Shoulder & Elbow

Driving a car, pitching a baseball or training a horse, the shoulder moves through a greater range of motion than any other joint in the body.

Amazing flexibility makes our shoulders so versatile and yet so unstable. The elbow is a complex joint that coordinates the movement of the three large bones of the upper extremities. When these vulnerable joints are injured, our lifestyle suffers. From the repair of rotator cuff injuries to total shoulder replacement surgery to elbow reconstruction, the KOC shoulder and elbow specialists offer thorough knowledge and experience to restore your shoulder and elbow function.

A trusted team.

Of the major joints in the human body, the shoulder may be the most at risk for injury. Approximately six million people a year in the United States visit a physician due to some type of shoulder problem. The treatment and restoration of upper extremity function requires a thorough knowledge of the complexities of the shoulder joint.

Dr. Brian Holloway and Dr. Edwin Spencer are all fellowship-trained shoulder specialists with an advanced level of diagnostic and surgical expertise. They have particular expertise with the arthroscopic repair of rotator cuff injuries and with total shoulder replacement surgery. Both surgeons continue to be involved in extensive clinical and biomechanical research of the shoulder.


Highly trained.

The Shoulder & Elbow Center

The KOC shoulder and elbow specialists are proud to introduce the creation of the Shoulder & Elbow Center. Read More...

Shoulder & Elbow Surgical Education

Learn more about common surgical procedures.

Recommended Medical Consumer Information for Shoulder Patients

American Academy of Orthopaedic Surgeons

News & Recognition

Spencer Named One of 28 Top US Shoulder Surgeons

Dr. Edwin Spencer was named to the 28 Top US Shoulder Surgeons by Orthopedics This Week in 2012: Read more

Holloway and Spencer Inducted into ASES

Dr. Holloway and Dr. Spencer have been inducted into the American Shoulder & Elbow Surgeons Society. The American Shoulder & Elbow Surgeons (ASES) is a society made up of leading national and international orthopaedic surgeons who specialize in surgery of the shoulder and elbow. Membership is by invitation only. The Society is an educational body responsible for the development of scientific programs, organization of current knowledge, standardization of nomenclature and publication of scientific materials. This prestigious group has only a handful of members in the state of Tennessee.

Spencer Wins Award

Dr. Spencer was awarded the Mid-America Traveling Fellowship. This is a $5,000 award that is granted to a physician for research at another facility in order to expand their expertise and knowledge by association with other specialists in their field.

Spencer and Maguire Inducted Into AOA

Edwin Spencer, MD, and James Kimbro Maguire, MD, have been inducted into the prestigious America Orthopaedic Association (AOA). Drs. Spencer and Maguire join KOC physician Dr. Robert Madigan as AOA members. Founded in 1887, AOA is the oldest and most distinguished orthopaedic association in the world and is considered the honor society for orthopaedic surgeons. AOA’s mission is “To identify, develop, engage and recognize leadership to further the art and science of orthopaedics.” Membership in AOA is extended to those who have made a significant contribution to education, research, and the practice of orthopaedic surgery.


Spencer and Holloway Win Neer Award Twice

KOC surgeons Edwin Spencer, MD, and Brian Holloway, MD, have twice been the recipients of one of the nation’s most prestigious orthopaedic research awards. The Charles S. Neer Award is given annually for the best shoulder research performed that year.

The KOC physicians’ research is being conducted in conjunction with the MOON Group. Based at Vanderbilt University, the MOON Group includes physicians from many other medical centers such as Ohio State University, University of Iowa, University of California-San Diego, Washington University, and the University of Colorado.

The award honors Charles S. Neer II, MD, who in 1985 created a fund to recognize outstanding clinical investigation that contributes to the understanding, care and prevention of injuries to the shoulder and elbow. This prestigious award has been presented annually since the first open meeting of the American Shoulder & Elbow Surgeons. In 1987, the award was expanded to recognize both clinical and research categories.

Papers are selected by the Program Committee from the numerous abstracts submitted each year.  The Neer Award Research Committee reviews and grades manuscripts to determine the final winners. 

