The Rotation Schedule
The fellowship year is equally divided into six two-month rotations. The strength of the fellowship is the clinical and operative variety that each fellow will be exposed to while here at the Cleveland Clinic. By year's end our fellows will leave confident and capable of managing simple and complex conditions affecting the shoulder, elbow, hip and knee. Our sports medicine specialists perform a wide array of surgical techniques that are cutting edge and will provide each fellow with a multitude of tools to be successful in his/her future career.
The knee experience will include everything from simple meniscus work to complex reconstruction for multiligamentous injuries. The fellow will be exposed to all-inside, inside-out and outside-in meniscal repair techniques. Anterior cruciate ligament reconstruction drilling techniques will include traditional transtibial, medial portal, and 2-incision techniques. Fellows will be exposed to autograft bone-tendon-bone, hamstring and quadriceps harvest and fixation techniques. Various ACL fixation techniques will include interference screw fixation, cross pin fixation and various suspensory options. There will also be extensive exposure to posterior cruciate ligament (both transtibial and arthroscopic inlay) and multiligamentous reconstruction. Various chondral resurfacing techniques are performed by several of our staff with good exposure for each fellow. Other joint preservation options such as meniscus transplantation, high tibial/distal femoral osteotomy and partial surface replacement is also routinely performed by our expert staff.
The shoulder experience during the fellowship year is also very strong. Our experts perform simple and complex repair and reconstruction of the rotator cuff using various repair techniques (single row and double row rotator cuff repair; both knotted repair and knotless fixation will be used). Each fellow will also be exposed to arthroscopic and open stabilization options for shoulder instability (ie arthroscopic capsulolabral repair for anterior and posterior instability; arthroscopic remplissage; Hill-Sachs defect reconstruction; coracoid transfer). Again, both knotless fixation and knot-tying will be emphasized by various staff. Superior labrum anterior and posterior (SLAP) fixation and various proximal biceps tenodesis techniques will also be performed. Exposure to complex reconstructive techniques such as partial surface replacement, superior capsular reconstruction and rotator cuff repair with augmentation will also be emphasized. Although shoulder arthroplasty is not an emphasis in the fellowship program, each fellow will have the opportunity to be exposed to both total and reverse shoulder arthroplasty.
The hip arthroscopy and reconstruction experience here at the Cleveland Clinic is second to none. Each fellow will leave here proficient in the work-up and surgical management of sports medicine conditions affecting the hip. Femoral and acetabular osteoplasty for femoroacetabular impingement will be emphasized. Labral repair and reconstruction techniques are plentiful. Other techniques such as abductor tendon repair, iliopsoas release, proximal hamstring repair and the management of hip instability will be emphasized.
The elbow experience during the fellowship year will cover all pertinent aspects of sports medicine conditions affecting the elbow. Elbow arthroscopy, tendon repair and ligamentous reconstruction will be available during the fellowship year. Open techniques will include medial ulnar collateral ligament reconstruction ("Tommy John" surgery), ulnar nerve neurolysis/transposition, management of epicondylitis, triceps tendon repair and distal biceps tendon repair.
The knee experience will include everything from simple meniscus work to complex reconstruction for multiligamentous injuries. The fellow will be exposed to all-inside, inside-out and outside-in meniscal repair techniques. Anterior cruciate ligament reconstruction drilling techniques will include traditional transtibial, medial portal, and 2-incision techniques. Fellows will be exposed to autograft bone-tendon-bone, hamstring and quadriceps harvest and fixation techniques. Various ACL fixation techniques will include interference screw fixation, cross pin fixation and various suspensory options. There will also be extensive exposure to posterior cruciate ligament (both transtibial and arthroscopic inlay) and multiligamentous reconstruction. Various chondral resurfacing techniques are performed by several of our staff with good exposure for each fellow. Other joint preservation options such as meniscus transplantation, high tibial/distal femoral osteotomy and partial surface replacement is also routinely performed by our expert staff.
The shoulder experience during the fellowship year is also very strong. Our experts perform simple and complex repair and reconstruction of the rotator cuff using various repair techniques (single row and double row rotator cuff repair; both knotted repair and knotless fixation will be used). Each fellow will also be exposed to arthroscopic and open stabilization options for shoulder instability (ie arthroscopic capsulolabral repair for anterior and posterior instability; arthroscopic remplissage; Hill-Sachs defect reconstruction; coracoid transfer). Again, both knotless fixation and knot-tying will be emphasized by various staff. Superior labrum anterior and posterior (SLAP) fixation and various proximal biceps tenodesis techniques will also be performed. Exposure to complex reconstructive techniques such as partial surface replacement, superior capsular reconstruction and rotator cuff repair with augmentation will also be emphasized. Although shoulder arthroplasty is not an emphasis in the fellowship program, each fellow will have the opportunity to be exposed to both total and reverse shoulder arthroplasty.
