For appointments call 585.273.3157 Tomaino Arm Care Network


ASSH Course Faculty-September 5, 2019

September 12th, 2019

On September 5th, 2019 at the 74th Annual meeting of the American Society for Surgery of the Hand, Dr Tomaino participated in an Instructional Course entitled "Leadership: Its Impact on Team Effectiveness and Patient Safety." His lecture addressed how building Emotional intelligence and "nontechnical skills" has helped him to become a more effective and collaborative leader on his Surgical team.

Lecturer at Southeast Hand Society April 26,2019

June 6th, 2019

Dr. Tomaino lectured at the 42nd annual meeting of the Southeast Hand Society in Blufton SC on April 26, 2019. His talk, entiltled "Basilar Thumb Arthritis: Wilson Osteotomy – Why, When, and How? " addressed the role of this operation for early stage thumb CMC arthritis.

Dr Tomaino lectures at ASSH September 2018 annual meeting

September 20th, 2018

On September 12th in Boston at the 73rd annual meeting of the American Society for Surgery of the Hand, Dr. Tomaino presented 2 lectures at a leadership precourse. These were entitled "Identifying a high performing team and a dysfunctional one" and "Managing team conflict." He assembled five professional colleagues from around the country as panelists to engage in a dialogue about these topics, both of which are critical to patient safety and high quality outcomes. In addition he gave a lecture on September 15th entitled "Why I suspend the first metacarpal with the FCR during CMC arthroplasty." This is a timely topic because despite many alternative commercially available options to treat basal joint osteoarthritis, the LRTI procedure that Tomaino, Pellegrini, and Burton published in the Journal of Bone and Joint Surgery in 1995 remains a very successful, time-honored, and evidence-based procedure.

Dr. Tomaino to speak at American Hospital Association Conference

June 8th, 2018

On June 21st, 2018 Dr. Tomaino will participate for the 3rd consecutive year in the National team Stepps Conference---sponsored this year for the first year ever by the American Hospital Association. Team Stepps (Strategies and Tools to Enhance Performance and Patient Safety) has been developed and advanced by the Department of Defense and introduced into the Healthcare arena as a set of operational and behavorial principles to minimize patient harm and medical error, and to improve team performance and collaboration. This year Dr. Tomaino will conduct a workshop entitled: "Navigating Below the Waterline: Understanding and Addressing Causes of Team Underperformance." He and his colleague Janet Thirlby, currently the Co-Executive Director of His Branches, a non-profit organization that provides patient-centered medical care to Rochester’s underserved, urban neighborhoods, have lectured together the previous two years, and continue to collaborate as they focus on improving team performance through developing effective collaborative leadership skills among team members.

Dr.Tomaino lectures Therapists on innovative device

June 8th, 2018

On June 7, 2018 Dr. Tomaino spoke to the physical therapists from Lattimore PT--the largest private physical therapy enterprise in the region-- about the newest alternative for treating partial tears of the rotator cuff. Rotation medical, recently purchased by Smith and Nephew, has commercialized a biologic option for stimulating new tendon growth in cases of partial tears of the rotator cuff. This approach diminishes recovery time and patients are out of their sling in 1-2 days. This option has the potential to prevent progression of age-related tendon deterioration. Dr. Tomaino discussed the indications and decision-making as well as the rehabilitation protocol.

Dr Tomaino lectures at SEHS annual meeting

April 30th, 2018

On April 28, 2018 at the 41st annual meeting of the Southeastern Hand Society, in Boca Raton Florida, Dr. Tomaino presented a lecture entitled "Understanding the root causes of team underperformance and how to effectuate change." He identified the Waterline model as a useful tool in differentiating between structural and process issues versus interpersonal and intrapersonal causes of suboptimal performance, and introduced logic modeling as a process by which useful changes can be envisioned and achieved.

Faculty at Annual Philadelphia Hand Symposium

March 24th, 2018

Dr. Tomaino was an invited faculty member at the annual Philadelphia Hand Symposium March 24-25. In addition to moderating two scientific sessions, he also delivered a lecture addressing the indications and technique for Wilson osteotomy

Invited lecturer to SF Bay Area Hand Club

October 30th, 2017

On November 3, 2017 Dr Tomaino addressed members of the San Francisco Bay Area Hand Club on the subject of team development and how to overcome the challenges of team dysfunction. Team performance has been identified, increasingly, as a critical success factor to safe and high quality outcomes in healthcare. Teamwork is especially important in the operating room, and yet surgeons are not necessarily proficient at the nontechnical skills required to excel on diverse teams,let alone how to navigate a path towards remediating dysfunctional behavior on teams. In his address entitled "What a high performing team looks like and how to get there," Dr. Tomaino addressed the common barriers to optimal team performance and discussed the importance of physician leadership, including trustworthy and emotionally intelligent behaviors.

Dr. Tomaino conducts team development workshop in Winston Salem NC- October 27, 2017

October 29th, 2017

On October 27, 2017, Dr Tomaino and Amy Tomaino RN, NP were hosted by Dr Ethan Weisler, Residency coordinator and Chief of Hand Surgery at the Wake Forest Department of Orthopaedic Surgery where they conducted a 3 hour “Team development” workshop with the residents entitled: “Building a High Performing Team and our skills as a team member.” Residency training lasts 5 years after medical school, during which young physicians engage in a diverse education required to enter independent practice as an Orthopaedic surgeon. Many go on to complete an additional year of “fellowship training” in a subspecialty area such as hand and upper extremity, spine, sports medicine, musculoskeletal oncology, pediatrics and adult reconstruction. Traditionally development of technical skills dominates this training. Once in practice, and even during residency training, however, the ability to work effectively as a member of a team is critical, as it has become widely appreciated that more hierarchal behavior by surgeons has been inversely correlated with patient safety, quality and team effectiveness. Nontechnical skills such as communication, conflict resolution, mutual support, and leadership have been identified as critical to the development of high performing teams. Matt and Amy discussed illustrative stories of team dysfunction and effective solutions, highlighted the importance of emotionally intelligent leadership and trustworthy behaviors, and introduced key team building principles popularized by Team STEPPS

