Fellowship Program Information
Affiliation (Center Type): Dalhousie University (Teaching, Academic, University)
Fellowship Training Session or Other Educational Opportunity Length: 1 year
Can the Center customize educational opportunities for participants?: Yes
Fellows Accepted Per Year: 3
Faculty Participating in Fellowship Education: Dr. Ivan Wong, MD FRCS(C), Dip. Sports Medicine, MACM, FAANA, Professor At Dalhousie University, Master Academic Med. Hip, Shoulder, Knee, Sports Medicine
Dr. Catherine Coady, MD, FRCS (C), Dip. Sports Medicine, Associate Profesor at Dalhousie University, Knee, Shoulder, Sport Medicine
Dr. Nathan Urquhart, MD, MSc., FRCS (C) Dip Sports Medicine, Assistant Professor at Dalhousie University, Knee, Hip, Shoulder, Sport Medicine
Recent activity of Teaching Center: THE FACILITIES:
The Queen Elizabeth II (QEII) Hospital in Halifax is the largest teaching hospital and adult academic health sciences centre in Atlantic Canada. The QEII is affiliated with the Faculty of Medicine and Health Professions at Dalhousie University and is accredited by the Canadian Council on Health Services Accreditation. The QEII provides general hospital services for Halifax and the Central Health Region of Nova Scotia in close collaboration with community-based providers, health care education programs and other local hospitals. Patients come from all over Canada to receive treatment from some of Canada's best and well-known Doctors. Also, the IWK is very well recognized for its advanced paediatric care.
RECENT ACTIVITY:
Over the past couple of years, societies and associations such as APOS, COA and CORA have held conferences at the QEII; with the 2020 COA conference being held in Halifax, NS. In partnership with collaborators in Saint John, NB and Calgary, AB, Dr. Wong coordinated the first Smith & Nephew Advanced Shoulder International Program (SHIP Course) in November 2020. Over the past years, Dr. Wong has presented in over 20 webinars and hosted 10 virtual visiting surgeons, despite the restrictions of a global pandemic.
RESEARCH ACTIVITY:
Each of the supervising physicians has their distinct research projects and some are a collaboration of all of the physicians. Below are the publications for Dr. Wong from the past 2 years.
1. Alrashedan B, Remedios S, Wong I. Patients with associated spine or other major joint pain have equivalent outcomes to patients with isolated hip pain after hip arthroscopy. Journal of ISAKOS. 2025. 10.1016/j.jisako.2024.100368
2. The DRIVSAFE Team. The Dangers of Distracted Driving: A Substudy of Patient Perception Data From the DRIVSAFE Observational Study. J Orthop Trauma. 2024. 10.1097/BOT.0000000000002875
3. Karpyshyn J, Ma J, King J, Wong I. Bridging Reconstruction With Interpositional Dermal Allograft Has Superior Healing Than Does Maximal Repair for Treatment of Large to Massive, Irreparable Rotator Cuff Tears–Secondary Analysis of a Randomized Control Trial. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2024. 10.1016/j.artho.2024.06.041
4. Castillo de la Peña J, Chalmers P, Ma J, Wong I. Subscapularis Muscle Radiographic Integrity and Patient-Reported Outcomes Following Arthroscopic Anatomic Glenoid Reconstruction With Distal Tibial Allograft. Am J Sports Med. 2024. 10.1177/03635465241291843.
5. Mbogori M, Coady C, Wong I. Arthroscopic Anatomic Glenoid Reconstruction with Bankart Repair and Remplissage for Recurrent Anterior Shoulder Instability with Bipolar Bone Loss. Arthroscopy Techniques. 2024. 10.1016/j.eats.2024.103334.
6. Hewins B, Sparavalo S, Wong I. Rehabilitation from delayed bilateral complete quadriceps tendon repairs with knee extension assist braces: A case report. J Clin Orthop Trauma. 2024. 10.1016/j.jcot.2024.102789.
7. Calem D, Lubiatowski P, Trenhaile S, Gobbato B, Wong I, Alkhateeb J, Erickson J. Mixed reality applications in upper extremity surgery: the future is now. EFORT Open Reviews. 2024. 10.1530/EOR-24-0080.
8. Karpyshyn J, Murphy R, Sparavalo S, Ma J, Wong I. Clinical and radiographic outcomes of primary vs. revision arthroscopic anatomic glenoid reconstruction with distal tibial allograft for anterior shoulder instability with bone loss. JSES. 2024. 10.1016/j.jse.2024.04.005.
