1445 Portland Ave Suite 201
Rochester, NY 14621
Invited Speaker On Treatment of Hand Fractures
On November 14th in Miami, Dr Tomaino delivered a lecture on the treatment of hand fractures. He introduced a new fixation system that Depuy will make available in 2009. Dr Tomaino was on the design team.
Dr Tomaino invited to join the Editorial Board of New International Journal
Dr Tomaino has accepted an invitation to join the Editorial Board of The Journal of Hand and Microsurgery beginning January 2009. Dr. Balu Sankaran, FRCS,FAMS Professor Emeritus, Orthopedics, St Stephen's Hospital, Delhi, India, will serve as Editor-in-Chief. The journal will be published by Springer, and will be further increase information sharing among Upper Extremity Surgeons around the world.
Dr Tomaino Lectures on "Staying in the Game" at Rochester's largest health club
On October 22, at Midtown Tennis Club, Dr Tomaino spoke regarding the most common wrist, elbow and shoulder problems affecting active adults, particularly tennis players and golfers. He addressed wrist pain that may develop due to ligament injury, tennis and golfer's elbow secondary to overuse, elbow instability--and the role of "Tommy John" surgery, shoulder instability and rotator cuff injury. Tomaino Orthopaedic Care provides specialized care for the Upper Extremity, from the fingertip to the shoulder, including sports injuries, arthritis, fracture etc. For a comprehensive description of the "Treatment Programs" offered, visit that section of this website.
Dr Tomaino to join the Editorial Board of the Journal of Shoulder and Elbow Surgery
Dr Tomaino has accepted an invitation to join the Editorial Board of the Journal of Shoulder and Elbow Surgery by Incoming Editor-in-Chief William Mallon of Durham, NC. The journal is recognized as a key reference for Shoulder and Elbow Specialists from around the world and is a source of key information about clinical outcomes, basic science research, and innovative developments in the field. As an Upper Extremity Specialist whose practice is focused strictly on the Shoulder, Hand and Elbow, Dr Tomaino will bring to the Board his unique perspective as a Hand Specialist, in addition to being a Shoulder Specialist--understanding the critical role of the Hand to global Upper Extremity Function.
Speaker at Annual Meeting of the American Society for Surgery of the Hand
In Chicago, September 2008, at the 63rd Annual Meeting of the ASSH, Dr Tomaino delivered several lectures to Hand Surgeons both from this country and from around the world on diverse topics including wrist replacement, fixation of hand fractures, elbow replacement for fracture, and thumb joint arthroplasty for arthritis.
Dr Tomaino to be Featured Speaker at Depuy Mitek Booth at ASSH
On September 19th, 2008, in Chicago, Dr Tomaino will be the featured Hand, Elbow and Shoulder Expert at the Depuy Mitek Booth at the Annual Meeting of the American Society for Surgery of the Hand. As an Associate Editor of the Journal of Hand Surgery and the American Journal of Orthopaedics, as well as Section Editor for Hand and Wrist for the Academy's Orthopaedic Knowlege Online, he is widely respected as a thought leader when it comes to caring for problems that affect the Upper Extremity.
He will specifically address the innovative devices offered by Depuy Mitek--absorbable and radiolucent suture anchors used to repair ligament tears in the wrist and hand, as well as to repair labral injuries in the shoulder, and tears of the rotator cuff.
Elbow Medial Collateral Ligament Reconstruction is a key part of the Sports Medicine Program at Tomaino Orthopaedic Care
Popularized years ago when Dr Frank Jobe reconstructed then Dodger Pitcher Tommy John's elbow MCL, the procedure has been substantially refined over the years, and continues to be the mainstay of treatment for painful elbow laxity secondary to ligament attrition that develops overtime due to the stresses that the inside of the elbow experiences with such activities. Dr Tomaino is among few in the region who perform this operation on throwing athletes. An innovative type of screw (Biotenodesis screw, Arthrex Inc) that holds a tendon graft within 2 bone tunnels allows this procedure to be performed through a 4 cm incision which results in very little postoperative discomfort. Bracing limits flexion to 45 degrees for 3-4 weeks, but return to pitching or throwing takes 5-8 months.
Tomaino Orthopaedic Care Adds Second Upper Extremity Expert
Tomaino Orthopaedic Care for Shoulder, Hand and Elbow LLC added a second fellowship trained Upper Extremity Expert to its roster on August 1, 2008. Dr Leit trained in Orthopaedic Surgery at the University of Pittsburgh Medical Center after completing both Undergraduate study and Medical school at Yale University. He was Dr Tomaino's fellow from August 2003 - July 2004 , during his tenure as Professor and Chief of the Division of Hand and Upper Extremity and Director of the Fellowship (September 2002-April 2007) at the University of Rochester Medical Center, and most recently served as Chief Orthopaedic Surgeon at Brockport's Lakeside Hospital.
