I have a keen interest in medical education and recognises the importance of training tomorrow’s surgeons.
- I was the lead clinician for Orthopaedic Trainees in PEOC from 2014 to 2019 and continue to supervise Foundation and Core Surgical Trainees:
- I train Orthopaedic Specialist Registrars from the Peninsular Deanery;
- I run the well-respected Exeter Shoulder & Elbow Fellowship programme with my consultant colleagues, Chris Smith and Jeff Kitson; a finishing school for surgeons who have completed their training and are waiting to take up consultant appointments.
I am invited to teach on a number orthopaedic and trauma courses including the Watanbe Course, at the Royal National Orthopaedic Hospital, Trauma & Orthopaedics Specialist Training Programme and at industry sponsored events such as Arthrex Live.
I hold a Postgraduate Certificate in Medical Education from Bristol University and I am a Fellow of the Higher Education Academy.
Exeter Nuffield provides post-operative physiotherapy for all patients undergoing surgery at the Nuffield hospital.
Grad. Dip. Phys, MCSP HCPC Registered Qualified in 1987
He is a specialist shoulder and elbow extended scope physiotherapist who works closely with both Mr Smith and Mr Thomas. He has a particular interest in patients with scapular (shoulder blade) problems and patients with instability of the shoulder joint. He is one of the specialist physiotherapists at Exeterphysio, providing pre- and post-operative care.
He is a leading clinician in the South West and lectures nationally on shoulders and has presented at the British Elbow and Shoulder Society and the European Society for Surgery of the Shoulder and Elbow. He is a member of the British Shoulder and Elbow Society.
Grants and Publications
The role of the shoulder microbiome in postoperative infection. British Elbow and Shoulder Society grant 2021
Clinical and Radiological outcomes following Arthrex Dog-bone button with minimum 2 year follow-up. Arthrex 2021
Hemi Or Total elbow replacement for trauma. British Elbow and Shoulder Society Pump priming grant 2019
Clinical and Radiological outcomes following Total Shoulder Arthroplasty using Arthrex Eclipse stemless humeral component with minimum 5 years follow-up. Arthrex 2019
Asymptomatic prevalence of tennis elbow pathology, an ultrasound and magnetic resonance imaging study. British Elbow and Shoulder Society Pump priming grant 2017
Cadaveric evaluation of the spread of injectate after ultrasound-guided lateral elbow injection. British Elbow and Shoulder Society Pump priming grant 2016 (£2000)
Association between Propriobacterium acnes and previous surgery; a pilot study. RDE small grant award 2015 (£10,000)
Platlet Rich Plasma vs Open Surgery in the Treatment of Chronic Lateral Epicondylar Tendonopathy (Tennis Elbow)A Pilot Randomized Control Trial. RDE small grant award 2014 (£10,000)
Do ultrasound guided botulinum A injections relieve pain in rotator cuff arthropathy? A pilot study. RDE small grant award 2014 (£4,880)
Radiographical and functional outcome of the Eclipse shoulder replacement at 2 years. Arthrex 2014 (£5,300)
Tenease: A randomised controlled trial for a new vibration therapy for tennis elbow. RDE small grant award 2014 (£19,000)
The association between Propriobacterium and Frozen shoulder. A cross-sectional study into the prevalence of P.Acnes in frozen shoulder and a control group. RDE small grant award 2013 (£15000)
