Apurva S. Shah, MD, MBA

Apurva S. Shah, MD, MBA

Apurva S. Shah, MD, MBA, is an orthopaedic surgeon at Children's Hospital of Philadelphia specializing in pediatric hand and upper extremity surgery, and is Co-director of the Brachial Plexus Injury Program. He practices in Philadelphia, Pennsylvania and Voorhees, New Jersey.

Areas of Expertise: Brachial plexus birth palsy, Congenital hand and arm differences, Hand and upper limb trauma, Hand and upper limb sports injuries, Hand and upper limb tumors, Acute flaccid myelitis
Locations: Main Campus; Specialty Care, Virtua; Specialty Care & Surgery Center, Voorhees
Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467)

Background

Apurva Shah, MD, MBA, is an orthopaedic surgeon and a specialist in treating hand and upper extremity disorders. He is one of a small group of surgeons in the country who perform complex reconstructive surgery for infants and children with brachial plexus birth palsy, including nerve grafting, nerve transfers, shoulder tendon transfers, and humeral osteotomy.

His expertise includes treatment of congenital hand differences such as syndactyly, polydactyly, symbrachydactyly, cleft hand, thumb hypoplasia, radial longitudinal deficiency, macrodactyly, clinodactyly, camptodactyly, Madelung deformity, amniotic band syndrome, pseudoarthrosis of the clavicle, congenital radial head dislocation, and congenital radioulnar synostosis.

Dr. Shah is an attending physician with CHOP’s Hand and Arm Disorders Program and Brachial Plexus Program. These programs care for children with a diverse set of hand and upper limb conditions, including congenital hand and arm differences, brachial plexus birth palsy, fractures, sports injuries, tumors of the hand and arm, as well as cerebral palsy and other neuromuscular disorders. 

Dr. Shah also takes care of patients with acute flaccid myelitis and has performed nerve transfers for this rare condition.

Dr. Shah earned his bachelor's degree in Economics at Yale University, his medical degree at Columbia University College of Physicians and Surgeons, and his MBA at Columbia Business School. He completed a residency in orthopaedic surgery at the University of Michigan, Ann Arbor, and the Harvard Hand and Upper Extremity Fellowship at Brigham and Women's Hospital. Dr. Shah pursued advanced training in pediatric hand and upper extremity surgery and completed a second fellowship at Boston Children’s Hospital.

Dr. Shah has been recognized as a "Young Leader" by the American Society for Surgery of the Hand. He is a member of several multicenter research networks including the Treatment and Outcomes of Brachial Plexus Injuries (TOBI) study group. He has received several grants for hand and upper extremity research including funding from the Pediatric Orthopaedic Society of North America (POSNA), the Orthopaedic Trauma Association and the Orthopaedic Research and Education Foundation (OREF). He has published more than 40 peer-reviewed scientific articles, reviews and textbook chapters.

Dr. Shah travels internationally to provide hand surgery and care to children in underserved areas. He has collaborated with the Touching Hands Project (THP) to develop a sustainable hand surgery program in Honduras.

Education and Training

Medical School

MD - Columbia University, College of Physicians & Surgeons, New York, NY

Residency

Orthopaedic Surgery - Department of Orthopaedic Surgery, University of Michigan Hospitals, Ann Arbor, MI

Fellowship

Harvard Hand and Upper Extremity Fellowship – Harvard Medical School, Department of Orthopaedic Surgery, Brigham & Women’s Hospital, Boston, MA

Pediatric Hand and Upper Extremity Fellowship - Department of Orthopaedic Surgery, Boston Children’s Hospital, Boston, MA

Board Certification

Subspecialty Certificate in Surgery of the Hand
American Board of Orthopaedic Surgery (ABOS)

Graduate Degree

MBA - Columbia University, Graduate School of Business, New York, NY

Titles and Academic Titles

Attending Surgeon

Co-director, Brachial Plexus Injury Program

Assistant Professor, Orthopedic Surgery, Perelman School of Medicine at the University of Pennsylvania

