Curious about Dr. Shah and his life/career journey?
Watch Dr. Shah as a Guest on the "The Ortho Show" with Scott Sigman, MD
In this episode, Dr. Scott Sigman MD is joined by Dr. Sarav Shah, an orthopedic surgeon and Chief of Sports Medicine at New England Baptist Hospital. Here, they discuss his passion for research and education, his quick rise to leadership, and more.
Podcast recorded from 12/19/2023
Watch Dr. Shah discuss ACL Injury, Reconstruction and Return to Sport as a Guest Lecturer for Orthopaedic Principles.
Early graft ruptures are more prevalent in patients younger than 18 years & Males. Incidence of ACL graft revision was 2.1 times higher with hamstring autograft compared with a BTB autograft.
“Critical Criteria” recommended as part of postoperative Return To Sport
1. Time since surgery of 8 months
2. Use of >2 functional tests (single leg hop test greater than 90% of the contralateral side, drop jump, & pivot shift testing)
3. Psychological readiness to RTP testing
4. Quad/HS/glut index strength testing ≥90%
Webinar recorded from 3/4/2022
(c) New England Shoulder and Elbow Center
Watch Dr. Shah discuss Radial Head Arthroplasty as a Guest Lecturer for Orthopaedic Principles.
Recent studies have shown it is important to:
1. Properly size the radial head based on the lesser sigmoid notch for radial head height
2. Properly judge the height of the entire construct based on the proximal ulnohumeral joint
3. Judge the diameter of the radial head prosthesis based on the minimum outer diameter of the native radial head
Webinar recorded from 1/12/2024
(c) New England Shoulder and Elbow Center
Watch Dr. Shah discuss Current Applications of Growth Factors in Knee Arthritis and Cartilage Repair as a Guest Lecturer for Orthopaedic Principles.
Articular cartilage, devoid of vascularity, relies on diffusion to obtain nutrients and oxygen, thus making intrinsic repair of defects remarkably difficult in vivo.
Growth Factors as Therapeutic Possibilities
-->Enhance healing of chondral injuries and modify the progression to degenerative arthritis
1. Growth factors and chemotactic cytokines promote the migration of pluripotent mesenchymal stromal cells (MSCs)
2. Cartilage repair is exclusively mediated by the proliferation and differentiation of mesenchymal cells
3. Most commonly, marrow substrates including MSCs, growth factors, and cytokines are introduced through marrow stimulation
Webinar recorded from 8/13/2021
(c) New England Shoulder and Elbow Center
Watch Dr. Shah discuss Reverse Shoulder Arthroplasty as a Guest Lecturer for Orthopaedic Principles and Bay State Physical Therapy. Reverse shoulder arthroplasty has demonstrated good clinical outcomes at long-term follow-up, leading to expanding indications and wider adoption. Authors have reported good results in patients aged less than 55 years, patients aged greater than 65 years who have OA with an intact rotator cuff and complex salvage-type clinical situations such as revision for a failed primary RSA. It has even proved cost-effective in instances such as complex Proximal Humerus Fractures.
Recent focused systematic reviews of the recent literature with a large volume of RSAs demonstrate that with the use of Non-Grammont modern prosthesis designs, complications including scapular notching, Periprosthetic joint infection, Glenoid component loosening, and Neurologic Injury are significantly reduced compared with previous studies.
Webinar recorded from 4/29/2021
(c) New England Shoulder and Elbow Center
Shoulder replacement is now routinely performed for patients with moderate to severe shoulder arthritis. It has the potential to relieve pain and improve function for many people. During the procedure, the surgeon removes the arthritic “ball” of the shoulder and smooths down the “socket.” The joint is then replaced with a metal ball, and a polyethylene socket. In reverse shoulder replacements metal balls are placed on the patient’s socket and a plastic cup is placed on top of the humerus.
Please join Sarav Shah, MD as we discuss the latest and best evidence in the treatment of rotator cuff tears. Recent evidence suggests that Injury severity is a critical consideration and a large portion of symptomatic full-thickness tears progress in size over time.
Webinar recorded from 9/28/2020
(c) New England Shoulder and Elbow Center
Patient has had multiple failed rotator cuff repairs. He also has documented cartilage grade 3/4 changes on the humeral head and glenoid from his previous scope.
Male with poor range of motion and consistent pain especially at night pre-operatively. A Reverse Shoulder Arthroplasty is preformed for his Cuff Tear Arthropathy.
Now, the patient is 6 weeks post-operatively with excellent forward elevation and external rotation. He states his pain is much improved as he continues to make progress each day.
Patient with Cuff tear arthropathy and positive preoperative Hornblower's sign. A Reverse Shoulder Arthroplasty w/Latissimus Dorsi Tendon Transfer is performed. The tendon transfer is used to allow the patient to have external rotation especially in abduction.
