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Brian Harley, MD

Meet Dr. Brian Harley - Upstate Orthopedics - Hand & Wrist Microsurgery

Meet Dr. Harley

Click here to learn more.

Hand & Wrist Microsurgery

Upper Extremity Surgery

Pediatric Hand Surgery

Trauma and Microvascular Reconstruction

Dr. Harley is an orthopaedic hand surgeon who treats all types of problems in the hand, wrist, and elbow in both adults and children. He is the regional expert in congenital and acquired pediatric upper extremity conditions.

Working out of the Golisano Children's Hospital at Upstate Medical University, Dr. Harley also has special training and interest in traumatic injuries and post-traumatic reconstruction in the upper and lower extremities. He is a specialist in bone and soft tissue reconstruction, including skin grafts, muscle flaps, and Ilizarov techniques.

Education and Training

Undergraduate: BSc, Medical Sciences, University of Alberta, 1993
Medical School: MD, University of Alberta, 1995
Residency: Orthopaedic Surgery at University of Alberta, 2000
Fellowship: Hand Surgery at Upstate Medical University, 2001
Fellowship: Paediatric and Congenital Hand Surgery – Texas Scottish Rite Hospital for Children, 2001

Board Certifications

  • Royal College of Physicians and Surgeons of Canada - Orthopaedic Surgery
  • American Board of Orthopaedic Surgery

Hospital Appointments

  • Upstate University Hospital
  • Crouse Hospital

Faculty Appointments

Professor/Instructor - Orthopaedic and Hand Surgery, SUNY Upstate Medical University

Professional Affiliations

  • Fellow, Royal College of Physicians and Surgeons of Canada
  • American Orthopaedic Association
  • American Academy of Orthopaedic Surgeons (AAOS)
  • AAOS Evaluation Committee, 2003-2011
  • American Society for Surgery of the Hand
  • Canadian Orthopaedic Association
  • Onondaga County Medical Society
  • SUNY Upstate Medical University:
    • Hand Surgery Fellowship Director, 2001-present
    • Resident Education Committee - Department of Orthopedic Surgery, 2009-present
    • Co-Chair - Resident Research Committee, 2001-present
    • Hospital Trauma Advisory Committee, 2003-2006

Clinical Interests

  • Pediatric hand surgery; hypoplastic thumb, syndactyly, polydactyly, cerebral palsy, deformity. Adult hand surgery: elbow, forearm and wrist fracture, wrist sprains/instability, wrist arthroscopy, hand fractures, hand reconstruction, tendon and nerve injury, brachial plexus injury, microvascular techniques. Trauma and extremity reconstruction: lower extremity fracture repairs and reconstruction, free flaps, nonunions of long bones, bone and soft tissue infections, bone reconstruction and Ilizarov techniques.

 