A pilot randomised controlled trial of arthroscopic capsular release versus hydrodilatation in the treatment of primary adhesive capsulitits of the shoulder. RDE small grant award 2013 (£6000)
Propriobacterium; A trigger in the aetiology of frozen shoulder? A pilot study. RDE small grant award 2012. (£4600)
A randomised controlled trial of total resurfacing versus hemi resurfacing in the treatment of primary OA of the shoulder. Research for Patient Benefit Programme 2011. (£192,723)
What is the microvascular blood flow in the normal and pathological rotator cuff? Academy of Medical Sciences. Starter grant for clinical lecturers 2010. (£28,344)
Principal Investigator for National Studies
HUSH trial - https://hush-trial.digitrial.com/
Hemiarthroplasty Or Total elbow arthroplasty for unreconstructible distal humeral fractures in the elderly (HoT Elbow): a feasibility study (Burden E, Batten T, Thomas W, Evans JP, Smith CD). Best research paper presentation (Paul Calvert prize). British Elbow and Shoulder Society 2023
A genome-wide association study of frozen shoulder identifies a common variant of WNT7B and hyperglycaemia as casual risk factors (Green HD, Evans JP, Jones A, Chen JI, Patel K, Wood AR, Beaumont RN, Tyrell J, Frayling TM, Hattersley AT, Oram RA, Bowden J, Barroso I, Smith CD, Weedon MN). 2nd best Podium Presentation (Ian Kelly Prize). British Elbow and Shoulder Society 2022
Frozen shoulder after simple arthroscopic procedures. what’s the risk? (Evans JP, Guyver PM, Smith CD). Best Podium Presentation (Lipmann Kessel Prize). British Elbow and Shoulder Society 2015
Micromorphology of the glenoid labrum and its functional significance. (Hill.AM, Hoerning.EJ, Brook.K, Smith.CD, Moss.J, Ryder.T, Wallace.AL, Bull.AMJ). Best Podium Presentation European Shoulder and Elbow Society 2006
Bunker T, Smith C. 2014. Frozen Shoulder. In: Bentley G. European Surgical Orthopaedics and Traumatology. The EFORT textbook. Springer: 1185-1199.
Lifting Limitations following Elbow Arthroplasty. A Survey of British Elbow and Shoulder Society Members (Burden E, Evans J, Smith CD). Accepted for publication in Shoulder and Elbow. March 2023. https://doi.org/10.1177/17585732231170292
Defining Tennis Elbow CharacTeristics (DETECT) –The assessment of MRI defined tendon pathology in an asymptomatic population (Paluch AJ, Burden EG, Batten TJ, Knight B, Anaspure R, Aboelmagd S, Evans JP, Smith CD). Accepted for publication in Shoulder and Elbow. December 2022. https://doi.org/10.1177/17585732221146731
Suprascapular Nerve Blockage for Painful Shoulder Pathology – A Systematic Review and Meta-Analysis of Treatment Techniques (Batten T, Burden E, Mak WK, White WJ, Smith CD). Accepted in the Annals Journal & Bulletin Journal of the Royal College of Surgeons of England. August 2022. https://doi.org/10.1308/rcsann.2022.0026
Hemiarthroplasty Or Total Elbow Replacement for Unreconstructable Distal Humeral Fractures in Patients over 65 Years of Age: A systematic review and meta-analysis of patient outcomes and complications (Burden E, Batten T, Smith CD, Evans JP). Bone and Joint Journal. May 2022. https://doi.org/10.1302/0301-620X.104B5.BJJ-2021-1207.R2
