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Dr. Paul B. Roache M.D. specializes in arthroscopic shoulder surgery for rotator cuff injury. He is a leader in advancing tendon regeneration using the revolutionary Regeneten bioinductive implant to repair complicated cases of rotator cuff tears. His current research focusses on cutting edge surgical techniques, and is a leading expert in superior capsule repair to improve and enhance post surgical outcomes.

Dr. Paul Roache is board certified by the American Board of Orthopedic Surgeons (ABOS), and is a fellow in the American Academy of Orthopedic Surgeons (AAOS). He is an active member of the Arthroscopic Association of North America (AANA),The European Shoulder Association (ESA/ ESSKA), and the International Society of Arthroscopy, and Knee Surgery and Orthopedic Sports Medicine (ISAKOS). Paul B. Roache MD completed a Fellowship in Shoulder and Upper extremity Surgery in San Francisco and a subspecialty AO Fellowship in Rotator Cuff Surgery in Zurich, Switzerland. In addition, he is Associate Faculty in Shoulder Arthroscopy at the Orthopedic Learning Center of AAOS/AANA in Rosemont, Illinois.

Practice Focus

Dr. Roache is a specialist in arthroscopic surgery of the shoulder. His practice is focused on rotator cuff Injuries, shoulder dislocations, frozen shoulder, and sports medicine injuries of the shoulder. More specifically, he is focused on joint preservation, functional restoration and tissue regeneration.

In pursuit of excellence in surgical care for his patients, he has developed an opiate sparing pathway and an integrative approach to maximize his patient’s recovery. Dr. Roache’s philosophy is to apply a balance between both minimally invasive surgical treatments and nonsurgical treatments. His practice offers a multimodal approach toward your shoulder care, using both traditional and non- traditional modalities such as physical therapy, chiropractic, Chinese Medicine, acupuncture, and yoga to lower post-op pain.

Yoga & Injury Prevention

As a former NCAA nationally ranked pole-vaulter, Dr. Roache brings an athlete’s unique perspective to injury recovery. Outside of his surgical practice, Dr. Roache is a certified yoga teacher (RYT-200), actively involved in creating continued education curriculum and injury prevention programs for yoga teachers and trainers. He teaches Shoulder Safe Yoga workshops around the world, and is the co-creator of Essential Yoga Anatomy, used in various yoga teacher training programs. He is the founder and CEO of Shoulder Education dedicated to help patients better understand their injury and treatment options.


Orthopedic Surgery


Hospital Privilege Information

  1. California Pacific Medical Center, SF, CA (09/1998- present)
    Active Staff, P.O. Box 7999, San Francisco, CA 94114
    Ph: (415) 600-6285
  2. St. Francis Memorial Hospital SF, Ca (4/2009-present)
    Courtesy staff, 900 Hyde St. San Francisco, Ca 94109
    Ph: (415) 353-6356
  3. Presidio Surgery Center, 1635 Divisadero, Suite 200 SF CA 94115
    ASC, Active staff
    Ph: (415) 346-1218
  4. Sonoma Valley Hospital, 347 Andrieux Street, Sonoma CA 95476
    Provisional Staff
    Ph: (707) 935-5000


Board Certification

Orthopedic Surgery

Subspecialty Certification

Orthopedic Sports Medicine
  • California
  • Colorado

Professional Memberships

  • American Academy of Orthopedic Surgery, Fellow
  • American Board of Orthopedic Surgery
  • Arthroscopic Association of North America, Fellow
  • California Orthopedic Association
  • European Society of Spots Traumatology, Knee Surgery and Arthroscopy (ESSKA)-Active member
  • European Shoulder Association -Active Member
  • International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine (ISAKOS) -Active Member

Faculty Appointments

  • AANA/AAOS Orthopedic Learning Center, Faculty Lab Instructor

Education & Training


  • AO Fellowship in Shoulder Reconstruction (11/99)
    (non AGME)
    University of Zurich, Balgrist
    Forchstrasse 340,
    CH-8008 Zurich, Switzerland
    Professor Christian Gerber, MD
  • San Francisco Shoulder & Upper Extremity Fellowship
    California Pacific Medical Center (8/97 to 8/98)
    2351 Clay St., Suite #510
    San Francisco, CA 94115
    Ph: (415)392-3225
    CH-8008 Zurich, Switzerland
    Tom R. Norris, MD & H. Relton McCarroll, Jr.
  • Residency

