculate that the
growth-enhancing properties were able to increase the development
of protein-like substances by the cells present in the repair tissue. The
effect on the composition outside the cells might also have been due
to its effect on cell growth and the development of different kinds of
cells. By increasing cellular production and facilitating development
of cells recruited into the defective area from the bone marrow,
insulin-like growth factor might have increased the number of cells
capable of producing proteins.
This study confirmed that it is possible to use gene therapy to
enhance healing of cartilage defects. The use of the combined carriers
of antagonist protein and insulin-like growth factor was associated
with an increased production of substances needed for repair. This
was a critically significant finding. Improving the quality of the repair
tissue is an essential step in cartilage resurfacing. Going forward with
this new and promising information, our challenge in future studies is
to further increase protein production and to obtain repair tissue that
most closely resembles normal cartilage in the way it is composed
and in the way it functions.
15
18. Editor’s Note: The following profile is based on an A lot of what the Foundation has
interview by Richard Needham. Mr. Needham is
passed on to others has also been
editor of Skiing Heritage magazine and the health
newsletter Arthritis Advisor. responsible for keeping Cindy Nelson
in the game. Fourteen years with the
Not many skiers would equate a world- U.S. Ski Team (she was named to the
class downhill with a leisurely stroll on team at the age of 15), hers has been
the links. And not many golfers would a remarkable career, which really took
consider the act of putting an exercise off after her defeat of Austrian down-
in reading mountain terrain. Cindy hill powerhouse Annemarie Moser-
Nelson sees things differently. Proell in 1974. No American had ever
“For me, there are a lot of won a World Cup downhill, and it
similarities between golf and skiing,” proved to Cindy that she could
says the former ski Olympian and compete with, and win against, the
eight-handicap golfer. “I read a putt world’s best.
CINDY NELSON: Cindy retired from racing in
the same way I read a line in a down-
hill course. There’s the pitch, the break,
SKIING OR GOLF, STAYING THE COURSE 1985 to become Ambassador of Skiing
the grain, and all those things at Vail, Colorado. Soon after, she was
I used to do at 60 miles an hour and promoted to Director of Skiing for Vail
now do in putting. But things are a lot safer on the green.” and Beaver Creek. She enjoyed the do-everything nature of the
It’s a unique way of looking at things. But then, Cindy position, working with the resorts’ marketing, real estate, ski
Nelson is unique. She was the first American—woman or man—to school, and mountain operations departments. It also provided her
win a World Cup downhill; she is a seven-time national champion; with an opportunity to take up something new in her life—the
she was a member of four Winter Olympic teams and four World game of golf, an endeavor she calls “the most humbling, most
Championships teams (and medaled three times in those events); frustrating, most rewarding game I’ve ever played.”
she is the first skier to win a World Cup Super G; and she is the Today, Cindy has her own consulting business. She’ll also
first woman to serve as Chief of Course for a major alpine ski tell you that just as important as her downhill win was to her in
competition (1989 World Alpine Championships). But one of her 1974, the day she shot one under par on her home course at Eagle-
most memorable firsts, she’ll tell you, was being the first elite ath- Vail was equally a high point in her life. In fact, her fanatic devotion
lete to come under the care of Dr. Richard Steadman. That was in to golf sometimes worries her. Last year, she played 85 rounds of
1973 at Dr. Steadman’s clinic at Lake Tahoe, California, and the two golf and logged 50 days of skiing. “I wasn’t skiing enough,” says
have been close friends and mutual admirers ever since. Eleven Cindy, “so I made an agreement with a couple of the girls who
surgeries later (nine knees, two ankles), Cindy is now a member of play in the same league that we adopt a ‘powder day’ rule to
the board of the Steadman◆Hawkins Sports Medicine Foundation. get out on skis more often. This past season I skied 78 days, so
“That,” says Cindy, “means a lot to me, because I’ve things are improving. I’m determined not to let either sport get out
come to understand what it takes to get people back on their feet. of balance.”
The work that I’ve been privy to at the Foundation—the treatment Keeping things in balance, of course, means being able to
as well as the prevention of injuries—has been enormously summon up those images of golf as skiing and skiing as golf that
rewarding. And for me, as a board member, to be able to bring to Cindy easily sees but others often don’t. “It’s more than being out in
the Foundation some of my experience as an athlete, as well as my the elements,” she says. “In skiing, if you don’t think you can make
knowledge of Dr. Steadman’s genius, has been equally rewarding. a pre-jump, you take a different line. In golf, if you can’t make it to
“Dr. Steadman has pioneered so many procedures and the green in one shot, you use different clubs. In both, you play for
affected so many lives so positively. Creating the Foundation was a your strengths and protect against your weaknesses. Your strategy
huge step and an important part of his dream. The Foundation has for how you go down the mountain should be the same as how you
become an educational tool by which Dr. Steadman’s genius can play the game of golf. You take into consideration sun, temperature,
be passed on to orthopaedists all over the world.” wind, your moods, and all the distractions you have around you.
In skiing, it’s tough to control the distractions. In golf, there’s an
etiquette that takes care of that, but otherwise, the sports are a
lot alike.”
16