A New Approach to treating partial thickness tears of the rotator cuff: The Rotation Medical Rotator Cuff System

October 28th, 2017

On October 24, 2017 Dr Tomaino was the first in the Rochester area to utilize a new bioinductive impant to treat a high grade partial tear of the rotator cuff. Until now, surgeons have had limited ability to address rotator cuff injury at earlier stages of degeneration. The technology includes a collagen based bioinductive implant about the size of a postage stamp. This implant is delivered arthroscopically through a small incision over the location of the rotator cuff tendon injury. This implant has been shown in clinical studies to heal the tendon by inducing the growth of new tendon-like tissue, resulting in thicker tendons and replacement of tissue defect. After implantation the bioinductive implant dissolves slowly. “Traditionally, higher grade rotator cuff tears have required repair procedures that involve suturing tendon to bone; this requires 6 weeks of sling immobilization and a 6-12 month recovery period. As a result, many people choose to forego surgery until pain is severe and range of motion is significantly impaired,” commented Dr. Tomaino. The value proposition the Rotation Medical Rotator Cuff System includes shorter rehabilitation, faster recovery, the potential to prevent or slow down disease progression, and a decreased risk of developing a second degenerative tear

Dr. Tomaino Addresses Team Building at 2017 ASSH Annual Meeting

September 4th, 2017

On September 7,2017 in San Francisco, Dr. Tomaino moderated an Instructional course which addressed the critical subject of team performance. Two colleagues joined him:Peter Murray, MD--Chairman of Orthopaedic Surgery at the Mayo Clinic in Jacksonville and Kay Kirkpatrick, MD from Atlanta.
The course emphasized that building a high performing team requires careful deliberation of mission and required expertise, recruitment, diligent assessment and development of its members, and mindful development of team norms and culture.
Second, even then---or when a team is assembled without ideal consideration of its needs and resources- appreciation of what interferes with optimal collaboration is critical. Thoughtful behavioral solutions and individual leadership can effectuate positive interaction, relationship-building, and team learning and development.
Third, in light of the diverse constituency of any health care team, in terms of background, training, personality, bias, etc., resistance to the concept of team and individual poor performance may exist, but it needs to be recognized and remediated effectively and fairly, so that team identity, wellness, patient outcomes, and compliance are not jeopardized.

Dr. Tomaino speaks at 2017 Team Stepps Annual Meeting

June 18th, 2017

Dr. Tomaino and his colleague, Strategic leadership consultant Janet Thirlby, conducted a 90 minute workshop in Cleveland on June 16, 2017. They addressed the critical roles of emotional intelligence and conflict resolution to high performing teams, and discussed how to optimize the DESC script, which is a useful tool within Team Stepps for mutual support and conflict management.

January 11, 2017--Dr. Tomaino lectures at American Association of Hand Surgery Annual Meeting

January 23rd, 2017

Dr. Tomaino participated on a Patient safety panel on January 11, 2017 at the annual meeting of the AAHS. His lecture was entitled “Ensuring Patient Safety Through Teamwork: How do we collaborate?” Tomaino emphasized that patient safety is a function of team work, and effective collaboration is one of the most credible and important predictors of team performance. Speaking to an audience of Hand surgeons, he acknowledged that competency and technical expertise are mere entry tickets onto our teams, and explained that genuine collaboration requires a nontechnical skill set including self awareness, self management, humility, empathy and the ability to build trusting relationships on the team.

Dr. Tomaino article published in November 2016 Journal of Hand Surgery

November 26th, 2016

Effective, collaborative leadership is one of the most credible and important predictors of team performance. Dr. Tomaino and his colleague Janet Thirlby discuss the relevance of this topic to surgeons because teamwork is now a common part of the vernacular in health care, surgeons do not operate in a vacuum without a team, and the surgeon on the team is well positioned to assume a leadership role on one's team. The article advises, however, that the surgeon's standing as "the expert", one's training and the way they may have been mentored, and an insufficient concept of leadership as a process as opposed to a position, may disadvantage the surgeon as a collaborative member of a team. Tomaino and Thirlby discuss the importance of nontechnical skills, and advise that "liberation from the grip of expertise" can be an inflection point for development.

August 25,2016:Dr. Tomaino interviewed for teamwork webinar

August 26th, 2016

On August 25th Dr. Tomaino was interviewed by Nancy Thompson, Director of Education for i2i Population Health--a software solutions company. Dr. Tomaino addressed the importance of collaboration and teamwork to successful population health strategies, and made comparisons to the importance of these principles to the practice of Orthopaedic surgery. He addressed the barriers to high performing teams and offered his insight regarding how to overcome the challenges that often interfere with optimal team performance.

