Our commitment to optimizing patient outcomes with shoulder disorders has led to the creation of the Michigan Shoulder Institute. It is comprised of orthopaedic surgeons who specialize in non-operative and surgical treatment of all diseases that affect the shoulder. In order to better serve the community, this institute has committed to advancing shoulder surgery outcomes through research, care coordination, and education.
The surgeons of this institute have committed to research through their participation with the American Academy of Orthopaedic Surgeons Shoulder and Elbow Registry, which records and monitors the outcomes of patients with shoulder disorders and how they respond to surgery. Performance analysis allows our surgeons to adjust practice decisions to better serve our patients.
Members of this institute have published numerous peer reviewed articles related to shoulder surgery and have given presentations at national conferences.
Care coordination is achieved by clinical pathways that have standardized pre-operative testing, post-operative medications, and rehabilitation protocols in conjunction with nursing leaders from our affiliate hospitals.
Education is paramount for both patients' understanding and clinician growth. Patient education regarding specific pathology is mandatory for a healthy surgeon-patient relationship and our surgeons participate in community health events. In addition, the surgeons of this group are committed to educating other physicians through journal clubs and lectures. They also help educate future physicians and trainees, with members holding academic affiliations with Michigan State University and Central Michigan University College of Medicine.
Edward JW Shields, MD
Shoulder Reconstruction Specialist
Co-Director, The Michigan Shoulder Institute
Our surgeons utilize the latest techniques for shoulder repair and reconstruction. With the exception of shoulder replacement, trauma, and revision instability cases, the vast majority of procedures are performed arthroscopically through small incisions around the shoulder.
Our practice collects patient outcomes for all shoulder surgery in an effort to improve outcomes. In addition, our surgeons have published numerous scientific articles and given dozens of scientific presentations locally and nationally focused on shoulder and elbow disease and treatment.
Shields E, Kouetier D, Wiater JM. Rate of Improvement in Outcome Measures after Reverse Total Shoulder Arthroplasty: A Longitudinal Study with Two-Year Follow-Up. Journal of Shoulder and Elbow Arthroplasty, 2019; July(3): 1-7. https://doi.org/10.1177/2471549219861446
Raap C, Shields E, Wiater JM. Venousthromboembolus in Shoulder Surgery. JAAOS, 2018; Apr 15;27(8):265-274. doi: 10.5435/JAAOS-D-17-00763. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/30480588
Simha S, Shields E, Wiater JM. Periprosthetic Infections of the Shoulder. JBJS Reviews, 2018; Sept 6(9): e6 DOI: 10.2106/JBJS.RVW.17.00191 Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/30234597
Thorsness R, Iannuzzi J, Shields E, Noyes K, Voloshin I. The Cost-Effectiveness of Open Reduction and Internal Fixation Compared with Hemiarthroplasty in the Management of Complex Proximal Humerus Fractures. Journal of Shoulder and Elbow Arthroplasty, 2018; Jan 2:1-9. https://doi.org/10.1177/2471549217751453
Shields E, Thirukumaran C, Thorsness R, Noyes K, and Voloshin I. Patient Factors Influencing Return to Work and Cumulative Financial Claims After Rotator Cuff repair in Geriatric Workers Compensation Cases. Geriatric Orthopaedic Surgery and Rehabilitation, 2017; Dec 8(4): 208-214. doi: 10.1177/2151458517732209 Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/29318082
Shields E and Wiater JM. Patient Outcomes after Revision of Anatomic Total Shoulder Arthroplasty to Reverse Shoulder Arthroplasty for Rotator Cuff Failure or Component Loosening: A Matched Cohort Study. JAAOS, 2017; Feb 15;27(4):e193-e198. doi: 10.5435/JAAOS-D-17-00350 Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/30216243