Conditions Treated

Departments and Services

Research Interests

Distal radius (wrist) fractures in children

Brachial plexus birth palsy

Congenital hand differences

Health services, activity-based costing, and cost-effectiveness

Publications

Papers

2017

Flynn K, Shah AS, Brusalis CM, Leddy K, Flynn JM.  Flexion-type supracondylar humerus fractures: ulnar nerve injury increases risk of open reduction.  Journal of Bone and Joint Surgery 2017;99:1485-1487.  PMID: 28872531

Gholson JJ, Noiseux NO, Otero JE, Gao Y, Shah AS.  Patient factors systematically influence hospital length of stay in common orthopaedic procedures.  The Iowa Orthopaedic Journal 2017;37:233-237.  PMID: 28852363

Brusalis CM, Thibaudeau S, Carrigan RB, Lin IC, Chang B, Shah AS.  Clinical characteristics of pyogenic flexor tenosynovitis in pediatric patients.  Journal of Hand Surgery Am 2017;42:388.e1-388.e5.  PMID: 28341068

Holt JB, Glass NA, Bedard NA, Weinstein SL, Shah AS.  Emerging U.S. national trends in the treatment of pediatric supracondylar humerus fractures.  Journal of Bone and Joint Surgery 2017;99:681-687.  PMID: 28419036

Balakrishnan R, Pugely AJ, Shah AS.  Modeling resource use with time equations: empirical evidence.  Journal of Management Accounting Research 2017;29:1-12.

Brusalis CM, Shah AS, Luan X, Lutts MK, Sankar WN.  A dedicated orthopaedic trauma operating room improves efficiency at a pediatric center.  Journal of Bone and Joint Surgery 2017;99:42-47.  PMID: 28060232 

2016

Buckwalter JA, Shah AS.  Presentation and treatment of Poland anomaly.  Hand 2016;11:389-395.  PMID: 28149203

Buterbaugh KL, Shah AS.  The natural history and management of brachial plexus birth palsy.  Current Reviews in Musculoskeletal Medicine 2016;9:418-426.  PMID: 27680748

Ebinger T, Koehler DM, Dolan LA, McDonald K, Shah AS.  Obesity increases complexity of distal radius fracture in fall from standing height.  Journal of Orthopaedic Trauma 2016;30:450-455.  PMID: 27206255

Gholson JJ, Shah AS, Gao Y, Noiseux NO.  Morbid obesity and congestive heart failure increase operative time and room time in total hip arthroplasty.  Journal of Arthroplasty 2016;31:771-775.  PMID: 26654486

2015

Koehler DM, Gao Y, Guan JJ, Lawler EA, Adams BD, Shah AS.  Postsurgical complications following distal radius volar plating in a diabetic population at short term follow-up.  Hand 2015;10:670-677.  PMID: 26568721



Simcock X, Shah AS, Bae DS, Waters PM.  Safety and efficacy of derotational osteotomy for congenital radioulnar synostosis.  J Pediatr Orthop. 2015 Dec;35(8):838-43. doi: 10.1097/BPO.0000000000000370.

Shah AS, Waters PM, Bozic KJ.  Orthopaedic healthcare worldwide: standardized clinical assessment and management plans: an adjunct to clinical practice guidelines.  Clinical Orthopaedics and Related Research 2015;473:1868-1872.  PMID: 25421956.

Kaplan RS, Witkowski M, Abbott M, Barboza A, Higgins LD, Meara JG, Padden E, Shah AS, Waters P, Weidemeier M, Wertheimer S, Feeley TW. Using time-driven activity-based costing to identify value improvement opportunities in healthcare. Journal of Health Management 2014;59:399-412. PMID: 25647962 

Books

Chapters
2016

Brighton B, Bae DS, Shah AS.  Quality, safety and value.  In Orthopaedic Knowledge Update: Pediatrics, 5th Edition.  Martus J, ed.  American Academy of Orthopaedic Surgeons, Rosemont, IL.  2016.

Shah AS, Thibaudeau S.  Congenital transverse deficiency of the upper limb.  In Orthopaedic Knowledge Update: Pediatrics, 5th Edition.  Martus J, ed.  American Academy of Orthopaedic Surgeons, Rosemont, IL.  2016.

