Departments

We specialize in a wide range of preventive care and treatment options for injuries and conditions related to competitive and recreational athletics. Sports-related injuries require specialized care to promote optimum healing. We focus on promoting and maintaining an active lifestyle through non-operative rehabilitation programs and minimally invasive arthroscopic surgical procedures. Using the most up-to-date arthroscopic techniques, our surgeons are specialists in repairing joint damage to the knee, ankle, shoulder, hip, or elbow. Our team works with patients to minimize disabilities resulting from sports injuries and conditions and to maximize quality of life. We offer the following specialized services: Hip, knee, ankle, shoulder, and elbow arthroscopy Cartilage preservation and restoration procedures (including Microfracture, Osteochondral Transfer (OATs) and Carticel® and meniscus transplantation) On-site physical therapy Non-operative and alternative treatments for common sports injuries Our specialists also consult with local high school and college coaches. We regularly conduct seminars for coaches, trainers, and physicians, focusing on injury prevention and modern treatment methods. We also provide medical coverage for various athletic events and teams, including the Pilot Pen Tennis Tournament, the New Haven Road Race, and several area high schools.

Patella instability causes a variety of problems ranging from mild shifting or clicking of the patella (kneecap) to frank patella dislocation, chronic disability, trouble with stairs, inability to run, giving way of the knee, complete collapse of the knee, chronic pain, and accelerated arthritis of the knee. Fortunately, many patients with patella instability respond to nonsurgical treatments such as bracing, taping, modification of activities, and physical therapy. The Sports Medicine Division of Yale Medicine Orthopaedics & Rehabilitation provides specialized care for adults and children with patella instability. While nonsurgical options are almost always the first-step recommendation, Yale Medicine’s Patella Instability Program offers the best possible current technology and expertise to enable patients to have a successful return to normal activities. To find out more about this program, please fill out a brief survey . The Patella Instability Program utilizes the highest quality advanced imaging, including magnetic resonance imaging (MRI) and computerized tomography (CT), for patient evaluation, in collaboration with Yale Medicine’s Department of Radiology & Biomedical Imaging. Our Orthopaedic specialists work with the Radiology departments and the Yale School of Engineering to offer a major initiative in three-dimensional (3-D) imaging and printing, such that a patient’s knee can, in certain complex situations, be printed into a 3-D model for detailed analysis and optimal surgical planning. 3-D analysis is particularly important for patients with trochlea dysplasia, a condition in which the femur’s groove for the patella is too shallow and deformed, worsening the patient’s symptoms of patella instability and recurrent dislocation of the patella. Yale Medicine Orthopaedics & Rehabilitation’s Division of Sports Medicine is actively researching the complexities of patellofemoral dysplasia in order to offer every patient the best possible outcome. Our program is also engaged in national and international education of orthopedic surgeons and other care providers about optimal treatment of patella instability patients. When surgery becomes necessary for patients with patella instability, Yale Medicine’s Orthopaedics and Rehabilitation Sports Medicine division offers extensive expertise and long experience. The goal is to minimize surgery whenever possible, but also to recognize when more definitive surgical treatment is necessary. Our surgeons offer over 50 years of cumulative experience with tibial tubercle transfer (TTO or AMZ) and medial stabilization (MPFL or MQTFL) surgery and can manage most patients with these procedures on an outpatient basis at the McGivney Surgery Center, and Greenwich Hospital. The facilities at the McGivney Advanced Surgery Center in New Haven and Greenwich Hospital allow our surgeons to provide state-of-the-art, cutting-edge surgical treatments in order to give patients the best potential f

