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Andrew Cosgarea, MD

Cosgarea, Andrew , MD
Title(s):
Professor of Orthopaedic Surgery
Head Team Physician, Johns Hopkins University Athletic Department
Director, Division of Sports Medicine and Shoulder Surgery

Appointment Phone:
410-583-2850

Primary Location:
Johns Hopkins Medicine - Green Spring Station

Expertise:
Arthroscopic Rotator Cuff Repair, Baseball Injuries, Elbow UCL Reconstruction, Knee ACL reconstruction, Knee meniscus repair, Orthopaedic Surgery, Orthopaedics, Patellar Instability Stabilization, Pediatric and Adolescent Sports Injuies, Shoulder Instability Stabilization Surgery, Shoulder Joint Dislocations, Superior Labrum Anterior and Posterior Lesions

Education and Experience

Training
  • Jefferson Medical College (Philadelphia PA)/ (1987)
Residencies
  • University of Rochester Medical Center (Rochester NY)/ Surgery/Orthopedic Surgery (1992)
Fellowships
  • The Johns Hopkins Hospital (Baltimore MD)/ Sports Medicine (1993)
Certifications
  • Sports (Medical), American Board of Orthopaedic Surgery - Orthopedic (2010)
  • Orthopedic Surgery, American Board of Orthopaedic Surgery (2006)

Locations

Johns Hopkins Medicine - Green Spring Station
10753 Falls Road
Pavilion II
Baltimore, MD 21093
Phone: 410-583-2864
Appointment Phone: 410-583-2850
Fax: 410-583-2855
Location Map
Department / Division
  • Orthopaedic Surgery - Division of Sports Medicine and Shoulder Surgery

Centers/Institutes

Bio

Physician Title
Head Team Physician, Johns Hopkins University Athletic Department
Director, Division of Sports Medicine and Shoulder Surgery
Awards and Honors
Cosgarea AJ, Sherbondy PS, Queale WS, Mizzuno Y, McFarland EG: The Effect of Ankle Dorsiflexion on Anterior Tibial Translation. Maryland Orthopaedic Association, Baltimore, Maryland, April 8, 2000.
-1st Place Basic Science Presentation

Faust A, Elias J, Chu YH, Chao YS, Cosgarea AJ: The Soleus Can Act as an Agonist for the ACL: An In-Vitro Experimental Study. Sixth IOC World Congress on Sports Sciences, St. Louis, Missouri, May 29, 2002.
-Prince Alexandre de Merode Award, Oral Presentation

Elias J, Cosgarea AJ: Tension in a Reconstructed MPFL Could Overload Medial Patellofemoral Cartilage. ISAKOS 5th Biennial Congress, Hollywood, Florida, April 6, 2005.
-Patellofemoral Research Excellence Award

Cosgarea AJ, Lombardo JA: Common Knee Injuries. Ohio Medical Educational Network Video, April 8, 1994.
-Best Clinical/Surgical Presentation Award, Ohio State University, 1993-1994
-Gold Slate Award, International Television Association 26th Annual Video Festival
-Honorable Mention, New York Film Festival

Cosgarea AJ, Myers A: Sports Medicine: Anterior Cruciate Ligament Injuries. Ohio Medical Educational Network Video, October 18, 1996.
-Best Program, Ohio State University, 1996-1997
-Silver Reel Award, International Television Association 29th Annual Video Festival

Cosgarea AJ, Sturmi J: Operative and Non-Operative Treatment of Knee Sports Injuries. Ohio Medical Educational Network Video, October 16, 1998.
-Best Team Presentation, Ohio State University, 1998-1999
Expertise
  • Arthroscopic Rotator Cuff Repair
  • Baseball Injuries
  • Elbow UCL Reconstruction
  • Knee ACL reconstruction
  • Knee meniscus repair
  • Orthopaedic Surgery
  • Orthopaedics
  • Patellar Instability Stabilization
  • Pediatric and Adolescent Sports Injuies
  • Shoulder Instability Stabilization Surgery
  • Shoulder Joint Dislocations
  • Superior Labrum Anterior and Posterior Lesions

Research

Research and Publications
Textbooks:

1. Miller MD, Cole BJ, Cosgarea AJ, Sekiya JK: Operative Techniques: Sports Knee. Saunders, Philadelphia. May 2008.


Papers:

1. Hollis TM, Kern JA, Enea NA, Cosgarea AJ: Changes in Plasma Histamine Concentration in the Streptozotocin-Diabetic Rat. Exp Mol Path. 1985; 43: 90-96.