9. Halliwell C, Rutherford D, Moreside J, Wong I, Moyer R. Altered Hip Flexor and Extensor Activation During Progressive Inclined Walking in Individuals with Femoroacetabular Impingement Syndrome. Journal of Sport Rehabilitation. 2024. 10.1123/jsr.2024-008
10. Mbogori M, Ma J, Wong I. Surgical Management of Massive Irreparable Cuff Tears/Management of Rotator Cuff Disease: Interpositional Graft for Irreparable Posterosuperior Rotator Cuff Tears. Current Review in Musculoskeletal Medicine. 2024. 10.1007/s12178-024-09903-0
11. Valencia-Ramon E, Pasache-Lozano R, Trenholm J, Wong I. Acute bony Bankart and proximal humeral dislocation in an elderly patient treated with distal tibial allograft glenoid augmentation and reverse shoulder arthroplasty: a case report. Seminars in Arthroplasty: JSES, 2024. 10.1053/j.sart.2024.01.005
12. Karpyshyn J, Ma J, Wong I. Current Evidence and Techniques for Arthroscopic Bone Augmentation. Clin Sports Med. 2024. 10.1016/j.csm.2024.03.023
13. Alkhateeb J, Langley C, Wong I. Arthroscopic Augmentation of Subscapularis Revision Repair Using a Bioinductive Collagen Implant. Arthroscopy Techniques. 2024. 10.1016/j.eats.2024.102993
14. Castillo de la Pena J, Ma J, Wong I. Arthroscopic capsular shift from inferior to superior has an exceptional safety profile and short-term outcomes. Journal of ISAKOS. 2024. 10.1016/j.jisako.2024.02.005
15. Murphy R, Wong I. Arthroscopic Treatment of Cam-Type Impingement for Femoroacetabular Impingement Using Patient’s Own 1:1 Three-Dimensional Printed Hip Model Without the Use of Fluoroscopy. Arthroscopy Techniques. 2024. 10.1016/j.eats.2024.102917
16. Karpyshyn J, Sparavalo, Ma J, King J, Wong I. Primary Rotator Cuff Bridging Reconstruction Shows Better Clinical and Radiographic Results than Revision Bridging Reconstruction. ASMAR. 2024. 10.1016/j.asmr.2023.100869.
17. Moyer R, Rutherford D, Moreside J, Wong I. Arthrogenic muscle inhibition during progressive inclined walking in individuals with femoroacetabular impingement syndrome. HIP International. 2023. Accepted.
18. Sonke C, Wong I. Anterior Shoulder Stabilization Combining Arthroscopic Bankart and Inferior Capsular Shift Avoids Open Surgery in Athletes without Critical Glenoid Bone Loss. Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2024. 10.1016/j.arthro.2023.12.028.
19. Mirzayan R, Itoi E, Karpyshyn J, Wong I, Di Giacomo G. Controversies in surgical management of anterior shoulder instability. State of the Art. Journal of ISAKOS. 2023. 10.1016/j.jisako.2023.10.008
20. MERCH Investigators and the CHIPR. Defining hip cartilage repair: a modified delphi study to establish the Magnetic Resonance Evaluation of the Repair of Cartilage in the Hip (MERCH) score. 2023. Journal of Experimental Orthopaedics. 10.1186/s40634-023-00676-y.
21. Chan E, Remedios S, Wong I. My Approach to Failed Rotator Cuff Repair. Sports Medicine and Arthroscopy Review. 2023. 10.1097/JSA.0000000000000370.
22. Mirzayan R, Itoi E, Karpyshyn J, Wong I, Giacomo GD. Controversies in Surgical Management of Anterior Shoulder Instability. State of the Art. Journal of ISAKOS. 2023. Accepted.
23. Menendez ME, Wong I, Tokish JM, Denard PJ. Free Bone Block Procedures for Glenoid Reconstruction in Anterior Shoulder Instability. JAAOS. 2023. 10.5435/JAAOS-D-22-00837. Epub ahead of print. PMID: 37476855.
24. Pullen WM, Pierre K, Wong I, Aoki SK, Lynch TS, Mather RC, Ayeni OR, Byrd JW, Safran MR: MRI Does Not Improve Inter- or Intra-Rater Reliability For Hip Arthritis Grading Systems. American Journal Of Sports Medicine. 2023. 51(7):1826-1830. doi:10.1177/03635465231167866.
