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Vol. 1 July 2008
Inside This Issue:
President's Corner
 Welcome to the first edition of the Society for Golf Medicine and Performance Newsletter. It is with great pleasure to introduce you to our Society's Founding Members. They have been actively researching topics of interest for all golf enthusiasts and have highlighted injury prevention and enhancement techniques. We are looking forward to your feedback and welcome your suggestions for future editions.We will use this forum to introduce future events, conferences, and fundraisers such as the Second Annual Jim McLean Invitational Golf Tournament, which is to be held on September 23rd, 2008 at the Quaker Ridge Golf Club.
The Society believes that it is important to give back to the community. We are presently looking for sponsors to create golf clinics designed specifically for underserved high school students. Fundamental skills will be taught to help the adolescents become successful on the golf course, as well as in life.
Looking forward to working together to enhance the performance and longevity of the golfer's experience.
David S. Menche, M.D.
Founding President
Spotlight of Founding Member
 Dr. Rokito is the Chief of the Shoulder and Elbow Service and the Associate Director of the Sports Medicine Service at NYU-Hospital for Joint Diseases. He has been a member of the faculty since 1994.
Dr. Rokito treats all types of injuries and conditions involving the shoulder, knee, elbow and ankle. He specializes in arthroscopic/minimally invasive surgery.
He received his medical degree after completing the 6-year BA/MD program at Boston University. He completed his orthopaedic residency at the Hospital for Joint Diseases and his fellowship at the prestigious Kerlan-Jobe Orthopaedic Clinic in Los Angeles, California.
He is the author of over 30 publications and presents regularly at local, national, and international scientific meetings. He is an Assistant Professor of Orthopaeidic Surgery at New York University School of Medicine and is involved in teaching medical students, residents, and fellows.
Dr. Rokito is a member of the American Academy of Orthopaedic Surgeons, American Shoulder and Elbow Surgeons, and the American Orthopaedic Society for Sports Medicine. He is a Diplomate of the American Board of Orthopaedic Surgery.
He served as the team physician for the New York Mets from 2001-2004. He has been listed annually in New York Magazine's Top Doctors list.
Dr. Rokito's Review of: "Shoulder Injuries in Golf"
Journal: American Journal of Sports Medicine, 2004
Authors: David H. Kim, MD, Peter J. Millett, MD, MSc, Jon J.P. Warner, MD, and Frank W. Jobe, MD
Abstract: Although often perceived as a leisurely activity, golf can be a demanding sport, which can result in injury, usually from overuse and sometimes from poor technique. The shoulder is a commonly affected site, with the lead shoulder, or the left shoulder in the right-handed golfer, particularly vulnerable to injury. A thorough understanding of the biomechanics of the golf swing is helpful in diagnosing and managing these injuries. Common shoulder problems affecting golfers include subacromial impingement, acromioclavicular arthrosis, rotator cuff tear, glenohumeral instability, and glenohumeral arthrosis. Although the majority of patients with these disorders will respond to nonsurgical treatment, including rest and a structured program of physical therapy, further benefits can be obtained with subtle modifications of the golf swing. Those golfers who fail to respond to nonsurgical management can often return to competitive play with appropriate surgical treatment.
Purpose of Article: To provide an overview of the common shoulder disorders associated with golf.
Types of Injury Discussed:
Subacromial impingement/acromioclavicular joint/rotator cuff disease, glenohumeral instability, superior labrum/biceps disease, arthritis.
Reviewer's Comments:
This is an excellent overview of the common shoulder disorders experienced by golfers. The article begins with a brief introduction which is followed by a review of the basic biomechanics of the golf swing as related to electromyographic studies. The 5 phases of the golf swing (takeaway, backswing, downswing, acceleration, and follow-through) are described. The authors then go on to review the key components to the clinical evaluation of the injured golfer including the history, physical examination, and relevant imaging studies. A thorough discussion of the individual clinical entities and how they relate to golf follows. The conditions discussed include: subacromial impingement/acromioclavicular joint/rotator cuff disease, glenohumeral instability, superior labrum/biceps disease, and arthritis. Finally, the article concludes with a brief overview of golf-specific shoulder rehabilitation.