  • Albert Einstein College of Medicine Orthopedic
    Program at Bronx-Lebanon Hospital (7/93 to 7/97)
    Bronx-Lebanon Medical Center
    Office of Medical Education
    1276 Fulton Ave.
    Bronx, NY, 10456
    Ph: (718) 901-8518
    Orthopedic Surgery Resident
    Harvey P. Insler, MD Director
    Contact: Mrs. Gladys Quinones
    Administrative Director,
    Dept of Medical Education
  • Boston Medical Center (7/91 to 7/92)
    (Formerly Boston City Hospital)
    720 Harrison Ave, Suite 805
    Boston, MA 02118
    Ph: (617) 638-8934
    Orthopedic House Officer, In Junior Trauma Fellowship
    George Whitelaw, MD Director
    Administrative contact:
    Mr. Todd Godfrey
  • Internship

  • Santa Clara Valley Medical Center (7/89 to 7/90)
    751 S. Bascom Ave.
    San Jose, CA 95128
    Ph: (408) 885-5000
    Rotating Internship
    Phillip Benaron, MD Director
    Administrative contact:
    Susan McKinney, House staff Office.
  • Medical School

  • University of Arizona (8/85 to 8/89)
    College of Medicine
    P.O.Box 245017
    Tuscon, AZ 85724
    Ph: (520) 626-6518
    MD degree
    Administrative Contact
    Debbie Folkers, Registrar Office.
  • Graduate

  • Arizona State University
    Non-degree studies in Physiological Psychology
    1/84 to 5/85
  • Undergraduate

  • Loyola Marymont University Los Angeles, CA
    1/81 to 8/82, BS Biology
  • University of California, Berkeley Berkeley, CA
    8/78 to 6/80
  • High School

  • St. Ignatius College Preparatory
    San Francisco, CA
    8/74 to 6/78

Papers & Books


  • Roache P, Anterior Cable Tears in Arthroscopic Rotator Cuff
    Repairs. Arthroscopy, Sports Medicine and Rehabilitation
    2021:June -Vol3, No 3: ppe695-e705
  • Roache P, Anterior Cable Tears of the Superior Capsule in
    Reparable RCTs: Diagnosis of the pathoanatomy and
    grading the injury at ARCR.
    ICSES 2019 Argentina
  • Roache P, Anterior Cable Tears: Diagnosing an Essential
    Lesion in Rotator Cuff Tears.
    18th ESSKA Congress 2018 Glasgow, UK
  • Roache P, Anterior Cable Tears: Diagnosing an Essential
    Lesion in Rotator Cuff Tears.
    AANA 2018 Annual Meeting Chicago, IL
  • Gerber A, Roache PB, Gerber C. The Reversed Delta
    Prosthesis: A Salvage Procedure to Treat Painful
    Pseudoparalysis Due to Irreversible Loss of Rotator Cuff
    Function. ICSES 2000 South Africa
  • Lipson S, Norris TR, Roache PB. Humeral Osteolysis:
    A complication of shoulder arthroplasty and report of 2 cases.
  • Books

  • Roache, Paul. The Shoulder Patients Handbook. 2010.


  • Roache P The importance of the “Cable First” ARCR: Restoring the “Cables Anterior Foundation”(CAF) Vumedi 2017
  • Roache P The importance of the “Cable First” ARCR: Restoring the “Cables Anterior Foundation”(CAF) Grand Rounds 2016 , Funabashi, Japan
  • Norris TR, Roache PB. Revision Shoulder Arthroplasty. Presented 12/97. Tahoe Shoulder & Knee course.


  • Athletics Pole-vaulting 1975 to 1986, personal best: 5.05 meters (16’6”)
  • Coaching St. Ignatius Track and Field, Pole-vaulters, 2000 to 2005.
  • Travel: Europe, Greece, Egypt, Mexico, Caribbean, Fiji, New Zealand, Croatia, Japan and Australia.
  • Hobbies: Yoga, Swimming, Skiing, Scuba, Salsa dancing and Hiking.
  • Interests: Certified Yoga teacher. Anatomy instructor for Yoga Teacher training programs.
  • Military: Air National Guard, Tuscon, AZ 2nd Lt. 10/86 to 5/90.
Paul B. Roache, M.D.