The Shoulder and Elbow Unit at the Royal National Orthopaedic Hospital is led by consultants who are each recognised as international experts in the management of conditions affecting the shoulder and elbow. The Unit aims to deliver world-class surgical care and rehabilitation for patients with complex shoulder and elbow pathology, underpinned by evidence-based medicine and undertaken in a multidisciplinary team environment.

The Unit is one of the largest in the country, with referrals to the service coming from throughout the UK. We cover all aspects of shoulder & elbow surgery, including routine and complex primary arthroplasty, revision arthroplasty, prosthetic joint infections, instability, and rotator cuff dysfunction.

The Unit is an established referral hub for primary and revision elbow replacements, and also has a large primary and revision shoulder replacement practice. The arthroplasty practice includes the management of prosthetic joint infections and has well-established pathways for the treatment of infected shoulder and elbow replacements.

Our Surgeons have extensive experience in the use of patient-specific guides and custom made implants using CAD-CAM technology in order to deal with complex deformities.

The Unit is a leader in the management and treatment of complex instability and has an inpatient rehabilitation facility.

Patients benefit from a multi-disciplinary approach with physiotherapists, occupational therapists, microbiologists, radiologists, rheumatologists, and a clinical nurse specialist.

Acute:

  • Native and prosthetic joint infection
  • Periprosthetic fracture

Non-Acute:

  • Primary and revision Shoulder replacement
  • Primary and revision Elbow replacement
  • Shoulder and Elbow reconstruction
    •         Primary and revision rotator cuff repairs and reconstruction including superior capsular reconstruction
    •         Tendon transfers
    •         Scapulothoracic and glenohumeral fusion
    •         Deformity correction
    •         Segmental and custom prostheses
  • Complex fracture management
  • Complex instability
  • Inpatient rehabilitation

Information guides for common procedures in adults are available at the bottom of this page.

The Elbow Arthroplasty Hub MDT will allow upper limb surgeons to discuss cases that they feel merit primary elbow replacement, along with cases where there are painful or poorly functioning elbow replacements, infected elbow replacements, peri-prosthetic fractures, or other instances in which revision elbow arthroplasty surgery is being considered.  

How to Refer into the RNOH Elbow Arthroplasty Hub MDT 

To make a tertiary referral to RNOH you will need to register for an account on EpicCare Link. Please follow the instructions here. 

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS). 

Please note that, if you are a GP, an additional e-referral will need to be completed before the patient is seen.

Please look at the Unit referral criteria.

The MDT is scheduled to run Friday mornings – 10:00-11:00.

Any queries, please contact Stephanie Hyman (Elbow Arthroplasty Hub MDT Co-ordinator) on Stephanie.Hyman@nhs.net or telephone 020 8909 5727 (Tuesday-Thursday 08:00-17:30, Friday 10:00-13:00).

To make a tertiary referral to RNOH you will need to register for an account on EpicCare Link. Please follow the instructions here. 

General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS). 

General enquiries
Please call 020 3947 0052

Admissions
Please call 020 3947 0052

Patient support line
Amanda Denton, Clinical Nurse Specialist, Tel: 020 8385 3024
Shoulder and Elbow Unit.

Referrals
Please call 020 8909 5107 

MDT Coordinator
Stephanie Hyman, Tel: 020 8909 5727

Referrals-Patient Pathway assistant
Tel: 020 8909 5107 

Email: frances.mcloughlin1@nhs.net

Patient pathway coordinator to Mr Mark Falworth
Tel: 020 8385 3025
Email: wendy.ingram1@nhs.net

Patient pathway coordinator to Ms Deborah Higgs
Tel: 020 8909 5457
Email: h.godman@nhs.net 

Patient pathway coordinator to Mr Addie Majed
Tel: 020 8909 5565
Email: anjni.vekaria@nhs.net

Patient pathway coordinator to Mr Will Rudge
Tel: 020 8909 5781
Email: payina.shah@nhs.net

Patient pathway coordinator to Mr David Butt
Tel: 020 8909 5671
Email: belinda.donovan1@nhs.net

Secretary to Anju Jaggi / Amanda Denton / Ying liu
Tel: 020 8909 5727
Email: Stephanie.Hyman@nhs.net

Shoulder & Elbow Unit email
Email: rnoh.Shoulderelbowunit@nhs.net 

Shoulder, upper limb, joint replacement and rehabilitation

  • Mr David Butt - Shoulder and elbow surgery, joint replacement, reconstruction and arthroscopy
  • Mr Mark Falworth - Arthroscopic and open shoulder/elbow surgery. Primary/revision shoulder & elbow surgery including joint arthroplasty. Management of infected...
  • Ms Deborah Higgs - Shoulder and elbow surgery, joint replacement, reconstruction and rehabilitation.
  • Anju Jaggi - Consultant Physiotherapist. Recurrent atraumatic shoulder instability. Complex shoulder pain. Conservative management for rotator cuff insufficiency...
  • Mr Addie Majed - Management of all acute and chronic shoulder and elbow conditions, including complex revision and reconstructive surgery.
  • Mr Will Rudge - Shoulder, upper limb, joint replacement and rehabilitation

Information Guides for Adults

Shoulder and upper limb

Thumbnail Title Size
PDF file icon A Patient's Guide to Excision of Soft Tissue Lesion from the Upper Limb 292.45 KB
PDF file icon A Patient's Guide to Diagnostic Shoulder Arthroscopy 3,014.01 KB
PDF file icon A Patient's Guide to Reverse Type Total Shoulder Replacement 4,500.80 KB
PDF file icon A Patient's Guide to Shoulder Spica 801.67 KB
PDF file icon A Patient's Guide To Rotator Cuff Repair 1,872.42 KB
PDF file icon A Patient's Guide to Shoulder Stabilisation 2,742.14 KB
PDF file icon A Patient's guide to Total Shoulder Replacement 1,817.13 KB
PDF file icon A Patient's Guide to Total Elbow Replacement 6,561.08 KB
PDF file icon Dressing procedure in a brace 630.30 KB
PDF file icon Improving your experience of joint replacement (National Joint Registry) 863.74 KB


See the full list of Patient Information Guides.