Shoulder & Elbow

main image for shoulder

The Shoulder and Elbow team specializes in reconstruction, replacement, and arthroscopy for patients of all ages, ranging from young athletes to active seniors. Most of the conditions treated can be managed non-operatively. When surgery is needed, the team performs both arthroscopic and open surgery – and, if necessary, joint replacement. Surgeons in the Shoulder and Elbow service are fellowship trained to perform the full gamut from simple procedures to the most difficult cases, and are often called on for revisions of previous unsuccessful surgeries. As part of an academic health sciences university, prevention, careful diagnosis, perioperative preparation and post-surgical follow-up are the hallmarks of exceptional patient-centered care.

Photograph of Dr. Friedman with colleague
Dr. Friedman with colleague.

Richard J. Friedman, MD, FRCSC
Adjunct Professor of Bioengineering, Clemson University
Chief – Shoulder and Elbow Surgery

Dr. Richard Friedman is Chief of Shoulder and Elbow Surgery, Professor at MUSC and Adjunct Professor of Bioengineering at Clemson University. He was formerly the chairman of the department of orthopaedic surgery and medical director of the joint replacement program at Roper Hospital in Charleston.

He received his MD degree from the University of Toronto and completed residencies in surgery at Massachusetts General Hospital and Harvard. He also completed a clinical fellowship in surgery at Johns Hopkins, as well as clinical fellowships in surgery and orthopedic surgery at Harvard. Friedman served on the North American and International Hip and Knee Registry steering committees and was a former consultant to the orthopedic device review panel of the U.S. Food and Drug Administration.

Dr. Friedman’s special areas of interest are shoulder and elbow disorders, shoulder and knee replacement and arthroscopy of the shoulder and knee.

Photograph of Dr. Josef K. Eichinger preparing for surgery.
Dr. Josef K. Eichinger preparing for surgery.

Josef K. Eichinger, MD
Associate Professor

Dr. Josef Eichinger received his undergraduate degree from the United States Military Academy at West Point and his MD degree from Temple University School of Medicine in Philadelphia. He completed his orthopaedic surgery residency at Madigan Army Medical Center in Tacoma, Washington and the Harvard shoulder and elbow surgery fellowship in Boston. He later became the chief of orthopaedic surgery at Madigan Army Medical Center, and at Womack Army Medical Center at Fort Bragg, North Carolina. His special areas of interests include total joint replacement surgery of the shoulder and elbow; surgical and non-surgical treatment of all shoulder and elbow disorders; sports medicine for overhead and throwing athletes including baseball, tennis and golf; and arthroscopic surgery. He also has expertise in the treatment of failed prior shoulder and elbow surgery as well as complex clavicle (collarbone), shoulder (proximal humerus), and elbow fractures.


Joint Commission SealMUSC Health has received the Joint Commission gold seal certification for total shoulder replacement. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care. Over 95 percent of patients achieve good to excellent results with relief of pain and significantly increase mobility and function.

Faculty Leadership

Dr. Friedman is a fellow of the American Academy of Orthopaedic Surgeons, Immediate Past President of the Association of Bone and Joint Surgeons, a member of the American Shoulder and Elbow Surgeons, and the European Society for Surgery of the Shoulder and Elbow, among others. He was one of the founders of the initial orthopaedic research laboratory at MUSC and has a longstanding experience in corporate research collaborations. He has published extensively in the peer-reviewed scientific literature and has presented nationally and internationally at numerous medical conferences.

Dr. Eichinger is a fellow in the American Academy of Orthopaedic Surgeons. He is on the editorial board for the Journal of Arthroscopy and Related Research and is a reviewer for the Journal of Shoulder and Elbow Surgery, Orthopedics, Journal of the American Academy of Orthopaedic Surgeons, and Military Medicine. He has presented research and lectured at numerous national meetings and has authored many peer-reviewed scientific articles and book chapters


Drs. Friedman and Eichinger collaborate with faculty in the Clemson-MUSC Bioengineering program to develop new and improved devices for treatment of arthritis and related traumatic disorders requiring total joint replacement.

Current research studies

  • Shoulder Arthroplasty Outcomes Registry
  • Surgical Outcomes Registry
  • Clavicle Characterization Study for Clavicle Fractures
  • Technique on AC Joint Repair
  • National Arthroplasty Utilization Analysis
  • Finite Element Modelling of Reverse Shoulder Replacements
  • Correlation of Radiographs and Clinical Outcomes Following Anatomic Shoulder Replacement
  • Correlation of Radiographs and Clinical Outcomes Following Reverse Shoulder Replacement
  • Risks of Shoulder Arthroscopy Prior to Shoulder Replacement
  • Scapular Notching in Reverse Shoulder Replacement
  • Clinical Outcomes Following Total Knee Replacement
  • Clinical Outcomes Following Total Hip Replacement
  • Comparison of Anatomic and Reverse Shoulder Replacement Outcomes
  • Hybrid Cage Glenoids in Anatomic Shoulder Replacement
  • Predictors of Postoperative Outcomes Following Reverse Shoulder Replacement
  • Patient Reported Outcomes Comparing Bilateral Anatomic to Bilateral Reverse Shoulder Replacements