2. Markle MA, Hollis TM, Cosgarea AJ: Renal Histamine Increases in the Streptozotocin-Diabetic Rat. Exp Mol Path. 1986; 44: 21-28.

3. Cosgarea AJ, Tejani N, Jones JA: Carpal Aspergillus Osteomyelitis: Case Report and Review of the Literature. J Hand Surg. 1993; 18: 722-726.

4. Cosgarea AJ, Weng MS, Andrews MA: Osgood-Schlatters Disease Complicating Anterior Cruciate Ligament Reconstruction. Arthroscopy. 1993; 9: 700-703.

5. Cosgarea AJ, Sebastianelli WJ, DeHaven KE: Calcified Hernia of the Vastus Lateralis: A Rare Complication of ACL Reconstruction Surgery. Am J Knee Surg. 1993; 6: 167-170.

6. Cosgarea AJ, De Haven KE, Lovelock JE: The Surgical Treatment of Arthrofibrosis of the Knee. Am J Sports Med. 1994; 22: 184-191

7. Cosgarea AJ, Weng MJ, McIntyre JM, McFarland EG: Giant Synovial Cyst of the Shoulder Presenting as a Chest Wall Mass. Orthopaedics. 1995; 24: 432-434.

8. Sebastianelli WJ, Cosgarea AJ, DeHaven K: Reducing the Incidence of Arthrofibrosis Following Anterior Cruciate Ligament Reconstruction. Complications in Orthopaedics. 1995; 10: 24-28.

9. Shell D, Perkins R, Cosgarea AJ: Septic Olecranon Bursitis: Recognition and Treatment. J Am Board Fam Pract. 1995; 8: 217-220.

10. Rifat S, Cosgarea AJ: Diagnosis and Management of Patellofemoral Instability. J Musculoskeletal Med. 1995; 12: 51-67.

11. Cosgarea AJ, DeHaven KE, Sebastianelli WJ: Prevention of Arthrofibrosis Following ACL Reconstruction Using 1/3 Patellar Tendon Autograft, Am J Sports Med. 1995; 23: 87-92.

12. Yu JS, Cosgarea AJ, Kaeding C, Wilson D: Magnetic Resonance Imaging of the Meniscal Flounce. Radiology. 1997; 203: 513-515.

13. Cosgarea AJ, Schatzke MD: Adolescent Knee Injuries in Sports. J Musculoskeletal Med. 1997; 14: 96-109.

14. Cosgarea AJ, Schatzke MD, Seth AK, Litsky AS: Biomechanical Analysis of Flat and Oblique Tibial Tubercle Osteotomy for Recurrent Patellar Instability. Am J Sports Med. 1999; 27: 507-512.

15. Sherbondy PS, Cosgarea AJ, McFarland EG: Sports Medicine: Elbow Injury Throws Athletes for a Loss. Biomechanics 1999; 6: 55-62.

16. Amin K, Cosgarea AJ, Kaeding C: The Value of Intercondylar Notch Visualization of the Posteromedial and Posterolateral Compartments during Knee Arthroscopy. Arthroscopy. 1999; 15: 813-817.

17. Cameron ML, Mizuno Y, Cosgarea AJ: Diagnosing and Managing Anterior Cruciate Ligament Injuries. J Musculoskeletal Med. 2000; 17: 47-53.

18. McFarland EG, Mamanee P, Queale WS, Cosgarea AJ: Management of Olecranon and Prepatellar Bursitis in Athletes. Phys Sports Med. 2000; 28: 40-52.

19. Mitchell IL, Cosgarea AJ, McFarland, EG: Multidirectional Instability of the Shoulder: Diagnosis and Treatment. Biomechanics. 2000; 7:16-24.

