Robert Brophy

Robert Brophy, MD

Associate Professor

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(314) 514-3500

Dr. Brophy specializes in sports medicine and shoulder and knee injuries, with an emphasis on arthroscopic surgery. Shoulder instability and dislocations, labral tears, SLAP tears, rotator cuff tears, AC joint injuries and clavicle fractures. Shoulder stabilization and labral repair, rotator cuff repair. Knee ligament injuries including ACL, PCL tears and knee dislocations/multi-ligament knee injuries. Knee ligament reconstruction including ACL reconstruction, revision ACL reconstruction and PCL reconstruction.  Meniscus tears and treatment, including meniscectomy, meniscal repairs, and meniscal allograft transplants. Knee cartilage injury and surgery, including microfracture, OATS, osteochondral allografts and ORIF OCD. Knee realignment including high tibial osteotomy (HTO). Treatment of patellofemoral instability, including MPFL reconstruction and tibial tubercle osteotomy.

Common Diagnoses Treated

  • AC joint separation
  • ACL tear
  • Adhesive capsulitis/frozen shoulder
  • Articular cartilage injury
  • Chondral defect
  • Clavicle fracture
  • Knee dislocation
  • Meniscus tear
  • Multi-ligament knee injury
  • OCD
  • Patella dislocation
  • PCL tear
  • Rotator cuff tear, shoulder instability
  • Shoulder dislocation
  • Shoulder labral tear
  • SLAP tear

Common Procedures

  • AC joint reconstruction
  • ACL reconstruction
  • HTO
  • Meniscal repair
  • Meniscal transplantation
  • Microfracture
  • MPFL reconstruction
  • OATS/mosaicplasty
  • Osteochondral allograft
  • Partial meniscectomy
  • Patella stabilization
  • PCL reconstruction
  • Rotator cuff repair
  • Shoulder and knee arthroscopy
  • Shoulder labral repair
  • Shoulder stabilization
  • SLAP repair
  • Tibial tubercle osteotomy

Clinical Office Locations

  • Center for Advanced Medicine (CAM)

    Barnes Jewish Hospital

    4921 Parkview Place

    St Louis, MO 63110

  • Washington University Orthopedics / Chesterfield

    14532 S. Outer Forty Drive

    Chesterfield, MO 63017

Hospital Affiliations

  • Washington University Orthopedics & Barnes-Jewish Hospital Outpatient Orthopedic Center
  • Barnes-Jewish Hospital
  • Barnes-Jewish West County Hospital

Academic Office Mailing Address

  • Washington University School of Medicine

    Campus Box 8233

    660 Euclid Avenue

    Saint Louis, MO 63110

Rotator cuff tears

ACL Tears and Reconstruction

  • Brophy RH, Staples JR, Motley J, Blalock R, Steger-May K, Halstead M. Young females exhibit decreased coronal plane postural stability compared to young males. HSS Journal. 2016;12:26-31.
  • Brophy RH, Wright RW, Huston LJ, Nwosu SK, MOON Group, Spindler KP. Factors associated with infection following anterior cruciate ligament reconstruction. J Bone Joint Surg Am 2015;97:450-4.
  • Skelley NW, Castile RM, York TE, Gruev V, Lake SP, Brophy RH. Differences in the microstructural properties of the anteromedial and posterolateral bundles of the anterior cruciate ligament. Am J Sports Med 2015;43:928-936.
  • Matava MJ, Howard DR, Polakof L, Brophy RH. Public perception regarding anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2014;96:e85.
  • Brophy RH, Schmitz L, Wright RW, Dunn WR, Parker RD, Andrish JT, McCary EC, Spindler KP. Return to play and future ACL injury risk following ACL reconstruction in soccer athletes from the MOON Group. Am J Sports Med. 2012;40:2517-22.
  • Brophy RH, Wright RW, David TX, McCormack RG, Sekiya JK, Svoboda SJ, Huston LJ, Haas AK, Steger-May K, MARS Group. Association between previous meniscal surgery and the incidence of chondral lesions at revision ACL reconstruction. Am J Sports Med 2012;40:808-14.
  • Mall NA, Matava MJ, Wright RW, Brophy RH. Relation between anterior cruciate ligament graft obliquity and knee laxity in elite athletes at the National Football League Combine. Arthroscopy. 2012 Aug;28(8):1104-13.
  • Brophy RH, Silvers HJ, Mandelbaum BR. Anterior cruciate ligament injuries: etiology and prevention. Sports Med Arthrosc. 2010;18:2-11.
  • Brophy RH, Zeltser D, Wright RW, Flanigan DC. Anterior cruciate ligament reconstruction and concomitant articular cartilage injury: a systematic review of incidence and treatment. Arthroscopy 2010; 26:112-120.
  • Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren RF.Effect of ACL reconstruction and meniscectomy on length of career in National Football League athletes: a case control study. Am J Sports Med 2009;37:2102-7.