Published Articles

  • Dunn WR, Kuhn JE, Baumgarten K, Bishop JY, Brophy RH, Carey JL, Holloway GB, Jones GL, Ma CB, Marx RG, McCarty EC, Poddar SK, Smith MV, Spencer EE, Vidal A, Wolf BR, Wright RW.  Defining Indications for Rotator Cuff Repair: Predictors of Failure of Nonoperative Treatment of Chronic, Symptomatic, Full-Thickness Rotator Cuff Tears. J Shoulder Elbow Surgery.  April 2013: 22(4).
  • Harris JD, Pedroza A, Jones GL, Baumgarten KM, Bishop JY, Brophy RH, Carey JL, Dunn WR, Holloway GB, Kuhn JE, Ma CB, Marx RG, McCarty EC, Poddar SK, Smith MV, Spencer EE, Vidal AF, Wolf BR, Wright RW.  Predictors of Pain and Function in Patients with Symptomatic, Atraumatic Full-Thickness Rotator Cuff Tears: A Time-Zero Analysis of a Prospective Patient Cohort Enrolled in a Structured Physical Therapy Program.  Am J Sports Medicine.  February 2012: 40: 359-366.
  • Baumgarten KM, Carey JL, Abboud JA, Jones GL, Kuhn KE, Wolf BR, Brophy RH, Cox CL, Wright RW, Vidal AF, Ma CB, McCarty EC, Holloway GBSpencer EE, Dunn WR.  Reliability of Determining and Measuring Acromial Enthesophytes. J Hospital for Special Surgery. 2011: 7: 218-222.
  • Kuhn JE, Dunn WR, Sanders R, Qi A, Baumgarten KM, Bishop JY, Brophy RH, Carey JL, Holloway GB, Jones GL, Ma CB, Marx RG, McCarty EC, Poddar SK, Smith MV, Spencer EE, Vidal A, Wolf BR, Wright RW. Effectiveness of Physical Therapy in Treating Atraumatic Full-Thickness Rotator Cuff Tears: A Multicenter Prospective Cohort Study. J Shoulder Elbow Surgery. In Print. 
  • Edwin E. Spencer Jr. , Anita Tisdale, Kevin Kostka and Robert E. Ivy. Is Therapy Necessary After Distal Biceps Tendon Repair? Published online. 11 September 2008.
  • Spencer EE, Dunn WR, Wright RW, Jones G, Wolf B, Ma CB, McCarty E, Safran M, Holloway GB, Spindler KP, Kuhn JE.  Interobserver agreement in the classification of rotator cuff tears using magnetic resonance imagingAm J Sports Medicine. Jan 2008: 36(1): 99-103.
  • Kuhn JE, Dunn WR, Ma B, Wright RW, Jones G, Spencer EE, Wolf B, Safran M, Spindler KP, McCarty E, Kelly B, Holloway GB.  Interobserver agreement in the classification of rotator cuff tears.  Am J Sports Medicine. March 2007: 35(3): 437-441.
  • Spencer EE, Valdevit A, Kambic H, Brems JJ, Iannotti JP. The effect of humeral component anteversion on shoulder stability with glenoid component retroversion. J Bone Joint Surg Am. 2005 April; 87A (4): 808-814.
  • Churchill RS, Spencer EE, Fehrenger EV. Quantification of B2 glenoid morphology in total shoulder arthroplasty. J Shoulder Elbow Surg. 2015 Mar.
  • Spencer EE. Treatment of grade III acromioclavicular joint injuries: A systematic review. Clin Orthop Relat Res. 2007:455:38-44.
  • Spencer EE.  Update on radiology studies of the elbow.  Current Opinion in Orthopaedics 2007; 18(4): 399-402.
  • Jebsen P, Spencer EE.  Flexor tendon sheath ganglions: Results of surgical excision. Hand. 2007: Vol 2; Num 3; 94-100.
  • Spencer EE. Double row double lamina arthroscopic rotator cuff repair. Techniques in Shoulder & Elbow Surgery. 2007: 8(3); 135-140.
  • Spencer EE. Partial-thickness articular surface rotator cuff tears: An all-inside repair technique. Techniques in Shoulder & Elbow Surgery. 2007: 8(4); 180-184.
  • Holloway GB, Schneck T. Williams GR, Ramsey ML, Iannotti JP.  Arthroscopic Capsular Release of the Treatment of Refractory Postoperative or Postoperative Shoulder Stiffness. Journal of Bone and Joint Surgery. Nov 2001: 83A: 1682-1687.  


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The Knoxville Orthopaedic Clinic is a unique practice of specialty orthopaedics. This means that our physicians have each received advanced training in a very specific part of the body or area of orthopaedics and continue to accumulate years of intensive study within this specialty. By practicing exclusively within their respective specialty, our physicians are able to offer their patients a superior quality of diagnostic proficiency and, if needed, an unmatched level of surgical expertise.

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