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Free Webinar – Treating Our Youth From Head To Toe

By Jim Monaghan
Baseball Health Network

Jim Monaghan

Youth sports specialization is on the rise. As a result, the prevalence of pediatric ACL injuries is also increasing. Join Columbia University Sports Medicine on November 13th for Pediatric Sports Injuries: Treating our youth from head to toe to learn about the latest techniques for prevention and treatment of these injuries in our young athletes.

Children are playing sports in record numbers across the United States, and with this increase in participation there has been an alarming rise in the number of sports injuries. Taking optimal care of these injured kids requires extensive knowledge and comfort in techniques that have previously been thought of as only pediatric, or only adult. This webinar reviews and discusses treatment strategies to maximize outcomes and get these developing athletes off the sidelines and back onto the field. Understanding the etiology, diagnosis, surgical, and non-surgical modalities are the key elements of a successful treatment plan. This course will be of interest to Team Physicians, Certified Athletic Trainers, Physical Therapists, Primary Care Sports Medicine Physicians and coaches of all youth levels.

At the conclusion of this activity, participants will be better able to:

  • Interpret and differentiate the physiology of pediatric sports injuries to formulate a treatment plan
  • Classify and identify different graft options to reconstruct a pediatric ACL injury in order to generate an appropriate recovery plan
  • Analyze and recognize the role of Orthobiologics such as PRP in the Developing Athlete
  • Understand and implement treatment options for patellar instability in the growing athlete
  • Produce a workup and plan for the developing athlete with lower back pain

FACULTY/AGENDA –
Charles A. Popkin, MD
Pediatric ACL Reconstruction: What you need to know in 2018
Elan L. Goldwaser, DO
Concussion in the Developing Mind: Pearls for concussion management in kids under 12
Lauren H. Redler, MD
Patellar Instability in the Developing Athlete
Benjamin D. Roye, MD, MPH
Back Pain in the Developing Athlete: When should you be concerned?
Christopher S. Ahmad, MD
The Tommy John Epidemic in Youth Throwers: How can we stop it?

This course is free to all participants.

Tagged With: Baseball Health Network, Columbia Orthopedics, Dr. Christopher Ahmad, high school baseball, Little League Baseball, Tommy John Surgery, Youth Baseball

Free Live Webinar – Advances in Shoulder Arthroplasty

By Jim Monaghan
Baseball Health Network

Jim MonaghanThis is a great chance for you to get the latest advances in shoulder arthroplasty.

Baseball Health Network founding member Dr. Christopher Ahmad and the team at Columbia Orthopedics invite you to a free live webinar event – Advances in Shoulder Arthroplasty: An Evidence Based Update for 2018 – on May 22 at 8 PM EDT.
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The management and treatment options for early, middle, and late stage shoulder arthritis has been under much debate in recent years. As implant technology improves, so do the treatment options available to surgeons.

Sound judgment and understanding the anatomic difference can improve treatment outcomes. This course will discuss both empirical research and clinical findings related to: stem design and length, new evidence surrounding next generation glenoid implants, and debates on what materials are best for a reverse total shoulder with glenoid deficiencies.

At the conclusion of this activity, participants will be better able to:

  • Understand the different clinical indications for different stem designs in Total Shoulder Replacements
  • Gain better understanding of the techniques used in anatomic Total Shoulder Replacement
  • Arthroscopic indications and treatment options for treating patients with Total Shoulder Replacement
  • Guide a patient through post-surgical planning, rehabilitation, and return to activities of daily living

FACULTY & AGENDA
William Levine, MD
Stemless, Short-stem, Long-stem: Does it Matter?
Posterior Glenoid Bone Loss in Cuff Intact Arthritis: What Should We Do?

Christopher Ahmad, MD
Short Stem Anatomic Replacement Surgical Technique
Arthroscopic Indications and Techniques to Treat the Painful TSA

Charles Jobin, MD
What’s the Evidence on New Generation Glenoid Implants?
The Reality of Converting an Anatomic Replacement to Reverse

David Kovacevic, MD
Reverse Arthroplasty with Massively Deficient Glenoid: Autograft, Allograft, or Metal?

Rommel Dolar, DPT
Sports Participation After Shoulder Replacement

This course will be of interest to Orthopedic Surgeons, Primary Care Sports Medicine Physicians, Physical Therapists, Certified Athletic Trainers, Residents, and Fellows.