"I am pleased to announce that Mike has become associated with Tomaino Orthopaedic Care", Dr Tomaino said. "Not only is his surgical judgement and skill at the highest level, but his philosophy of care and integrity are unparalleled. He will not only foster our outreach to patients both east and west of Rochester--so that patients all across the region may have access to our offering--but he will also work with me to provide the region's finest care for complex cases, including nerve reconstruction and shoulder/wrist/elbow joint replacement. Mike will allow our surgical care to reach new levels of excellence--2 surgeons working together to ensure the most efficient and exceptional delivery of care."
Dr Leit will see patients weekly in Brockport and Newark offices, as well as at the Rochester office location on the Campus of Rochester General Hospital. Call 585.922.9300 for an appointment or email Dr Leit: mleit@drtomaino.comUnparalleled Upper Extremity Sports Medicine Program at Tomaino Orthopaedic Care
Dr Tomaino and a network around the region (close to your home) of the most skilled physical and occupational therapists are available to provide the region's most comprehensive and exceptional care for your finger, wrist, elbow and shoulder athletic injury.
Though you may instinctively assume that other "Sports Medicine" providers who specialize in knee injuries possess equivalent expertise for your upper extremity sports injury--it may not be the case. In fact, an expertise in Hand, Shoulder and Elbow sports injury treatment is all that we do at Tomaino Orthopaedic Care. This focus ensures that you will receive not only the finest and most cutting edge care available, but that you will be the beneficiary of extraordinary focus. There is no better option for your arm than the Sports Medicine Program at Tomaino Orthopaedic Care.
Wake up today and feel pain from an overzealous game of hoops or softball yestarday--or following a highschool or college competition?Getting an appointment or a question immediately addressed is as simple and convenient as emailing Dr Tomaino himself at mt@drtomaino.com. "Tomaino Care"---"University-expertise" with a "Customer is King" committment.
New Minimally Invasive Treatment for Chronic AC Joint Dislocation
On July 31, Dr Tomaino successfully performed the 1st Arthroscopic anatomic AC (acromioclavicular) reconstruction in Rochester and the Upstate region utilizing a new device commercialized by Arthrex Inc in 2008. The AC GraftRope System includes a tendon allograft and heavy suture construct. The procedure is a natural evolution from use of the suture alone for acute dislocations--not older than 2 months.
Most Grade 3 AC dislocations are treated without surgery, but 20% or so of patients may have chronic pain and stiffness. Historically, a plethora of options have existed--all performed via large incisions, and none without eventual failure in a high percentage.
"Although this was my 1st surgery with this new device, it was successful, and I am optimistic about is future role," Dr Tomaino said.For more information about the procedure and whether it may be an option, please contact Dr Tomaino via the Contact Dr Tomaino section of this website.
Guest Editor of Journal Supplement focused on Innovation in the Hand, Wrist and Elbow
Dr Tomaino had the privilege of serving as the Guest Editor of the August Supplement to the widely distributed "American Journal of Orthopaedics" His editorial comments are included in the Weekly Insights Blog article entitled "Innovation is valuable, but..." on this website. In addition, he contributed an article addressing the role of a new partial elbow replacement.
As a Nationally recognized thought leader regarding the treatment of arthritis involving the thumb, hand, wrist, shoulder and elbow, Dr Tomaino is regularly invited to lecture and provide his commentary regarding the role of new innovative procedures as compared to time-honored alternatives.For more information on the role of innovation in the upper extremity, or questions about various treatment alternatives, contact Dr Tomaino via the contact Dr Tomaino section of this website.
July 12, 2008. Rheumatoid Arthritis lecture given for the 10th year
For the 10th year in a row, The American Society for Surgery of the Hand has recognized Dr Tomaino's expertise in the care of the arthritic hand by inviting him to moderate the section on Arthritis at the Annual National Comprehensive Review Course.
In addition, Dr Tomaino lectured for 2 hours to physicians from around the country on the treatment of Rheumatoid disease affecting the fingers, hand and wrist. He emphasized that fundamental principles continue to guide decision-making, but acknowledged the significant role of innovation when it comes to contemporary options for treating wrist arthritis.For more information on the treatment of the Rheumatoid hand and wrist, and the option of wrist arthroplasty(replacement) as an alternative to fusion, please go the the HAND section of the website and scroll down to the articles regarding wrist arthritis and Rheumatoid disease. For questions please go to the Contact Dr Tomaino section and send him your query.Dr. Tomaino to open New Practice July 1, 2008
Dr Tomaino will leave his current position as Professor of Orthopaedics at the University of Rochester effective at the end of June to open his own Private office dedicated soley to excellence in patient care. He will welcome all past and present patients, and will accept most insurances.