Even experts cannot agree on the optimal use of platelet-rich plasma in lateral elbow tendinopathy: an international Delphi study (Evans JP, Maffulli N, Smith CD, Watts A, Valderas J, Goodwin V). Journal of Orthopaedics and Traumatology. November 2021. https://doi.org/10.1186/s10195-021-00608-5
Mid-term results of Arthrex Eclipse Total shoulder arthroplasty (Batten T, Gallagher S, Evans JP, Harding RJ, Kitson J, Smith CD, Thomas WJ). The Bone and Joint Journal. December 2021. https://doi.org/10.1302/0301-620X.104B1.BJJ-2021-0869.R2
A genome-wide association study identifies 5 loci associated with frozen shoulder and implicates diabetes as a causal risk factor (Green HD, Jones A, Evans JP, Wood AR, Beaumont RN, Tyrrell J, Frayling TM, Smith C, Weedon M). PLOS Genetics. June 2021. https://doi.org/10.1371/journal.pgen.1009577
Survival of the Aequalis Total Shoulder Replacement at a Minimum 20-year Follow - A clinical and radiographic study (Evans J, Batten T, Bird J, Thomas WJ, Kitson JB, Smith CD). Accepted for publication in the Journal of Shoulder and Elbow Surgery. March 2021. https://doi.org/10.1016/j.jse.2021.01.038
Reverse Total Shoulder Replacement – A Systematic Review and Meta-analysis of Complications and Patient Outcomes Dependant on Prosthesis Design (Burden E, Batten T, Smith CD, Evans JP). The Bone and Joint Journal, February 2021;103-B(5):813-821. https://doi.org/10.1302/0301-620X.103B.BJJ-2020-2101
Pain Mapping and Neuropathic Features of Common Shoulder Pathologies (King A, Batten TJ, Evans JP, Metz J, Gallacher S, Davies KE, Smith CD, Kitson J). Hong Kong Journal of Orthopaedic Research, August 2020; 3(2):41-45. doi:10.37515/ortho.8231.3205
The management of the shoulder skin microbiome (C.acnes) in the context of shoulder surgery: A review of the current literature (Moore N, Hutton C, Batten T, White J, Smith CD). Shoulder & Elbow, July 2020. https://doi.org/10.1177/1758573220945226
A systematic review of the complications of contemporary total elbow arthroplasty (Parker P, Furness ND, Evans JP, Batten TJ, White WJ, Smith CD). Shoulder & Elbow, February 2020. https://doi.org/10.1177/1758573220905629
Assessing Patient-centred outcomes in lateral elbow tendinopathy: a systematic review and standardised comparison of English language clinical rating systems (Evans JP, Porter I, Gangannagaripalli J, Bramwell C, Davey A. Smith CD, Fine N, Goodwin V, Valderas J). Sports Medicine Open, March 2019; 5(10). https://doi.org/10.1186/s40798-019-0183-2
It’s not all about redislocation: A systematic review of complications following anterior shoulder stabilisation surgery. (Williams H, Evans JP, Furness N, Smith CD). The American Journal of Sports Medicine, November 2019; 47(13): 3277-3283. https://doi.org/10.1177/0363546518810711
Arthroscopy of the symptomatic shoulder arthroplasty. (White W, Doherty C, Furness ND, Batten T, Kitson J, Smith CD). Journal of Shoulder and Elbow surgery, October 2019; 28(10): 1971-1976. https://doi.org/10.1016/j.jse.2019.02.027
Does the triceps-on approach affect alignment in total elbow arthroplasty? A cadaveric study (King A, Evans JP, Booker SJ, Beazley JCS, Jones RJS , Thomas WJC, Smith CD). Shoulder & Elbow, October 2019; 11(5): 372-377. https://doi.org/10.1177/1758573218776977
Botox in reverse: a useful adjunct for acromial fractures (Awad F, Smith CD). Annals of the Royal College of Surgeons, January 2019; 101(1): 75-76. doi 10.1308/rcsann.2018.0121