Dr. Tomaino lectures at National Team Stepps Conference

June 13th, 2016

On June 8, 2016 Dr. Tomaino and Janet Thirlby, MSL, EdD addressed attendees at the Annual National Conference of Team Stepps in Washington, DC. Team Stepps is an evidence-based framework to optimize team performance across the health care delivery system. Collaboration and teamwork are critical not only to patient safety but to performance in terms of outcomes, process compliance, patient satisfaction and engagement, and the wellness of, and social climate on the team. Their presentation addressed barriers to optimal team performance, and offered solutions to improve the effectiveness of Team Stepps tools. To learn more about Team Stepps visit the Agency for healthcare research and quality website:

Keynote speaker at 2016 Healthcare IT Conference

May 22nd, 2016

On May 20, 2016 Dr. Tomaino addressed some 300 attendees at the annual user conference for i2i Population Health in Las Vegas. The theme of this year's meeting was "Transforming Outcomes;" in the context of population health management, collaboration and teamwork are increasingly recognized as critical components. In his keynote address, entitled: "Transformational Care Delivery: Moving from I to We," Dr Tomaino acknowledged that while data is the new currency in healthcare, transforming outcomes requires high performing teams which place the patient relationship front and center. He discussed barriers to optimal team performance, and offered strategies to improve collaboration and leadership on teams.

Dr Tomaino Addresses Team Performance in Healthcare

February 22nd, 2016

In February 2016 he published an article in AAOS NOW, a monthly newspaper published by the American Academy of Orthopaedic Surgeons, regarding how to build and maintain a high performing team. Dr Tomaino is certified as a Master Instructor in Team Stepps, a performance and patient safety program developed by the Department of Defense, and managed by the Agency for Healthcare Research and Quality. In June 2016 Dr Tomaino is scheduled to speak at the Annual meeting of Team Stepps in Washington DC regarding the importance of building emotionally intelligent teams in healthcare.

September 10, 2015: Dr. Tomaino presents at Hand Society Annual Meeting

September 28th, 2015

Dr. Tomaino organized and presented a unique Instructional Course at the annual meeting of the American Society for Surgery of the Hand on September 10, 2015. Held this year in Seattle, two other Rochestarians joined him on the panel--Janet Thirlby, a Professor of Strategic Leadership at Roberts Wesleyan College and Dr. John Klibanoff, an Orthopaedic surgeon on the medical staff of Rochester Regional Health System. The lecture was entitled "Leading from the inside out: How to create a high performing healthcare team." Teamwork is critical for safe and optimal outcomes in the health care, but Systems, Cultures and Leadership styles have not been as quick to adapt to this new paradigm in order to optimize the practice of genuine teamwork and to develop high functioning teams. The lecture discussed the importance of emotionally intelligent leadership by the physician and the concept of mindful practice, and introduced the fundamentals of Team Stepps, a safety and quality initiative popularized by the Department of Defense.

Dr Tomaino selected by IOA as a Top Doctor in Rochester

March 21st, 2015

The International Association of Orthopedic Surgeons (IAO) has selected Dr Tomaino as a Top Doctor in Rochester for 2015. His selection will be spotlighted in the publication, "The Leading Physicians of the World".

Tomaino Orthopaedic Care Receives 2015 Best of Rochester Award

March 21st, 2015

ROCHESTER March 10, 2015 -- Tomaino Orthopedics has been selected for the 2015 Best of Rochester Award in the Physicians category by the Rochester Award Program. Each year, the Rochester Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Rochester area a great place to live, work and play. Various sources of information were gathered and analyzed to choose the winners in each category. The 2015 Rochester Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Rochester Award Program and data provided by third parties. About Rochester Award Program The Rochester Award Program is an annual awards program honoring the achievements and accomplishments of local businesses throughout the Rochester area. Recognition is given to those companies that have shown the ability to use their best practices and implemented programs to generate competitive advantages and long-term value. The Rochester Award Program was established to recognize the best of local businesses in our community. Our organization works exclusively with local business owners, trade groups, professional associations and other business advertising and marketing groups. Our mission is to recognize the small business community's contributions to the U.S. economy. SOURCE: Rochester Award Program

Dr. Tomaino Authors Guest Editorial

March 13th, 2015

In the March 2015 edition of the American Journal of Orthopaedics, Dr. Tomaino expressed his opinion regarding the use of "Patient satisfaction" scores as a metric for "Quality care." This editorial can be read on the blog section of this website or by copying the following link onto your browser: If you have any comments please feel free to share your thoughts on the blog page.

November 14, 2014---Dr Tomaino obtains requisite training on new, innovative device for treatment of distal radius fractures

November 21st, 2014

Dr Tomaino has been invited to be among the first group of Hand surgeons around the country to use a new, less invasive method/device to treat fractures of the distal radius.

This innovative alternative to plates and screws is the result of application of technology translated from the cardiac stent industry, and utilizes an expansile nitinol implant which can be placed inside the bone through a small incision. Once expanded within the bone, it provides a substructure to which fragments can be securely fixed with screws that are placed through small incisions.

The value proposition is a quicker recovery of range of motion, less pain, and fewer complications because large incisions and soft tissue stripping are avoided.This device provides an alternative to cast immobilization for several weeks for simple fractures, and to plate application through a larger incision, with more soft tissue mobilization/stripping, for more complex fractures.

This is FDA approved, has beed studied extensively in Europe, and has shown excellent biomechanical strength and reproducible results.

Following his visit to, and training at, the Corporate offices of Conventus Orthopaedics in Minneapolis on November 14, Dr Tomaino acknowleged the potential value to patients with distal radius fractures, saying " For years in Orthopaedic Surgery the conventional approach has been to place a rigid plate onto a broken bone and secure it with screws, and although this has worked, it is associated with some unavoidable complications occasionally, such as pain, stiffness and delayed recovery. The attraction of this new device is that it can be safely placed via a much less invasive technique, which results in less pain, and quicker recovery of range of motion. As a result, for patients with both simple and complex fractures, the options have now expanded. I am privileged to have been invited by Conventus leadership so that patients in Rochester and throughout Upstate New York might be evaluated as potential candidates for this exciting new treatment alternative."