Tagged With: Baseball Health Network, Columbia Orthopedics, Dr. Christopher Ahmad

Understanding Tommy John Surgery – And How To Avoid It

By Dr. Christopher Ahmad
Baseball Health Network

Dr. Christopher AhmadIn baseball, we have reached epidemic levels of players needing Tommy John Surgery. At the Major League level, one in four pitchers has had Tommy John as a result of tearing their ulnar collateral ligament, or UCL. Unfortunately, these numbers translate to many younger players needing the surgery as well. To help combat the issues facing America’s pastime, I, along with Frank Alexander and Charlie Ahmad put our heads together and wrote Understanding Tommy John Surgery and How To Avoid It: A Guide for Young Baseball Players.

Understanding Tommy John SurgeryTo reverse these epidemic trends our goal is to start changing the culture at the youth levels before bad habits develop, similar to how we educate children on the dangers of smoking. In our office, we’re seeing younger and younger players walk through the door at an alarming rate. We hope that by educating younger athletes, they won’t wind up in our office when they’re older.

Adds Frank, “I remember playing and even when I worked at the college level, guys walked around the clubhouse or dugout with their scar from Tommy John as a badge of honor. They viewed it as a rite of passage. No player should ever want to have surgery and it’s time that we change that line of thinking.”

Understanding Tommy John dives into the anatomy of the elbow, what the process is like when a player gets injured, and offers tips and tricks for youth baseball players to stay healthy. By taking action earlier, players can make better decisions and avoid injury by understanding how the elbow works and what mistakes can be avoided before they land in our office!

Tagged With: Baseball Health Network, Dr. Christopher Ahmad, Major League Baseball, Tommy John Surgery, UCL, Youth Baseball

BHN Interview With Mike Reinold

By Frank Alexander
Baseball Health Network

Frank AlexanderMike Reinold, PT, DPT, SCS, CSCS is the President and Co-Founder of Champion Physical Therapy and Performance in Waltham, Massachusetts. He is a world-renowned expert in physical therapy and sports performance. He uses his background in sport biomechanics, movement quality, muscle imbalances, and manual therapy to help some of the most elite athletes return to the sport they love. Currently a consultant for the Chicago Cubs, Mike played a key role in 2007 as he led the efforts in keeping the Boston Red Sox healthy on their way to a World Series Championship! He has been featured in ESPN, Sports Illustrated, Men’s Health, and peer-reviewed publications such as The American Journal of Sports Medicine and the Journal of Athletic Training, among many others.

Mike was kind enough to talk with Team Ahmad’s Frank Alexander, MS, ATC about his background and how his team at Champion Physical Therapy and Performance keep their athletes healthy.

Mike Reinold
Mike Reinold

Frank Alexander: What made you want to become a physical therapist?
Mike Reinold: I always liked science and sports, but then I took an anatomy class in high school and knew I wanted to get into medicine. I was fascinated by how the body works. I chose physical therapy as a way to integrate my passion for sports medicine, human biomechanics, and helping athletes return to the field.

FA: What advice would you give to someone looking to work with elite athletes?
MR: To get into sports, especially at the elite level, you need to intimately understand the sport. Volunteer your time to work with people that work with elite athletes in the field you are most passionate about. For me, it was baseball. I moved to Alabama in the ‘90s to work with Dr. James Andrews and the team at ASMI. Surround yourself with the best and learn from them. This will put you in a much better position to succeed.

Champion logoFA: How do you help keep your athletes healthy after they’ve completed their formal physical therapy?
MR: Our model at Champion is an integrated approach to performance-based physical therapy and sports performance training. The two areas often overlap and merge. They should be coordinated together. With athletes, our philosophy is that they actually “micro” injure themselves each event, so we encourage proactive performance therapy to help them maintain performance and reduce injuries. This is the model I developed for the Red Sox that we performed throughout the entire system. We were very proactive in maintaining the appropriate physical characteristics throughout the season versus retrospectively waiting for injuries to occur.

