Dr. Paul B. Roache M.D. specializes in arthroscopic shoulder surgery for rotator cuff injury. He is a leader in advancing tendon regeneration using the revolutionary Regeneten bioinductive implant to repair complicated cases of rotator cuff tears. His current research focusses on cutting edge surgical techniques, and is a leading expert in superior capsule repair to improve and enhance post surgical outcomes.
Dr. Paul Roache is board certified by the American Board of Orthopedic Surgeons (ABOS), and is a fellow in the American Academy of Orthopedic Surgeons (AAOS). He is an active member of the Arthroscopic Association of North America (AANA),The European Shoulder Association (ESA/ ESSKA), and the International Society of Arthroscopy, and Knee Surgery and Orthopedic Sports Medicine (ISAKOS). Paul B. Roache MD completed a Fellowship in Shoulder and Upper extremity Surgery in San Francisco and a subspecialty AO Fellowship in Rotator Cuff Surgery in Zurich, Switzerland. In addition, he is Associate Faculty in Shoulder Arthroscopy at the Orthopedic Learning Center of AAOS/AANA in Rosemont, Illinois.
Practice Focus
Dr. Roache is a specialist in arthroscopic surgery of the shoulder. His practice is focused on rotator cuff Injuries, shoulder dislocations, frozen shoulder, and sports medicine injuries of the shoulder. More specifically, he is focused on joint preservation, functional restoration and tissue regeneration.
In pursuit of excellence in surgical care for his patients, he has developed an opiate sparing pathway and an integrative approach to maximize his patient’s recovery. Dr. Roache’s philosophy is to apply a balance between both minimally invasive surgical treatments and nonsurgical treatments. His practice offers a multimodal approach toward your shoulder care, using both traditional and non- traditional modalities such as physical therapy, chiropractic, Chinese Medicine, acupuncture, and yoga to lower post-op pain.
Yoga & Injury Prevention
As a former NCAA nationally ranked pole-vaulter, Dr. Roache brings an athlete’s unique perspective to injury recovery. Outside of his surgical practice, Dr. Roache is a certified yoga teacher (RYT-200), actively involved in creating continued education curriculum and injury prevention programs for yoga teachers and trainers. He teaches Shoulder Safe Yoga workshops around the world, and is the co-creator of Essential Yoga Anatomy, used in various yoga teacher training programs. He is the founder and CEO of Shoulder Education dedicated to help patients better understand their injury and treatment options.
Specialty
Orthopedic SurgerySubspecialty
Hospital Privilege Information
- St. Francis Memorial Hospital, UCSF Health
900 Hyde Street, San Francisco, CA 94109
Active Staff (4/2009 to present) - Sonoma Valley Hospital, UCSF Health Affiliate
347 Andrieux Street, Sonoma CA 95476
Active Staff (5/2019 to present)
Certification
Board Certification
Orthopedic Surgery
Subspecialty Certification
Orthopedic Sports Medicine- California
- Colorado
Professional Memberships
- American Academy of Orthopedic Surgery, Fellow
- American Board of Orthopedic Surgery
- Arthroscopic Association of North America, Fellow
- California Orthopedic Association
- European Society of Spots Traumatology, Knee Surgery and Arthroscopy (ESSKA)-Active member
- European Shoulder Association -Active Member
- International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS) -Active Member
Faculty Appointments
- AANA/AAOS Orthopedic Learning Center, Faculty Lab Instructor
Education & Training
- AO Fellowship in Shoulder Reconstruction (11/99)
(non AGME)
University of Zurich, Balgrist
Forchstrasse 340,
CH-8008 Zurich, Switzerland
Professor Christian Gerber, MD
- San Francisco Shoulder & Upper Extremity Fellowship
California Pacific Medical Center (8/97 to 8/98)
2351 Clay St., Suite #510
San Francisco, CA 94115
Ph: (415)392-3225
CH-8008 Zurich, Switzerland
Tom R. Norris, MD & H. Relton McCarroll, Jr.