November 6, 2014--Dr Tomaino and Amy Tomaino RN, NP lecture on Team Stepps Principles at Unity Linden Oaks Surgery Center

November 10th, 2014

Dr Tomaino and Amy Tomainio, RN, NP became Certified Instructors for Team Stepps in March 2014, and have been committed to introducing these critical team performance and patient safety principles in their office practice of Shoulder, Hand, and Elbow Surgery at Tomaino Orthopaedic Care, and in their operating room at Unity Linden Oaks Surgery Center.
This process improvement program was designed to optimize patient outcomes by improving communication and other teamwork skills among healthcare professionals. Highly reliable organizations such as those found in military operations and aviation have learned that teams that back each other up--compensate for individual fallibility--can dramatically reduce the consequences of inevitable human error, thus enhancing patient safety and improving performance. The core of the Team Stepps framework is comprised of four skills: leadership, situation monitoring, mutual support, and communication.
The Unity Linden Oaks Surgery Center has committed to spreading these critical practices throughout the entire Surgery Center, and in that light, Dr Tomaino and Amy Tomaino were invited to present an introductory lecture on November 6, 2014. Dr Tomaino acknowleged that Team Stepps Principles, in practice, truly “operationalize” the guiding values of the Center and its Staff.

TOC articulates Practice Values

August 3rd, 2014

After meeting with an Executive Consultant, Janet Thirlby, earlier in 2014, with the purpose of identifying and articulating our "purpose for existing", and our core values, Dr Tomaino and his team have collectively determined the following:

Our purpose is to provide excellent medical care and a supportive, mind-body-spirit connection that assists patients in their journey toward wellness.
Our Values
•Commitment: We are here unconditionally for our patients. There is no judgment.
•Compassion: Our patients feel listened to, and cared for physically, emotionally, spiritually
•Accountability: We behave with excellence, integrity, and full responsibility

Our practice model enables us to live our core values and to pursue continuous learning so that we can provide expert care, leaving us feeling fulfilled and grateful. The number of patients we see and the surgeries completed never exceeds our ability to provide the kind of care and compassion that fulfills the mind-body-spirt needs of each patient in a timely manner, leaving our patients feeling truly special and cared for.

Youth Sports Now and TOC team up

June 30th, 2014

Youth Sports Now has a new sponsor---Tomaino Orthopaedic Care (TOC)!! ---Live Wednesdays at 6:30 p.m. on WYSL radio (1040 AM/92.1 FM) and webcast right on their web, this radio show highlights the latest when it comes to youth sports in Rochester. Dr Tomaino will appear on the show monthly to answer questions. if you have a question, visit their website and email your questions via twitter /facebook. Alternatively, you may ask Dr. Tomaino a question through his website at Click on the Contact section--it's that easy.

Tomaino Ortho Care Receives 2014 Best of Rochester Award

June 12th, 2014

ROCHESTER June 5, 2014 -- Tomaino Ortho Care has been selected for the 2014 Best of Rochester Award in the Orthopedic Surgery Physicians category by the Rochester Award Program.
Each year, the Rochester Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and our community. These exceptional companies help make the Rochester area a great place to live, work and play. Various sources of information were gathered and analyzed to choose the winners in each category. The 2014 Rochester Award Program focuses on quality, not quantity. Winners are determined based on the information gathered both internally by the Rochester Award Program and data provided by third parties.

About Rochester Award Program
The Rochester Award Program is an annual awards program honoring the achievements and accomplishments of local businesses throughout the Rochester area. Recognition is given to those companies that have shown the ability to use their best practices and implemented programs to generate competitive advantages and long-term value. The Rochester Award Program was established to recognize the best of local businesses in our community. Our organization works exclusively with local business owners, trade groups, professional associations and other business advertising and marketing groups. Our mission is to recognize the small business community's contributions to the U.S. economy.
SOURCE: Rochester Award Program
Rochester Award Program

Dr Tomaino presents on Shoulder Arthritis Treatments to local Nursing organization, May 15, 2014

May 18th, 2014

Dr Tomaino was invited to discuss shoulder arthroplasty at the May meeting of the Greater Rochester New York Association of Occupational Health Nurses. He addressed the treatment of Shoulder Arthhritis, with particular attention to the injured worker, and discussed the role of arthroscopic intervention, including biceps tenotomy, as well as anatomic shoulder replacement and the use of reverse arthroplasty designs.

Dr. Tomaino speaks at SE Hand Annual Meeting April 25, 2014

May 9th, 2014

Dr Tomaino addressed members of the Southeastern Hand Club at its 36th Annual meeting April 25, 2014, held at Greenbriar; White Sulphur Springs, WV.
His paper was entitiled: My Stockdale Paradox: Personal Reflections and delved into the criticality of leadership agility in today's health care environment in which physicians may be disadvantaged by their status as "experts" in marshalling teams with diverse perspectives-- who may not be optimally inspired simply because of the historic notion that "the surgeon is the captain of the ship."
He acknowledged that resilience will be key to future fullfillment and success, and that this will require deliberate practice in improving "Emotional Intelligence" skills such as self awareness, communication and empathy. As a certified Instructor in Team STEPPS principles, Dr Tomaino is available to lecture on the important role of teamwork strategies to improving patient safety, team performance, and personal fullfillment amidst the complex healthcare environment.

Dr. Tomaino becomes Certified Instructor in Teamwork Strategies March 2014

May 9th, 2014

Dr Tomaino and his Nurse Practicioner, Amy Tomaino attended an intensive two day training course March 12-13 in Manhasset NY to become certified Instructors in the fundamentals of Team Stepps. This program was sponsored by North Shore Long Island Jewish Health System.
Team Stepps was developed by the Department of Defense Patient Safety Program, in collaboration with the Agency for Healthcare Research and Quality. It was designed to optimize patient outcomes by improving communication and other teamwork skills among healthcare professionals.
Human factors research has shown that even highly skilled, motivated professionals are vulnerable to error due to inherent human limitations. Highly reliable organizations such as those found in military operations and aviation have learned that teams that back each other up--compensate for individual fallibility--can dramatically reduce the consequences of inevitable human error, thus enhancing patient safety and improving performance.
The core of the Team Stepps framework is comprised of four skills: leadership, situation monitoring, mutual support, and communication.