Shields E, Koueiter D, Maerz T, Schwark A, Wiater JM. Previous Rotator Cuff Repair is Associated with Inferior Clinical Outcomes after Reverse Total Shoulder Arthroplasty. Orthopaedic Journal of Sports Medicine, 2017; Oct; 5(10): doi: 10.1177/2325967117730311 Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637974/
Shields E, Ho A, and Wiater JM. Subscapularis Tendon Management During Anatomic and Reverse Total Shoulder Arthroplasty. Minerva Ortopedica E Traumatologica, 2017; September;68(3):168-78. Link: https://www.minervamedica.it/en/journals/minerva-ortopedica-traumatol/article.php?cod=R14Y2017N03A0168
Thorsness R, Shields E, Owens K, Gorczyca J, Voloshin I. Open Reduction and Internal Fixation Versus Hemiarthroplasty in the Management of Complex Articular Fractures and Fracture-dislocations of the Proximal Humerus. Journal of Shoulder and Elbow Arthroplasty, 2017; June;1:1-7. Link: https://doi.org/10.1177/2471549217709364
Shields E, Ho A, and Wiater JM. Management of the Subscapularis Tendon During Total Shoulder Arthroplasty. Journal of Shoulder and Elbow Surgery, 2017; Apr;26(4):723-731. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/28111182
Shields E, Thirukumaran C, Thorsness R, Noyes K, and Voloshin I. Patient Factors Influencing Return to Work and Cumulative Financial Claims After Clavicle Fractures in Workers Compensation Cases. Journal of Shoulder and Elbow Surgery,2016;25(7):1115-21. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/27066964
Thorsness R, Shields E, Iannuzzi J, Zang L, Noyes K, Voloshin I. Cost Drivers after Surgical Management of Proximal Humerus Fractures in Medicare Patients. Journal of Orthopaedic Trauma, 2016;30(5):262-8. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/26670287
Shields E, Sundem L, Childs S, Maceroli M,; Humphrey C, Ketz JP,Gorczyca JT. The Impact of Residual Angulation on Patient Reported Functional Outcome Scores after Non-operative Treatment for Humeral Shaft Fractures. Injury, 2016;47(4):914-8. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/26754807
Shields E, Behrend C, Beiswenger T, Strong B, English E, Maloney M, Voloshin I. Scapular Dyskinesis Following Displaced Fractures of the Middle Clavicle. Journal of Shoulder and Elbow Surgery, 2015;24(12):e331-6. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/26169903
Shields E, Sundem L, Childs S, Maceroli M, Humphrey C, Ketz J, and Gorczyca J. Factors Predicting Patient Reported Functional Outcomes following Humeral Shaft Fractures. Injury, 2015;46(4): 693-8. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25697858
Shields E, Olsen J, Miller R, Rouse L, Maloney M, Voloshin I. A Comparison of a Single Incision Technique using Cortical Button with Interference Screw versus a Double Incision Technique using Suture Fixation through Bone Tunnels for Distal Biceps Brachii Tendon Repairs. American Journal of Sports Medicine, 2015;43(5):1072-6. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25700163
Shields E, Thirukumaran C, Thorsness R, Noyes K, Voloshin I. An Analysis of Adult Patient Risk Factors and Complications within 30 days after Arthroscopic Shoulder Surgery. Arthroscopy, 2015;31(5):807-15. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25661861
Shields E, Iannuzzi J, Thorsness R, Noyes K, and Voloshin I. Post-operative Morbidity by Procedure and Patient Factors Influencing Major Complications within 30 Days Following Shoulder Surgery. Orthopaedic Journal of Sports Medicine. 2014;2(10). Electronic Publication. DOI: 10.1177/2325967114553164 Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/26535274
Chen C, Behrend C, Shields E, English C; Maloney M, Voloshin I. Effects of Debridement of Biceps Tendon Insertion and Superior Labrum on Stability of the Shoulder Joint in Cadaveric Concavity-Compression Model. Arthroscopy, 2014;30(12):1557-61. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25129863
Shields E, Mirabelli M, Amsdell S, Thorsness R, Goldblatt J, Maloney M, and Voloshin I. Functional and Ultrasonography Imaging Outcomes of Arthroscopic Simultaneous Rotator Cuff and Bankart Repair after Shoulder Dislocation. American Journal of Sports Medicine. 2014;42(11):2614-20. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25261085