FA: What new modalities are you using to help your athletes get the most out of their physical therapy session?
MR: We are always experimenting with new techniques and modalities with the goal of helping athletes stay on the field and get back from injury as fast as possible. We proudly throw the kitchen sink at our athletes. Both instrument assisted soft tissue mobilization (IASTM) and cupping are deeply integrated into all our techniques now. The athletes love it and we often get immediate improvement in how they feel and move. It has been a changer. Lately, we have started to integrate blood flow restriction (BFR) training into our postoperative rehabilitation. This allows us to have a more robust physiological response when loading the body at a lower percentage of their maximum load, which is required in rehab. The results have been promising but we are still developing our specific applications.

Frank J. Alexander, Jr., M.S., ATC, is a Physician Extender to Dr. Christopher Ahmad, Department of Orthopaedic Surgery at Columbia University Medical Center.

You can learn more about Mike Einold and his approach to keeping athletes healthy on his website and Champion’s site.

Tagged With: Baseball Health Network, Champion Physical Therapy and Performance, Mike Reinold, Team Ahmad

How To Help Prevent Overuse Injuries

By Frank Alexander
Baseball Health Network

Frank AlexanderIf you play competitive sports, injuries are always a possibility. Nobody knows exactly when or how they will get hurt. Unfortunately, there is no way to predict injuries. Even the most elite athletes fall victim to injuries and spend time on the disabled list or have to sit a few matches out.

While we cannot predict much about injuries, we can avoid many of them. All athletes can prevent a group of injuries called “overuse” injuries. Overuse injuries are just that – when you over use a body part such as an elbow, shoulder, or knee without adequate rest.

golf swingMany overuse injuries happen in adolescent athletes that are still growing. These injuries are fairly common and you may have even heard of a few such as: Little Leaguer’s Shoulder, Little Leaguer’s Elbow, or Jumper’s Knee. Adolescent athletes are not the only population that succumb to overuse injuries. Weekend Warriors, runners, frequent golfers and tennis players also develop overuse injuries. Common overuse injuries in the skeletally mature population include: Tennis Elbow, Golfer’s Elbow, and IT Band Friction Syndrome.

Nobody wants to hear they are injured but the good news is you can recover from them. You have an excellent chance of making a full recovery if you let your body rest and correct any asymmetries and muscle imbalances. Many athletes will not want to “rest” but rest does not mean you cannot exercise or play sports. It just means you have to adjust your routine.

tennis elbowAthletes that have overuse injuries can still participate in sports but may have to stop the sport they got injured playing. If you have Little Leaguer’s Shoulder, it doesn’t mean you have to stop everything for the whole spring or summer, it just means you should take a break from throwing a baseball. Depending on the severity of the condition, some athletes may be allowed to play basketball, soccer, or even swim in a pool. For patients suffering from Golfer’s or Tennis Elbow, a simple adjustment of how you hold a club or a racket may be all it takes to alleviate your symptoms. Any runner with ITB Friction Syndrome may have to take a break from running, but they can still get in the pool or ride a bike. There are plenty of ways to make minor adjustments to exercise routines and still be active while injured!

The best way to prevent these injuries is to make sure you give your body a break every now and then from the demands you place on it. This is especially important for our young and growing athletes. Baseball and tennis players should give themselves a break from throwing or competing after their season ends. Runners can hop on a bike or elliptical every once in a while to avoid injury as well. There are many ways to avoid overuse injuries so if you think you may be prone to them, feel free to ask any expert on our Team and we’ll be happy to help you stay on the court, field, or track!

Frank J. Alexander, Jr., M.S., ATC, is a Physician Extender to Dr. Christopher Ahmad, Department of Orthopaedic Surgery at Columbia University Medical Center.

Tagged With: Baseball Health Network, Little League Elbow, Little League Shoulder, overuse injuries, Team Ahmad, Youth Baseball

BHN’s Steve Hayward To Be Featured Speaker At Columbia Sports Medicine Live Webinar

By Jim Monaghan
Baseball Health Network

Jim Monaghan

 

 

 

 

JUST ANNOUNCED!

Baseball Health Network founder Steve Hayward will be a featured guest speaker at a live webinar on Wednesday July 12 presented by Columbia Sports Medicine.

The Baseball Athlete: Myths & Truths that Every Physician, Athletic Trainer, Therapist, Strength and Pitching Coach Should Know in 2017 will be of interest to team physicians, certified athletic trainers, physical therapists and primary care sports medicine physicians.