20. Cosgarea AJ, Thomas D, Jones M: Femoral Interference Screw Removal Complicating Revision Anterior Cruciate Ligament Reconstruction. Arthroscopy. 2000; 16: E3.

21. ONeill PJ, Cosgarea AJ, McFarland EG: Unusual Double Clavicle Fracture in a Lacrosse Player. Clinical J Sports Med. 2000; 10: 69-71.

22. Cosgarea AJ, Ryan A: Repair of a Torn Complete Bucket Handle Discoid Lateral Meniscus Incarcerated in the Posterolateral Compartment. Am J Sports Med. 2000; 28: 737-740.

23. McFarland EG, Neira CA, Gutierrez MI, Cosgarea AJ, Magee M: Clinical Significance of the Arthroscopic Drive-Through Sign. Arthroscopy. 2001; 17: 38-43.

24. Mears SC, Cosgarea AJ: Surgical Treatment Options in Patellofemoral Disorders. Curr Opin Ortho. 2001;12: 167-173.

25. Mizuno Y, Kumagai M, Mattessich SM, Elias JJ, Ramrattan N, Cosgarea AJ, Chao EYS: Q-Angle Influences Tibiofemoral and Patellofemoral Kinematics. J Orthop Res. 2001; 19: 834-840.

26. Cosgarea AJ, Jay P: Posterior Cruciate Ligament Injuries: Operative Versus Conservative Treatment. J Am Acad Orthop Surg. 2001; 9: 297-307.

27. Khanna AJ, Cosgarea AJ, Mont MA, Andres BM, Domb BG, Evans PJ, Bluemke DA, Frassica FJ: Magnetic Resonance Imaging of the Knee: Current Techniques and Spectrum of Disease. J Bone Joint Surg. 2001; 83-A, sup 2, 128-141.

28. Cosgarea AJ, Freedman JA, McFarland EG: Nonunion of the Tibial Tubercle Shingle Following Fulkerson Osteotomy. Am J Knee Surg. 2001; 14: 51-54.

29. Lowry AW, McFarland EG, Cosgarea AJ, Sonin A, Farmer K: Partial Rupture of the Quadriceps Tendon in a Tennis Player. Clin J Sports Med. 2001; 11:277-279.

30. Roehrig GJ, McFarland EG, Cosgarea AJ, Martire JR, Farmer KW: Unusual Stress Fracture of the Fifth Metatarsal in a Basketball Player. Clin J Sports Med. 2001; 11:271-273.

31. Morganti, CM, McFarland EG, Cosgarea AJ: Saphenous Neuritis: A Poorly Understood Cause of Medial Knee Pain. J Am Acad Orthop Surg. 2001; 10:130-137.

32. Kumagai M, Mizuno Y, Mattessich SM, Elias JJ, Cosgarea AJ, Chao EY: Posterior Cruciate Ligament Rupture Alters In Vitro Knee Kinematics. Clin Orthop Rel Res. 2002; 395:241-248.

33. ONeill PJ, Cosgarea AJ, Freedman JA, Queale WS, McFarland EG: Arthroscopic Proficiency: A Survey of Orthopedic Sports Medicine Fellowship Directors and Orthopedic Surgery Department Chairs. Arthroscopy. 2002; 18:795-800.

34. Kim TK, Savino RM, McFarland EG, Cosgarea AJ: Neurovascular Complications of Knee Arthroscopy. Am J Sports Med. 2002; 30:619-629.

35. Farmer KW, McFarland EG, Sonin A, Cosgarea AJ, Roehrig GJ: Isolated Necrosis of the Brachialis Muscle due to Exercise. Orthopedics. 2002; 25:682-684.

36. Cosgarea AJ, Browne JA, Kim TK, McFarland EG: Evaluation and Management of the Unstable Patella. Phys Sports Med. 2002; 30:33-40.

37. Elias JJ, Faust A, Chu YH, Chao YS, Cosgarea AJ: The Soleus Muscle Acts as an Agonist for the Anterior Cruciate Ligament: An In-Vitro Experimental Study. Am J Sports Med. 2003; 31:241-246.