Articular Cartilage

Meniscus/Mensical Tears

  • Brophy RH, Geffen AM, Matava MJ, Wright RW, Smith MV. Understanding of meniscus injury and expectations of meniscus surgery in orthopaedic patients. Arthroscopy 2015;31:2295-3000.
  • Brophy RH, Haas AK, Huston LJ, Nwosu SK, MARS Group, Wright RW. The association of meniscal status, lower extremity alignment, and body mass index with chondrosis at the time of revision ACL reconstruction. Am J Sports Med 2015; 43:1616-22.
  • Brophy RH, Gray BL, Nunley RM, Barrack RL, Clohisy JC. Total knee arthroplasty after previous knee surgery: Expected interval and the effect on patient age. J Bone Joint Surg Am. 2014;96:801-5.
  • Rai MF, Patra D, Sandell LJ, Brophy RH. Relationship of gene expression in the injured human meniscus to body mass index: A biologic connection between obesity and osteoarthritis. Arthritis Rheumatol 2014;66:2152-64.
  • Rai MF, Patra D, Sandell LJ, Brophy RH. Transcriptome analysis of injured human meniscus reveals a distinct phenotype of meniscus degeneration with aging. Arthritis Rheum. 2013;65:2090-101.
  • Rai MF, Sandell LJ, Cheverud JM, Brophy RH. Relationship of age and body mass index to the expression of obesity and osteoarthritis-related genes in human meniscus. Int J Obes. 2013;37:1238-46.
  • Katz JN, Brophy RH, Chaisson CE, de Chaves L, Cole BJ, Dahm DL, Donnell-Fink LA, Guermazi A, Haas AK, Jones MH, Levy BA, Mandl LA, Martin SD, Marx RG, Miniaci A, Matava MJ, Palmisano J, Reinke EK, Richardson BE, Rome BN, Safran-Norton CE, Skoniecki DJ, Solomon DH, Smith MV, Spindler KP, Stuart MJ, Wright J, Wright RW, Losina E. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med. 2013;368:1675-84.
  • Brophy RH, Wright RW, David TS, McCormack RG, Sekiya JK, Svoboda SJ, Huston LJ, Haas AK, Steger-May K, MARS Group. Association between previous meniscal surgery and the incidence of chondral lesions at revision ACL reconstruction. Am J Sports Med 2012;40:808-14.
  • Brophy RH, Martinez M, Borelli J Jr, Silva MJ. Effect of combined traumatic impact and radial transection of medial meniscus on knee cartilage in a rabbit in vivo model. Arthroscopy. 2012;28:1490-6.
  • Brophy RH, Matava MJ. Update on surgical options for meniscal replacement. J Am Acad Orthop Surg 2012;20:265-72.
  • Brophy RH, Rai MF, Zhang Z, Torgomyan A, Sandell LJ. Molecular analysis of age- and sex-related gene expression in meniscus tears with and without concomitant anterior cruciate ligament tear. J Bone Joint Surg Am 2012;94:385-93.
  • Harris JD, Cavo M, Brophy RH, Siston RA, Flanigan DC. Biologic knee reconstruction - A systematic review of combined meniscal allograft transplantation and cartilage repair or restoration. Arthroscopy 2011;27:409-18.
  • Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: A systematic review comparing re-operation rates and clinical outcomes. Arthroscopy 2011;27:1275-88.
  • Brophy RH, Cottrell J, Rodeo SA, Wright TM, Warren RF, Maher S. Implantation of a synthetic meniscal scaffold improves joint contact mechanics in a partial meniscectomy cadaver model. J Biomed Mater Res A 2010;92:1154-61.
  • Brophy RH, Gill CS, Lyman S, Barnes RP, Rodeo SA, Warren RF. Effect of ACL reconstruction and meniscectomy on length of career in National Football League athletes: a case control study. Am J Sports Med 2009;37:2102-7.
  • Kelly BT, Brophy RH, Rodeo SA. Meniscal allograft transplantation:surgical technique. Tech Knee Surg 2004; 3:8-18.