Vibration therapy versus standard treatment for tennis elbow: A randomised controlled study (Furness N, Phillips A, Gallacher S, Beazley JCS, Evans JP, Toms A, Thomas W, Smith CD). Journal of Orthopaedic surgery, 2018; 26(3): 1-7 https://doi.org/10.1177/2309499018792744
Clinical and Radiological outcomes following Total Shoulder Arthroplasty using Arthex Eclipse stemless humeral component with minimum 2 years follow-up (Gallacher S, Williams HLM, King A, Kitson J, Smith CD, Thomas WJ). The Journal of Shoulder and Elbow surgery, December 2018; 27 (12): 2191-2197 https://doi.org/10.1016/j.jse.2018.05.039
Triceps on, alignment off? A comparison of total elbow arthroplasty component positioning with a triceps on approach and a triceps off approach (King A, Booker SJ, Thomas W, Smith CD). Annals Journal & Bulletin Journal, November 2018; 100(8): 635-640
A Randomised controlled trial of arthroscopic capsular release versus hydro-dilatation in the treatment of primary frozen shoulder (Gallacher S, Beazley J, Evans J, Anaspure R, Silver D, Redfern A, Thomas W, Kitson J, Smith CD). The Journal of Shoulder and Elbow surgery, August 2018; 27(8):1401-1406
The Spread of Injectate after Ultrasound-Guided Lateral Elbow Injection – A Cadeveric Study (Evans JP, Metz J, Anaspure A, Thomas W, King A, Goodwin V, Smith CD). Journal of Experimental Orthopaedics, July 2018; 5(1): 27
Comparative learning curves for early complications in anatomical and reverse shoulder arthroplasty (Beazley JCS, Evans JP, Furness ND, Smith CD). Annals of the Royal College of Surgeons, July 2018; 100(6):491-496
Clinical rating systems in elbow research—a systematic review exploring trends and distributions of use (Evans J, Smith CD, Fine N, Porter I, Gangannagaripalli J, Goodwin V, Valderas J). The Journal of Shoulder and Elbow surgery, February 2018; 27(4):98-106
The colonisation of the glenohumeral joint by Propionibacterium acnesis not associated with frozen shoulder but is more likely to occur after an injection into the joint (Booker SJ, Boyd M, Gallacher S, Evans JP, Auckland C, Kitson J, Thomas W, Smith CD). The Bone and Joint Journal, August 2017; 98B(8): 1067-1072
Distal triceps injuries (including snapping triceps): A systematic review of the literature (Shuttlewood K, Beazley J, Smith CD). World Journal of Orthopedics, June 2017; 8(6): 507-513
Triceps on approach for total elbow arthroplasty: worth preserving? A review of approaches for total elbow arthroplasty (Booker SJ, Smith CD). Shoulder and Elbow, April 2017; 9(2): 105-111
Anatomy of the terminal branch of the posterior circumflex humeral artery: relevance to the deltopectoral approach to the shoulder (Smith CD, Booker SJ, Uppal H, Bunker TD). The Bone and Joint Journal, October 2016; 98B(10): 1395-1398
Primum non nocere: a case of a humeral fracture in a patient with fibrodysplasia progressiva ossificans (Yewlett A, Kitson J, Redfern A, Smith CD). Shoulder and Elbow, January 2016; 8(1): 37-40
Microvascular blood flow in normal and pathological rotator cuffs (Karthikeyan S, Griffin DR, Parsons N, Lawrence TM, Modi CS, Drew SJ, Smith CD). Journal of Shoulder and Elbow Surgery, December 2015; 24: 1954-1960
Frozen shoulder after simple arthroscopic shoulder procedures? What’s the risk? (Evans JP, Guyver PM, Smith CD). The Bone and Joint Journal, July 2015; 97(B): 963-966
