Curriculum

Drawing on the expertise of skilled orthopedic sports medicine surgeons, athletic trainers and physical therapists, we work collaboratively to develop a treatment plan for each patient from the initial assessment through rehabilitation and recovery. Houston Methodist’s surgeons specialize in the diagnosis and treatment of all athletic injuries, while offering special expertise in reconstructive surgery and arthroscopic surgery. The fellowship emphasizes hands-on training in a high-volume setting, focusing on special procedures:

  • Knee surgery, including ligament repairs and cartilage transplantation
  • Shoulder surgery, including arthroscopic rotator cuff surgery, labral repairs and surgery to correct shoulder instability
  • Injuries to a thrower’s shoulder and elbow
  • Complex surgeries, including revision surgery for failed knee and shoulder surgeries
  • Pre-habilitation and rehabilitation, providing patients with instruction on how to avoid injuries, rehabilitation methods, and safe, effective ways to return to their sports

Rotation Schedule
A typical rotation with any faculty member would include one-and-a-half to two clinic days per week, two surgical days (one at a hospital, one at an ASC) and a research day each week. The fellow will cover an assigned high school training room for a few hours each Monday during football season. The participating facilities are: Houston Methodist Hospital, Kirby Surgery Center (ASC), First Street Surgery Center (ASC) and Houston Orthopedic & Spine Hospital.

Rotation with David Lintner, MD
This rotation has a surgical case mix of approximately 60 percent shoulder/30 percent knee/10 percent elbow. The outpatient case mix is approximately 70 percent shoulder/25 percent knee/15 percent elbow. This is the fellows’ primary exposure to athletic shoulder injuries, particularly injuries to the throwing shoulder and elbow, including UCL reconstruction. Rotator cuff repair and articular cartilage restoration procedures are also performed on this rotation, including osteoarticular autograft, allograft OATS, autologous carticel implantation (ACI), and multi-ligament knee reconstruction. This rotation includes the evaluation and treatment of professional baseball players, as well as scholastic and recreational athletes.

Rotation with Patrick McCulloch, MD
On this rotation, the fellows will gain exposure to a general sports medicine practice. While the majority of the cases are shoulder and knee, Dr. McCulloch also performs elbow and hip arthroscopy. He has a particular interest in cartilage surgery, including ACI, osteotomies and meniscus transplant. He works with the Houston Astros and is a surgical consultant to Rice University athletics. Dr. McCulloch is the education director and is in charge of the conference schedule and clinical skills training. This rotation is primarily out of Houston Methodist Hospital.