Dr Tomaino lectures at Orthopaedic Update Conference in Leroy, NY

April 20th, 2013

On April 20, 2013 Dr Tomaino lectured for 2 hours to a group of 70 Physical therapists attending an Orthopaedic Update CME conference at the office of Leroy Physical Therapy. Joined by Drs Gregg Nicandri and Brian Giordano from the Univeristy of Rochester, and Dr Richard Hoy from Batavia, Dr Tomaino's lecture addressed the painful shoulder. He discussed the management of rotator cuff disease, biceps tendon lesions, suprascapular neuropathy and rotator cuff arthropathy. For more information about various shoulder topics visit and click on the shoulder section. Under "popular topics" numerous articles address different conditions that may result in shoulder pain and functional impairment.

Dr Tomaino Lectures on Shoulder and Elbow Injuries in the Throwing Athlete

March 25th, 2013

On Saturday March 23rd, Dr Tomaino partnered with Athletic Trainer, and former Baltimore Orioles Strength and Conditioning Coach, Jay Shiner, in addressing the problems that Baseball throwing athletes encounter in the shoulder and elbow. The Rochester Collegiate Baseball League ( sponsored the educational event which was held at Monroe Community College and was attended by 150 players, parents and coaches. Channel 10 covered the event (see link: in light of the growing concern regarding baseball-related throwing injuries in children and young adults due to overuse and underconditioning. Jay Shiner is the new Director of Powercore Athletics ( and focuses on proper inseason and preseason conditioning for athletes of all ages. He and Dr Tomaino are partnering to provide improved education about throwing injuries as well as treatment for the problems that develop in the shoulder and elbow.

Invited lecturer at American Association for Hand Surgery Annual Meeting

January 13th, 2013

Dr Tomaino was privileged to participate as an Invited lecturer and Panel member at the 2013 Annual Meeting of the American Association for Hand Surgery in Naples, Florida. On January 9th he presented an Overview on SLAC wrist arthritis and participated on a Panel which discussed Podium presentations from around the country. On January 11th he participated in an Instructional course addressing thumb basal joint arthritis. His lecture focused on treatment options for stages 2-4 disease with special attention to the “level of evidence” supporting each option.

Tomaino Orthopaedic Care offers Xiaflex Injections for Dupuytren's Disease

December 12th, 2012

XIAFLEX® (collagenase clostridium histolyticum) is a prescription medicine used to treat adults with Dupuytren's contracture when a "cord" can be felt. Over time, the thickening and shortening of this cord in the hand can cause one or more fingers to bend toward the palm, so that the finger(s) cannot be straightened. XIAFLEX helps to break down the cord that is causing the finger to be bent. XIAFLEX should be injected into the cord by a healthcare provider who is experienced in injection procedures of the hand and treating people with Dupuytren's contracture.
Dr Tomaino has experience with Xiaflex and is able to advise you on whether this option may be appropriate for you. For more information on Dupuytrens, visit the Hand Section of

Dr Tomaino Receives Customer Satisfaction Award

October 25th, 2012

Only the very best businesses have been chosen to receive the 2012 CMUS Talk of the Town Customer Satisfaction Award. The award was created to showcase companies that excel in serving their customers and getting their high marks. Based on research gathered during the past 12 months, Matthew M Tomaino Md has earned top honors and now has its very own award page on our website:
View Dr Tomaino's rating page at

Press Release Following Review of Patient Satisfaction Surveys

September 19th, 2012

Orthopedic surgeon gives patients a hand in evaluating his upper extremity practice
Tomaino Orthopedic Care receives high patient satisfaction scores
(ROCHESTER, NEW YORK, August 2, 2012) – Patients often don’t get to interview a prospective doctor before embarking on a trusting, satisfying, long-term health care relationship. And they often aren’t in a position to ask other patients whether the doctor spends enough time with them, is a good listener, has a competent, high quality staff, and runs a great practice. Matthew Tomaino, MD, a Rochester, NY-based orthopedic surgeon, thinks he has a way around that. His upper extremity practice, Tomaino Orthopedic Care, has implemented a new and vigorous 360-degree patient feedback process. The purpose: to ensure his patients are satisfied with their experience, to provide a benchmark for continuous improvement of the practice, and to provide potential patients with feedback from current patients that may help them to determine if visiting Tomaino Orthopaedic Care might be a good fit. “It’s really all about the mission of what we do,” Dr. Tomaino said. “All great doctors strive to ensure every patient leaves the office not only with competent care, but also with a complete understanding of their situation, confidence that the treatment plan will help make them feel better, and trust that they and their doctor have established an effective partnership.” To help ensure transparency in his practice, Tomaino Orthopedic Care utilizes Survey Vitals, an online patient survey system and one of the industry leaders in patient satisfaction surveys. Survey Vitals provides physicians nationwide with immediate, understandable and actionable patient feedback through a proprietary, easy to use electronic survey process. Dr. Tomaino’s practice – the only one in the Rochester area currently using it – can then be measured against the results of patient surveys involving other practices nationwide – in a multitude of configurations, from orthopedic to general practice. “Survey Vitals offers easy to administer patient surveys, with low bias and immediate reporting, and great data for continuous improvement and increased patient, employee, and physician satisfaction,” Dr. Tomaino said. Practices are measured based on the appointment and check in/check out process, waiting time, staff and physician competence, office environment and overall patient experience. Over 740 patients responding to the survey so far are almost completely in agreement – nearly 94% rate Tomaino Orthopedic Care the highest survey score of 5 –nearly 10 percentage points higher than the average for orthopedic practices across the country. “We all recognize that the practice of providing ‘world class’ health care is more challenging all the time,” Dr. Tomaino said. “My staff and I at Tomaino Orthopedic Care are committed to working harder everyday to repay the confidence our patients and referring physicians have placed in us.”