Steve Hayward photo
BHN Founder Steve Hayward

Participation in recreational and organized sports is on the rise. With that comes increased pressure to get athletes back to their sport as quickly and safely as possible. This webinar will highlight important topics in sports medicine that are experienced at the highest levels on a daily basis.

The management of athletic injuries is under constant debate, often needing to decide between conservative and surgical intervention. Good judgment on the part of the sports provider is vital as management decisions are usually tailored to the individual athlete. Optimal management of these injuries is essential to an athlete’s career. Understanding the etiology, diagnosis, surgical, and non-surgical modalities are the key elements of a successful treatment plan.

DATE – Wednesday, July 12, 2017
TIME – 8:00 PM

FACULTY & TOPICS:
T. Sean Lynch, MD
The Hips Don’t Lie…The Hip-Elbow Connection in the Throwing Athlete
Charles M. Jobin, MD
Labral & Rotator Cuff Tears: Why throwers have them and never need surgery?
Christopher S. Ahmad, MD
Startling Breakthroughs in Tommy John Treatment
A.J. Yenchak, DPT
Unlocking Your Throwing Performance Safely: Strategies to Enhance Core Strengthening and Maximize Hip Explosion
Joseph Ciccone, PT, DPT, SCS, CIMT, CSCS, ART
Hot Trends from the Major League Training Room that College and High School Players Need: The Toys that Work
Thomas S. Bottiglieri, DO
Biologic Treatments that Keep Players on the Field & Out of the Operating Room
Steve Hayward, Co-founder of the Baseball Health Network
A Pitching Coach’s Approach to Reducing Elbow Injuries

CLICK HERE TO REGISTER

Tagged With: Baseball Health Network, Columbia Orthopedics, Dr. Christopher Ahmad, Steve Hayward

Dr. Ahmad To Host 2nd Annual Baseball Sports Medicine Seminar

By Jim Monaghan
Baseball Health Network

Jim MonaghanDr. Christopher Ahmad, Head Team Physician for the New York Yankees and founding member of the Baseball Health Network will lead an esteemed panel of physicians, trainers and baseball notables at the 2nd annual Baseball Sports Medicine: Game-Changing Concepts seminar on November 16-17 in New York.

This live activity is designed to identify areas of concern or controversy in the management of baseball athletes in a team sport setting through didactic presentations and case-based scenarios. Key issues, along with up-to-date and practice solutions, will be addressed. Time has been built into the agenda for questions and answers.

Joining Dr. Ahmad as course director is Chicago White Sox Team Physician Dr. Anthony Romeo.

GUEST SPEAKERS
Jeff Passan – New York Times bestselling author and MLB columnist for Yahoo! Sports
Joe Torre – MLB’s Chief Baseball Officer and former manager of the New York Mets and New York Yankees

INVITED FACULTY
Robert B. Anderson, MD OrthoCarolina Charlotte, NC
Michael Ciccotti, MD Head Team Physician Philadelphia Phillies Philadelphia, PA
Jeffrey R. Dugas, MD Andrews Sports Medicine Birmingham, AL
Neal ElAttrache, MD Head Team Physician Los Angeles Dodgers Los Angeles, CA
Lee Kaplan, MD Medical Director & Team Physician Miami Marlins Miami, FL
Sean T. Lynch, MD Assistant Professor of Orthopedic Surgery Columbia University Medical Center New York, NY
Ron Porterfield, Head Athletic Trainer Tampa Bay Rays Tampa, FL
Mark Schickendantz, MD Head Team Physician Cleveland Indians Cleveland, OH
Nikhil Verma, MD Team Physician Chicago White Sox Chicago, IL
Kevin Wilk, PT, DPT, FAPTA Associate Clinical Director Champion Sports Medicine Director, Rehabilitative Research Birmingham, AL

TARGET AUDIENCE
This conference is designed for any orthopaedic surgeon, physician, athletic trainer, physical therapist, strength and conditioning expert, or coach concerned with the management or prevention of injuries to the baseball athlete.

OBJECTIVES
Upon completion of this course, participants should be able to:
•Analyze epidemiological trends in baseball injuries for professional, collegiate and youth baseball players
•Integrate prevention strategies with their health care team(s) to improve musculoskeletal and medical health for baseball players
•Assess and apply surgical and non-surgical treatment recommendations and rehabilitation protocols for the management of essential musculoskeletal and medical conditions in baseball

Last year was a huge success with MLB team physicians, trainers, and therapists presenting diagnosis, treatment and rehabilitation for baseball injuries.

