The MedStar Health—Georgetown/Washington Hospital Center Fellowship Program in Musculoskeletal Oncology
This fellowship, established more than 40 years ago, is a one-year program accredited by the Accreditation Council for Graduate Medical Education (ACGME) and focuses on preparing qualified orthopedic surgeons for academic and clinical careers in orthopedic oncology.
It features a multidisciplinary approach to the diagnosis and treatment of musculoskeletal tumors in the pediatric and adult population with specific focus on advanced surgical techniques including minimally invasive approaches and computerized navigation; endoprosthetic reconstruction for limb salvage including expandable implants for skeletally immature patients; soft tissue dissection and flap reconstruction; as well as complex amputations including hemipelvectomy and forequarter amputations.
Our team's commitment to providing the optimal treatment for our patients is enhanced by our fellows acting as patient advocates helping patients navigate the healthcare system. As such, fellows have an opportunity to learn the intricacies of providing world-class care to patients of all ages and circumstances.
Why train here
This fellowship program has an established national reputation for providing innovative surgical and medical care to patients of all ages with musculoskeletal tumors. Training takes place at MedStar Health Washington Hospital Center as well as MedStar Health Georgetown University Hospital and Children’s National Medical Center.
Graduates of our program are fully prepared to work in the field of orthopedic oncology and are very competitive in the job market, with many going on to develop and lead their own programs across the country.
Our curriculum emphasizes the importance of developing the skills needed to care for sarcoma patients in a multidisciplinary environment. Emphasis is placed on the proper diagnosis, workup, treatment planning, and follow-up care for these complex patients.
Training includes advanced surgical skills and techniques needed for limb-sparing surgery, surgical approaches and relevant anatomy, musculoskeletal imaging, and orthopedic pathology. Fellows are also encouraged to develop the leadership skills necessary to build and develop an orthopedic oncology program.
Musculoskeletal Oncology offers a unique and varied approach to orthopedic surgery. It includes expertise in the following areas:
- Advanced diagnostic techniques, including minimally invasive biopsies
- Interpretation of musculoskeletal lesions on cross-sectional imaging, including MRI, CT, PET/CT scans
- Plastic surgical techniques, specifically the use of local muscle rotation flaps
- Vascular surgical techniques that include exploration of all the major neurovascular structures including the axillary vessels, the brachial plexus, the retroperitoneal space, the iliac vessels, and all of the extremity vessels.
- Major resections of the shoulder girdle, pelvic girdle, and lower extremity joints with various techniques of reconstruction to include prosthetic replacements and intercalary replacements.
Expertise in all aspects of surgery is essential for a surgeon to successfully manage orthopedic oncology patients. The fellows trained at this institution become lead surgeons capable of performing all aspects of major operative procedures.
The program also stresses the development of clinical research skills. All fellows are engaged in multiple research projects, following IRB submission and approval. Use of a departmental database and electronic records facilitates development of research cohorts for patients with rare diseases. Hands-on involvement with photographing gross specimens, histology, radiographs, and varied imaging studies helps to foster greater interest in biology of these diseases and facilitates the rapid accumulation of knowledge needed for independent practice in this field.
As part of our clinically based fellowship training program in Musculoskeletal Oncology, we offer several category 1 CME- certified conferences featuring a multidisciplinary approach:
A bi-monthly MedStar Health system-wide multidisciplinary sarcoma conference
Weekly pre-operative orthopedic oncology conference
Participation in Orthopedic Grand Rounds and Orthopedic Journal Clubs at MedStar Washington Hospital Center and MedStar Georgetown University Medical Center is highly encouraged.
Peer-reviewed published papers
Trent S, Krumme J, Henshaw RM. Metastatic prostate carcinoma: A rare presentation initially misdiagnosed as a rib fracture. Radiol Case Rep. 2020 Aug 5;15(10):1795-1798. doi: 10.1016/j.radcr.2020.07.038. eCollection 2020 Oct.
