Clinical Report: Advanced Shoulder Surgery Referral Guide

Overview

The guide describes referral to Matthew Motisi, D.O., for persistent shoulder pain or loss of function, advanced arthritis or rotator cuff tear arthropathy, failed prior surgery or replacement, and complex conditions requiring reconstruction or revision. His practice includes advanced arthroscopy, joint replacement, fracture care, and total shoulder arthroplasty, with CT-based planning, 3D analysis, bone-preserving techniques, and structured rehabilitation.

Background

Shoulder conditions addressed in the guide include arthritis, rotator cuff tear arthropathy, fractures, and complex or previously treated disorders. The AAOS rotator cuff guideline states that MRI, MRA, CT, and ultrasound can supplement examination and radiographs to identify tears. It also reports that symptoms may improve with physical therapy in symptomatic full-thickness tears, while tear size, atrophy, and fatty infiltration may progress over 5–10 years with nonoperative care. For glenohumeral osteoarthritis, the AAOS guideline describes anatomic and reverse total shoulder arthroplasty as safe and effective options, while noting the need for further comparative trials to refine selection.

Data Highlights

Key Findings

• The referral guide identifies persistent shoulder pain or loss of function as reasons to consider specialist evaluation.
• Other stated referral considerations include advanced arthritis or rotator cuff tear arthropathy, failed prior shoulder surgery or replacement, and complex conditions requiring reconstruction or revision.
• Matthew Motisi, D.O., is described as a fellowship-trained orthopedic surgeon specializing in sports medicine, complex shoulder surgery, and joint reconstruction.
• The practice describes advanced CT imaging and 3D analysis for individualized surgical planning, along with selected techniques intended to preserve healthy bone and more closely match natural anatomy.
• The AAOS rotator cuff guideline identifies MRI, MRA, CT, and ultrasound as useful adjuncts to examination and radiographs for identifying rotator cuff tears.
• The AAOS glenohumeral osteoarthritis guideline describes both anatomic and reverse total shoulder arthroplasty as safe and effective options, while noting that comparative trials are needed to refine selection.

Clinical Implications

The guide lists persistent pain or functional loss, advanced arthritis or cuff tear arthropathy, failed prior procedures, and complex reconstruction or revision needs as reasons to consider referral. It provides referral and evaluation access through Baptist Health Orthopedics locations in Boca Raton, Boynton Beach, and Deerfield Beach; the listed phone number is 561-955-6784.

Conclusion

The source presents a specialist referral pathway for complex shoulder conditions and describes individualized planning, bone-preserving options, and structured rehabilitation as components of the practice’s approach.

Related Resources & Content

1. Baptist Health South Florida, Physician Resources, Year not stated -- Advanced Shoulder Replacement for Orthopedic Referrals: Natural-motion design. Bone-preserving technique. Advanced care for patients limited by shoulder pain.
2. American Academy of Orthopaedic Surgeons, Clinical Practice Guideline, 2025 -- Management of Rotator Cuff Injuries.
3. American Academy of Orthopaedic Surgeons, Clinical Practice Guideline, 2020 -- Management of Glenohumeral Joint Osteoarthritis.
4. Archives of Orthopaedic and Trauma Surgery — Ream less, move more: glenoid bone preservation in reverse total shoulder arthroplasty with augmented baseplate
5. barnes-jewish — Advances in Shoulder Replacement Surgery: Customization, Durability, and Better Outcomes
6. Archives of Orthopaedic and Trauma Surgery — Mix and match in reverse total shoulder arthroplasty: overview of current prostheses systems and potential combinations
7. AAOS Management of Rotator Cuff Injuries Clinical Practice Guideline
8. AAOS Management of Glenohumeral Joint Osteoarthritis Clinical Practice Guideline
9. Consensus statement on the treatment of proximal humerus fractures: a Delphi approach by the Neer Circle of the American Shoulder and Elbow Surgeons.