April 28th lecturer at Southeastern Hand Annual Meeting

April 30th, 2012

The 35th Annual Meeting of the Southeastern Hand Club took place at Keswick Hall from April 26-29, 2012. Dr Tomaino is an Honorary member since he was the Presidential guest lecturer at the 2008 Annual meeting. Dr Tomaino addressed the role of Suprascapular nerve release in the setting of rotator cuff repair.
It's becoming more well appreciated among shoulder specialists that retracted rotator cuff tears can cause suprascapular nerve dysfunction. Although repair may reverse neuropathy, it is still somewhat unclear when concomitant arthroscopic release is indicated.
The membership in attendance, many of whom are peripheral nerve experts, expressed their agreement with the existing literature that suprascapular nerve dysfunction is probably the mechanism behind cuff muscle atrophy in the setting of rotator cuff tears. What remains under investigation is whether repair alone--or in combination with a release of the transverse scapular ligament, is necessary.
Dr Tomaino is experienced at treating Suprascapular neuropathy and continues to investigate the role of arthroscopic release, particulary its impact on functional outcome when rotator cuff repair is required.

Tomaino Orthopaedic Care Surveys Patient Satisfaction

March 19th, 2012

At the start of April 2012, I began surveying Patient Satisfaction utilizing, a leader in the field of Patient Satisfaction Surveys.
Increasingly used in the Health Care Industry as a way to identify strengths and weaknesses from the patients' perspective, Tomaino Orthopaedic Care will be among the first Specialty Orthopaedic Practices in Upstate New York to solicit Patient Satisfaction Data.
More importantly than soliciting feedback, however, is the honest response to it. Understanding the patient's perspective, which will be given anonymously through SurveyVitals unique instrument, will give us the opportunity to become better each and every day.
Our desire to hear constructive feedback is critical to making good on our commitment to meet, and exceed, our patients' expectations.

Chapter published in new Edition of "Hand Surgery Update" Text

January 18th, 2012

As a focused Arm Specialist, and longstanding member of the American Society for Surgery of the Hand, and former Associate Editor of the Journal of Hand Surgery, Dr Tomaino was asked to author a chapter addressing Shoulder Adhesive Capsulitis and Impingement Syndrome.
The 5th edition of "Hand Surgery Update" was just released. Dr Tomaino's shoulder expertise and participation in educational programs for the Hand Society reflects a growing interest among many Orthopaedic Hand Surgeons in treating the entire Arm--from the fingertip to the shoulder.

Invited Lecturer at American Association for Hand Surgery Annual Meeting

January 14th, 2012

On January 13, 2012, Dr Tomaino delivered two lectures a the Las Vegas meeting. As part of an Instructional course addressing unusual causes of nerve entrapment, Dr Tomaino discussed Axillary nerve palsy and Quadilateral space syndrome, Suprascapular nerve dysfunction, and Thoracic outlet syndrome.
His second lecture addressed tendon transfers for nerve palsy, including radial, median, and ulnar palsy.

Dr Tomaino discusses baseball pitching injuries

January 6th, 2012

On January 5, 2012 Dr Tomaino joined Frozen Ropes General Manager and Pitching Instructor, Todd Alford at the East Rochester Frozen Ropes location to discuss common baseball-related injuries in the shoulder and elbow. He highlighted the 6 phases of the pitching motion and addressed the impact of poor mechanics. Dr Tomaino underscored the importance of adequate rest and adherence with pitch count limits, as well as the tremendous importance of early intervention for complaints such as shoulder stiffness, shoulder and elbow pain after throwing, loss of velocity and/or accuracy, and fatiguability. For more information about rehabilitation for baseball-related shoulder and elbow injury, contact Dr Tomaino through the CONTACT DR TOMAINO section of this website

Dr Tomaino lectures for the Arthritis Foundation

October 16th, 2011

On October 11th, Dr Tomaino addressed some 30 attendees at the Penfield library regarding this question: "What can I do about my aching shoulder?" He covered the nonoperative and operative treatments for shoulder arthritis and rotator cuff disease. If you have a question for Dr Tomaino, visit the Forums section on Register--and post your question.

Invited Speaker at ASSH Annual Meeting

September 12th, 2011

The American Society for Surgery of the Hand held its 66th Annual Meeting in Las Vegas September 8-10, 2011.
Dr Tomaino spoke at a Precourse on September 7th--addressing the value proposition of Locked plates for fractures of the hand. Dr Tomaino was one of the Surgeon-designers of the Depuy ALPS Hand Locking Plate Systems.
On September 9th he delivered a 7 minute Overview Introduction regarding the arthritic thumb basal joint--after which four scientific papers were presented. At the end of the same day, he delivered a 20 minute lecture entitled "Evidence-based Treatment of Basal Joint Arthritis."
On September 10th, he participated in an hour symposium dealing with the painful shoulder, and discussed the indications for and outcomes after Reversed Shoulder Arthroplasty.