Nelson CM, Marchese V, Rock K, Henshaw RM, Addison O. Alterations in Muscle Architecture: A Review of the Relevance to Individuals After Limb Salvage Surgery for Bone Sarcoma. Front Pediatr. 2020 Jun 16;8:292. doi: 10.3389/fped.2020.00292. eCollection 2020. PMID: 32612962
Jelinek J, Wu A, Wallace M, Kumar D, Henshaw RM, et al. Imaging of spindle cell lipoma. Clin Radiol. 2020 May;75(5):396.e15-396.e21. doi: 10.1016/j.crad. 2019.11.020. Epub 2020 Jan 10. PMID: 31932047
Heng M, Gupta A, Chung PW, et al. Soft Tissue Osteosarcoma International Collaborative (STOIC). The role of chemotherapy and radiotherapy in localized extraskeletal osteosarcoma. Eur J Cancer. 2020 Jan;125:130-141. doi:10.1016/j.ejca.2019.07.029. Epub 2019 Dec 2. PMID: 31806415
Chawla S, Blay JY, Rutkowski P, Le Cesne A, Reichardt P, Gelderblom H, Grimer RJ, Choy E, Skubitz K, Seeger L, Schuetze SM, Henshaw R, et al. Denosumab in patients with giant-cell tumour of bone: a multicentre, open-label, phase 2 study. Lancet Oncol. 2019 Dec;20(12):1719-1729. doi: 10.1016/S1470-2045(19)30663-1. Epub 2019 Nov 6. PMID: 31704134
Maheshwari AV, Shah NV, Newman JM, Freetly TJ, Henshaw RM. Cytogenetic Single-Institution Analysis: 101 Consecutive Cases of Soft-Tissue Tumors of the Extremities. J Long Term Eff Med Implants. 2018;28(2):87-99. doi: 10.1615/JLongTermEffMedImplants.2018026233.PMID: 30317958
Engellau J, Seeger L, Grimer R, Henshaw R, et al. Assessment of denosumab treatment effects and imaging response in patients with giant cell tumor of bone. World J Surg Oncol. 2018 Sep 19;16(1):191. doi: 10.1186/s12957-018-1478-3.
Carroll P, Henshaw RM, Garwood C, Raspovic K, Kumar D. Plantar Fibromatosis: Pathophysiology, Surgical and Nonsurgical Therapies: An Evidence-Based Review. Foot Ankle Spec. 2018 Apr;11(2):168-176. doi: 10.1177/1938640017751184. Epub 2018 Jan 9.
Nwankwo BO, Henshaw RM, Kumar D. Glomus Tumor of the Sciatic Nerve: An Extraspinal Cause of Sciatica. Orthopedics. 2018 Jan 1;41(1):e151-e153. doi: 10.3928/01477447-20170918-07. Epub 2017 Sep 22.
Tedesco NS, Van Horn A, Henshaw RM. Long-term Results of Intercalary Endoprosthetic Short Segment Fixation Following Extended Diaphysectomy. Orthopedics, 2017 Nov 1;40(6):e964-e970. doi: 10.3928/01477447-20170918-04. Epub 2017 Sep 22. PMID: 28934543
Shuck J, Wood BC, Zarella C, Oh AK, Henshaw RM, Rogers GF. Near-complete Humerus Reconstruction in the Pediatric Patient with Vascularized Free Fibula Transfer. Plast Reconstr Surg Glob Open. 2016 Dec 27;4(12):e1143. doi: 10.1097/GOX.0000000000001143.
Tedesco NS, Henshaw RM. Unplanned Resection of Sarcoma. J Am Acad Orthop Surg. 2016 Mar;24(3):150-9. doi: 10.5435/JAAOS-D-15-00074
Maheshwari AV, Gilbert C, Noveau J, Pivec R, Henshaw RM. Implant Fracture after Long-Stemmed Cemented Hemiarthroplasty for Oncologic Indications. J Long Term Eff Med Implants. 2015;25(3):171-8. PMID: 26756556
Adams B, Roboubi B, Henshaw R. Acute onset of vancomycin anaphylaxis with DIC in an orthopaedic oncology patient despite prior repeated exposure. Accepted for publication – The American Journal of Orthopaedics, 2015
Henshaw RM. Surgical advances in bone and soft tissue sarcoma: 50 years of progress. Am Soc Clin Oncol Educ Book. 2014;34:252-8. doi: 10.14694/ EdBook_AM.2014.34.252.
Wallace MT, Henshaw RM. Results of Cement versus Bone Graft Reconstruction after Intralesional Curettage of Bone Tumors in the Skeletally Immature Patient. J Pediatr Orthop. 2014 Jan;34(1):92-100. doi: 10.1097/BPO.0b013e31829b2f61.
Xu S, Adams B, Yu X, Xu M. “Denosumab and giant cell tumour of bone – a review and future management considerations.” Current Oncology 2013 Oct.
Shehadeh A, El Dahleh M, Salem A, Sarhan Y, Sultan I, Henshaw RM, Aboulafia A. Standardization of rehabilitation after limb salvage surgery for sarcomas improves patients’ outcome. Hematol Oncol Stem Cell Ther. 2013 Sep-Dec;6(3-4):105-11. doi: 10.1016/j.hemonc.2013.09.001. Epub 2013 Oct 24.
