Ilya Voloshin, M.D.

Dr. Voloshin is Director of the Shoulder and Elbow Division of the Department of Orthopaedics. His P30 CCMBM Grant has allowed for multiple collaborations with investigators in the CMSR and Biomechanics and Multimodal Tissue Imaging Core which has led to several publications using a human cadaveric shoulder model.
His research primarily has focused on the surgical treatment of distal third clavicle fractures, and repair and reconstruction of superior labral tears in a setting of biceps pathology and rotator cuff disease. Three biomechanics projects are presently accepted for national presentations and for manuscript submission to peer-reviewed journals. Findings from these projects are highly translational to clinical practice, and have paved the way for clinical trials. Dr. Voloshin has access and opportunity to care for thousands of patients with shoulder disorders for study in the basic science lab and will help utilize clinical research resources in the Administration Core to complete multiple clinical research studies.
Dr. Voloshin has provided human bone, cartilage, tendon and soft tissues to the Histology, Biochemistry, and Molecular Imaging Core to be utilized by P30 URMBMCC members and utilizes CCMBM resources including the Pilots and Mentoring support in the Enrichment Program, and the Navigator Program in CTSA to pursue NIH and PCORI funding opportunities in the future.

The main focus of Dr. Voloshin's research in last five years can be divided in basic science biomechanical projects and clinical outcomes studies surrounding shoulder disorders. The basic science biomechanical projects were focused on two controversial areas: surgical treatment of distal third clavicle fractures and the biomechanical role of superior labrum in a setting of biceps tenotomy or tenodesis in patients with rotator cuff disease. Specifically research in distal third clavicle fractures focused on importance of coracoclavicular fixation in Type II distal third clavicle fractures. Treatment of these fractures often results in poor outcome due to the inherent significant displacement forces involved in this injury. Dr. Voloshin's research showed the importance of coracoclavicular fixation in these fractures.
Dr. Voloshin's biomechanics research on the role of superior labrum in the setting of biceps tenodesis or tenotomy in patients with rotator cuff disease demonstrated that the superior labrum plays an important role in superior stability of the glenohumeral joint and the importance of repair or reconstruction of the superior labrum in patients with deficient superior labrum undergoing biceps tenotomy or tenodesis. The findings of these biomechanical studies are translational to clinical practice and clinical trials are planned to show the clinical effectiveness of the findings.
His clinical research in the last five years has mainly focused on clinical outcomes studies utilizing NSQIP database. The American College of Surgeons National Surgical Quality Improvement Program Participant User File (NSQIP) comprises a clinical database with systematic patient tracking at hospitals that voluntarily participate. Rigid adherence to set protocols with interval auditing are necessary components to participation. The NSQIP database is emerging as an important tool in evaluating patient characteristics and other factors associated with surgical complications, increased length of stay, prolonged operative times, and other problems that greatly influence patient outcome and compound health care costs. Dr. Voloshin's research has highlighted multiple factors that drive healthcare costs in treatment of shoulder disorders.