Invited Speaker at Hand Society 2011 Annual Review Course

July 10th, 2011

Dr Tomaino has been selected to join the faculty of the 2011 Annual Comprehensive Review Course for Hand and Upper Extremity, sponsored by the American Society for Surgery of the Hand.
Attendees include residents and fellows in training, Orthopaedic and Plastic Surgeons preparing for Board examinations, and practicing physicians who are taking the course for CME (Continuing Medical Education).

On July 15th he will lecture on the Classification and Treatment of Carpal Instability. This includes painful conditions in the wrist such as perilunate and lunate dislocations, scapholunate dissociation, and midcarpal instability.
On July 16th his lecture will address Nerve Entrapment. This includes common conditions such as carpal tunnel and cubital tunnel syndromes, and less common entities like pronator, radial tunnel, and thoracic outlet syndromes.

Dr Tomaino chaired this course in the late 1990's, and for nearly a decade delivered comprehensive lectures on the Surgical Management of Rheumatoid disease.
He is a former Associate Editor of the The Journal of Hand Surgery, and currently serves on the Editorial Boards of The Journal of Shoulder and Elbow Surgery and The American Journal of Orthopaedics.

Invited Faculty at Sports Medicine Fellows meeting

June 12th, 2011

On June 10th and 11th, Dr Tomaino participated in the "Fellows Advanced Arthroscopy Forum" sponsored by Depuy Mitek. Along with 5 other faculty from around the Northeast, including Dr Thomas Gill--team physician for the Boston Redsox, Bruins, and NE Patriots, he discussed various topics related to shoulder instability and rotator cuff dysfunction. He lectured, in particular, about the indications for Single Row Repair of the torn rotator cuff.

Dr Tomaino lectures on the use of locking plates for hand fractures

May 9th, 2011

On May 6th in Miami, Dr Tomaino discussed the use of low profile locking plates in the treatment of metacarpal and phalangeal fractures. The 1 day course was sponsored by Depuy Trauma, which commercialized the Hand ALPS (anatomical locked plating system). Dr Tomaino was one of 3 Upper extremity surgeons on the design team

Dr Tomaino gives lecture at Southeastern Hand Club Meeting

April 16th, 2011

On April 16 in Wild Dunes, South Carolina, Dr Tomaino addressed members at the 34th Annual meeting of the Southeastern Hand Club. His lecture was entitled: "Revision of painful shoulder hemiarthroplasty to Reversed shoulder arthroplasty." Since December 2008, Dr Tomaino has performed over 130 shoulder arthroplasties. He presented his series of 13 revision procedures in 12 patients. Visit this link for more information:

Community health talk scheduled for September 15, 2010

August 9th, 2010

Dr Tomaino will be giving a lecture opened to the public on September 15th at 4PM entitled:"Shoulder pain. New Solutions for Common Problems". The location will be Mario's Restaurant, 2740 Monroe Avenue.
He will discuss the newest treatments for shoulder arthritis as well as rotator cuff tears.
Preregistration is required for attendance. Please call 877-585-0125.

Invited Faculty for Vumedi Webinar

July 14th, 2010

On Monday July 12 from 9-10pm EST, Dr Tomaino was one of five surgeons from around the country who were invited to participate as faculty in an Internet available webinar, sponsored by VuMedi. This webinar dealt with the treatment of scaphoid fractures. Dr Tomaino lectured on the treatment of scaphoid nonunion with volar wedge grafts.

Guest Lecturer to Japanese Surgeons

June 27th, 2010

On June 24th and 25th Dr Tomaino was the guest lecturer/instructor at the Depuy Institute in Rayham, Ma. Depuy Trauma, a Johnson and Johnson company, invited Dr Tomaino to address eight experienced Japanese surgeons who will be involved with introducing the devices and surgical techniques in their homeland, and in training other Japanese surgeons. Depuy is currently commercializing its fracture fixation portfolio for the Hand, Wrist and Elbow in Japan. Dr Tomaino was one of three designers of the Hand fixation (ALPS) system, and is recognized for his expertise and experience in treating the traumatized upper extremity.

Invited lecturer for the Arthritis Foundation

April 12th, 2010

On April 12, 2010 Dr Tomaino gave a lecture to an audience of some 80 attendees entitled "Shoulder Arthritis: Treatments that Work." He addressed the various etiologies of shoulder arthritis including osteoarthritis, rheumatoid disease, rotator cuff arthropathy, post-traumatic arthritis and osteonecrosis. He discussed the nonoperative and operative treatment options including replacement surgery (arthroplasty). For more information on upcoming lectures contact the Arthritis Foundation of Rochester. If you have a question, visit, register on the Forum section, and post your question as a "New Thread."

ASSH Specialty Day Lecture

March 14th, 2010

On March 13th, Dr Tomaino was invited to deliver a lecture entitled, "The painful basal joint after trapeziectomy" in New Orleans. The American Society for Surgery of the Hand held "Specialty Day" lectures on the final day of the Annual Meeting of the American Academy of Orthopaedic Surgeons. Thumb arthritis is a very common condition, and when initial surgery fails, it can be a challenging problem to correct. For more information on this problem see the "Thumb arthritis" articles on the Hand page of and visit the Hand Care Section of and view the video on basal joint arthritis. You may also post comments/questions by registering on the site as a member, and visiting the Forums section.

Dr Tomaino delivers Grand Rounds Lecture

December 16th, 2009

On December 16th Dr Tomaino was the invited speaker at Orthopaedic Grand Rounds at Albany Medical Center. His talk was entitled: "Repair of the Torn Rotator Cuff: When, Why, How, and When Not To? And Then What?

Dr Tomaino visits France

November 23rd, 2009

Dr Tomaino recently had the privilege of being hosted by 2 separate private clinics in France, and participating in a Workshop, in which innovative pyrocarbon products for the treatment of hand and thumb arthritis were featured.

