Bristol Shoulder and Elbow Surgery.


This website is designed to provide information on Shoulder and Upper Limb disorders and their treatment for both patients and healthcare professionals.


Iain Packham is a Consultant Orthopaedic surgeon and specialist in the diagnosis and treatment of Shoulder and Upper Limb conditions.

He is a Consultant at
North Bristol NHS Trust and the Avon Orthopaedic Centre.

He is a member of the
Sport and Orthopaedic Clinic, Bristol and undertakes Private Practice at the Spire Hospital, Bristol. In addition he provides Shoulder and Upper Limb Consultancy for the Berkeley Centre.

He also provides an NHS shoulder surgery Choose and Book consultancy as part of
Bristol Shoulder Specialists at the Spire Hospital, Bristol.

He provides expert Medico-legal opinion regarding Shoulder and Upper Limb injuries and may be contacted in regard to this through the
Sport and Orthopaedic Clinic, Bristol.


Shoulder conditions that are routinely treated by Mr Packham include:

Shoulder pain
Rotator cuff tendon tears
Rotator cuff tendon impingement
Shoulder dislocations and instability
Acromio-Clavicular Joint (ACJ) arthritis
Acromio-Clavicular Joint (ACJ) injury, dislocations and instability
Frozen shoulder / Adhesive capsulitis / Intrinsic capsular stiffness
Fractures of the Clavicle (Collar bone) and Shoulder
Shoulder (Gleno-humeral joint) arthritis
Pec Major (Pectoralis major) tear or rupture


Shoulder operations routinely undertaken by Mr Packham include:

Shoulder Arthroscopy (Keyhole shoulder surgery)
Arthroscopic Subacromial Decompression (ASAD)
Arthroscopic rotator cuff repair
Arthroscopic shoulder stabilisation
Latarjet shoulder stabilisation
Arthroscopic SLAP repair
Arthroscopic Acromio-Clavicular Joint (ACJ) excision
Acute Acromio-Clavicular Joint stabilisation.
Chronic Acromio-Clavicular Joint (ACJ) reconstruction
Arthroscopic capsular release and manipulation under anaesthetic
Clavicle fracture fixation
Humeral fracture fixation
Shoulder replacement or arthroplasty
Pec Major / Pectoralis Major Repair


Elbow conditions that are routinely treated by Mr Packham include:

Tennis elbow (Lateral epicondylosis or epicondylitis)
Golfer’s elbow (Medial epicondylosis or epicondylitis)
Biceps tendon rupture.
Cubital tunnel syndrome
Elbow dislocation and instability
Elbow fractures


Elbow operations routinely undertaken by Mr Packham include:

Tennis elbow release
Golfer’s elbow release
Biceps tendon repair
Ulnar nerve release
Fracture fixation and Radial head replacement
Elbow arthroscopy (keyhole elbow surgery)

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