- Albert Einstein College of Medicine Orthopedic
Program at Bronx-Lebanon Hospital (7/93 to 7/97)
Bronx-Lebanon Medical Center
Office of Medical Education
1276 Fulton Ave.
Bronx, NY, 10456
Ph: (718) 901-8518
Orthopedic Surgery Resident
Harvey P. Insler, MD Director
Contact: Mrs. Gladys Quinones
Administrative Director,
Dept of Medical Education
- Boston Medical Center (7/91 to 7/92)
(Formerly Boston City Hospital)
720 Harrison Ave, Suite 805
Boston, MA 02118
Ph: (617) 638-8934
Orthopedic House Officer, In Junior Trauma Fellowship
George Whitelaw, MD Director
Administrative contact:
Mr. Todd Godfrey
- Santa Clara Valley Medical Center (7/89 to 7/90)
751 S. Bascom Ave.
San Jose, CA 95128
Ph: (408) 885-5000
Rotating Internship
Phillip Benaron, MD Director
Administrative contact:
Susan McKinney, House staff Office.
- University of Arizona (8/85 to 8/89)
College of Medicine
P.O.Box 245017
Tuscon, AZ 85724
Ph: (520) 626-6518
MD degree
Administrative Contact
Debbie Folkers, Registrar Office.
- Arizona State University
Non-degree studies in Physiological Psychology
1/84 to 5/85
- Loyola Marymont University Los Angeles, CA
1/81 to 8/82, BS Biology
- University of California, Berkeley Berkeley, CA
8/78 to 6/80
- St. Ignatius College Preparatory
San Francisco, CA
8/74 to 6/78
Fellowship
Residency
Internship
Medical School
Graduate
Undergraduate
High School
Papers & Books
Papers
- Roache P, Anterior Cable Tears in Arthroscopic Rotator Cuff
Repairs. Arthroscopy, Sports Medicine and Rehabilitation
2021:June -Vol3, No 3: ppe695-e705 - Roache P, Anterior Cable Tears of the Superior Capsule in
Reparable RCTs: Diagnosis of the pathoanatomy and
grading the injury at ARCR.
ICSES 2019 Argentina - Roache P, Anterior Cable Tears: Diagnosing an Essential
Lesion in Rotator Cuff Tears.
18th ESSKA Congress 2018 Glasgow, UK - Roache P, Anterior Cable Tears: Diagnosing an Essential
Lesion in Rotator Cuff Tears.
AANA 2018 Annual Meeting Chicago, IL - Gerber A, Roache PB, Gerber C. The Reversed Delta
Prosthesis: A Salvage Procedure to Treat Painful
Pseudoparalysis Due to Irreversible Loss of Rotator Cuff
Function. ICSES 2000 South Africa - Lipson S, Norris TR, Roache PB. Humeral Osteolysis:
A complication of shoulder arthroplasty and report of 2 cases.
1998. - Roache, Paul. The Shoulder Patients Handbook. 2010.
Books
Presentations
- Roache P The importance of the “Cable First” ARCR: Restoring the “Cables Anterior Foundation”(CAF) Vumedi 2017
- Roache P The importance of the “Cable First” ARCR: Restoring the “Cables Anterior Foundation”(CAF) Grand Rounds 2016 , Funabashi, Japan
- Norris TR, Roache PB. Revision Shoulder Arthroplasty. Presented 12/97. Tahoe Shoulder & Knee course.
Non-Professional
- Athletics Pole-vaulting 1975 to 1986, personal best: 5.05 meters (16’6”)
- Coaching St. Ignatius Track and Field, Pole-vaulters, 2000 to 2005.
- Travel: Europe, Greece, Egypt, Mexico, Caribbean, Fiji, New Zealand, Croatia, Japan and Australia.
- Hobbies: Yoga, Swimming, Skiing, Scuba, Salsa dancing and Hiking.
- Interests: Certified Yoga teacher. Anatomy instructor for Yoga Teacher training programs.
- Military: Air National Guard, Tuscon, AZ 2nd Lt. 10/86 to 5/90.