I am on staff at the University of Central Missouri and the University of Missouri (Columbia) instructing medical students, athletic trainers, physical therapists, physician assistants and nursing students. Dalton Hermanson is a second year medical student at UMKC and we have worked together on various projects and publications. This open label study is being presented as a poster exhibit for medical schools and submission to the American Academy of Orthopedic Surgeons annual meeting.