Upper Extremity

Shoulder, elbow, and associated upper extremity injuries and conditions are a leading cause of pain and can significantly impair a person’s ability to complete daily activities, work duties or athletic pursuits. The University of Toronto Upper Extremity Program (UTUpperEx) was established to offer comprehensive care for patients with a wide range of shoulder and upper extremity issues.

There are a total of 22 surgeons in the UTUpperEx Program with shoulder and upper extremity services at each of the University of Toronto affiliated hospitals as outlined below.

Toronto Western Hospital

  • Christian Veillette (shoulder/elbow reconstruction, arthroplasty, arthroscopic surgery)
  • Timothy Leroux (shoulder/elbow reconstruction, arthroplasty, arthroscopic surgery)
  • Darrell Ogilvie-Harris (shoulder arthroscopic surgery)
  • Jas Chahal (shoulder arthroscopic surgery)
  • Steve McCabe (hand/wrist reconstruction)
  • Herb von Schroeder (hand/wrist reconstruction, arthroplasty, arthroscopic surgery)
  • Heather Baltzer (hand/wrist reconstruction, muscle and nerve transfers)
  • Andrew Furey (hand/wrist reconstruction)

St. Michael’s Hospital

  • Jeremy Hall (shoulder/elbow/upper extremity reconstruction, arthroplasty)
  • Aaron Nauth (shoulder/elbow reconstruction, arthroscopic surgery)

Sunnybrook Health Science Centre and Holland

  • Terry Axelrod (shoulder/elbow/upper extremity reconstruction, arthroplasty, arthroscopic surgery)
  • Robin Richards (shoulder/elbow reconstruction, arthroplasty)
  • Diane Nam (shoulder/elbow reconstruction, arthroplasty, arthroscopic surgery)
  • Patrick Henry (shoulder/elbow reconstruction, arthroplasty, arthroscopic surgery)

Hospital for Sick Kids

  • Sevan Hopyan (pediatric shoulder/elbow reconstruction)
  • Lucas Murnaghan (pediatric shoulder/elbow arthroscopy)

Women’s College Hospital

  • Tim Dwyer (shoulder arthroscopic surgery)

Mount Sinai Health System

  • John Theodoropolous (shoulder arthroscopic surgery)

St. Joseph’s Hospital

  • Amr Elmaraghy (shoulder/elbow/upper extremity reconstruction, arthroplasty, arthroscopic surgery)

Michael Garron Hospital/Toronto East General Hospital

  • Peter Weiler (shoulder/elbow reconstruction, arthroplasty, arthroscopic surgery)
  • Mel Catre (shoulder/elbow reconstruction, arthroplasty, arthroscopic surgery)
  • Jihad Abouali (shoulder arthroscopic surgery)

In addition, we have led the way in improving access and quality of care for patients with shoulder pain by incorporating Advanced Practice Physiotherapists (APPs) and Extended Scope Practioners (ESPs) into our models of care at Toronto Western Hospital and Sunnybrook Health Science Centre.

Toronto Western Hospital – ESP Clinic

  • Christopher Hawke

Sunnybrook Health Science Centre – APP Clinic

  • Helen Razmjou

With our team approach, APPs and ESPs now triage and prioritize all referrals to the Holland Centre and Toronto Western Hospital Shoulder Clinics and are the first point of contact for patients referred with¬† shoulder pain – a role that was traditionally fulfilled by an orthopaedic surgeon. The APPs/ESPs refer patients on to a surgeon based on specific criteria that includes urgency. Patients are given a choice of accepting the first available appointment or waiting for a specific surgeon.¬† Patients who don’t need surgery receive education about other treatment options and personalized care plans.

The UTUpperEx Program deals with a wide range of shoulder, elbow and upper extremity problems including:

  • Acute fractures and fracture sequelae (nonunion, malunion) – clavicle, humerus, radius, ulna
  • Arthritis (shoulder, elbow, wrist)
  • Dislocation or instability (glenohumeral, acromioclavicular, elbow, wrist)
  • Joint stiffness (shoulder, elbow, wrist)
  • Acute and chronic muscle/tendon tears (rotator cuff tear, pectoralis major tear, biceps tear, lateral and medial epicondylitis
  • Nerve compression and injuries (tendon transfer and nerve repair/transfer)

We offer the full spectrum of shoulder and elbow surgeries, from arthroscopy and minimally-invasive procedures, to complex fracture work, partial and complete replacement of the elbow and shoulder, as well as other complex surgeries of the upper extremity.

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