Publications

Articles

  1. Debottis, D.P., Werner, F.W., Sutton, L.G., Harley, B.J., “4-corner arthrodesis and proximal row carpectomy: A biomechanical comparison of wrist and tendon forces, J Hand Surg., 38A:893-8, 2013.
  2. Farr, L.D., Werner. F,W., McGrattan, M.L., Zwerling, S.R., Harley, B.J., “Wrist tendon forces with respect to forearm rotation,” J Hand Surg.38A:35-9, 2013.
  3. Werner, F.W., Taormina, J.L., Sutton, L.G., Harley, B.J., “Structural properties of 6 forearm ligaments,” J Hand Surg.36A:1981-87, 2011.
  4. Sherman, G.M., Spath, C., Harley, B.J., Weiner, M.M., Werner, F.W., Palmer, A.K., “Core decompression of the distal radius for the treatment of Kienbock’s disease: A biomechanical study,” J Hand Surg.33A:1478-1481, 2008.
  5. Ratcliff, J.R., Werner, F.W., Green, J.K., Harley, B.J., “Medial buttress versus lateral locked plating in a cadaver medial tibial plateau fracture model,” J Orthop Trauma. 21(7):444-448, 2007.
  6. Bille, B., Cohen, H., Harley, B.J., “A comparison of CT arthrography of the wrist to findings during wrist arthroscopy, J Hand Surg 32A:834-841, 2007.
  7. Harley, B.J., Brown, C., Cummings, K., Carter, P.R., Ezaki, M., “Volar ligament release and distal radius dome osteotomy for correction of Madelung’s deformity,” J Hand Surg, 31A:1499-1506, 2007.
  8. Brutus, J.P., Rajkumar, J.S., Rust, E., Harley, B.J., Palmer, A.K., Werner, F.W., “Bone density comparison of selected carpal and tarsal bones: Validation for their use in compression fracture fixation studies of scaphoid screws,” Chir Main, 25(2):77-80, 2006.
  9. Brutus J.P., Palmer, A.K., Mosher, J.F., Harley, B.J., Loftus, J.B., “Use of a headless compressive screw for distal interphalangeal joint arthrodesis in digits: Clinical outcome and review of complications,” J Hand Surg, 31A:85-89, 2006.
  10. Harley, B.J., Scharfenberger, A., Beaupre, L.A., Johma, N., Weber, D.W., “Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius-A prospective randomized trial,” J Hand Surg., 29(A): 815-824, 2004.
  11. Harley, B.J., Werner, F.W., Green, J., “A biomechanical modeling of injury, repair, and rehabilitation of ulnar collateral ligament injuries of the thumb,” J Hand Surg., 29(A): 915-920, 2004.
  12. Harley, B.J., Palmer, A.K., Boles, S.D., Werner, F.W., “Arthroscopic resection of arthrosis of the proximal hamate: A clinical and biomechanical Study,” J Hand Surg., 29A:661-667, 2004.
  13. Harley, B.J., Dulai, S.K., Jones, C.A., Beaupre, L.A., Weber, D.W., “The effect of time to definitive treatment on the rates of infection and non-union in open fractures,” J Orthop Trauma, 16(7): 484-490, 2002.
  14. Harley, B.J., Carter, P.R., Ezaki, M. “Volar surgical correction of Madelung’s deformity,” Tech Hand Upper Extremity Surg., 6(1):30-35, 2002.
  15. Harley, B.J., Beaupre, L.A., Jones, C.A., Cinats, J.G., Guenther, C., “Effect of epsilon aminocaproic acid on blood loss in patients undergoing primary total hip replacement,” Can J Surg, 45:185-190, 2002.
  16. Cheeseman, C.I., Harley, B.J., “Adaptation of glucose transport across rat enterocyte basolateral membrane in response to altered dietary carbohydrate intake,” J Physiology (London), 437:563-575, Jun 1991.

Textbook Chapters

  1. Harley, B.J., Palmer, A.K., “Arthroscopic Resection of Arthrosis of the Proximal Pole of the Hamate” in Wrist & Hand Arthroscopy: A Practical Approach, Eds: Slutsky, D.J., Nagle, D., Elsevier, Philadelphia, PA, 2007.
  2. Harley, B.J., Bergman, J.W., “Anatomy, Biology and Biomechanics of Tendon and Ligament” in Orthopaedic Essentials - Oncology and Basic Science, Eds: Damron, T.A., Morris, C.D., Lippincott and Williams, Philadelphia, PA, 2007.
  3. Sethi, S., Harley, B.J., Custodio, C., Stubblefield, M., “Peripheral Nerve Physiology, Anatomy and Pathology” in Orthopaedic Essentials - Oncology and Basic Science, Eds: Damron, T.A., Morris, C.D., Lippincott and Williams, Philadelphia, PA, 2007.
  4. Smallman, T.V., Shekitka, K., Flemming, D., Harley, B.J., “Infectious Disorders of Bone and Joint” in Orthopaedic Essentials - Oncology and Basic Science, Eds: Damron, T.A., Morris, C.D., Lippincott and Williams, Philadelphia, PA, 2007.
  5. Harley, B.J., Palmer, A.K., “Distal Radius Malunion” in Complications of Wrist Fractures, Ed: Friedman, S. AAOS Press, Rosemount, IL, 2005.
  6. Harley, B.J., Palmer, A.K., “Distal Radius Nonunion” in Complications of Wrist Fractures, Ed: Friedman, S. AAOS Press, Rosemount, IL, 2005
  7. Harley, B.J., Palmer, A.K., “The Distal Radioulnar Joint” in Complications of Wrist Fractures, Ed: Friedman, S. AAOS Press, Rosemount, IL, 2005
Presentations

