Shoulder Expert Timothy P. Codd Joins Orthopaedic Associates 
Sports Medicine Team for 2003 World Lacrosse Games 
Complex Spine Surgery (Dr. Paul McAfee and Dr. Ira Fedder) 
Orthosphere Arthroplasty Implant (Dr. Michael Marion) 
St. Joseph's is Top US Hospital in Orthopaedics (Orthopaedic Associates) 



Shoulder Expert Timothy P. Codd joins Orthopaedic Associates
The physicians at Orthopaedic Associates are proud to welcome Timothy P. Codd, M.D., to their practice. Dr. Codd is a well-respected shoulder expert in the Baltimore and Mid-Atlantic region. "Dr. Codd is a welcome addition to Orthopaedic Associates," said David F. Dalury, M.D., President of Orthopaedic Associates. "He is an excellent complement to our existing expertise in the upper extremity. We are very excited to have him join our group."

Dr. Codd's practice spans all ages both athletes and non athletes, with a heavy concentration in shoulder surgery, having completed the prestigious Neer Shoulder Fellowship program at the New York Orthopaedic Hospital. "I tell my patients I have a lot of patience," said Timothy P. Codd, M.D. "It is a challenge to rehab a shoulder since there is so much to do coupled with the fact that we use the shoulder so much. The shoulder has lagged behind the hip and knee with 80% of what we know about the shoulder coming in the last 30 years and 10% to 15% in the last 10 years. Much of that knowledge has come from advances made possible by arthroscopic and minimally invasive."

As a long-time member of the Baltimore Community, Dr. Codd is pleased to join Orthopaedic Associates. "This is a wonderful opportunity to join a group of physicians whose skills and professionalism have been established for many years," said Dr. Codd. "The ability to do things with them, to go forward, is going to be an exciting opportunity for our patients and the advancement of orthopaedics."

Dr. Codd received his B.A. with honors in Psychology from Dartmouth College. He received his M.D. with honors from Columbia University. His post-graduate orthopaedic surgical training was performed at Johns Hopkins Hospital. Dr. Codd is fellowship-trained in shoulder surgery at the New York Orthopaedic Hospital.

Towson Sports Medicine and St. Joseph Medical Center
Named Official Medical Providers for
World Lacrosse 2003 Under-19 Championships




WHAT: St. Joseph Medical Center and Towson Sports Medicine will provide sports trainers, medical and emergency care at the 2003 Men's and Women's Under-19 World Championships for the players and the crowd.
The games, organized by US Lacrosse to be held for the first time in Baltimore, will attract approximately 600 players from ten countries, their families and an expected 30,000 spectators. Teams represent the United States, Australia, England, Canada, Scotland, Wales and Japan, South Korea, Germany and the Iroquois Nationals.

WHERE: The event takes place at Towson University's new stadium, June 26-July 5.


St. Joseph Medical Center and Towson Sports Medicine are partners in sports care for other sports teams, including the Baltimore Blast.
In addition, Dr. Kenneth Gertsen, Chairman of Orthopaedics at St. Joseph Medical Center, and other members of Towson Sports Medicine, will provide care at the NCAA Lacrosse championships to be held at Ravens' stadium in Baltimore on Memorial Day weekend.

"Maryland is a hotbed of lacrosse activity. We are happy and proud to provide team care for these exciting and important lacrosse championships," says Dr. Gertsen, whose history as a sports team physician goes back to the Baltimore Colts and includes Towson University's athletic teams.

St. Joseph Medical Center received national recognition in July 2002, when U.S. News & World Report's ranked it as one of "America's Best Hospitals" in Orthopaedics.

Towson Sports Medicine is located at 8322 Bellona Avenue in Towson.
St. Joseph Medical Center is located in Towson at 7601 Osler Drive.
For more information contact: John Lopez, ATC, Director Towson Sports Medicine at 410-337-7900.

A Few Good Marathons
Complex Spine Surgery Makes Return to Running Hopeful



Last September, 52-year old Bill Helms was working in his yard when he felt what he describes as an "electric shock" in his back. Not one to injure easily, the five-time marathon runner didn't think much of it and popped a couple of aspirin to ease the discomfort.

While picking up his granddaughter the next weekend, though, Helms felt the twinge again, only this time it didn't go away. "I felt some pain," says Helms. "But I thought it was a pulled muscle." But the next morning, Helms was alarmed when he woke up and found that he couldn't move his legs.

The Eastern Shore resident was taken to a nearby emergency room, where doctors discovered ruptured discs and spinal cord damage. It was enough damage to confine Helms to a wheelchair, and dim considerably his prospects for walking again. But then he was transferred to St. Joseph Medical Center's Orthopaedic Institute, a referral base for hospitals in surrounding states because of its success rates with complex spine cases.