38. DeHaven KE, Cosgarea AJ, Sebastianelli W: Arthrofibrosis of the knee following ligament surgery. Instr Course Lect. 2003; 52:369-81.

39. Bertot AJ, Jarmain SJ, Cosgarea AJ: Hip Pain in the Active Adult: Twenty Clinical Pearls. J Musculoskeletal Med. 2003; 20:345-355.

40. Kim TK, Queale WS, Cosgarea AJ, McFarland EG: Clinical Features of the Different Types of SLAP Lesions. An Analysis of One Hundred Thirty-Nine Cases. J Bone Joint Surg. 2003; 85-A:66-71.

41. Sherbondy PS, Queale WS, McFarland EG, Mizuno Y, Cosgarea AJ: Simulated Soleus Contraction Decreases Anterior Tibial Translation in Anterior Cruciate Intact and Deficient Knees. J Knee Surgery 2003; 16:152-8.

42. Elias JJ, Wilson DR, Adamson R, Cosgarea AJ: Evaluation of a Computational Model Used to Predict the Patellofemoral Contact Pressure Distribution. J Biomech 2004;37: 295-302.

43. Cascio BM, Culp L, Cosgarea AJ: Return to Play After Anterior Cruciate Ligament Reconstruction. Clin Sports Med. 2004; 23:395-408.

44. Shafiq B, Zuckerman RL, Queale WS, Cosgarea AJ: Hypertensive Crisis Secondary to Pheochromocytoma during Routine Knee Surgery. J Knee Surg. 2004; 17:170-1.

45. Browne JA, Kravet SJ, Cosgarea AJ: Sternoclavicular Joint Infection and Mediastinitis Originally Attributed to Concomitant Rotator Cuff Pathology. Orthopedics. 2004; 27:1108-10.

46. Kramer D, Frassica FF, Cosgarea AJ: Total Arthroscopic Synovectomy for Pigmented Villonodular Synovitis of the Knee. Tech Knee Surg. 2004; 3:36-45.

47. Manson TT, Cosgarea AJ: Meniscal Injuries in Active Patients. Advanced Studies in Medicine. 2004; 4:401-8.

48. Elias JJ, Mattessich SM, Kumagai M, Mizuno Y, Cosgarea AJ, Chao EY: In Vitro Characterization of the Relationship Between the Q-Angle and the Lateral Component of the Quadriceps Force. Proc Inst Mech Eng. 2004; 218:63-7.

49. Elias JJ, Cech J, Weinstein, DM, Cosgarea AJ: Reducing the Lateral Force Acting on the Patella Does Not Consistently Decrease Patellofemoral Pressures. Am J Sports Med. 2004; 32:1202-8.

50. Bahk M, Cosgarea AJ: Endobutton Fixation for Posterolateral Knee Repair. Orthopedics. 2005; 28:643-5.

51. Shiner J, Bishop T, Cosgarea AJ: Integrating Low-intensity Plyometrics into Strength and Conditioning Programs. Strength and Conditioning Journal. 2005; 27:10-20.

52. Anderson DM, Dawson CA, Cosgarea AJ, McFarland EG: Tibial Plateau Fracture in a Softball Player. Phys Sportsmed. 2005; 33:37-41.

53. Anderson DM, Cosgarea AJ: Failed Anterior Cruciate Ligament Reconstruction and Loss of Motion. Sports Med Arthrosc Rev. 2005; 13:17-24.

54. Elias JJ, Bratton DR, Weinstein DM, Cosgarea AJ: Comparing Two Estimations of the Quadriceps Force Distribution for use During Patellofemoral Simulation. J Biomech. 2006; 39:865-872.

55. Bahk M, Cosgarea AJ: Physical Examination and Imaging of the Lateral Collateral Ligament and Posterolateral Corner. Sports Med Arthrosc Rev. 2006; 14:12-19.

56. Bustos JC, Cosgarea AJ: Patellar Instability in the Athlete. Hospital Physician: Orthopaedic Sports Medicine Board Review Manual. 2006; 2:1-11.