Andrew S. Rokito, MD
Chief, Division of Shoulder and Elbow Surgery, NYU Hospital for Joint Diseases
Dr. Rokito's Review of: "Repair of Rotator Tears in Golf"
Journal: Arthroscopy, February 2001
Authors: Michael J. Vives, MD, Lawrence S. Miller, MD, David L. Rubenstein, MD, Rajiv V. Taliuwal, MD, and Carl E. Becker, MD
Abstract: PURPOSE: Golfers continue to play through the years that rotator cuff disease becomes more common. We sought to establish the results of acromioplasty and rotator cuff repair in golfers, including their ability to return to the sport. Study Type: Case series. METHODS: Of 30 golfers who underwent 32 rotator cuff repairs, 29 were interviewed, completed a detailed questionnaire, and returned for a physical examination. All of the patients were recreational or regional tournament golfers. Fifteen had open acromioplasty and rotator cuff repair and 16 had arthroscopic acromioplasty and mini-open repair. The average age at surgery was 60 years (range, 39 to 76 years). At surgery, most were moderate size tears (2 to 6 cm(2)). RESULTS: At average follow-up of 37 months (range, 24 to 60 months), all but 3 patients are currently golfing. For patients who are currently golfing, there was no significant difference in handicaps or drive distances at most recent follow-up compared with presymptomatic handicaps and drive distances (P >.05). Twenty-three patients report that they are playing at their presymptomatic competitive level without pain. Three patients report playing at a lower competitive level than before. CONCLUSION: In our experience, acromioplasty and rotator cuff repair predictably allow for eventual return to pain-free golfing at a similar competitive level for most recreational-level athletes.
Purpose of Article: To evaluate the results of rotator cuff repair in golfers, including the ability to return to sport.
Methods: Retrospective review
Participants in Study:
Men: 25
Women: 4
Level of play: Recreational or regional tournament level.
Results:
At mean follow-up of 37 months, all but 3 were still playing golf. No significant differences in handicaps or drive distances at final follow-up. 23 patients reported playing at their presymptomatic level without pain. Only 3 patients reported playing at a lower level than before the surgery.
Conclusion:
Rotator cuff repair yields predictable outcomes in allowing recreational level golfers to return to play at their pre-injury level of competition.
Reviewer's Comments:
This is a retrospective review of the senior author's experience in repairing moderate size rotator cuff tears in recreational level golfers. Surgery consisted of either an open or mini-open repair combined with an acromioplasty. At a mean follow-up of 37 months, all but 3 patients had returned to golf with no difference in handicap or drive distance compared to presymptomatic numbers. Overall a nice review of a relatively homogenous group of golfers. The major limitations of this study are its retrospective nature, small number of mostly senior golfers (avg. age 60) and the surgical techniques used. Presently, the majority of these cases are being performed arthroscopically.
Andrew S. Rokito, MD
Chief, Division of Shoulder and Elbow Surgery, NYU Hospital for Joint Diseases
The Second Annual Jim McLean Invitational
The tournament will be held on Tuesday, September 23rd, 2008 at Quaker Ridge Golf Club in Scarsdale, NY. With 18-holes of championship golf, Quaker Ridge Golf Club will prove to be a challenge and a unique golfing experience to golfers of all skill levels.
Schedule of Events
| 9:00-9:45 |
am |
Registration |
| 9:30-11:00 |
am |
Clinic directed by Jim McLean |
| 11:00-12:00 |
pm |
Brunch |
| 12:00 |
pm |
Shotgun Start |
| 5:00-6:00 |
pm |
Cocktails, Buffet, & Dessert |
Registration Information
To register please click here
For more information call 718.369.8041
Highlights of Last Year's Tournament
Last year's tournament was a huge success. We had 120 players, gorgeous weather, exquisite food and wonderful competition.
 
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