Football

Soccer

General Orthopaedics

  • Brophy RH, Lin K, Smith MV. The role of activity level in orthopedics: an important prognostic and outcome variable. J Am Acad Orthop Surg. 2014;22:430-436.
  • Brophy RH, Smith MV, Lattermann C, Jones MH, Reinke EK, Flanigan DC, Wright RW, Wolf BR. Multi-investigator collaboration in orthopedic surgery research compared to other medical fields. J Orthop Res. 2012; 30:1523-8.

Clinical Interests

Sports medicine and shoulder and knee injuries, with an emphasis on arthroscopic surgery. Shoulder instability and dislocations, labral tears, SLAP tears, rotator cuff tears, AC joint injuries and clavicle fractures. Shoulder stabilization and labral repair, rotator cuff repair. Knee ligament injuries including ACL, PCL tears and knee dislocations/multi-ligament knee injuries. Knee ligament reconstruction including ACL reconstruction, revision ACL reconstruction and PCL reconstruction. Meniscus tears and treatment, including meniscectomy, meniscal repairs, and meniscal transplantation. Knee cartilage injury and surgery, including microfracture, OATS, osteochondral allografts and ORIF OCD. Knee realignment including high tibial osteotomy (HTO). Treatment of patellofemoral instability, including MPFL reconstruction and tibial tubercle osteotomy.

Background

As a former collegiate and professional athlete, Dr. Brophy understands what it takes to come back from injury. An Associate Professor of Orthopaedic Surgery at the Washington University School of Medicine, he is committed to patient care and research. His clinical practice focuses on the treatment of shoulder and knee injuries and surgeries in patients from all sports and walks of life.

Dr. Brophy was named to the Board of Directors of the American Academy of Orthopaedic Surgeons in 2016. He is committed to research as a means of improving patient care and outcomes, having authored or co-authored over 165 peer reviewed articles to date, and has received a number of research related distinctions. He is a member of the Musculoskeletal Committee for the National Football League (NFL) Injury and Safety Panel and a team physician for the St. Louis Surge women’s basketball team and the Francis Howell high school football team, having also worked with the former St. Louis Rams (NFL), the St. Louis Blues (NHL), the St. Louis Athletica (WPS), and the University of Missouri-St. Louis (UMSL).

Dr. Brophy completed undergraduate degrees in Economics and Electrical Engineering at Stanford University, where he played on the men’s soccer team, earning All Conference Honors during his senior season. While completing a master’s degree in Industrial Engineering at Stanford University, he played for two national championship teams in the United Soccer League (1992 and 1996). He subsequently enrolled in medical school at the Washington University School of Medicine in St. Louis as a recipient of a Washington University School of Medicine Distinguished Alumni Scholarship. He received numerous academic awards during medical school, including Alpha Omega Alpha national medical honor society recognition, before entering orthopedic surgery residency at the Hospital for Special Surgery in New York, NY. He stayed at the Hospital for Special Surgery for a fellowship in sports medicine and shoulder surgery, learning about team coverage as an assistant with the New York Giants (NFL) and New York Red Bulls (MLS).

Upon graduation, he returned to the Washington University School of Medicine to join the division of sports medicine in the Department of Orthopaedic Surgery with a clinical focus on shoulder and knee injuries. In the shoulder, he has a particular interest in the treatment of shoulder instability, labral tears and rotator cuff tears. In the knee, he specializes in meniscus, articular cartilage and ligament injuries, including the ACL and PCL.

Dr. Brophy has been named to the St. Louis Best Doctors since 2009 and has been selected for a number of traveling fellowships throughout his career. In 2008, he was a traveling fellow with the International Cartilage Research Society, learning from renowned articular cartilage surgeons in various centers throughout Europe. The next year, he was an American Academy of Orthopedic Surgeons (AAOS)/American Orthopaedic Association (AOA) North American Traveling Fellow, touring leading academic orthopedic surgery centers in the United States and Canada. He was selected as an American Orthopaedic Society for Sports Medicine (AOSSM)-European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) Traveling Fellow in 2012 to visit expert sports medicine, arthroscopy, knee and shoulder surgeons in Spain, Holland, Luxembourg, Germany, France, Italy and Switzerland. In the spring of 2015, he was selected as an AOA American-British-Canadian (ABC) Traveling Fellow, touring prominent orthopedic surgery centers in the United Kingdom, Australia and New Zealand.