Chawla S, Henshaw R, Seeger L, Choy E, Blay JY, Ferrari S, Kroep J, Grimer R, Reichardt P, Rutkowski P, Schuetze S, Skubitz K, Staddon A, Thomas D, Qian Y, Jacobs I. Safety and efficacy of denosumab for adults and skeletally mature adolescents with giant cell tumour of bone: interim analysis of an open-label, parallel-group, phase 2 study. Lancet Oncol. 2013 Aug;14(9):901-8.
Meftah M, Schult P, Henshaw RM. Long-term results of intralesional curettage and cryosurgery for treatment of low-grade chondrosarcoma. J Bone Joint Surg Am, 2013 Aug 07;95(15):1358-1364.
Argintar E, Sanders T, Nomikos G, Henshaw R, Delahay J. Soft-tissue benign mesenchymoma in a pediatric patient. Am J Orthop. 2012; 41(12):561-652.
Maheshwari A, Jelinek J, Seibel N, Meloni-Ehrig A, Kumar D, Henshaw R. Bilateral synchronous tibial periosteal osteosarcoma with familial incidence. Skeletal Radiology, 2012 Aug;41(8):1005-9.
Maheshwari AV, Walters JA, Henshaw RM. Extensile posterior approach to the ankle with detachment of the achilles tendon for oncologic indications. Foot Ankle Int. 2012 May;33(5):430-5.
Bergin PF, Noveau JB, Jelinek JS, Henshaw RM. Aseptic loosening rates in distal femoral endoprostheses: Does stem size matter? Clin Orthop Relat Res. 2012 Mar;470(3):743-50.
Maheshwari A, Bergin P, Henshaw RM. Modes of Failure of Custom Expandable Repiphysis Prostheses: A Report of Three Cases. J. Bone Joint Surg. Am., Jul 2011; 93 (13); e72 1-7. doi: 10.2106/JBJS.J.00841
Maheshwari AV, Jelinek JS, Song AJ, Nelson KJ, Murphey MD, Henshaw RM. Metaphyseal and diaphyseal chondroblastomas. Skeletal Radiol. 2011 Dec;40(12):1563-73. Epub 2011 Jul 20.
Shehadeh A, Noveau J, Malawer M, Henshaw R. Late Complications and Survival of Endoprosthetic Reconstruction after Resection of Bone Tumors. Clin Orthop Relat Res. 2010 Nov;468(11):2885-95.
Thomas D, Henshaw R, Skubitz K, Chawla S, Staddon A, Blay J, Roudier M, Smith J, Ye Z, Sohn W, Dansey R, Jun S. Denosumab in patients with giant-cell tumour of bone: an open-label, phase 2 study. Lancet Oncol. 2010 Mar;11(3):275-80. Epub 2010 Feb 10.
Thomas D, Chawla S, Skubitz K, Staddon A, Henshaw R, Blay J, Smith J, Ye Z, Roudier M, Jun S. Denosumab for the Treatment of Giant Cell Tumor (GCT) of Bone: Final Results From a Proof-of-Concept, Phase 2 Study. J Clin Oncol 27:15s, 2009 (suppl; abstr 10510)
Shehadeh A, Haiba M, Henshaw RM, Lack E. Telangiectatic Osteosarcoma of the Patella. Orthopedics, 31(8), August 2008.
Mussai FJ, Cunningham LC, Rezvani G, Stratakis CA, Reynolds JC, Nesterova G, Henshaw RM, Levine JE, Helman LJ, Arthur DC, Kim SY. Hypocalcemia in a patient with osteosarcoma and 22q11.2 deletion syndrome. J Pediatr Hematol Oncol. 2008 Aug;30(8):612-7.
Wu C, Henshaw RM, Pritsch T, Squires H, Malawer MM. Implant Design and Resection Length Affect Cemented Endoprosthesis Survival in Proximal Tibial Reconstruction. J Arthroplasty, 28 Feb 12. 2008.
Non-peer-reviewed published papers
Henshaw RM. Sarcoma: A Multidisciplinary Approach to Treatment. Cham, Switzerland: Springer International. 2017. DOI 10.1007/978-3-319-43121-5.
Henshaw RM and Soni, EE. Benign Bone Forming Tumors. Orthopaedic Knowledge Update: Musculoskeletal Tumors, 3rd ed. American Academy of Orthopaedic Surgeons, 2003.
Malawer M, Henshaw RM, Kellar-Graney K. Overview of Endoprosthetic Reconstruction. Operative Techniques in Orthopaedic Surgery. Wiesel S (ed), Lippincott Williams Wilkins, Vol 2, Chapt 3:1728-39, 2010.
Virkus W, Henshaw RM, Miller B, Gitelis S. Use of Allografts and Segmental Prostheses for Reconstruction of Segmental Bone Defects. Operative Techniques in Orthopaedic Surgery. Wiesel S (ed),Lippincott Williams Wilkins, Vol 2, Chapt 29, 1982-90, 2010.