Olsen J, Shields E, Miller R, Maloney M, Voloshin I. A Comparison of the Tension Slide with Interference Screw versus Suture Anchor Techniques for Distal Biceps Tendon Repairs. Journal of Shoulder and Elbow Surgery. 2014;23(11):1607-11. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25219472
Shields E, Iannuzzi J, Thorsness R, Noyes K, Voloshin I. Peri-Operative Complications Following Hemi- and Total Shoulder Arthroplasty are Equivalent. Journal of Shoulder and Elbow Surgery. 2014;23(10):1449-53. DOI: 10.1016/j.jse.2014.01.052 Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25219472
AAOS Annual Meeting, March 2020, Orlando, FL-Meeting Canceled Rate of Improvement in Outcomes Measures after Reverse Total Shoulder Arthroplasty: A Longitudinal Study with Two-Year Follow-Up Authors: Shields, E; Koueiter, D; Wiater, JM
ASES Annual Closed Meeting, October 2017, New Orleans, LA Previous Rotator Cuff Repair is Associated with Inferior Clinical Outcomes After Reverse Total Shoulder Arthroplasty Authors: Shields, E; Koueiter, D; Maerz, T; Schwark, A; Wiater, JM
The 13th International Congress of Shoulder and Elbow Surgery, May 2016, Jeju, Korea Open Reduction And Internal Fixation Versus Hemiarthroplasty In The Management Of Complex Articular Fractures And Fracture-Dislocations Of The Proximal Humerus Authors: Thorsness, R; Shields, E; Owens, C; Gorczyca, J; Voloshin, I
American Shoulder and Elbow Society, Closed Meeting October 2015, Ashville, NC Patient Factors Influencing Return To Work And Cumulative Financial Claims After Clavicle Fractures In Workers Compensation Cases. Authors: Shields, E; Thirukumaran, C; Thorsness, R; Noyes, K; Voloshin, I
Orthopaedic Trauma Association, National Meeting, October 2015, San Diego, CA The Impact of Residual Angulation on Patient Reported Functional Outcome Scores after Non-operative Treatment for Humeral Shaft Fractures. Authors: Shields, E; Sundem, L; Childs, S; Maceroli, M; Humphrey, C; Ketz, J; Soles, G; Gorczyca, J
Orthopaedic Trauma Association, National Meeting, October 2015, San Diego, CA Scapular Dyskinesis Following Displaced Fractures of the Middle Clavicle. Authors: Shields, E; Behrend, C; Beiswenger, T; Strong, B; Maloney, M; Voloshin, I
European Society for Surgery of the Shoulder and Elbow, September 2015, Milano, Italy Scapular Dyskinesis Following Displaced Fractures of the Middle Clavicle. Authors: Shields, E; Behrend, C; Beiswenger, T; Strong, B; Maloney, M; Voloshin, I
American Shoulder and Elbow Society, Specialty Day Meeting, March 2015, Las Vegas, NV The Cost-Effectiveness Of Open Reduction And Internal Fixation Compared With Hemiarthroplasty In The Management Of Complex Proximal Humerus Fractures. Authors: Thorsness, R; Iannuzzi, J; Shields, E; Noyes, K; Voloshin, I
American Orthopaedic Association/COA combined meeting June 2014, Montreal, Canada The cost-effectiveness of open reduction and internal fixation compared with hemiarthroplasty in the management of complex proximal humerus fractures. Authors: Thorsness, R; Iannuzzi, J; Shields, E; Noyes, K; Voloshin, I
Arthroscopy Association of North America, Annual Meeting May 2014, Hollywood, FL Defining High Risk Shoulder Procedures: An analysis of the National Surgical Quality Improvement Database Authors: Shields, E; Iannuzzi, J; Thorsness, R; Noyes, K; Voloshin, I
Arthroscopy Association of North America, Annual Meeting May 2014, Hollywood, FL Functional and Ultrasonography Imaging Outcomes of Arthroscopic Simultaneous Rotator Cuff and Bankart Repair after Shoulder Dislocation Authors: Shields, E; Mirabeli, M; Amsdell, S; Thorsness, R; Goldblatt, J; Maloney, M; Voloshin, I
American Academy of Orthopaedic Surgeons, March 2014, New Orleans, LA Open Reduction and Internal Fixation versus Hemiarthroplasty In The Management Of Proximal Humerus Fractures Authors: Thorsness, R.; Shields, E.; Iannuzzi, J; Zhang, L; Noyes, K; Voloshin, I.