According to spine surgeon, Dr. Paul McAfee, Director of the Scoliosis and Spine Center at Orthopaedic Associates and St. Joseph Medical Center, Helms' rapid deterioration was caused by the unusual location of the ruptured discs, which were in the thoracic region of the spine at about chest-height. "It's fairly common to see people with herniated discs in the lower back area," says Dr. Ira Fedder, orthopaedic spine surgeon at Orthopaedic Associates and the Scoliosis and Spine Center. "Anything in the chest area pushes on the spine and interferes with blood supply; it's a lot more complicated." And more difficult to identify the causes, according the McAfee. "There are some things we just can't explain," he says.

What was clear, though, was that Helms would need a complex spine surgery involving the removal of two vertebrae and the ruptured discs. "We treat the more common neck and back problems as well as the uncommon or complex spinal disorders," says Fedder. That was fortunate for Helms, who was ultimately able to walk away from his wheelchair.

Named among "America's Best" by US News and World Report, St. Joseph's Orthopaedic Institute and Orthopaedic Associates see some of the most complex orthopaedic spinal surgical cases in the region.



Lending a HealthyHand
Physical therapy assistant gives new joint implant surgery "thumbs up"

Kayaking, biking and golfing are all ways Barbara B. stays active. But a year ago, she couldn't enjoy these activities because of pain in her right thumb.

Her thumb was making her job difficult as well. "Giving massages and writing were painful," notes the physical therapy assistant. "I found myself using my left hand more and more, even though I'm right handed," she says. "And my right thumb was drifting further and further outward."

More than 20 years of working in physical therapy has shown Barbara the handiwork of many orthopedic surgeons. That's why she turned to Michael Marion, M.D., an orthopedic surgeon at Orthopaedic Associates who specializes in hand surgery. "I knew Dr. Marion was very skilled because I treated one of his elbow patients," she explains. "The patient healed so well that the scar was barely visible."

Knowing Where To Turn

Barbara's initial exam with Dr. Marion revealed that osteoarthritis had eroded the cartilage in the CMC joint, where her thumb met her wrist. Dr. Marion gave Barbara two choices for treatment -- traditional surgery where the bone is removed -- or a new procedure, an OrthosphereTM arthroplasty implant. 

New Implant Offers Hope 

With this new procedure, a spherical device is implanted into the CMC joint. "The goal of this device is to re-center the thumb and re-establish the proper joint space height," explained Dr. Marion. "This allows unlimited motion between the bone surface and the implant so that the natural function of the joint can be restored."

After learning that this procedure could give her a more normal use of her thumb, Barbara opted for the implant, which Dr. Marion performed last December. At that time, the OrthosphereTM arthroplasty implant had been performed on less than 10 people in Maryland.

When the cast was removed a month after the procedure, x-rays revealed that Barbara's thumb perfectly aligned. "And the scar is barely visible, just as I hoped," she notes.

Returning To An Active Lifestyle 

These days, Barbara is back to her livelihood part-time and her passion, kayaking. "I'm thrilled to be back in the water again," she says. "If I had to do it all over again, I would make the same decision."

For a free referral to an orthopedic surgeon, call 410-337-1337, ext. 12.

This recent article was written for the fall issue of HouseCall, St. Joseph Medical Center's community newsletter. For a copy of the publication, please email michelletice@chi-east.org.



St. Joseph Medical Center Named One of U.S. News & World Report's "America's Best Hospitals" in Orthopaedics

U.S. News & World Report's "America's Best Hospitals" has named St. Joseph Medical Center one of the nation's top ranked medical centers in Orthopaedics. Orthopaedic Associates is the largest orthopaedic group to practice at St. Joseph Medical Center and the orthopaedic program is headed by Orthopaedic Associates' President, Dr. Kenneth Gertsen, Chairman of the Department of Orthopaedics.

St. Joseph Medical Center was ranked #33 out of the 50 top hospitals nationally in Orthopaedics. The rankings appear in the July 22 issue of U.S. News & World Report, which hits the newsstands on Monday, July 15, 2002. A total of 205 top medical centers made the U.S. News listings, which considered 6,045 hospitals for 17 different specialties. "These hospitals excel partly because their doctors perform large numbers of tricky and risky procedures. Study piled upon study has shown the critical role of volume," explains U.S. News & World Report. "Ranked hospitals tend to adhere more closely to advanced treatment guidelines, to incorporate new findings into patient care, and to conduct research that gives desperately ill patients more options." St. Joseph's Orthopaedic Institute takes care of approximately 4,500 inpatients and outpatients annually. Hospitals were scored with the U.S. News Index that equally weighs reputation, mortality, and a group of care-related factors, such as nursing ratios, technology and trauma center.

St. Joseph's Orthopaedic Institute has been recognized over the years with other top quality awards including: 2000 - A Top Orthopaedic Hospital in the Nation by Healthgrades.com; 1999 - A Top 100 Hospital in the Nation for hip replacement by HCIA-Sachs; 1998 - A Top Orthopaedic Hospital in the Baltimore area by HCIA-Sachs; and 1998- Spine Center of Excellence by Baltimore Magazine. The Orthopaedic Institute of St. Joseph treats the full range of bone, muscle, joint and spine problems, which include:

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