Howard Routman, DO

Fellowship-Trained, Board-Certified Orthopaedic Surgeon

Specialty:

Shoulder Reconstruction

Languages:

English

Locations:

Palm Beach Gardens Office
900 Village Square Crossing, Suite 170
Palm Beach Gardens, FL 33410
P: (561) 627-8500
F: (844) 959-0418

Lake Worth Office
4560 Lantana Rd, Suite 100
Lake Worth Beach, FL 33463
P: (561) 967-4400
F: (844) 959-0419

Schedule an Appointment

*Please call if you are a self-pay patient.

A board-certified orthopaedic surgeon sub-specializing in disorders of the shoulder, Dr. Routman has been a South Florida resident since 1979 and a graduate of the University of Florida and Nova-Southeastern University with highest honors. He completed an American Shoulder and Elbow Surgeons Fellowship in 2000 at The Hughston Clinic and Sports Medicine Foundation in Columbus, Georgia and began practice in Palm Beach County in 2001. He is one of the regional pioneers of all-arthroscopic rotator cuff repair, performing this procedure since 2002. He also performed the first reverse shoulder replacement in South Florida in 2003. Dr. Routman's practice encompasses all aspects of shoulder problems from sports injuries, fractures, replacements, second opinions and the management of previous surgical failures. In addition to treating patients, Dr. Routman teaches internationally and has performed surgery in Australia, Asia, Europe and South America. A design surgeon for Exactech, Dr. Routman is actively involved in research focused on patient outcomes after shoulder replacement and has published multiple studies focused on results, pain control and the biomechanics of shoulder replacement surgery.

Dr. Routman is included in the Palm Beach Illustrated 2026 list of Top Doctors.
Dr. Routman has been has been included in DoctorsDoctor — Shoulder 2025, a peer-selected index of shoulder surgeons across the United States.

Shoulder problems are usually straightforward, but each patient is different. Customizing treatment based on the individual needs of my patients is something I take pride in. I offer a team approach with a group of individuals who have been treating shoulders under my direction with many years of experience. I consider my primary role in the office is as an educator, I want patients to leave the office understanding what is wrong with their shoulder and what their management options are. Only after that can patients make well-informed decisions.

Arthroscopic Rotator Cuff Repair
Outpatient Reverse and Anatomic Shoulder Replacement
Shoulder Instability
Re-do Shoulder Surgery
Second Opinions
Complex Shoulder Conditions
Opiod-Free Surgery

Shoulder Reconstruction

HCA Florida Palms West Hospital
HCA Florida JFK North Hospital
HCA Florida JFK Hospital

ASES Fellowship in Shoulder Reconstruction
The Hughston Clinic and Sports Medicine Foundation, Columbus, GA
Awarded the Revere Cup for excellence in clinical research on the rotator cuff deficient arthritic shoulder
Residency in Orthopaedic Surgery
Philadelphia College of Osteopathic Medicine, Philadelphia, PA
Chief Resident 1999-2000
Internship - Traditional Rotating
Ohio University College of Osteopathic Medicine, Doctors HospitalColumbus, OH
Doctor of Osteopathic Medicine
Nova Southeastern University College of Osteopathic Medicine, Davie, FL
Summa Cum Laude graduate
Bachelor of Arts in Sociology
The University of Florida, Gainesville, FL