Sport-related concussion is a frequent injury in athletes of all ages. Although important steps have been taken to improve sports safety and reduce the incidence of concussion, there are still over 1 million sport-related concussions per year in youth athletes in the United States. The Sports Medicine specialists at Yale Medicine Orthopaedics & Rehabilitation are dedicated to providing the highest quality treatment of all athletic injuries, and helping youth athletes recover and safely return to their sports. To find out more about this program, please fill out a brief survey . Our multidisciplinary team includes a dedicated and compassionate group of concussion specialists including Sports Medicine physicians, pediatric neurosurgery providers, physical therapists with special expertise in concussion and vestibular treatment, nurses, and social workers to address all the components of an athlete’s well-being after a diagnosis of concussion. In addition, our patients benefit from access to the expert providers in pediatric neurology, neuropsychology, and behavioral health at Yale New Haven Children’s Hospital and Yale Medicine. Our patients benefit from a comprehensive initial visit, which includes a review of their history and a thorough concussion examination, including all domains of concussion symptoms and signs. Our doctors and physical therapists help our patients and their parents to understand their symptoms and outline steps for recovery based on the latest evidence and best clinical practices, tailoring treatments to each patient’s set of symptoms. If any musculoskeletal injuries occurred at the same time as a concussion, our Sports Medicine specialists are also experts in the diagnosis and treatment of athletic injuries and joint pain. Often, follow-up doctor visits can be done via telemedicine, which is convenient for patients and their parents. If a specific need arises, patients with sport-related concussion may benefit from consultation with another expert Yale clinician to discuss headaches, sleep disturbances, mood symptoms including anxiety and depression, cognitive symptoms affecting school performance, visual symptoms, or concerns about the long-term risks of concussions. Our Sports Medicine specialists work with patients’ schools and athletic trainers to facilitate their returning to the learning environment and to physical activities in a gradual and supervised progression.

When a soccer injury happens, patients deserve the best and most advanced care, and rapid access to that care. Come to Yale Sports Medicine and work with a team of physicians, physical therapists, athletic trainers, and advanced practice providers who apply cutting-edge techniques to the treatment of every athlete. We keep up with the latest clinical evidence and conduct our own research to determine the most effective ways to get patients back on the field better, faster, safer, and stronger than ever. The Yale SportSafe Soccer Medicine Program offers comprehensive, advanced, and personalized care from Yale’s top specialists, who work together to treat soccer players of all levels, ages, and abilities. Yale Sports Medicine provides care for the men’s and women’s varsity soccer programs at Yale University. Our team also has treated soccer players from Inter Club, CFC, Everson Academy, and Bridgeport Premier soccer clubs, as well as multiple local high school soccer teams. Our chief of Sports Medicine, who has dedicated her life to soccer, serves as a team physician for U.S. soccer and has traveled with the U.S. Women’s U-20 National Team. Please fill out the appointment request form in order to be scheduled to see one of our team members within 1-2 business days. Our goal is to provide high-quality, efficient, and effective injury prevention/treatment to soccer players in our community regardless of age, skill level, or socioeconomic status. The SportSafe Soccer Medicine Team at Yale consists of world-class sports medicine physicians, advanced practice providers, physical therapists, and athletic trainers working in coordination at every step to diagnose, treat, and prevent injury. We have treated soccer players of all ages and skill levels and can tailor a recovery, rehabilitation, and prevention program to each player’s needs. From the professional to the recreational athlete—we have the experience and expertise required to make each patient a better player. This program is one of the largest multidisciplinary programs for soccer injury treatment and services in Connecticut. Comprehensive care of the soccer athlete begins at the pre-performance level. Our team approach includes the following: Pre-participation Screenings Performance Enhancement Injury Prevention/Treatment and rehabilitation Return to Sport Programs Educational Programs Research When it comes to soccer injury prevention, soccer athletes need an individualized program that focuses on their athletic form and performance, which can maximize their ability as an athlete while decreasing their risk of experiencing an injury. When soccer injuries occur, the Yale team will be able to provide the highest quality medical care in an efficient manner to safely return the athlete to their sport. Our team treats many soccer injuries, including (but not limited to): Foot and ankle injuries Muscle and tendon injuries such as hamstring strains Concussion Knee injuries, including ligament injur