Tomaino Orthopaedic Care for Shoulder, Hand and Elbow LLC will provide the most remarkable care in the region for your Shoulder, Hand and Elbow. A new Brand of care--"Tomaino Care"-- will combine "University-expertise" with a "Customer is King" mentality so that you might Feel Better. Empowered by the wisdom of experience and a unique vision of how to create value in the regional orthopaedic/healthcare marketplace, Dr Tomaino is committed to providing unprecedented access to superlative surgical and nonsurgical expertise, and to all relevant information regarding your problem so that you can share in all decision-making. Kathy Vick, Dr Tomaino's current secretary, will be joining him, along with several new, and highly valued team members.Our office will be located at 1445 Portland Avenue Suite 201. Our phone number will be 585-922-9300. Dr. Tomaino can be contacted by email at mt@drtomaino.comInvited Lecturer at FOS annual meeting
On May 17th in Key Largo, Florida Dr Tomaino delivered a lecture entitled "MP Joint Arthroplasty--Current Trends and Outcomes".
Dr Tomaino's expertise in joint replacement for Rheumatoid arthritis includes not just the finger joints, however, but also the wrist, elbow, and shoulder. For more information visit the representative sections on his website:www.drtomaino.com
Presidential Guest Lecturer at Southeastern Hand Club Annual Meeting
Dr Tomaino was privileged to address the members of the Southeastern Hand Club at the Grove Park Inn in Asheville, NC April 18 and 19, 2008.
His lectures included 1.) Decision-making, Operative Strategies, and Outcomes following Arthroscopic Repair of Massive Rotator Cuff Tears, and 2.)Innovation--Its Role in Our Lives and in the Upper Extremity.
Increasing role for Reversed shoulder arthroplasty to restore shoulder function
Dr Tomaino is one of the few Upper Extremity Arthritis Surgeons in the region to successfully perform several Reversed shoulder arthroplasty procedures. This innovative design places the "ball" in the socket, and the "socket" on the humerus. In so doing, the deltoid muscle is empowered to provide shoulder elevation not possible prior to surgery because of chronic tears of the rotator cuff.
Although the main indications are patients with "rotator cuff arthropathy" who are older than 70 years, the prosthesis has been increasingly utilized as revision of failed fracture treatment.
This procedure is performed in 2 hours and requires an overnight stay in the hospital. The arm is kept in a sling for the first 4 weeks, and active use begins thereafter. For more information contact Dr Tomaino via the contact Dr Tomaino section of this website.
Instructor at AAOS Thumb Course March 6, 2008
Dr Tomaino spoke regarding time-honored and novel treatment approaches to the arthritic thumb basal joint. Regarded as a national and international authority, his contributions from the podium and in the literature are numerous, and he continues to participate actively in clinical research that is critical to the long-term assessment of innovative treatment alternatives.
Invited Faculty Miami Arthroplasty Course March 2, 2008
Dr Tomaino delivered a lecture covering contemporary indications for elbow replacement in the setting of acute trauma and post-traumatic arthritis. He specifically addressed the pearls at pitfalls of radial head replacement, capitellar resurfacing, and total replacement.
American Association for Hand Surgery January 9-12, 2008
Dr Tomaino delivered 3 lectures at this annual meeting. On January 9th he addressed the treatment of Rheumatoid thumb arthritis; on the 10th he discussed the role of staple use in obtaining fusion for various arthritic problems in the wrist, hand and fingers; on the 11th he gave a lecture at the annual review course on the management of wrist and finger arthritis in the Rheumatoid patient. In this last lecture, he highlighted the increasing role of wrist arthroplasty as an alternative to fusion.
November 15, 2007 Member of Hand Fracture System Design Team
On November 15, Dr Tomaino joined Engineers, Product Managers, and 2 other Hand and Upper Extremity Surgeons from around the country in Miami at the Headquarters of Hand Innovations, a Depuy/Johnson and Johnson Company.
Charged with bringing to market the newest and most innovative devices for fracture fixation in the Hand and fingers, the design team met to begin the design process based in part on the thought-leadership of the surgeons.
"Participation in these types of endeavors is a priviledge, and makes it easier to bring the most innovative advances to my patients as soon as they become commercially available" according to Dr Tomaino.