Case series of Pectoralis Major rupture requiring operative intervention sustained on the Royal Marines “Tarzan” assault course. (Evans JT, Smith CD, Guyver P). Shoulder and Elbow, July 2015; 7: 174-178
Frozen Shoulder: A systematic review of therapeutic options. (Uppal H, Evans JP, Smith CD). World Journal of Orthopedics, March 2015; 18:6(2): 263-268
Association between Propionibacterium Acnes and frozen shoulder; a pilot study. (Bunker TD, Boyd M, Gallacher S, Auckland CR, Kitson J, Smith CD). Shoulder and Elbow, October 2014; 6(4):257-261
Ultrasound dimensions of the rotator cuff in young healthy adults. (Karthikeyan S, Rai SB, Parsons H, Drew SJ, Smith CD, Griffin DR). The Journal of Shoulder and Elbow surgery, August 2014; 23(8):1107-1112
Capstan screw rotator cuff repair; A novel two-row mini-open technique. (Guyver P, Goubran A, Jaques A, Smith CD, Bunker T). Shoulder and Elbow, July 2014; 6(3):171-177
Arthroscopic capsular release for idiopathic frozen shoulder; a prospective functional outcome study. (Smith CD, Hamer P, Bunker TD). The Annals of the Royal College of Surgeons of England, Jan 2014; 96(1):55-60
What is Coracoid pain? (Boyd M, Dunkerley S, Kitson J, Smith CD). Shoulder and Elbow, July 2013; 5(3):168-172
Anatomical variations in the deltoid artery; relevance to the deltopectoral approach to the shoulder. (Bunker TD, Cosker T, Dunkerley S, Kitson J, Smith CD). The Bone and Joint Journal, May 2013; 95B: 657-659
Accuracy of Abduction-External Rotation MRA Versus Standard MRA in the Diagnosis of Intra-articular Shoulder Pathology. (Modi CS, Shanmugam K, Saithna A, Smith CD, Rai SB, Drew SJ), Orthopedics, March 2013; 36(3): e337-e342
The Venous thromboembolic complications of shoulder and elbow surgery. (Dattani R, Smith CD, Patel VR), The Bone and Joint Journal, January 2013; 95B:70-74
Indications for reverse shoulder replacement. (Smith.CD, Guyver.P, Bunker.TD), Journal of Bone and Joint Surgery, May 2012; 94B:577-583
The associations of frozen shoulder; myths or reality? (Smith.CD, White. WJ, Bunker. TD), Shoulder and Elbow, April 2012; 4(2):87-89
Partial thickness articular surface rotator cuff tears in patients over the age of thirty five: aetiology and intra-articular associations. (Modi.C, Smith.CD, Drew.SJ), International Journal of Shoulder Surgery, March 2012; 6(1):15-18
The evidence for the management of deep infection after rotator cuff repair. (Smith.CD, Corner.T, Modi.CS, Drew.S), Shoulder and Elbow, July 2011; 3(3):138-142
Accuracy of High-resolution Ultrasound in the Diagnosis of Articular-sided Partial Thickness Rotator Cuff Tears. (Modi.CS, Smith.CD, Ho.K, Karthikeyan.S, Rai.S, Boer.R, Drew.S). Shoulder and Elbow, October 2010; 2(4):267-270
Partial thickness rotator cuff tears. What do we know? (Smith.CD, Corner.T, Morgan.D, Drew.S), Shoulder and Elbow, April 2010; 2(2):77-82
The Glenoid Labrum. (Smith.CD, Funk.L). Shoulder and Elbow, April 2010; 2(2):87-93
The Sourcil Sign: a useful finding on plain x-ray? (Smith.CD, Dattani.R, Deans.V, Drew.S). Shoulder and Elbow, January 2010; 2(1):9-12
Pain and Stiffness in Partial Thickness Rotator Cuff Tears. (Brownlow.HC, Smith.CD, Corner.T, Neen.D, Pennington.R). American Journal of Orthopaedics, July 2009; 38(7):338-340
The Compressive Behaviour of the Human Glenoid Labrum May Explain Common Patterns of SLAP Lesions. (Smith.CD, Masourus.SD, Hill.AM, Wallace.AL, Amis AA, Bull.AMJ). The Journal of Arthroscopy and related surgery, May 2009; 25(5):504-509
