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A tribute to Carlo DiMarco, DO

Dr. Carlo DiMarco (left) with AOASM President, Dr. Patrick Leary (center) and AOASM member Dr. Greg Coppola (right)

I feel very sad and miss our friend and colleague Dr. Carlo Dimarco who passed away on Aug. 16, at only 62 years of age. He was a great mentor to me as I navigated the start of our sports medicine fellowship at the Lake Erie College of Osteopathic Medicine. Dr. DiMarco had joined LECOM to start the ophthalmology residency at Millcreek Community Hospital in Erie after successfully directing a residency program in Philadelphia. He very generously shared his experience to insure that our fellowship met the highest standards.

Dr. DiMarco attained the highest leadership levels of the American Osteopathic Association, the American Osteopathic Colleges of Ophthalmology and Otolaryngology and the Pennsylvania Osteopathic Medical Association. But as an accomplished surgeon ophthalmologist, he was always willing to change the batteries and light bulbs for our malfunctioning ophthalmoscopes.

He was a great resource for diagnosing and treating the eye injuries sustained by our NBA Development League Erie BayHawks and their visiting competitors. He took great pride in his sports medicine ophthalmology work with the Philadelphia 76ers during the 15 years prior to moving to Erie. He was a teacher and residency director who took the time to lecture about sports trauma to the orbit for the house staff and our sports medicine fellows.

Dr. DiMarco was an ardent advocate for osteopathic medicine and training programs. We introduced a controversial resolution together on the floor of the House of Delegates just weeks ago. He had a quick wit, great enthusiasm and an accomplished sense of humor, all the while listening generously to everyone.

Husband, father, brother and son, he was enormously proud of his Italian Philadelphia roots. I am sorry I did not know him sooner in my life. I didn't get to know him very well but his untimely passing has left a void in the lives of many.

Thank You Dr. Carlo DiMarco —

Patrick F. Leary, D.O., FAOASM
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Effect of education and language on baseline concussion screening tests in professional baseball players
Clinical Journal of Sports Medicine
The purpose of the present study was to investigate the possible effects of sociocultural influences, specifically pertaining to language and education, on baseline neuropsychological concussion testing as obtained via immediate postconcussion assessment and cognitive testing (ImPACT) of players from a professional baseball team. The setting involved baseline testing of a professional baseball organization.
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Demise of the fittest: Are we destroying our biggest talents?
British Journal of Sports Medicine (subscription required)
Let us call her Liza. Liza is a very talented volleyball player. Last year, 15 years old, she entered high school at a ‘Toppidrettsgymnas’, one of 19 schools in Norway which combine an elite training program with a 3-year senior high school program. A few weeks later, her elbows started to hurt. She did adjust her training, but played as many as 35 volleyball matches before she was diagnosed with bilateral ‘tennis elbow’ in December and finally had to throw in the towel.
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All-inside meniscal repair effective as isolated, concurrent
ACL reconstruction procedure

Primary second-generation all-inside meniscal repair was shown to be effective both as an isolated procedure and when performed with concurrent ACL reconstruction, according to study results. In a retrospective review of patients who underwent meniscal repair with the use of an all-inside meniscal repair system from December 1999 to January 2007, researchers identified 83 meniscal repairs, of which 90 percent had follow-up data and 35 percent were performed as isolated procedures.
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Combined ACL-PLC repair allows for return to work, sports
Combined ACL-PLC reconstruction allows for an eventual return to both work and sports, though at lower postoperative performance in the latter, according to study findings. Researchers reviewed 100 patients undergoing isolated ACL reconstruction and 25 undergoing combined ACL-PLC reconstruction. The ACL group was matched by age, sex and meniscal procedure.
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Brain or strain injury? Tough to tell by symptoms alone
Medscape (free subscription)
Cognitive problems and other patient-reported symptoms after head injury do not distinguish concussion from neck injury, researchers from the State University of New York at Buffalo have found. Among a group of patients with lingering symptoms after head injury, self-reported symptoms failed to separate patients with physiologic post-concussion disorder from those with cervicogenic/vestibular injury, they report.
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Study: Helmet makes no difference in concussion risk for football players
Wisconsin State Journal
The risk of a high school football player getting a concussion is no different when wearing an older helmet than a new one, and the brand of helmet doesn't matter. That's the conclusion drawn from a study by researchers at the University of Wisconsin-Madison involving more than 2,000 high school football players at 34 high schools in Wisconsin during the 2012 and 2013 seasons.
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Similar clinical outcomes found with, without acromioplasty after
rotator cuff repair

After rotator cuff repair, study results showed no difference in clinical outcomes with or without acromioplasty at 2 years postoperatively. Researchers randomly assigned 114 patients undergoing arthroscopic repair of full-thickness rotator cuff tears into acromioplasty or non-acromioplasty groups.
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Platelet-rich plasma gaining traction with some pain physicians
Pain Medicine News
Is platelet-rich plasma (PRP) a viable treatment option in patients who are not showing improvement with long-term corticosteroid use? Richard Rosenthal, M.D., believes so. The founder and medical director of Nexus Pain Care in Provo, Utah, Dr. Rosenthal told attendees at the American Society of Interventional Pain Physicians’ 2014 annual meeting that studies support PRP’s efficacy for several pain conditions. These include lateral epicondylitis, patellar tendon injury and rotator cuff tears. Studies also have shown that PRP use may offer some benefit for refractory diskogenic low back pain, knee osteoarthritis, trochanteric bursitis and plantar fasciitis.
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