25. Pullen WM, Carreira DM, Wong I, Aoki SK, Lynch TS, Mather RC, Ayeni OR, Byrd JWT, Safran MR. The Reliability of the Tönnis Grading System in the Hip Preservation Population. The American Journal of Sports Medicine. 2023. 51(2):476-480. doi:10.1177/03635465221147055.
26. Campos-Méndez A, Coady CM, Wong I. Arthroscopic Anterior Shoulder Capsular Reconstruction using Human Acellular Dermal Graft in Conjunction with Anatomic Glenoid Reconstruction. Arthroscopy Techniques. 2023. 12(4):e537-e544. doi: 10.1016/j.eats.2022.12. 006. PMID: 37138678; PMCID: PMC10150135.
27. DEFINE Investigators. Defining Parameters for Surgical Correction and Hip Complications for Femoroacetabular Impingement Syndrome: Results of an International Modified Delphi Study. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2022. 10.1016/j.arthro.2022.11.023.
28. Rayes J, Wong I. Peroneal nerve palsy after hip arthroscopy with a perineal post: a case report of postless versus standard traction. Journal of Orthopaedic Reports. 2023. 2(1); 100117. https://doi.org/10.1016/j.jorep.2022.100117.
29. Joannette-Bourguignon M, Wong I. Arthroscopic Anatomic Glenoid Reconstruction in the Unstable Shoulder: Technique, Pearls, and Pitfalls. Video of Journal of Sports Medicine. 2023. 3(1). doi:10.1177/26350254221141906
30. Ferguson D, Wong I. Arthroscopic Anatomic Glenoid Reconstruction Hardware Removal. Arthroscopy Techniques. 2023. 12(2):e217-e221. doi: 10.1016/j.eats.2022.10.011. PMID: 36879865; PMCID: PMC9984730.
31. Lohnes J, Urquhart N, Wong I, Stanish W, Rutherford D. Do individuals with knee osteoarthritis walk with distinct knee biomechanics and muscle activation characteristics? An investigation of knee osteoarthritis, hip osteoarthritis, and asymptomatic groups. Gait & Posture. 2023. 99:14-19. doi: 10.1016/j.gaitpost.2022.10.011. Epub 2022 Oct 21. PMID: 36308852.
32. Tucker A, Ma J, Sparavalo S, Coady CM, Wong I. Arthroscopic anatomic glenoid reconstruction has a lower rate of recurrent instability compared to arthroscopic Bankart repair while otherwise maintaining a similar complication and safety profile. Journal of ISAKOS. 2022. S2059-7754(22)00066-9. doi: 10.1016/j.jisako.2022.05.003. Epub ahead of print. PMID: 35649503.
33. Rayes J, Xu J, Sparavalo S, Ma J, Jonah L, Wong I. Calculating Glenoid Bone Loss Based on Glenoid Height Using Ipsilateral 3- Dimensional Computed Tomography. Knee Surgery, Sports Traumatology, Arthroscopy. 2023. 31(1):169-176. doi: 10.1007/s00167-022-07020-4. Epub 2022. PMID: 35674771.
Recent Publications for Dr. Coady
1. Mbogori M, Coady C, Wong I. Arthroscopic Anatomic Glenoid Reconstruction with Bankart Repair and Remplissage for Recurrent Anterior Shoulder Instability with Bipolar Bone Loss. Arthroscopy Techniques. 2024. Article in press.
2. Campos-Méndez A, Coady CM, Wong I. Arthroscopic Anterior Shoulder Capsular Reconstruction using Human Acellular Dermal Graft in Conjunction with Anatomic Glenoid Reconstruction. Arthroscopy Techniques. 2023. 12(4):e537–e544.
3. Tucker A, Ma J, Sparavalo S, Coady CM, Wong I. Arthroscopic anatomic glenoid reconstruction has a lower rate of recurrent instability compared to arthroscopic Bankart repair while otherwise maintaining a similar complication and safety profile. Journal of ISAKOS. 2022. 7(5):113-117.
Recent publication for Dr. Urquhart
1. Lohnes J, Urquhart N, Wong I, Stanish W, Rutherford D. Do individuals with knee osteoarthritis walk with distinct knee biomechanics and muscle activation characteristics? An investigation of knee osteoarthritis, hip osteoarthritis, and asymptomatic groups. Gait & Posture. 2023. 99: 14-19.