ACL injuries are common. Approximately 175,000 ACL reconstructions are performed every year in the United States. An ACL tear renders the knee unstable and without surgery most people cannot return to cutting and pivoting types of activity and athletics. Furthermore, a knee with an ACL tear that is not operated on has a significantly higher risk of developing subsequent tearing of the meniscus (cartilage) and degenerative arthritis. For these reasons, most athletically active patients opt to have their ACL reconstructed. Advancements in video technology and surgical instrumentation have allowed ACL operations to be carried out using very minimally invasive techniques. However, not all surgeons are able to offer these cutting-edge techniques as they require the development of new and often more challenging surgical skills that have a steep learning curve and take time to master. Several of our Yale Sports Medicine surgeons are involved in the teaching of these techniques at courses offered throughout the U.S. To find out more about this program, please fill out a brief survey . The surgical faculty are all fellowship-trained and board-certified in Orthopaedic Surgery and the majority are sub-specialty board certified in Orthopaedic Sports Medicine. The team also includes a number of renowned musculoskeletal radiologists who we routinely consult and collaborate with on all aspects of imaging, including plain X-ray, CT scan, and high-resolution MRI. Our anesthesia colleagues are experts in the most up-to-date regional anesthesia techniques so that post-operative pain is kept to a minimum. Experienced and skilled physical therapists also play a critical role on our team. Utilizing the most current machinery and “return to sport” assessment tools, they help us determine when patients are ready to get back into the game. A team of orthopaedic physician assistants, skilled nurses, and athletic trainers round out our comprehensive and compassionate approach to care. ACL reconstructive surgery involves “replacing” the torn tissue with a tendon either from the patient’s body (called an autograft) or from a cadaver (called an allograft). Traditionally, the two most common autografts used in ACL reconstruction have been the bone-patellar tendon-bone graft and hamstring tendons autograft. Recently, the use of the central third of the quadriceps tendon (from the front of the knee) has become more popular, and surgeons in our program are now utilizing this graft on a routine basis for ACL reconstruction. The quadriceps tendon graft is robust and very strong and has a lower incidence of some of the more common complications seen with other graft sources such as anterior knee pain and numbness about the knee. While use of the quadriceps tendon still only represents approximately 11% of all ACL operations, our Sports Medicine division is on the vanguard of this movement as we strive to offer our patients what we feel is the best possible treatment for their cond

We evaluate injuries and musculoskeletal disorders of the hand and upper extremities. Our team consists of physicians who are board-certified in orthopaedics, hand surgery, and plastic surgery. Our surgeons are experts in their fields, offering patients the latest technological advances and treatments. We are also active in both clinical and basic science research. Our specialties and treatments include: Wrist and hand fractures (including mal-unions and non-unions and percutaneous fixation) Distal radius fractures Scaphoid fractures Wrist and hand instabilities Arthroscopy of the wrist, hand, and elbow Minimally invasive hand and wrist surgery Athletic injury to upper extremities Tendon, vascular, and nerve injuries Joint contractures Arthritis of the wrist, hand, and elbow Tendonitis Trigger finger Nerve compression syndromes Soft tissue reconstruction of the extremities (including skin grafts and flaps) Tumors of the hand

We treat patients with injuries and diseases of the body’s musculoskeletal system. Our specialists treat a variety of bone, joint, tendon, nerve, and muscle conditions. These problems range from routine musculoskeletal complaints to more complex diseases requiring orthopaedic pathology and surgery. We work in conjunction with providers across many specialties—radiology, oncology, physical therapy, and pain management—to provide compassionate care to our patients. We treat musculoskeletal conditions in pediatric and adult patients. Our physicians specialize in many orthopaedic disciplines, including spine surgery, joint replacement, trauma and fracture care, hand and upper extremity surgery, microsurgery, sports medicine, oncology, and foot and ankle care. Our physicians employ many techniques for treating patients, including nonsurgical management utilizing physical therapy, occupational therapy, injections, and bracing. After providing a diagnosis, our providers discuss the best alternatives for treatment, whether this involves physical therapy, medication, surgery, or a combination of these options. When surgical intervention is indicated, cutting-edge surgical procedures and technological options are available. Some of the more common conditions our specialists treat include: Spinal problems, including degenerative conditions, disk herniations, scoliosis, spinal stenosis, fractures, and tumors Shoulder problems, including rotator cuff disease, arthroscopic surgery, arthritis, joint replacement, fractures, and instability Elbow problems, including arthritis, fractures and dislocations, joint replacement, and instability Hand and wrist problems, including arthritis, fractures, arthroscopic surgery, joint replacement, and artery and nerve repairs Pelvis and hip problems, including arthritis, arthroscopic surgery, joint replacement, and fractures Knee problems, including ligament and meniscal tears, arthritis, arthroscopic surgery, joint replacement, and fractures Foot and ankle problems, including tendon and ligament repairs, fractures, arthritis, and joint replacement Pediatric problems, including congenital deformities and fractures Tumor and limb salvage surgery