57. Froelke BM, Elias JJ, Cosgarea AJ: Surgical Options for Treating Injuries to the Medial Patellofemoral Ligament. J Knee Surgery, 2006; 19:296-306.

58. Kramer DE, Bahk MS, Cascio BM, Cosgarea AJ: Posterior Knee Arthroscopy: Anatomy, Technique, Application. J Bone Joint Surg. 2006; 88-A, sup 4, 110-121.

59. Cosgarea AJ, Kramer DE, Bahk MS, Totty WG, Matava MJ: Proximity of the Popliteal Artery to the PCL during Simulated Knee Arthroscopy: Implications for Establishing the Posterior Trans-Septal Portal. J Knee Surgery, 2006; 19:181-185.

60. Demetracopoulos CA, Kapadia NS, Herickhoff PK, Cosgarea AJ, McFarland EG: Surgical Stabilization of Os Acromiale in a Fast-Pitch Softball Pitcher. Am J Sports Med, 2006; 34:1855-1859.

61. Elias J, Cosgarea AJ: Technical Errors during Medial Patellofemoral Reconstruction Could Overload Medial Patellofemoral Cartilage: A Computational Analysis. Am J Sports Med. 2006; 34:1478-85.

62. Elias J, Cosgarea AJ: Computational Modeling: An Alternative Approach for Studying Patellofemoral Mechanics. Sports Med Arthrosc Rev. 2007; 15, 89-94.

63. Elias J, Kilambi S, Goerke DR, Cosgarea AJ: Improving Vastus Medialis Function Reduces Pressure Applied to Lateral Patellofemoral Cartilage. J Orthop Res. 2009; 27:578-83.

64. Papp DF, Cosgarea AJ. Medial patellofemoral ligament reconstruction for recurrent patellar instability. Tech Knee Surg, 2009; 8:187-93.

65. Kramer DE, Frassica FJ, Frassica DA, Cosgarea AJ: Pigmented Villonodular Synovitis of the Knee: Diagnosis and Treatment. J Knee Surgery, 2009; 22:243-54.

66. Elias J, Kilambi S, Cosgarea AJ: Computational Assessment of the Influence of Vastus Medialis Obliquus Function on Patellofemoral Pressures: Model Evaluation. J Biomech, 2010; 43:612-7.

67. Salari N, Horsmon G, Cosgarea AJ: Rehabilitation after Anteromedialization of the Tibial Tuberosity. Clin Sports Med, 2010; 29:303-11.

68. Heinlein SA, Cosgarea AJ: Biomechanical Considerations in the Competitive Swimmers Shoulder. Sports Health, 2010; 2:519-25.

69. Freehill MT, Ebel BG, Archer KR, Bancells RL, Wilckens JH, McFarland EG, Cosgarea AJ: Glenohumeral Range of Motion in Major League Pitchers: Changes over the Playing Season. Sports Health, 2011; 3:105-11.

70. Mani S, Kirkpatrick MS, Saranathan A, Gump LR, Cosgarea AJ, Elias JJ: Tibial Tuberosity Osteotomy for Patellofemoral Realignment Alters Tibiofemoral Kinematics. Am J Sports Med, in press, 2011.

71. Bollier M, Cosgarea AJ, Tanaka M, Fulkerson J: Technical Failure of MPFL Reconstruction. Arthroscopy, in press, 2011.


Chapters:

1. Simon SR, Alaranta H, An KN, Cosgarea AJ, Fischer R, et al: Kinesiology, in Orthopaedic Basic Science, Simon, SR Ed, American Academy of Orthopaedic Surgeons, 1994, 583-592.

2. Cosgarea AJ, Sebastianelli WJ: The Shoulder: Common Pathologies, in Rehabilitation in Sports Medicine: A Comprehensive Guide, Appleton & Lange, 1998, 173-182.

3. Simon SR, Alaranta H, An KN, Cosgarea AJ, Fischer R, et al: Kinesiology, in Orthopaedic Basic Science: Biology and Biomechanics of the Musculoskeletal System, 2nd ed, Buckwalter JA et al. Eds, American Academy of Orthopaedic Surgeons, 2000, 730-827.