2. Rutherford D, Baker M, Urquhart N, Stanish W. The effect of a frontal plane gait perturbation bout on knee biomechanics and muscle activation in older adults and individuals with knee osteoarthritis. Clin Biomech (Bristol). 2022. 92:105574.
3. Degen RM, Hiemstra LA, Lobo J, Woodmass JM, Sommerfeldt M, Khan M, Carsen M, Pauyo T, Chahal J, Urquhart N, Grant J, Rousseau-Saine A, Lebel ME, Sheehan B, Sandman E, Tucker A, Kopka M, Wong I. Orthop J Sports Med. 2022. 10(2): 23259671211066966.
Financial Support and Expenses
Types of Financial Support Available: A stipend is provided, Monthly Stipend of 5833.33
Other support that the Teaching Center can provide: MSI, vacation.
Estimate of Living Expenses (Housing and other major costs): $3000/month
Anticipated Fellowship Participation in Surgical Cases
Arthroscopy 45%
Knee Surgery 15%
Sports Medicine 20%
Clinic 10%
Research 10%
Area(s) of Specialty: Knee Arthroscopy Hip Arthroscopy Shoulder Arthroscopy
Role of the fellow with respect to Clinical, Surgical, Research, and other opportunities: Fellows will conduct patient consults and follow-ups in specialty and fracture clinics and confer with their supervising faculty on diagnosis/treatment plan. Fellows may have the opportunity to run a fellow clinic later in their fellowship (at the discretion of their supervising faculty). Fellows will act as first assist in all surgical cases with their supervising faculty. Fellows may have the opportunity to perform cases themselves (dependent on their ability/skill level). Fellows will actively participate in a minimum of one prospective research project during their fellowship.
Types of Educational Opportunities: Manage patients directly, Scrub in for surgery, Assist in clinics under supervision, Work on cadavers, Receive hands-on training, Assist with research, Pediatrics, Publishing opportunities, Other
Research projects, research facilities and resources, cadaver labs, publication opportunities, integration of the patient and public involvement, and the role of the fellow: This Fellowship is an experience with combined exposure to clinical sports medicine and arthroscopy, coupled with a research component. Fellows gain clinical experience in state-of-the-art minimal-invasive joint preservation and reconstruction techniques in the shoulder, hip, knee, and small joints and are also responsible for participating in active research projects. These projects will be tailored for each individual fellow based on skills and experience.
This fellowship has a large research component. Fellows are expected to complete, at least one project to be ready for publication at the end of their fellowship. With a high caseload and dynamic clinical environment, there are lots of resources and opportunities for research in several areas such as clinical outcome studies. All research is supported by a research team composed of a full-time research coordinator, research assistants, and a large accompanying patient database.
Currently, we have fellows doing research in the following areas:
1. Clinical outcomes in hip, shoulder, knee and ankle arthroscopic reconstruction
2. Educational research; research that progress the teaching done here at the QEII and elsewhere. Focused on skills translation from model to the operating room.
3. Basic science research with focus on cartilage regeneration and healing
Related Conference/Lecture Schedule: It is expected that the Fellow will participate in a variety of academic teaching sessions, including basic science lectures, weekly Department of Surgery and Division of Orthopaedics Grand Rounds, Orthopaedic Journal Clubs, Sports Medicine Journal Clubs, as well as bi-weekly fellowship webinar series, monthly visiting professors and resident teaching sessions. Fellows also participate in 2-3 institutional cadaver and skills labs and may have an opportunity to participate in numerous industry-sponsored labs as well. Fellows are expected to present at Resident Rounds during the year on an assigned topic and may also have the opportunity to complete a lecture at Orthopaedic Surgery Grand Rounds. Fellows will participate in educational competitions such as the World Series for Arthroscopic Skills Competition, monthly research meetings, and formalized peer teaching of residents and medical students.
Additionally, all fellows are expected to present a research project at the “Annual Dalhousie Sports Medicine Research Night” held annually in May or June (ie: a local level presentation). All fellows will also have an opportunity to present any research projects at an official sports medicine or orthopaedic conference (at either a national or international level).
Athletic Team Coverage: Athletic Team Coverage: Several varsity university team coverage including coverage of the Dalhousie Men's Football team.