The Clinical Assessment and Classification of Shoulder Instability. (Hill.AM, Bull.AMJ, Richardson.J, McGregor.AH, Smith.CD, Barrett.CJ, Reilly.P, Wallace.AL). Current Orthopaedics, June 2008; 22(3):208-225
Collagenous Microstructure of the Glenoid Labrum and Biceps Anchor. (Hill.AM, Hoerning.EJ, Brook.K, Smith.CD, Moss.J, Ryder.T, Wallace.AL, Bull.AMJ). Journal of Anatomy, June 2008; 212(6):853-862
Fluid Gain During Routine Shoulder Arthroscopy. (Smith.CD, Shah.MM). Journal of Shoulder and Elbow Surgery, May 2008; 17(3): 415-417
Tensile Properties of the Human Glenoid Labrum. (Smith.CD, Masourus.SD, Hill.AM, Wallace.AL, Amis AA, Bull.AMJ). Journal of Anatomy, Jan 2008; 212(1): 49-54
A biomechanical comparison of single and double row fixation in arthroscopic rotator cuff repair. (Smith.CD, Alexander.S, Hill.AM, Huijsmans.PE, Bull.AMJ, Amis AA, De Beer.JF, Wallace.AL). Journal of Bone and Joint Surgery (Am), Nov 2006; 88(11): 2425-2431
Another fractured neck of femur: do we need a lateral x-ray? (Almazedi.B, Smith.CD, Morgan.D, Thomas.G, Pereira.G). British Journal of Radiology. May 2011; 84: 413-417
Changing prophylactic antibiotic protocol for reducing Clostridium Difficile–associated diarrhoeal infections. (Al-Obaydi.W, Smith.CD, Foguet.P). Journal of Orthopaedic Surgery, December 2010; 18(3): 320-323. https://doi.org/10.1177/230949901001800312
Dynamic and Static External Fixation for distal radius fractures – a systematic review. (Modi.CS, Ho.K, Smith.CD, Boer.R, Turner.S). Injury, October 2010; 41(10):1006-1011. https://doi.org/10.1016/j.injury.2010.02.030
A Biomechanical Basis for Tears of the Human Acetabular Labrum. (Smith.CD, Masourus.SD, Hill.AM, Wallace.AL, Amis AA, Bull.AMJ). British Journal of Sports Medicine, August 2009; 43(8):574-578. http://dx.doi.org/10.1136/bjsm.2008.053645
Mechanical testing of intra-articular tissues. Relating experiments to physiological function. (Smith.CD, Masourus.SD, Hill.AM, Wallace.AL, Amis AA, Bull.AMJ). Current Orthopaedics, October 2008; 22(5):341-348. https://doi.org/10.1016/j.cuor.2008.07.010
Medial Artery Calcification as an Indicator of Diabetic Peripheral Vascular Disease. (Smith CD, Bilmen.JG, Iqbal.S, Robey.S, Pereira.M). Foot and Ankle International, Feb 2008; 29(2): 185-190. https://doi.org/10.3113/FAI.2008.0185
Presentations for the British Elbow and Shoulder Society
Presentation for research committee- on applying for BESS research grants
Hemiarthroplasty Or Total elbow arthroplasty for unreconstructible distal humeral fractures in the elderly (HoT Elbow): a feasibility study
Lifting Limitations Following Elbow Arthroplasty: A Survey of British Elbow and Shoulder Society Members
A genome-wide association study of frozen shoulder identifies a common variant of WNT7B and hyperglycaemia as casual risk factors
The 'DETECT study' defining tennis elbow characteristics
Suprascapular Nerve Blockage for Painful Shoulder Pathology – A Systematic Review and Meta-Analysis of Treatment Techniques
Hemiarthroplasty Or Total Elbow Replacement for Unreconstructable Distal Humeral Fractures in Patients over 65 Years of Age: A systematic review and meta-analysis of patient outcomes and complications
Long term results after open rotator cuff repair using the capstan screw technique: Patient reported outcomes with a minimum 10 years follow-up.