The hip arthroscopy and reconstruction experience here at the Cleveland Clinic is second to none. Each fellow will leave here proficient in the work-up and surgical management of sports medicine conditions affecting the hip. Femoral and acetabular osteoplasty for femoroacetabular impingement will be emphasized. Labral repair and reconstruction techniques are plentiful. Other techniques such as abductor tendon repair, iliopsoas release, proximal hamstring repair and the management of hip instability will be emphasized.
The elbow experience during the fellowship year will cover all pertinent aspects of sports medicine conditions affecting the elbow. Elbow arthroscopy, tendon repair and ligamentous reconstruction will be available during the fellowship year. Open techniques will include medial ulnar collateral ligament reconstruction ("Tommy John" surgery), ulnar nerve neurolysis/transposition, management of epicondylitis, triceps tendon repair and distal biceps tendon repair.
Dr. Farrow and Dr. Parker Rotation - 2 Months
This rotation has a major emphasis on both basic and complex arthroscopy and reconstruction of the knee. Both Drs. Farrow and Parker perform advanced arthroscopy, ACL reconstruction, PCL reconstruction and multiligamentous reconstruction of the knee. The fellow will also learn complex joint preservation techniques including meniscal transplantation, chondral resurfacing, and osteotomy of the femur and tibia. Dr. Farrow also has a specific interest in the evaluation and management of patellofemoral pain and instability. The fellow will also be exposed to arthroscopy and reconstruction of the shoulder and elbow with Dr. Farrow. During this rotation the fellow will spend 4 days per week with Dr. Farrow and one day every other week (on average) with Dr. Parker.
Dr. Schickendantz Rotation - 2 Months
The Dr. Schickendantz rotation emphasizes arthroscopic and reconstructive surgery of shoulder and elbow. Dr. Schickendantz is a national expert in the care of the baseball athlete. As such, each fellow will obtain a comprehensive education on the management of conditions affecting the elbow and shoulder in the throwing athlete. The fellow will gain experience in the evaluation and management of rotator cuff pathology, shoulder instability, tendinitis about the elbow and ligamentous instability of the elbow, just to name a few.
Dr. Rosneck Rotation - 2 Months
The emphasis of this rotation is comprehensive evaluation and management of athletic issues affecting the hip. Dr. Rosneck is an authority on pathology affecting the hip joint. The fellow will gain extensive experience in the work-up and surgical management of basic and complex problems affecting the hip joint. This experience will include arthroscopic evaluation and management of conditions like femoral acetabular impingement (FAI), labral tears, snapping hips, hip instability, etc. At the end of this rotation the fellow will be well equipped to establish themselves as a hip specialist where every he/she decides to practice after fellowship. Dr. Rosneck also manages conditions affecting the knee and shoulder.
Dr. Saluan Rotation - 2 Months
The Dr. Saluan rotation has a strong emphasis on the evaluation and management of sports medicine conditions affecting the shoulder, elbow, and knee in children and adolescents. This rotation provides the fellow with an extensive and legitimate experience in pediatric and adolescent sports medicine. Emphasis is placed on the operative management of ACL injuries in the skeletally immature knee, chondroses of the elbow, meniscal and chondral lesions of the knee, patellofemoral instability and shoulder instability, just to name a few. Complex management of chondral lesions of the knee will also be emphasized, including but not limited to both drilling and fixation of chondral lesions of the knee and various chondral resurfacing techniques. Fellows will leave this rotation with the confidence and ability to handle both simple and complex sports medicine issues in the pediatric and adolescent athlete/patient.
Dr. Frangiamore Rotation - 2 Months
The Frangiamore rotation will give each fellow extensive experience in the management of sports medicine conditions affecting the knee, shoulder and elbow. This rotation primarily focuses on conditions affecting the knee, shoulder and elbow. Dr. Frangiamore specializes in the management of conditions affecting the shoulder and elbow. Having completed fellowship at the world renown Steadman-Phillipon Institute in Vail Colorado, Dr. Frangiamore has expertise in arthroscopy and reconstruction of the shoulder and elbow, particularly in the overhead throwing athlete. He also routinely performs shoulder arthroplasty. In addition to his upper extremity practice, Dr. Frangiamore performs routine and complex knee arthroscopy including ACL reconstruction, multiligamentous reconstruction of knee injuries, meniscus and chondral management.
Dr. Scarcella - 2 Months
The Dr. Scarcella rotation provides each fellow with a great experience in the management of both simple and complex arthroscopic and reconstructive procedures of the knee and shoulder. The fellow will be exposed to advanced ligamentous reconstructive techniques in the knee, including multiligamentous knee reconstruction. The shoulder experience will include the full gamut of sports medicine issues pertaining to the shoulder.