Faculty at SBi Workshop for Upper Extremity Arthritis
On October 20 -21 in Miami, Dr Tomaino participated as a faculty member at a Surgical workshop, sponsored by Small Bone Innovations Inc (SBi) for Orthopaedic surgeons from around the country. Along with Internationally/Nationally renound Hand, Wrist, and Elbow Surgeons--including Drs Morrey and Cooney from the Mayo Clinic and Dr Amit Gupta from Louisville, Dr Tomaino helped to demonstrate Surgical techniques for wrist replacement, distal ulna replacement, and uni-elbow arthroplasty.
Dr Tomaino performs each of these procedures; you can read about expected outcomes following each of these surgeries on the Hand and Elbow pages of this website.
September 28 & 29, 2007--Invited lecturer at ASSH Annual Meeting
Dr Tomaino was an invited lecturer in Seattle on September 28th and 29th at the 62nd annual meeting of the American Society for Surgery of the Hand. On Friday the 28th, with Dr William Cooney from the Mayo Clinic, he presented his experience with a new partial elbow replacement--the Uni-arthroplasty (Sbi Inc.).
On Saturday he participated in a session on Kienbock's disease management with Dr Alex Shin from the Mayo Clinic and Dr Jennifer Wolf from the University of Colorado.
One of the final podium symposia addressed the problem of basal joint arthritis, during which Dr Tomaino spoke regarding how to avoid failures.
Distal radius fracture fixation lecture, St. Louis September 13, 2007
Dr Tomaino is once again an invited faculty member at a regional DePuy Orthopaedics Trauma & Extremities Fracture Fixation Symposium. On September 13, 2007 in St. Louis, Missouri, he will deliver an instructional lecture on Volar plate fixation of unstable fractures of the distal radius, and run the surgical workshop to follow.
August 17-19, 2007 Advances in Shoulder Arthroscopy
Dr Tomaino was the Course Chairman of a 3 day Instructional Symposium designed to advance Attendees' skills in Shoulder Arthroscopy. It was held at the AAOS Orthopaedic Learning Center in Rosemont, Illinois and was sponsored by the American Society for Surgery of the Hand. In addition to organizing and Chairing the course, Dr Tomaino presented lectures on the treatment of Shoulder Instability and Rotator cuff tears.
Having shared ideas with colleagues from around the country, Dr. Tomaino reflected after the weekend: "It is reassuring to find that our techniques and approaches are consistent with the highest standards offered by other leading shoulder surgeons in the United States."
ASSH Comprehensive Review Course Faculty July 2007
Dr Tomaino will deliver a lecture in Chicago addressing the management of Rheumatoid arthritis--of the wrist, hand, and fingers. He has been a faculty member at the Hand Society's Annual Comprehensive Review Course for the past several years.
Course Chairman May 5, 2007
Dr. Tomaino will be Chairing an Upper Extremity Trauma Course for Orthopaedic Residents sponsored by Depuy Orthopaedics.He will be lecturing on and directing a lab regarding the use of fixed angled volar plates as treatment for fractures of the distal radius.
April 29,2007
Dr Tomaino will deliver a lecture in Houston, Texas entitled "Thumb CMC Joint Arthritis:Classification and Early Treatment Options." Dr. Tomaino is an invited Faculty member for the 2007 Small Bone Learning Series sponsored by Small Bone Innovations, Inc.
March 2007 Guest Editorial
Dr Tomaino authored a guest editorial in the March issue of the American Journal of Orthopaedics. He addressed each of 4 papers in the issue which dealt with various topics related to peripheral nerve problems.
Guest Editor of Hand Clinics
Dr Tomaino was the guest Editor of the May 2006 edition of Hand Clinics. The volume addressed the topic of Hand arthitis, and Dr Tomaino authored 4 chapters on various topics related to arthritis of the thumb and finger joints.
March 2007
Dr Tomaino delivered a lecture on the use of fixed angled volar plates as treatment for distal radius fractures in Park City, Utah at the "Transforming Orthopaedics" meeting, sponsored by Depuy. He also directed a surgical lab in which he demonstrated the surgical technique to course attendees.
February 2007
Dr Tomaino was an invited lecturer at the annual Philadelphia Hand Meeting. He delivered a lecture on the role of vascularized bone grafts as treatment for scaphoid nonunion, and also performed a surgical demonstration of thumb metacarpal extension osteotomy for Stage 1 basal joint arthritis.
January 2007
Dr. Tomaino directed an Instructional Course lecture on Thumb Basal Joint Arthritis at the Annual Meeting of the American Association for Hand Surgery in Puerto Rico. He delivered a lecture addressing treatment alternatives for early and end-stage disease.
September 2006
For more details, download PDF file
Invited Lecturer Federation of European Societies for Surgery of the Hand, Glascow, Scotland June 2006