Shoulder injuries are common in an active population, as well as in middle-aged and older adults. Structural injuries can range from labral tears, which can cause shoulder instability, to muscle and tendon injuries, such as a rotator cuff tear, resulting in pain and weakness. Traditional, or open, surgery entails repair of the injuries through large skin incisions. Unfortunately, this causes structural damage to the skin and underlying musculature. Advancements in video technology and surgical instrumentation has allowed the surgical procedures to be undertaken through minimally invasive techniques (non-muscle damaging) through “keyhole,” or arthroscopic surgery. While the repaired structures still need time to allow for biological healing, this minimally invasive technique allows for decreased post-surgical pain, which results in a faster recovery and return back to activities of daily living. To find out more about this program, please fill out a brief survey . The Sports Medicine and shoulder surgeons at Yale Medicine are proficient in shoulder arthroscopy and typically utilize arthroscopic techniques for the majority of shoulder surgeries. Open surgery is reserved for specialized indications, such as shoulder replacements and other unique situations. Prior to surgery, our board-certified and fellowship-trained orthopaedic surgeons collaborate with our highly experienced musculoskeletal radiologists, who utilize high-resolution MRI imaging in order to ensure the most accurate structural diagnosis. This allows for a highly individualized and tailored surgical plan. If surgery is necessary, most cases are performed on an outpatient basis at the McGivney Advanced Surgery Center or Greenwich Hospital. At these facilities, patients receive concierge-style care, which allows for as stress-free a surgical experience as possible. Patients are cared for by board-certified and fellowship-trained surgeons and anesthesiologists, physician assistants, as well as highly trained nurses. The facilities at the McGivney Advanced Surgery Center in New Haven and Greenwich Hospital allow our surgeons to provide state-of-the-art, cutting-edge surgical treatments in order to give patients the best potential for maximal recovery. After surgery, our team also works closely with affiliated physical therapists who are well-versed in managing patients in their recovery phase of healing. This collaboration ensures individualized treatment plans, aimed to optimize recovery and return to function.

We offer comprehensive fracture care, as well as state-of-the-art, minimally invasive arthroscopic procedures for tendon and sports-related injuries. Our surgeons provide compassionate care to our patients, offering a wide array of nonsurgical treatments, including physical therapy, occupational therapy, and injectable medications.We treat patients with all types of shoulder and elbow conditions—even the most rare and difficult. We also participate in both clinical studies and basic science research activities relating to problems of the shoulder and elbow. Our team specializes in the following conditions: Arthritis fractures and dislocations Bursitis Golfer’s elbow Tennis elbow Instability Rotator cuff tears Swimmer shoulder Sports injuries Tendon injuries Tendonitis