The Patient is seen here at 4 months post-operatively with excellent forward elevation and external rotation. He is very happy that it is "not painful" anymore and he can now "do what he couldn't do" pre-operatively.
Patient is a 19 y/o Division One football player complaining of left knee pain and swelling in the setting of multiple recurrent patella dislocations. Now he has pain with activities of daily living, mechanical symptoms and subjective instability.
He has exhausted non-operative management including directed quad strengthening and patella-bearing knee brace.
MRI images show Tibial Tubercle-Trochlear Groove (TT-TG) distance of 18 mm. Lateral trochlear angle 20. Lateral translation with about 20 degrees of tilt.
2.5 x 1.5 cm patellar cartilage defect and 1.2 x 1.3 cm trochlear defect. Matrix Assisted Chondrocyte Implantation performed for the patellar defect and Microdrilling with PowerPick XL performed for the trochlear defect.
Both cartilage procedures were performed with a concomitant tibial tubercle osteotomy as MRI under appreciates the TT-TG measurement compared to CT scan, where the measurement is likely to be over 20.
75 F with 4 part displaced Proximal Humerus Fracture. 3 month post-operative visit demonstrating excellent range of motion. She is pain-free and is able to do her daily activities. She continues to make improvements with her physical therapy.
Boston and New England's Top Orthopedic surgeons for Shoulder and Elbow Care including: shoulder arthritis and shoulder pain conveniently located in Waltham, Cambridge and Brighton.
Here at New England Shoulder and Elbow, Dr. Sarav Shah and Dr. Glen Ross treat many athletes and the most common shoulder/elbow injuries in overhead sports like tennis and baseball and many more. These injuries can range from rotator cuff tears to labrum tears and other sports injuries.
We take care of collegiate sports programs such as Merrimack College and Brandeis University. These injuries can be treated with a variety of methods including physical therapy, injections and potentially surgery. We implement a team based approach focused on getting you back on the field or court as soon as possible.
Watch Dr. Shah discuss our studies' algorithm and how it can help streamline the patient selection process for anatomic total shoulder arthroplasty (TSA).
The studies’ data provide a convincing argument for consensus-building efforts to delineate eligibility criteria for anatomic TSA particularly in modern debates in surgical decision making for anatomic TSA versus Reverse TSA candidates.
59F with Proximal Humerus malunion 11 months post injury. Presents with poor function with elevation to only 30 degrees and pain with daily activities. I treated her with a Reverse shoulder arthroplasty and ORIF greater and lesser tuberosities. At 4 months postoperatively, she is doing very well with minimal pain and now excellent function to 140 degrees of elevation. Note the healed tuberosities on post op XR.
62 Male underwent Anatomic Stemless Total Shoulder Arthroplasty. At 3 months, postoperatively he has little pain with excellent range of motion and function. Please talk to your surgeon regarding your specific case. This may not be applicable to every clinical scenario.
33 year old male who underwent Comprehensive Arthroscopic Management for Synovial Chondromatosis. Multitude of arthroscopic aspects for management including removal of loose bodies, excision of humeral osteophyte, axillary nerve release, and biceps tenodesis. In this young population it is important to consider the arthroscopic options available versus shoulder arthroplasty.
In this presentation, Dr. Shah discusses the validation of the RAND/UCLA appropriateness criteria for anatomic total shoulder arthroplasty. Using data from 390 patients, the study classified candidates as "appropriate", "inconclusive", or "inappropriate" and examined patient-reported outcomes. The appropriate group as identified by our Appropriateness Use Criteria had a significantly greater proportion of patients who achieved MCID (95.8%) and SCB (92.6%).
In this presentation, Dr. Shah evaluates the cost-effectiveness of arthroscopic rotator cuff repair by analyzing real-world data on surgical constructs and tear size. Using a Markov model over 1, 5, and 10 years, the study assesses the cost per quality-adjusted life year for different tear sizes and commercial suture anchors from major manufacturers like Arthrex, Smith & Nephew, and Stryker.
67 yo male underwent Primary RSA at an outside institution. Subsequently had pain and dysfunction with concern for infection. After aspiration was negative for growth, I performed an arthroscopic tissue biopsy which confirmed infection. First stage was removal of both components with Glenoid bone grafting and placement of antibiotic spacer. Then second stage was conversion to revision reverse shoulder arthroplasty. Secondary to bone grafting of the glenoid during the first procedure as well as cementing humeral stem, the patient was able to achieve functional range of motion with minimal pain at 3 months postoperatively from the second stage.
If you missed the webinar on August 18, 2020 with Sarav Shah MD, it was a great event discussing the evolution and prosthesis design improvements of the reverse shoulder replacement that has led to diminished complications and increased indications. Please check out the PDF version of the powerpoint.
Evolution and Biomechanics of RSA_8.18.20 (pdf)
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