Mid term results of the Arthrex Eclipse Total shoulder arthroplasty
Mix and Match in anatomical total shoulder arthroplasty
Survival of the Delta-III reverse shoulder arthroplasty at a minimum 15 year follow-up - a clinical and radiographic study
Invited speaker for research session on the future of shoulder arthroplasty - rotator cuff repair with an anatomic shoulder replacement- oxymoron
Shoulder hemiarthroplasty or Reverse polarity arthroplasty for trauma: results from a prospective multicentre randomised controlled trial
A systematic review of the complications of contemporary total elbow arthroplasty
Arthroscopy of the symptomatic shoulder arthroplasty
It’s not all about redislocation: a systematic review of complications after anterior shoulder stabilisation surgery
Invited speaker for Masterclass session – Shoulder stiffness: the role of infection
Platelet-Rich-Plasma injection in lateral elbow tendinopathy: exploring international expert consensus with the delphi method
A comparative assessment of patient reported outcome measures for lateral elbow tendinopathy in a UK population
Invited speaker for Masterclass session – Should all patients over 70 years with osteoarthritis have a reverse shoulder replacement?
Clinical and Radiological Outcomes of Arthex Eclipse Total Shoulder Arthroplasty
A randomised controlled trial of tenease versus conservative therapy for the treatment of tennis elbow.
A randomised controlled trial of arthroscopic capsular release versus hydro-dilatation in the treatment of primary frozen shoulder
A comparison of early complication rates and learning curves for shoulder and elbow arthroplasty
Outcome scoring systems in interventional elbow studies – an assessment of trends and distribution of use
Cadaveric evaluation of the spread of injectate after ultrasound-guided lateral elbow injection
Assessing condition-specific health-related quality of life in lateral epicondylar tendinopathy: a systematic and standardised comparison of available instruments
Pain mapping and neuropathic features in patients undergoing shoulder surgery for common conditions
Inoculation of propionibacterium acnes in to the shoulder
Triceps worth preserving? a systematic review of approaches for total elbow arthroplasty
Delayed accessory neuropathy following high-dose radiotherapy
Frozen shoulder after simple arthroscopic procedures. what’s the risk? procedures. what’s the risk? – OVERALL CONFERENCE WINNER
Association between propionibacterium acnes and frozen shoulder; a pilot study
Microvascular blood flow in normal and pathological rotator cuff
Reverse the trend – a systematic review of the evidence for the use of reverse shoulder replacement in acute trauma
The normal ultrasound dimensions of the rotator cuff in young healthy adults
Accuracy of abduction-external rotation (ABER) versus standard magnetic resonance arthrography in the diagnosis of intra-articular shoulder pathology
The nerve supply of the proximal biceps
“Full monty” repair of massive rotator cuff tears
Capstan Screw repair – a novel two row mini-open approach
Venous Thromboembolic complications following shoulder and elbow surgery: A systematic review
Patient reported outcome and speed of recovery after arthroscopic capsular release for frozen shoulder.
What are the associations of frozen shoulder?
Accuracy of High-resolution Ultrasound in the Diagnosis of Articular-sided Partial Thickness Rotator Cuff Tears.
Treatment of midshaft clavicular non-union with compression plating without autogenous bone grafting – functional outcome and radiographic results
Comparative arthroscopic anatomy of the human glenohumeral joint with other primates
Fluid gain during routine shoulder arthroscopy
The tensile material properties of the human glenoid labrum
Arthroscopic anatomy of the passive soft tissue stabilisers of the glenohumeral joint
Comparison of tensile strength of arthroscopic single and double row rotator cuff repairs.
Microstructure of the glenoid labrum: A 3-D histomorphometric study
Shoulder and Elbow Radiologists
All our radiologists are specialist in the use of imaging of the shoulder and elbow. They all perform interventional radiology for shoulder and elbow problems
Dr Sharief Aboelmagd Consultant Musculoskeletal Radiologist
Dr Rahul Anaspure Consultant Musculoskeletal Radiologist
Dr Dinuka Kuruppu Consultant Musculoskeletal Radiologist
Dr Andrew Redfern Consultant Musculoskeletal Radiologist
Dr David Silver. Consultant Musculoskeletal Radiologist
Surgeon - Chris Smith
Mr Chris Smith FRCS (Tr&Orth), MBBch, MD, MSc, DipSEM, PGC MedEd, FHEA
Chris Smith is a Consultant Orthopaedic Surgeon and Shoulder & Elbow lead at the Royal Devon and Exeter hospital. He also practices at the Exeter Nuffield hospital.