Articles

  1. Debottis, D.P., Werner, F.W., Sutton, L.G., Harley, B.J., “4-corner arthrodesis and proximal row carpectomy: A biomechanical comparison of wrist and tendon forces, J Hand Surg., 38A:893-8, 2013.
  2. Farr, L.D., Werner. F,W., McGrattan, M.L., Zwerling, S.R., Harley, B.J., “Wrist tendon forces with respect to forearm rotation,” J Hand Surg.38A:35-9, 2013.
  3. Werner, F.W., Taormina, J.L., Sutton, L.G., Harley, B.J., “Structural properties of 6 forearm ligaments,” J Hand Surg.36A:1981-87, 2011.
  4. Sherman, G.M., Spath, C., Harley, B.J., Weiner, M.M., Werner, F.W., Palmer, A.K., “Core decompression of the distal radius for the treatment of Kienbock’s disease: A biomechanical study,” J Hand Surg.33A:1478-1481, 2008.
  5. Ratcliff, J.R., Werner, F.W., Green, J.K., Harley, B.J., “Medial buttress versus lateral locked plating in a cadaver medial tibial plateau fracture model,” J Orthop Trauma. 21(7):444-448, 2007.
  6. Bille, B., Cohen, H., Harley, B.J., “A comparison of CT arthrography of the wrist to findings during wrist arthroscopy, J Hand Surg 32A:834-841, 2007.
  7. Harley, B.J., Brown, C., Cummings, K., Carter, P.R., Ezaki, M., “Volar ligament release and distal radius dome osteotomy for correction of Madelung’s deformity,” J Hand Surg, 31A:1499-1506, 2007.
  8. Brutus, J.P., Rajkumar, J.S., Rust, E., Harley, B.J., Palmer, A.K., Werner, F.W., “Bone density comparison of selected carpal and tarsal bones: Validation for their use in compression fracture fixation studies of scaphoid screws,” Chir Main, 25(2):77-80, 2006.
  9. Brutus J.P., Palmer, A.K., Mosher, J.F., Harley, B.J., Loftus, J.B., “Use of a headless compressive screw for distal interphalangeal joint arthrodesis in digits: Clinical outcome and review of complications,” J Hand Surg, 31A:85-89, 2006.
  10. Harley, B.J., Scharfenberger, A., Beaupre, L.A., Johma, N., Weber, D.W., “Augmented external fixation versus percutaneous pinning and casting for unstable fractures of the distal radius-A prospective randomized trial,” J Hand Surg., 29(A): 815-824, 2004.
  11. Harley, B.J., Werner, F.W., Green, J., “A biomechanical modeling of injury, repair, and rehabilitation of ulnar collateral ligament injuries of the thumb,” J Hand Surg., 29(A): 915-920, 2004.
  12. Harley, B.J., Palmer, A.K., Boles, S.D., Werner, F.W., “Arthroscopic resection of arthrosis of the proximal hamate: A clinical and biomechanical Study,” J Hand Surg., 29A:661-667, 2004.
  13. Harley, B.J., Dulai, S.K., Jones, C.A., Beaupre, L.A., Weber, D.W., “The effect of time to definitive treatment on the rates of infection and non-union in open fractures,” J Orthop Trauma, 16(7): 484-490, 2002.
  14. Harley, B.J., Carter, P.R., Ezaki, M. “Volar surgical correction of Madelung’s deformity,” Tech Hand Upper Extremity Surg., 6(1):30-35, 2002.
  15. Harley, B.J., Beaupre, L.A., Jones, C.A., Cinats, J.G., Guenther, C., “Effect of epsilon aminocaproic acid on blood loss in patients undergoing primary total hip replacement,” Can J Surg, 45:185-190, 2002.
  16. Cheeseman, C.I., Harley, B.J., “Adaptation of glucose transport across rat enterocyte basolateral membrane in response to altered dietary carbohydrate intake,” J Physiology (London), 437:563-575, Jun 1991.