The orthopaedic surgery team is dedicated to improving function in patients of all ages who have been injured, developed a problem such as arthritis, or who were born with a bone or joint problem. Although there are standard ways of treating some of these problems, our team can more precisely address many orthopaedic issues with the use of 3-D modeling and virtual surgical planning using 3-D printed, patient-specific surgical guides. To find out more about this program, please fill out a brief survey . We have orthopaedic surgical specialists who are currently using 3-D technology to correct spinal deformity, post-traumatic mal-unions of long bones, congenital upper and lower limb deformities, complex joint replacement surgery (for hips, knees, shoulders, and elbows) and mal-alignment of joints and bones. We work closely with engineers, radiologists, and cutting-edge medical companies who assist in deploying this technology for our patients. Patients that have complex orthopaedic problems are evaluated by our specialists. If the problem is amenable to treatment with custom 3-D surgical correction techniques, a specialized high-resolution CT or MRI scan is obtained focusing on just the injured side (if only bone models are needed) or of the injured and non-injured analogous body part if virtual surgical planning and intra-operative patient specific guides are necessary. Using the data in the CT or MRI scan, a unique 3-D model is built on the computer using specialized image processing software. The 3-D models are then used to study the deformity/injury in detail prior to the actual surgery. The planning is completed with the surgeon and biomedical engineer working together to manipulate the images on a computer to plan the necessary cuts or bone excision to correct the deformity. Surgeons are able to make certain that the bones are corrected and straight, joints can bend and extend, and muscles and nerves are properly positioned. Patient specific guides are then printed in 3-D for use in the operating room during surgery, so that the virtual model can be replicated in the surgery for precise correction of each patient’s problem. These techniques have been shown to decrease surgical time and blood loss, as well as provide a more precise correction of the problem.

Hip injuries are common in the young athletic population, and conditions such as femoroacetabular impingement (FAI), labral tears, and microinstability are underdiagnosed. Traditional surgical techniques for treatment involved open surgery, but recent advances have allowed for minimally invasive, arthroscopic treatment for many of these conditions. Patients undergoing these arthroscopic hip procedures are able to recover faster and can be managed on an outpatient basis. To find out more about this program, please fill out a brief survey . The Sports Medicine and Hip Preservation Surgeons at Yale are experts in hip arthroscopy for the treatment of common nonarthritic hip conditions, such as femoroacetabular impingement (FAI) and labral tears. Our surgeons are specifically trained in hip preservation and are using cutting-edge arthroscopic techniques, including treatment of cam/pincer impingement, labral repair, labral augmentation, and labral reconstruction surgery. In addition, they are actively involved in advancing the field of hip preservation by conducting nationally and internationally presented research. All hip preservation patients will be evaluated with the latest diagnostic modalities, including high resolution MRI and 3D CT scans to ensure accurate diagnoses and optimized treatment plans. In addition, the latest nonoperative biologic treatments are available, including ultrasound-guided bone marrow aspirate concentrate (BMAC) and platelet rich plasma (PRP) injections. If surgery is necessary, the new state-of-the-art facilities at the McGivney Advanced Surgery Center in New Haven allow our surgeons to provide the highest level of surgical care to our patients. Our surgeons are able to view intraoperative 3D models to execute precise and patient-specific care to provide the best outcomes. Postoperatively, our hip preservation team surgical team works closely with physical therapists on validated and tailored regiments. This collaboration allows for individualized treatment plans to optimize recovery and return to function. The main purpose of the dynamic and multidisciplinary hip preservation team is to help our patients achieve their goals.

We are committed to excellence in all areas of musculoskeletal care. Our physicians treat a variety of bone, joint, nerve, and muscle ailments across many orthopaedic specialties. Our physicians work in conjunction with primary care and specialty physicians to treat both common and complex musculoskeletal problems. We're here to help with all aspects of orthopedic care. Whether you are seeking treatment for a minor injury or a serious orthopedic concern, our skilled doctors are experienced in minimally invasive improvements, as well as procedures like joint reconstruction and replacement surgery to help you get moving again. Some of the more common conditions our specialists treat include: Spinal problems, including degenerative conditions, disk herniations, scoliosis, spinal stenosis, fractures, and tumors Shoulder problems, including rotator cuff disease, arthroscopic surgery, arthritis, joint replacement, fractures, and instability Elbow problems, including arthritis, fractures and dislocations, joint replacement, and instability Hand and wrist problems, including arthritis, fractures, arthroscopic surgery, joint replacement, and artery and nerve repairs Pelvis and hip problems, including arthritis, arthroscopic surgery, joint replacement, and fractures Knee problems, including ligament and meniscal tears, arthritis, arthroscopic surgery, joint replacement, and fractures Foot and ankle problems, including tendon and ligament repairs, fractures, arthritis, and joint replacement Pediatric problems, including congenital deformities and fractures Tumor and limb salvage surgery