In 2010, he earned an Orthopaedic Research Society-Orthopedic Research and Education Foundation (OREF) Travel Award in Research Translation and a Young Investigator Travel Award to the AOSSM/NIH Post-Joint Injury Osteoarthritis Conference. He was awarded an OREF Young Investigator Research Grant to study the metabolic activity of the meniscus as a potential marker for and predictor of osteoarthritis in 2011, and the 2013 AOSSM/Sanofi Biosurgery Osteoarthritis Grant for his study, “Molecular Profiling of Meniscus and Articular Cartilage in Knees With and Without Osteoarthritis to Identify Candidate Genes for Therapeutic Intervention”. In 2011, he was awarded the AOSSM NCAA Research Award for a study looking at the effect of meniscal and ACL surgery on knee articular cartilage in football athletes. In 2012, he was recognized with the Lee T. Ford Award for academic achievement from the Department of Orthopaedic Surgery in the Washington University School of Medicine. The NFL Physicians Society awarded him the Arthur C. Rettig Award, for academic excellence in research to advance the health and safety of NFL players, in 2015. The same year he was awarded the AOSSM Cabaud Award for research studying the metabolic activity of meniscus and cartilage in knees. He received an Excellence in Education award from the Washington University Department of Orthopaedic Surgery in 2016. In conjunction with his sports medicine partners, he participates in a number of multi-center research efforts including the Multicenter Orthopaedic Outcomes Network (MOON) ACL study, MOON shoulder study, Multicenter ACL Revision Study (MARS), and Meniscal Tear With Osteoarthritis Research (MeTeOR) study, which have won a number of research awards for their collective work.

Dr. Brophy has been a member of the editorial board of the American Journal of Sports Medicine and serves as a peer reviewer for a number of orthopedic surgery journals, including The Journal of Bone and Joint Surgery, The American Journal of Sports Medicine, the Bone and Joint Journal, and the Journal of Orthopaedic Research. He currently serves, or has served, on committees for several professional organizations, including the American Academy of Orthopaedic Surgery, the American Orthopaedic Society for Sports Medicine, the American Orthopaedic Association and the Orthopaedic Research Society.

Honors and Awards:

  • 2009-present - Best Doctors (St. Louis, MO)
  • 2016 - Excellence in Education
  • 2015 - AOSSM Cabaud Award
  • 2015 - NFL Physicians Society Arthur C. Rettig Award for Academic Excellence
  • 2015 - AOA ABC Traveling Fellowship
  • 2014 - AOSSM O'Donoghue Award (co-author)
  • 2013 - ASES Neer Award (co-author)
  • 2012 - Lee T. Ford Award for Academic Achievement
  • 2012 - AOSSM-ESSKA Traveling Fellowship
  • 2011 - AOSSM NCAA Research Award
  • 2011 - ASES Neer Award (co-author)
  • 2010 - Young Investigator Travel Award AOSSM/NIH Osteoarthritis Conf.
  • 2010 - ORS-OREF Travel Award in Orthopaedic Research Translation
  • 2009 - AAOS/AOA North American Traveling Fellowship
  • 2008 - International Cartilage Research Society Traveling Fellowship
  • 2007 - U.S. Bone & Joint Decade Young Investigator
  • 2007 - Eastern Orthopedic Association Ranawat Resident/Fellow Research Award
  • 2006 - Eastern Orthopedic Association Resident/Fellow Research Travel Award
  • 2006 - AAOS/OREF/ORS Clinician Scientist Development Program
  • 2005 - AOA-Zimmer Resident Leadership Forum
  • 2004 - Eastern Orthopedic Association Resident/Fellow Research Award
  • 2001 - Missouri State Medical Association Award
  • 2000 - AOA Honor Society, Dr. Richard S. Brookings Medical School Prize, Medical Center Alumni Scholarship Fund Prize, Southern Medical Association Student Scholarship
  • 1997-2001 - Washington University School of Medicine Distinguished Alumni Scholarship
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Dr. Brophy’s Office Locations

Center for Advanced Medicine (CAM)

Barnes Jewish Hospital

4921 Parkview Place

St Louis, MO 63110

Washington University Orthopedics – Chesterfield

14532 S. Outer Forty Drive

Chesterfield, MO 63017

Disclaimer

The Department of Orthopaedic Surgery at Washington University School of Medicine in St. Louis has no control over third-party websites and does not review such websites. The university disclaims any responsibility for the content of third-party websites and the use of any information on these sites.