For more details, click here for our full-color brochure.

CLICK HERE TO REGISTER.

Tagged With: Baseball Health Network, Dr. Christopher Ahmad, Major League Baseball

Returning To Exercise After Shoulder Or Elbow Surgery

By Frank Alexander
Baseball Health Network

Frank AlexanderWhen someone is injured and needs surgery, the hard part is not undergoing the surgery itself. The hard part is being patient and maintaining the drive to get through each physical therapy session. For our patients with active lifestyles, the desire to get back to the activities they love may feel far away. But there is light at the end of the tunnel. Many patients want to get back to playing their sport or even just get back into the weight room or gym. In some cases, getting on a stationary or recumbent bike is possible within days of surgery. However, that may not be enough. The type of surgery a patient has determines the length of time away from the gym and sports.

Once being cleared to return to working out, there are a number of exercises we would like our patients to steer clear from. Whether you are recovering from surgery or not, we strongly advise our overhead athletes to avoid these exercises.

free weightsExercises to avoid include: dips, chest flyes, lat pull-downs behind the neck, heavy-weight overhead shoulder presses and wide-grip bench presses. Patients should also avoid allowing the shoulders to be stretched to the extreme end range of motions. While these exercises are discouraged, there are variations and other exercises that can be substituted. Variations include: lat pull-downs with the hands in front of the body, using a medium grip for chest press and lat pull-downs, and using dumbbells for bench pressing. Substitutions include: the Thrower’s Ten exercises (internal/external rotation with TheraBands) and lying light dumbbell exercises such as Y’s, T’s, and A’s.

Upon being cleared to return to the gym or weight room, it is best for a gradual return to activities. For example: when returning to cardio, avoid using the moving arms on the elliptical for a number sessions or stick with the bike a little longer. As for weight training, it is suggested to start with light weights and gradually progress to heavier weights. If you are not sure if you should progress, feel free to ask in the office or check in with your physical therapist. Your physical therapist is a great resource for guidance when returning to unsupervised exercising.

Thrower's TenWhile some exercises should be avoided, many should be done regularly. The Throwers Ten Exercises are a staple of all throwing athletes’ shoulder programs and should be done throughout the off-season and regular season to help keep the shoulders healthy. Core and leg exercises are integral for any throwing athlete. When performing lower body exercises with a load, be sure to listen to your body. If soreness is present, modify the lift or avoid it if possible.

If you are ready to return to weightlifting, our office has a handout with guidelines that you should follow as well as the Thrower’s Ten. Following these guidelines and the advice of our team and your physical therapist will help ensure the ability to safely return to the gym and sports!

Frank J. Alexander, Jr., M.S., ATC, is a Physician Extender to Dr. Christopher Ahmad, Department of Orthopaedic Surgery at Columbia University Medical Center.

Tagged With: Baseball Health Network, Dr. Christopher Ahmad, Team Ahmad, Thrower's Ten, Tommy John Surgery

The Importance of Finding Your Personal Arm Slot

By Steve Hayward
Founder, Baseball Health Network

Steve Hayward photo
BHN Founder Steve Hayward
For years now, I’ve been hearing coaches and parents telling their kids to throw over the top, get the arm up, elbow higher, and so on.

The end result can be that a pitcher ends up being forced to throw from an unnatural arm slot.

The common myth is that it’s safer to throw over the top.

Check out these two videos that discuss finding one’s own natural arm slot.

The first video, from the MLB Network, features San Diego Padres left-hander Clayton Richard talking with former Major League All-Star Harold Reynolds. Note how Richard points out the difference between coming over the top, and throwing from (for him) a more natural arm slot in which his hand is still able to get on top of the ball.

This second video, with my Baseball Health Network partner Doug Cinnella, talks about the link between finding your natural arm slot and how it relates to throwing the fastball consistently for a strike.