4. Cosgarea AJ: Meniscal Tears, in Essentials of Musculoskeletal Care, 2nd Ed, Greene, WB Ed, American Academy of Orthopaedic Surgeons. 2001. 379-381.

5. Cosgarea AJ: Patellofemoral Instability and Malalignment, in Essentials of Musculoskeletal Care, 2nd Ed, Greene, WB Ed, American Academy of Orthopaedic Surgeons. 2001. 387-389.

6. DeHaven KE, Cosgarea AJ, Sebastianelli WJ: Arthrofibrosis of the Knee Following Ligament Surgery, in AAOS Instructional Course Lectures, Vol 52, American Academy of Orthopaedic Surgeons, 2003. 369-381.

7. Aflatoon K, Sgaglione NA, Moshirfar A, Aboulafia AJ, Cosgarea AJ: Osteochondritis Dissecans. In Orthopaedic Care Textbook (www.orthotextbook.net/sectionlist.asp) (accessed November 18, 2003)

8. Johnson TS, Cosgarea AJ: Posterior Cruciate Ligament Injuries. Orthopaedic Knowledge Update: Sports Medicine 3. American Academy of Orthopaedic Surgeons, 2004. 155-168.

9. Cosgarea AJ: Medial Patellofemoral Ligament Repair and Reconstruction for Patellar Instability, in Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine, Cole BJ and Sekiya JK Eds, Saunders. 2008.

10. Cosgarea AJ, Cascio BM: Medial Patellofemoral Ligament Reconstruction and Repair, in Reconstructive Knee Surgery, Jackson DW Ed, Lippincott. 2008.

11. Gebauer G, Cosgarea AJ. Suprascapular Nerve Entrapment. In: Wilk KE, Reinold MM, Andrews JR, eds. The Athlete's Shoulder, 2nd ed. Philadelphia: Churchill Livingstone; 2008.

12. Cascio BM, Khanna AJ, Glait SA, Cosgarea AJ, Johnson TS, Reeder J. The Knee. In: Khanna AJ, ed. Musculoskeletal MRI: Essentials for the Orthopaedic Surgeon. New York: Thieme, pp 164-201, 2010

13. Wierks C, Cosgarea AJ. Arthroscopic Lateral Retinacular Release. In: Wiesel S (ed). Operative Techniques in Orthopaedic Surgery. Philadelphia: Lippincott Williams & Wilkins, pp 422-5, 2010.

14. Tanaka MJ, Cosgarea AJ. Medial Patellofemoral Ligament Reconstruction. In: Fu FH, ed. Master Techniques in Orthopaedic Surgery: Sports Medicine. Philadelphia: Lippincott Williams & Wilkins; in press, 2011.

15. Papp DF, Zikria B, Cosgarea AJ. Indications and Techniques for MPFL Reconstruction. In: Johnson D, Barber A, Field L, Richmond J, Sgaglione N, Amendola N, eds. Operative Arthroscopy. 4th ed. Philadelphia: Lippincott Williams & Wilkins; in press, 2011.

16. Elias J, Cosgarea AJ: Computational Modeling for Investigating the Patellofemoral Joint: Clinical Relevance. In: Anterior Knee Pain and Patellar Instability. (Ed. Alfonso, VS) Springer Verlag, London; in press, 2011.

17. Cosgarea AJ, Tanaka MJ, Elias JJ: Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability: Indications and Surgical Technique. In: Atlas of Essential Orthopaedic Procedures. American Academy of Orthopaedic Surgeons. In press, 2011.
Research Interests
  • Patellofemoral instability
  • Throwing shoulder biomechanics
  • Knee biomechanics
  • Surgical and nonsurgical treatment of sports injuries

More Info

Languages
  • English
Memberships
American Board of Orthopaedic Surgery
American Orthopaedic Society for Sports Medicine
American Academy of Orthopaedic Surgeons
Arthroscopy Association of North America
Maryland Orthopaedic Society
Herodicus Society
The Johns Hopkins Medical and Surgical Association
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