Textbook Chapters

  1. Harley, B.J., Palmer, A.K., “Arthroscopic Resection of Arthrosis of the Proximal Pole of the Hamate” in Wrist & Hand Arthroscopy: A Practical Approach, Eds: Slutsky, D.J., Nagle, D., Elsevier, Philadelphia, PA, 2007.
  2. Harley, B.J., Bergman, J.W., “Anatomy, Biology and Biomechanics of Tendon and Ligament” in Orthopaedic Essentials - Oncology and Basic Science, Eds: Damron, T.A., Morris, C.D., Lippincott and Williams, Philadelphia, PA, 2007.
  3. Sethi, S., Harley, B.J., Custodio, C., Stubblefield, M., “Peripheral Nerve Physiology, Anatomy and Pathology” in Orthopaedic Essentials - Oncology and Basic Science, Eds: Damron, T.A., Morris, C.D., Lippincott and Williams, Philadelphia, PA, 2007.
  4. Smallman, T.V., Shekitka, K., Flemming, D., Harley, B.J., “Infectious Disorders of Bone and Joint” in Orthopaedic Essentials - Oncology and Basic Science, Eds: Damron, T.A., Morris, C.D., Lippincott and Williams, Philadelphia, PA, 2007.
  5. Harley, B.J., Palmer, A.K., “Distal Radius Malunion” in Complications of Wrist Fractures, Ed: Friedman, S. AAOS Press, Rosemount, IL, 2005.
  6. Harley, B.J., Palmer, A.K., “Distal Radius Nonunion” in Complications of Wrist Fractures, Ed: Friedman, S. AAOS Press, Rosemount, IL, 2005
  7. Harley, B.J., Palmer, A.K., “The Distal Radioulnar Joint” in Complications of Wrist Fractures, Ed: Friedman, S. AAOS Press, Rosemount, IL, 2005
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At Upstate Orthopedics, our orthopedic surgeons provide treatment for patients with chronic pain due to sports injury, job related injury, auto accident or other orthopedic conditions. Experienced neck, back and spine surgeons specialize in the management of scoliosis, whiplash, degenerative disc disease, pinched nerves, spinal cord tumors and other spinal deformities. Our foot and ankle specialists find solutions for common sports injuries, shin splints, flat foot, plantar fasciitis, diabetic foot as well as bunion, claw toe, hammertoe. Upstate Orthopedics has a full staff of orthopedic hand and wrist microsurgeons with experience providing relief for carpal tunnel syndrome, flexor or extensor tendon injury, bite injury and congenital deformities that require specialized training. We also have shoulder, elbow, hip and knee joint replacement specialists providing treatment for rotator cuff tear, ligament strain, arthritis, congenital deformities, hip fracture and more. We have a dedicated oncology team to help you fight cancer, tumor, metastatic disease and improve quality of life. Parents trust our pediatric specialists to care for their young children, athletes, students, family and friends. Convenient on-site x-ray, MRI, CT scan, casting and splinting, wound care, physical therapy, pain relief treatments and outpatient surgery from world-class medical staff serving Onondaga County and surrounding counties in Central New York.