VIEW CV

Mohamed, A., John DQ., Jackson, GR., Lima, DJL., Movassaghi, A., Routman HD., Sabesan, V. (2025). Rate of Improvement Following Reverse Shoulder Arthroplasty: A Comparison of Primary and Revision Reverse Shoulder Arthroplasty. Seminars in Arthroplasty: JSES
Goguen, J., Forbes, J., Jackson, G. R., Movassaghi, A., Lapica, H., Routman, H. D., & Sabesan, V. J. (2025). Optimal Timing of Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures. Journal of Shoulder and Elbow Surgery.
Mohamed, A. A., Daji, S., Fomunung, C. K., Girshfeld, S. J., Macknofsky, B., Lavin, A., Yerke-Hansen, P., Jackson, G. R., Routman, H. D., & Sabesan, V. J. (2025). Outcomes of Augmented versus Standard Baseplates in Reverse Shoulder Arthroplasty. Journal of Shoulder and Elbow Surgery.
Mohamed, A., Kushner, J. Jackson, G. R., Movassaghi, A., Routman, H. D., & Sabesan, V. J. (2025). Does Sleep Comfort Predict Recovery After Primary and Revision RSA? Journal of Orthopaedic Experience & Innovation.
Routman, H. (2025). In My Experience.. Innovations in Reverse Shoulder Arthroplasty: The Roles of The Greater Tuberosity and Deltoid. Journal of Orthopaedic Experience & Innovation, 6(1).
Allen, C., Kumar, V., Elwell, J., Overman, S., Schoch, B. S., Aibinder, W., Parsons, I. M., Watling, J., Ko, J. K. Gobbato, B., Throckmorton, T., Routman, H. D., & Roche, C. P. (2024). Evaluating the fairness and accuracy of machine learning–based predictions of clinical outcomes after anatomic and reverse total shoulder arthroplasty. Journal of shoulder and elbow surgery, 33(4), 888-899.
Girshfeld, S. J., Lama, G., Macknofsky, B., Fomunung, C., John, D., Jackson, G. R., Routman, H. D., & Sabesan, V. J. (2024, June). Does prior ipsilateral steroid injection affect outcomes after shoulder arthroplasty?. In Seminars in Arthroplasty: JSES (Vol. 34, No. 2, pp. 398-405). WB Saunders.
Hansen, P. Y., Fomunung, C. K., Lavin, A., Daji, A. V., Jackson, G. R., Routman, H. D., & Sabesan, V. J. (2024). Outcomes Following Revision Reverse Shoulder Arthroplasty for Infection. Journal of Shoulder and Elbow Surgery.
Jackson, G. R., Brusalis, C. M., Mowers, C. C., Daji, A. V., John, D. Q., Movassaghi, A., Routman, H. D., & Sabesan, V. J. (2024). Prior Shoulder Arthroscopy is Associated with Inferior Clinical Outcomes Following Primary Reverse Shoulder Arthroplasty for Rotator Cuff Tear Arthropathy. Journal of Orthopaedic Experience & Innovation, 5(2).
Jackson, G. R., Knapik, D. M., Mowers, C. C., Lapica, H., Coutelle, N., Movassaghi, A., Routman, H. D., & Sabesan, V. J. (2024). Reverse Shoulder Arthroplasty Provides Durable Outcomes Regardless of Diagnosis and Pathology. Journal of Orthopaedic Experience & Innovation, 5(2).
Larose, G., Aibinder, W. R., Greene, A. T., Roche, C. P., Grey, S., Faber, K. J., Routman, H. D., Antuna, S., Wright, T. J., Flurin, P. H., Zuckerman, J. D., & Virk, M. S. (2024). Two-year minimum survivorship and radiographic analysis of a press fit short humeral stem for total shoulder arthroplasty. JSES international, 8(1), 191-196.
Ogunfuwa, F. O., Desai, A., Fomunung, C., Jackson, G. R., Routman, H. D., & Sabesan, V. J. (2024). Acromiohumeral Distance: Can Radiographic Factors Impact Outcomes after Reverse Shoulder Arthroplasty?. Journal of Orthopaedic Experience & Innovation, 5(2).
Simmons, C., DeGrasse, J., Polakovic, S., Aibinder, W., Throckmorton, T., Noerdlinger, M., Papandrea, R., Trenhaile, S., Schoch, B., Gobbato, B., Routman, H. D., Parsons, I. M., & Roche, C. P. (2024). Initial clinical experience with a predictive clinical decision support tool for anatomic and reverse total shoulder arthroplasty. European Journal of Orthopaedic Surgery & Traumatology, 34(3), 1307-1318.
Colasanti, C. A., Lin, C. C., Ross, K. A., Luthringer, T., Elwell, J. A., Roche, C. P., Virk, M. S., Simovitch, R. W., Routman, H. D., & Zuckerman, J. D. (2023). Augmented baseplates yield optimum outcomes when compared with bone graft augmentation for managing glenoid deformity during reverse total shoulder arthroplasty: a retrospective comparative study. Journal of Shoulder and Elbow Surgery, 32(5), 958-971.
Labrum IV, J. T., Routman, H. D., Friedman, R. J., Roche, C. P., & Byram, I. R. (2023, March). Stemless, short, and standard humeral stems in total shoulder arthroplasty: is there a difference in intraoperative measures, pain, and outcomes in the short term?. In Seminars in Arthroplasty: JSES (Vol. 33, No. 1, pp. 200-206). WB Saunders.
Roche, C. P., Fan, W., Simovitch, R. W., Wright, T. W., Flurin, P. H., Zuckerman, J. D., & Routman, H. D. (2023). Impact of accumulating risk factors on the acromial and scapular fracture rate after reverse total shoulder arthroplasty with a medialized glenoid–lateralized humerus onlay prosthesis. Journal of Shoulder and Elbow Surgery, 32(7), 1465-1475.
Roche, C. P., Jones, R., Routman, H. D., Marczuk, Y., Flurin, P. H., Wright, T. W., & Zuckerman, J. D. (2023). Longitudinal analysis of shoulder arthroplasty utilization, clinical outcomes, and value: a comparative assessment of changes in improvement over 15 years with a single platform shoulder prosthesis. Journal of Shoulder and Elbow Surgery, 32(8), 1562-1573.
Sabesan, V., Lama, G., Khoury, L., Fomunung, C. K., Lapica, H., Peaguda, C. A. F., & Routman, H. D. (2023, December). The impact of surgeon volume on subscapularis repair and postoperative management following reverse shoulder arthroplasty. In Seminars in Arthroplasty: JSES (Vol. 33, No. 4, pp. 715-721). WB Saunders.
Harries, L. W., Roche, C. P., Routman, H. D., Friedman, R. J., & Donaldson, O. W. (2022, March). Effect of subscapularis repair in patients with an intact rotator cuff undergoing reverse total shoulder arthroplasty. In Seminars in Arthroplasty: JSES (Vol. 32, No. 1, pp. 100-106). WB Saunders.
Kumar, V., Allen, C., Overman, S., Teredesai, A., Simovitch, R., Flurin, P. H., Wright, T. W., Zuckerman, J. D., Routman, H. D., & Roche, C. (2022, June). Development of a predictive model for a machine learning–derived shoulder arthroplasty clinical outcome score. In Seminars in Arthroplasty: JSES (Vol. 32, No. 2, pp. 226-237). WB Saunders.

Howard Routman, DO