Visits included Dr. Bellemere and his colleagues at the Clinique Jeanne d'Arc, in Nantes, on November 18th and Dr Saint Cast in Algers, at the Clinique St Leonard on November 19th.

His trip concluded in Lyon where he participated in discussions and cadaver dissections with physicians from Scandinavia, the UK, Switzerland, and France.

Invited Faculty at Shoulder Course

October 26th, 2009

On October 24th in Las Vegas, Dr Tomaino participated in the 2nd Annual Masters Shoulder Course, sponsored by the Depuy Institute. He lectured on the treatment of Subscapularis rotator cuff tears, and participated in several panel discussions with the other participants, Dr Larry Higgins from Boston, Dr Joe Iannotti from Cleveland, Dr David Glaser from Philadelphia,Dr Richard Ryu from Santa Barbara, and Dr Chris Chuinard from Traverse City.

Invited Participant in Masters Shoulder Arthroplasty Meeting, September 25-26, 2009

October 4th, 2009

Dr Tomaino participated in the Annual Masters Arthroplasty Meeting in Chicago, sponsored by Tornier. Academics from around the world exchanged experience and outcomes data regarding all of the different types of shoulder replacement, including resurfacing, anatomic total, and reversed arthroplasty. Dr Tomaino performs approximately 60 shoulder arthroplasty procedures annually for osteoarthritis, rheumatoid disease, avascular necrosis, fracture, rotator cuff arthropathy, and irreparable cuff tears without arthritis. For more inforation he can be contacted by email at

Invited Speaker in New York City, September 22, 2009

September 26th, 2009

Dr. Tomaino addressed the members of the New York Society for Surgery of the Hand on September 22nd at the Union Club in Manhattan at their Autumn meeting. His lecture was entitled "Innovation in the Upper Extremity and Why Hand Fellowships Should Include the Shoulder."

Invited Lecturer at ASSH Annual Meeting San Francisco Sept 3-5, 2009

September 7th, 2009

Dr Tomaino delivered 3 invited lectures at this years Annual Meeting of the American Society for Surgery of the Hand. He addressed the entire conference on September 3rd regarding ligament reconstruction at a Symposium dealing with arthritis at the base of the thumb. On September 2nd his lectures addressed revision options for failed surgery at the base of the thumb and the use of arthroscopy to treat ulnar wrist pain.

Invited Lecturer in Sao Paulo, Brazil

July 13th, 2009

Dr Tomaino presented 2 lectures at this year's Latin American Forum, held in Sao Paulo, Brazil on July 12th and 13th. His lectures addressed fractures of the distal radius, and wrist ligament injury. Physicians attended from throughout Latin America.

Invited Speaker at Mexican Orthopaedic Congress

June 6th, 2009

On June 4th Dr. Tomaino presented two lectures at AMECRA--one of the largest Orthopaedic annual meetings for Mexican orthopaedic surgeons. An invited guest at this year's Los Cabos location, he addressed the subject of partial tears of the rotator cuff in patients older than 65, and treatment of PASTA lesions, in particular.

Invited Faculty in Washington DC April 17, 2009

April 21st, 2009

On Friday April 17th, in Washington, DC Dr Tomaino lectured on a variety of topics related to elbow and thumb arthroplasty. He addressed the role of innovation with respect to the treatment of thumb basal joint arthritis, and specifically discussed the value proposition, in younger patients, of trapezium-sparing options including pyrocarbon implant resurfacing. For more information see the articles on thumb arthritis on the Hand section of this website.

Invited Speaker On Treatment of Hand Fractures

November 14th, 2008

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

October 28th, 2008

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

October 26th, 2008

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

October 25th, 2008

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

October 25th, 2008

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

September 13th, 2008

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

September 12th, 2008

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.

Unparalleled Upper Extremity Sports Medicine Program at Tomaino Orthopaedic Care

August 3rd, 2008

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 "Tomaino Care"---"University-expertise" with a "Customer is King" committment.

New Minimally Invasive Treatment for Chronic AC Joint Dislocation

August 3rd, 2008

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

August 3rd, 2008

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

July 15th, 2008

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

June 5th, 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

Invited Lecturer at FOS annual meeting

May 10th, 2008

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

Presidential Guest Lecturer at Southeastern Hand Club Annual Meeting

April 19th, 2008

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

April 5th, 2008

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

March 8th, 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

February 23rd, 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

December 31st, 2007

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

November 23rd, 2007

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

October 31st, 2007

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

September 30th, 2007

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

September 8th, 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

April 7th, 2007

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

April 7th, 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

April 7th, 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

April 7th, 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

April 7th, 2007

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

April 7th, 2007

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

April 7th, 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

April 7th, 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

April 7th, 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

September 13th, 2006

On September 9, 2006, at the annual meeting of the American Society for Surgery of the Hand, Dr Tomaino chaired a Symposium entitled “Advances in Shoulder Surgery”, and delivered a lecture entitled “Arthroscopic treatment of Massive Rotator Cuff Tears”.

For more details, download PDF file

Invited Lecturer Federation of European Societies for Surgery of the Hand, Glascow, Scotland June 2006

June 13th, 2006

Glascow, Scotland was the location of this year’s major European Hand and Upper Extremity meeting — the Federation for European Societies for Surgery of the Hand (FESSH). Dr. Tomaino was privileged to be one of four invited lecturers from the United States, and met many new colleagues from the United Kingdom, Dublin, Helsinki, Oslo, Athens, Turin, Barcelona, Madrid, and Germany. Reflecting on the opportunity to engage in dialogue with international colleagues, Dr. Tomaino acknowledged that speaking at conferences nationally and internationally results in tremendous professional development, and accelerates the implementation of the newest most innovative treatment alternatives.