Orthopaedic Trauma Association, National Meeting, October 2013, Phoenix, AZ Functional Outcome Scores of Humeral Shaft Fractures in Patients Treated Non-operatively Compared to Those Treated Surgically Authors: Shields, E; Maceroli, M; Sundem, L; Childs, S; Hadiono, A; Humphrey, C; Gross, J; Ketz, J; Gorczyca, J
American Shoulder and Elbow Society, Closed Meeting October 2013, Las Vegas, NV Functional and Ultrasonography Imaging Outcomes of Arthroscopic Simultaneous Rotator Cuff and Bankart Repair after Shoulder Dislocation Authors: Shields, E; Mirabeli, M; Amsdell, S; Thorsness, R; Goldblatt, J; Maloney, M; Voloshin, I
Beaumont Health Resident and Fellow Research Forum, May, 2017, Royal Oak, MI The Effect of Previous Rotator Cuff Repair on Clinical Outcomes after Reverse Total Shoulder Arthroplasty Authors: Shields E, Koueiter D, Maerz T, Schwark A, Wiater JM
American Orthopaedic Association, Annual Meeting, June 2016, Seattle, WA Patient Factors Influencing Return to Work and Cumulative Financial Claims After Rotator Cuff Repair in Workers Compensation Cases Authors: Shields, E; Thirukumaran, C; Thorsness, R; Noyes, K; Nicandri, G; Voloshin, I
The 13th International Congress of Shoulder and Elbow Surgery, May 2016, Jeju, Korea Scapular Dyskinesis Following Displaced Fractures of the Middle Clavicle. Authors: Shields, E; Behrend, C; Beiswenger, T; Strong, B; Maloney, M; Voloshin, I
American Shoulder and Elbow Society, Closed Meeting October 2015, Ashville, NC Open Reduction And Internal Fixation Versus Hemiarthroplasty In The Management Of Complex Articular Fractures And Fracture-Dislocations Of The Proximal Humerus Authors: Thorsness, R; Shields, E; Owens, C; Gorczyca, J; Voloshin, I
American Orthopaedic Association, Annual Meeting, June 2015, Providence, RI Open Reduction and Internal Fixation versus Hemiarthroplasty in the Management of Complex Articular Fractures and Fracture-Dislocations of the Proximal Humerus Authors: Thorsness, R; Shields, E; Owens, K; Gorczyca, J; Voloshin, I
Orthopaedic Trauma Association, Annual Meeting, October 2014, Tampa Bay, FL Factors Predicting Satisfactory Functional Outcomes in Patients Following Humeral Shaft Fractures Authors: Shields, E; Sundem, L; Childs, S; Maceroli, M; Soles, G; Humphrey, C; Ketz, J; Gorczyca, J
American Orthopaedic Association/COA Combined Meeting, June 2014, Montreal, Canada Functional and Ultrasonography Imaging Outcomes of Arthroscopic Simultaneous Rotator Cuff and Bankart Repair after Shoulder Dislocation Authors: Shields, E; Mirabeli, M; Amsdell, S; Thorsness, R; Goldblatt, J; Maloney, M; Voloshin, I
American Shoulder and Elbow Society, Closed Meeting, October 2013, Las Vegas, NV Open Reduction and Internal Fixation versus Hemiarthroplasty In The Management Of Complex Articular Fractures And Fracture-Dislocations Of The Proximal Humerus Authors: Thorsness, R; Shields, E; Owens, K; Voloshin, I
American Orthopaedic Association Annual Meeting, June 2013, Denver, CO Scapula Dyskinesis Following Treatment of Displaced Fractures of the Midshaft Clavicle Authors: Behrend, C., Shields, E; English, C; Beiwenger, T; Maloney, M.D., Voloshin, I.
International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine Annual Meeting, May 2013, Toronto, Canada Scapular Dyskinesis Following Displaced Fractures of the Midshaft Clavicle Authors: Behrend, C; Beiswenger, T; English, C; Shields, E; Maloney, M; Voloshin, I
Arthroscopy Association of North America Annual Meeting, April 2013, San Antonio, TX Scapular Dyskinesis Following Displaced Fractures of the Midshaft Clavicle Authors: Behrend, C; Beiswenger, T; English, C; Shields, E; Maloney, M; Voloshin, I
Arthroscopy Association of North America Annual Meeting, April 2013, San Antonio, TX Effects of Debridement of Biceps Tendon Insertion and Superior Labrum on Stability of the Shoulder Joint in Cadaveric Concavity-Compression Model Authors: Chen, C., Behrend, C., Shields, E; English, C; Maloney, M.D., Voloshin, I.
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