He founded ExeterShoulder and ExeterElbow to provide a high quality efficient service, for patients experiencing shoulder and elbow problems.
He took over the practice of Mr Tim Bunker, who described him as ‘one of the best shoulder fellows that I have had in the past two decades’ and ‘very capable throughout the spectrum of shoulder surgery’.
Chris has been performing shoulder and elbow surgery in Exeter since 2010. He has a highly specialised clinical practice, exclusively in shoulder and elbow arthroscopic (keyhole) and arthroplasty (joint replacement) surgery. He has provided the specialist shoulder and elbow treatment and advice to the Exeter Chiefs since 2013.
He believes in establishing the best surgical outcomes through evidence based medicine and is currently leading research in to frozen shoulder, shoulder replacements, shoulder fractures, shoulder infections, rotator cuff tears, PRP injections, elbow replacements and tennis elbow.
He takes infection control seriously, which is why he does not wear a tie and has exposed arms below the elbow, in accordance with the Department of Health and NICE guidelines.
Chris Smith gained his medical degree at the University of Wales and completed his Orthopaedic training on the Warwick Orthopaedics specialist registrar program. He obtained a Masters degree (MSc) in Orthopaedic Engineering and an advanced academic doctorate (MD) in shoulder biomechanics at Imperial College London.
Chris completed a specialist fellowship in shoulder and elbow surgery under Professor Tim Bunker.
He has a particular interest in Sports injuries related to the shoulder and was awarded a Diploma in Sports and Exercise Medicine by the Royal College of Surgeons in Edinburgh.
Chris has always had a strong research ethic and believes that improvements in outcomes for patients can only be achieved by well controlled research. Previously, he held the position of full-time Clinical Lecturer in Trauma and Orthopaedic Surgery (the first in the country for orthopaedics) at the University of Warwick, funded by the National Institute for Health Research. He has been the Orthopaedic Research lead and Trauma Lead Consultant at the Royal Devon and Exeter hospital. He is on the British Elbow and Shoulder Surgeons research committee. He is the chair of the Exeter Orthopaedic Instituitional Review Board. He is the upper limb associate editor for the Annals of the Royal College of Surgeons of England.
Chris has won grants to fund his research from the prestigious Research for Patient Benefit Programme, the Academy of Medical Sciences, the British Shoulder and Elbow Society (BESS), and the Royal Devon and Exeter hospital research fund. Mr Smith has published research in shoulder anatomy, biomechanics, imaging and patient outcomes after shoulder surgery. He presents his research regularly at the annual British Shoulder Surgeons conference (BESS), and the biannual European Shoulder Surgeons Conference (SECEC), twice winning the accolade of best research (SECEC in 2006 and BESS 2015). He is also a reviewer for the journals Shoulder& Elbow and the Annals of the Royal College of Surgeons of England.
He has a keen interest in teaching and holds a Post Graduate Certificate in Medical Education, as well as being recognised as a Fellow of the Higher Education Acadamy. He is involved in the teaching of medical students at the University of Exeter and holds and honorary clinical lecturer post. He also supervises the training of future orthopaedic surgeons. He has supervised PhD, MD and MSc students in the field of shoulder and elbow surgery. He is faculty on a number of shoulder and elbow training courses and is course convenor for the south west elbow room meeting. With Mr Jeff Kitson and Mr Will Thomas he hosts the Exeter Shoulder and Elbow Fellowship for senior orthopaedic trainees who anticipates taking up a shoulder and elbow consultant post.