Tagged With: Baseball Health Network, Doug Cinnella, Pitching Healthy, Steve Hayward

The Importance of Prehab

By Frank Alexander
Baseball Health Network

Frank AlexanderINJURY PATHOLOGY
A soccer player makes a great run, has one defender to beat – plants their foot, twists the knee, and feels a pop. The player immediately goes to the ground clutching their knee in pain. A lacrosse defenseman checks the ball out of an offensive players stick, goes for the ground ball – tries to avoid an opponent – plants their foot, twists, and feels a pop. Similarly to the soccer player, they immediately grab their knee wondering what happened.

The athletic training staff rushes to the player, assesses the injured knee, and the player doesn’t return to competition. In the doctor’s office, the knee has great laxity and a tear of the anterior cruciate ligament (ACL) is confirmed. Unfortunately, the only way the ACL will heal is with surgery. It will not heal on its own. There is significant swelling and a decrease in range of motion (ROM). Before a surgery day can be set, the swelling needs to be decreased, range of motion must be improved, and while strength will not be 100% pre-surgery – it needs to be improved as well. To achieve these goals, prehab is recommended. Prehab is pre-surgery rehab specifically designed by an athletic trainer or physical therapist targeting ROM, quadriceps strength, and swelling.

COMPONENTS OF PREHAB
There are three main goals of prehab: decrease swelling, increase range of motion, and increase strength. After an injury, the body has a natural reaction to protect itself and a consequence is swelling. Swelling in the knee will restrict range Game Ready unitof motion and needs to be decreased. If swelling is not diminished before surgery, the outcome will not be favorable for the patient. By doing prehab exercises, icing, and taking anti-inflammatory medications, swelling can be decreased. Many athletes have heard of the GameReady unit. This unit combines both ice and compression through a sleeve that surrounds the knee. Another unit similar to the GameReady is the CryoCuff which operates in a similar manner. These units are highly recommended in both the prehab and rehab phases. They can be discussed with our staff in the office.

The knee is a joint that, when healthy, has 0 to 130 degrees of motion, or more. When the knee is fully extended, we say it is at 0 degrees. In a healthy knee, it can flex (bend) to 130 degrees or beyond. Not everyone is the same and range of motion varies from person to person. However, it is said that the knee can be functional at 125 degrees of flexion and that is the goal before surgery. Exercises such as wall-slides and assisted flexion are parts of a good home prehab exercise program. While flexion is important, extension should be emphasized. Extension should be emphasized because if it is lost, extension is difficult to get back. Physical therapists will be able to flex the knee post-operatively, but extension has to be a focus of the therapist and patient as well. Ways to prevent a loss of extension is by performing exercises such as quad sets and straight leg raises. Another good way to aid extension is, while watching TV, icing, or hanging out, prop a few pillows under the ankle and keep the toes towards the ceiling. This will allow gravity to gently pull the knee into extension.

In addition to decreasing swelling and regaining range of motion, quad strength is another key component of prehab. Quad strength will help avoid atrophy – which is a decrease in muscle mass. Exercises such as quad sets and straight leg raises will help with quad strength and control. These two exercises are not only a large part of prehab, but also of the immediate rehab phase.

READY FOR SURGERY
Dr. Ahmad surgeryOnce improvements are made, the patient is ready for surgery. The prehab process varies for each patient with the ideal time from injury to surgery being 2 weeks. Timelines are not set in stone so while some patients are in the average, some may be quicker and others may be longer. Another factor is severity of injury. Many ACL tears happen in addition to other injuries within the knee such as medial collateral ligament (MCL) tears and meniscus tears. These other injuries need to be taken into account for timing of surgery as well. The more effort put into prehab, the quicker surgery can be scheduled. For many athletes, timing is of the essence and getting ready for the upcoming season will take a lot of work. The hard work doesn’t stop on the day of surgery, athletes will need to keep their work ethic for the months following surgery to ensure staying healthy once they return to the athletic fields.

When an ACL tear is diagnosed, Dr. Ahmad’s office will provide each patient with home exercises that should be done in addition to any prehab. In some cases, prehab may not be necessary but this is not always the case. We suggest that each patient does not compare their injury to another’s. Everyone heals differently but if maximum effort is given throughout the process, a return to the field is well within sight.

Frank J. Alexander, Jr., M.S., ATC, is a Physician Extender to Dr. Christopher Ahmad, Department of Orthopaedic Surgery at Columbia University Medical Center.

Tagged With: ACL, Baseball Health Network, Dr. Christopher Ahmad

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