Carlos Guanche, M.D.


Carlos Guanche, M.D. is a world-renown expert in hip and shoulder arthroscopy as well as complex shoulder reconstruction. In the 30 years he has been in practice, he has treated thousands of patients, many whose professional lives depend on his skilled hands to bring them back from debilitating injury to center stage – and court. Faced with career-threatening conditions, professional athletes and world famous entertainers have entrusted their well being to Dr. Guanche.

He has devoted his career to his patients by constantly striving to innovate, and make procedures less invasive, with smaller incisions, less pain, and shorter downtime. He is committed to advancing his field of specialty, and has two orthopaedic device patents to his name. He has trained many medical students, dozens of residents, and dozens of fellows in sports medicine and arthroscopy procedures. He actively teaches practicing physicians as well, via seminars, live surgery webcasts, and cadaver courses. More recently, he has been the first physician to describe and regularly perform endoscopic hamstring repairs and ischial bursectomies. Many physicians from around the world visit his center to learn the technique.

He is a respected voice in orthopedics, serving as instructional course director at the prestigious Orthopaedic Learning Center in Chicago, as well as the American Academy of Orthopaedic Surgery meetings. In addition, he is regularly invited to speak in Germany, Spain, Columbia, Norway, Slovenia, and Brazil at their orthopaedic societies. Being fluent in Spanish, he also teaches courses regularly in Spanish.  He has written a book on hip arthroscopy, and co-authored a second one.  He has written more than 40 orthopaedic textbook chapters and over 50 peer-reviewed journal articles. He also serves as a research and development consultant to several of the world’s largest orthopaedic device and equipment companies. In short, Dr. Guanche is a uniquely qualified surgeon with outstanding academic and clinical achievements, whose surgical excellence is complemented by his warm and down-to earth demeanor.

Dr. Guanche grew up in South Florida and graduated Magna Cum laude from the University of Miami. He went on to earn his Medical Degree from the University of Miami, after which he completed his orthopedic surgery residency at the Albert Einstein Medical Center in Philadelphia. He completed fellowship training in Sports Medicine and Shoulder surgery at the Minneapolis Sports Medicine Center in 1993.

Following his training, he was appointed to the teaching faculty at Louisiana State University. During his five years at LSU, he served as Associate Professor of Orthopedic Surgery and was responsible for the daily teaching of residents and medical students. He was the director of the Sports Medicine Division at LSU and was head team physician for the University of New Orleans basketball team (NCAA Division I), New Orleans Zephyrs (AAA baseball) and the New Orleans Brass (East Coast Hockey League). In addition, he was active in research studies, including a highly acclaimed study dealing with proprioception of the shoulder.  In 1998, he relocated to Minneapolis where he joined the Minneapolis Sports Medicine Center. He was appointed to the faculty of the University of Minnesota as Adjunct Associate Professor of Orthopaedic Surgery. At the Center, he trained fellows and residents in shoulder reconstruction and sports medicine arthroscopic techniques and was Clinical Coordinator for Basic Science Research. He was the principal investigator in NFL-funded research grants, including one designed to analyze the influence of Growth Factors in the healing of rotator cuff tears. In his position at the Center, he was Associate Team physician for the Minnesota Vikings (NFL) and was the upper extremity consultant to the Minnesota Wild (NHL), the Timberwolves (NBA) and the Lynx (WNBA). In addition, he was a consultant to the Minnesota State High School Football League.   He was a partner at the Southern California Orthopedic Institute for 20 years.  He has joined the Cedars-Sinai team recently.

Dr. Guanche also maintains a very active practice in the treatment of shoulder injuries including labral repairs, rotator cuff repairs and the management of arthritis. He has an extensive and unparalleled experience in the management of shoulder arthritis including the development of a minimally invasive shoulder replacement technique.  He is one of only a small group of surgeons in the country who perform reverse total shoulders on a regular basis and was one of the first surgeons to perform this procedure in the US in 2002.

A diplomate of the American Board of Orthopaedic Surgery, Dr. Guanche is a member of the American Orthopaedic Society for Sports Medicine, the Arthroscopy Association of North American, the International Society for Hip Arthroscopy and the American Shoulder and Elbow Society.

Always innovative, Dr. Guanche has two patents to his credit. One device allows for the specific measurement of shoulder laxity, while the other improves the ability to perform arthroscopic shoulder reconstructions. He is currently working on another for a minimally-invasive shoulder replacement prosthesis.

When not distracted with his inventions, Dr. Guanche is active in running (including two marathons), traveling and growing his own wine.


  • University of Miami, 1983: B.S.,Cum Laude
  • Mt. Sinai Medical Center, 1988: Intern of the Year
  • Albert Einstein Medical Center, 1989: Best Resident Paper: Thigh compartment pressures in acute femoral shaft fractures.
  • Nominated for the Hughston Award by the American Journal of Sports Medicine the paper: The outcome of two knee scoring scales in a normal population. Am J Sports Medicine, 26: 46-51, 1998.
  • Richard Caspari Award for best upper extremity paper ISAKOS international conference. Arthroscopic single versus double row suture anchor rotator cuff repair, April 2005.Carlos A. Guanche, MD
  • Named one of Top 70 Hip Surgeons in the US
  • Named a Los Angeles Magazine Super Doctor

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  • Monday: 8:30am – 5:00pm
  • Tuesday: 8:30am – 5:00pm
  • Wednesday: 8:30am – 5:00pm
  • Thursday: 8:30am – 5:00pm
  • Friday: 8:30am – 5:00pm
  • Saturday: Closed
  • Sunday: Closed

Cedars Sinai Orthopedic Surgery

18370 Burbank Boulevard Tarzana, CA 91356

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