Shah AS, Jebson PJL.  Benign bone tumors.  In Hand Surgery Update VI.  Murray PM, Hammert WC, eds.  American Society for Surgery of the Hand, Chicago, IL.  2016.

Nicholson N, Shah AS.  Thumb reconstruction.  In Hand Surgery Update VI.  Murray PM, Hammert WC, eds.  American Society for Surgery of the Hand, Chicago, IL.  2016.

2015

Shah AS, Waters PM. Reconstruction for missed Monteggia lesion. In Operative Techniques in Orthopaedic Surgery, 2nd Edition. Wiesel S, ed. Lippincott Williams & Wilkins, Philadelphia, PA. 2015.

Cassel S, Shah AS. Metacarpal fractures. In The Pediatric Upper Extremity. Abzug JM, Kozin SH, Zlotolow DA, eds.  Springer, New York, NY.  2015. 

Shah AS, Waters PM. Monteggia fracture-dislocation in children. In Rockwood and Green’s Fractures in Children, 8th Edition. Flynn JM, Skaggs DL, Waters PM, eds. Lippincott Williams & Wilkins, Philadelphia, PA.  2015.

Awards and Honors

2017-2018, Best Doctors for Children, Pediatric Orthopaedics, South Jersey Magazine



2017, Clinical Award Paper Nominee: Flexion supracondylar humerus fractures: ulnar nerve deficit is a risk for open reduction, European Paediatric Orthopaedic Society (EPOS) and Pediatric Orthopaedic Society of North America (POSNA)

2017, Orthopaedic Trauma Association (OTA) Grant: Opioid utilization after rotational ankle fractures: a prospective interventional study utilizing mobile phones and software communication

2016, American Society for Surgery of the Hand (ASSH) Grant: Long-term follow-up following surgical reconstruction for pre-axial polydactyly

2016, Safe Keeping Achievement Award for Paper at Children’s Hospital of Philadelphia Annual Quality and Safety Day: A dedicated orthopaedic trauma operating room improves efficiency at a pediatric center, The Children’s Hospital of Philadelphia

2016, Peter Armstrong Award for the Best Quality, Safety, Value Paper: Determining the prevalence and costs of unnecessary referrals in adolescent idiopathic scoliosis, Pediatric Orthopaedic Society of North America (POSNA)

2015, Orthopaedic Research and Education Foundation (OREF) Grant: Time-driven activity based cost analysis of open vs. endoscopic carpal tunnel release



2015, Orthopaedic Research and Education Foundation (OREF) Grant: Randomized controlled study examining the long term effectiveness of trigger finger injections with triamcinolone vs. dexamethasone



2015, Best Poster at 2015 Mid-America Orthopaedic Association Annual Meeting: Patient factors systematically influence hospital length of stay in common orthopaedic procedures, Mid-America Orthopaedic Association



2014 POSNA Directed Research Grant, Pediatric Orthopaedic Society of North America (POSNA): Improving value delivery in pediatric distal radius fracture care



2014, Young Leaders Program, American Society for Surgery of the Hand



2014, Semifinalist for Roger A. Mann Award: Time and money: do Medicare RVUs match physician time requirements for orthopaedic procedures?, American Orthopaedic Foot and Ankle Society (AOFAS)



2014, Clinical Award Paper Nominee: Time and money: do Medicare RVUs match physician time requirements for orthopaedic procedures?, Pediatric Orthopaedic Society of North America (POSNA)



2009 – 2010, Administrative Chief Resident, Department of Orthopaedic Surgery, University of Michigan Hospitals

Editorial and Academic Positions

Editorial Positions

02/13 – present, Consultant Reviewer, Journal of Bone and Joint Surgery

04/13 – present, Consultant Reviewer, Journal of Pediatric Orthopaedics

Leadership and Memberships

Memberships in Professional Organizations

American Academy of Orthopaedic Surgeons (AAOS)

American Society for Surgery of the Hand (ASSH)

American Association for Hand Surgery (AAHS)

Pediatric Orthopaedic Society of North America (POSNA)

Pediatric Hand Study Group