Orthopaedics

SHN’s Fracture Clinic is dedicated to quality treatment and care of fractures. We operate out of all three hospitals: General (primary), Birchmount and Centenary. Patients are referred to the Fracture Clinic either through our Emergency Department (ED) or by a Family Physician, and triaged by our navigator to the best site and orthopaedic provider.

We offer consultations, management of fractures and surgical follow-up care. Our care team consists of orthopaedic surgeons, nurses and orthopaedic technologists to provide expert, quality, patient-centred care.

SHN’s Shoulder Clinic provides early access to health care professionals who specialize in the upper extremity (arm, wrist, and hand). Patients with acute or chronic shoulder pain are assessed within three weeks of referral and provided direct treatment, planned follow-up, and when required surgical consultation.

The clinic is designed to help patients with non-fracture related shoulder pain avoid unnecessary visits to the emergency department, after hours clinics and long waits for diagnostic tests. Patients will be provided with information about their condition and an individualized care plan.

A physician referral is required for an assessment to be arranged.

SHN’s Orthopaedic Waitlist Clinic is an assessment clinic that provides quick access to orthopaedic surgeons specializing in hip and knee arthroplasty. The clinic focuses on initial consult, follow up, post-op as well as some treatment options such as injections.

The primary referral source is from any Ortho Rapid Access Clinic (ORAC), other surgeons, as well as General Practitioners.

Contact Us

Phone: 416-281-7499
Fax: 416-281-5092

SHN’s Scoliosis Clinic provides consultation, assessment, and management of scoliosis up to age 22, as well as Kyphosis, Pectus and other paediatric spine conditions for youth.

We’re located at Centenary Hospital, 12th Floor, Galaxy 12.

Contact Us

Telephone: 416-281-7476
Fax: 416-281-7313

One of the first steps in your patient journey is to be seen at SHN’s Orthopaedic Rapid Access Clinic, which helps to provide faster treatment for musculoskeletal conditions, particularly hips and knees. Patients will be assessed at the clinic by a health care provider within four weeks of referral, and will be set up for the appropriate follow-up care. This helps to reduce the time it takes to see a specialist, begin treatment, and if necessary have surgery. If surgery is required, the clinic will assist in selecting a surgeon and appointment time.

Hip and Knee Patient Questionnaire

SHN’s Low Back Pain Rapid Access Clinic is an innovative, shared-care model of treatment that helps patients to address their health condition earlier. Patients with low back pain are assessed faster (less than four weeks on average), and are provided with education and an individualized plan so they can better self-manage their condition.

The clinic is designed to decrease how frequently patients experience unmanageable chronic low back pain, and reduce the need for diagnostic imaging tests or unnecessary specialist referrals.Patients will first be assessed by a local health care provider in the community, close to where they live. Then they will be set up with appropriate follow-up care, including a surgical consultation if needed.

Referring Patients

To arrange an assessment, a referral from a family physician is required through the Central East LHIN Central Intake. Get more information.

Video Resource:

For ED providers, please enter “ortho clinic referral” through EPIC. An Ortho Navigator will triage and notify the patient about their appointment, including date and/or time.

Shoulder Clinic referrals: please refer to the ortho clinic and the navigator will triage appropriately. 

Hip and Knee and Low Back Rapid Access Clinics: ask patient to follow-up with their primary care physician to get referral to the rapid access clinics.

Elective referrals: directly to an orthopaedic provider.

Send urgent referrals through Ocean or fax the referral form to 416-431-8213. The Ortho Navigator will triage these referrals to the fracture clinic.

Elective referrals: Please review the Orthopaedic Scorecard, and direct your referrals to the specific orthopaedic surgeon. 

For referrals to the Hip and Knee and Low Back Rapid Access Clinics: please refer to the clinic details.

Please see below for more referral information.

Learn how the referral process works. From emergency treatment to general services, SHN’s Orthopaedics team is sharing referral pathways (evidence-based guidelines to help in the management and treatment of specific ortho conditions) for physicians and providers alike:

• Emergency referral pathway
• Urgent referral pathway
• Semi-urgent referral pathway
• Orthopaedics ScoreCard