Wittig J, Malawer M, Kellar-Graney K, Henshaw RM. Axillary Space Exploration and Resections. Operative Techniques in Orthopaedic Surgery. Wiesel S (ed), Lippincott Williams Wilkins, Vol 2, Chapt 13, 1825-32, 2010.
Novartis: CMCS110X2201 study: Pigmental Villonodular Synovitis treated with MCS110X/placebo. Robert Henshaw, principal investigator
Amgen: AMG-162 study: Denosumab in the treatment of Giant Cell Tumor of Bone, Robert Henshaw, principal investigator
Presentations at professional meetings
Krumme J, MacConnel A, Wallace M, Aboulafia A, Jelinek J, Adams B, Henshaw RM.
Early Failures Utilizing the Photodynamic Bone Stabilization System in Pathologic and Impending Fractures.
Musculoskeletal Tumor Society Annual Meeting, Oct 2020.
Krumme J, Heer J, Adams B, Henshaw RM.
Outcomes of Cryosurgery Utilizing an Argon Cryoprobe. 24 years of Institutional Experience.
Musculoskeletal Tumor Society Annual Meeting, Oct 2020.
Henshaw RM, McKnight A, Van Horn A, Adams B.
Bushing design and crosslinked polyethylene can favorably improve mechanical survival of rotating hinge endoprostheses around the knee.
Musculoskeletal Tumor Society Annual Meeting, Oct 2019.
Ferrari S, Blay J, Reichardt P, Le Cesne A, Rutkowski P, Henshaw R, et al
Safety and Efficacy of Denosumab in Patients with Giant Cell Tumor of Bone: Results of an Open-Label Phase 2 Study.
Connective Tissue Oncology Society Annual Meeting, Nov 2017
Abdel Al S, Van Horn A, Adams B, Henshaw RM. Oncologic Outcomes in Octogenarian Patients with Primary Soft Tissue Sarcoma.
Musculoskeletal Tumor Society Annual Meeting, Sept 2017
Tedesco N, Van Horn A, Henshaw R.
Long-term Results of Massive Intercalary Endoprosthetic Reconstruction With Short Segment Compressive Osseointegration With and Without Cement Augmentation
Combined International Society Limb Salvage and Musculoskeletal Tumor Society Annual Meeting, Oct 2015
Adams B, Wallace M, Meftah M, Henshaw R. “Venous Thromboembolism in Soft Tissue Sarcoma Patients Treated Without Chemoprophylaxis.” Paper presentation AAOS Annual Meeting, Las Vegas, NV, March 2015.
Cheng E, Kudlidjian A, Block J, Gitelis S, Henshaw R, et al. MCS110, An Anti-CSF-1 Antibody for the Treatment of Pigmented Villonodular Synovitis (PVNS). Connective Tissue Oncology Society Annual Meeting, Oct 2014 Berlin, Germany
DeMattos C, Adams B, Henshaw RM. Early Superior Function with Reverse Total Shoulder (RTS) Proximal Humeral for Massive Bone Sarcomas. Connective Tissue Oncology Society Annual Meeting, Oct 2014 Berlin, Germany
Chawla S, Henshaw RM, Grimer R, Skubitz K, Staddon A, Reichardt P, Feng A, Bach B. Denosumab treatment for giant cell tumor (GCT) of the spine and sacrum. Connective Tissue Oncology Society Annual Meeting, Nov 2013 New York, NY
Adams B, Wallace M, Meftah M, Henshaw R. Venous thromboembolism in soft tissue sarcoma patients treated without chemoprophylaxis. Musculoskeletal Tumor Society 2013 Annual Meeting, 10/2013 San Francisco, CA
Blay J, Shawla S, Seeger L, Henshaw R, Choy E, Grimer R, Ferrari S, Reichardt P, Rutkowski P, Schuetze S, Thomas D, Pousa A, Qian Y, Jacobs I. Evaluating Denosumab Treatment for Giant Cell Tumor of Bone With an Independent Imaging Assessment. 12th International Conference on Cancer-Induced Bone Disease, Nov 2012 Lyon, France
Blay J, Shawla S, Seeger L, Henshaw R, Choy E, Grimer R, Ferrari S, Reichardt P, Rutkowski P, Schuetze S, Thomas D, Pousa A, Qian Y, Jacobs I. Safety and efficacy of denosumab for giant cell tumor of bone. Connective Tissue Oncology Society Annual Meeting, Nov 2012 Prague, Czech Republic
Blay J, Shawla S, Seeger L, Henshaw R, Choy E, Grimer R, Ferrari S, Reichardt P, Rutkowski P, Schuetze S, Thomas D, Pousa A, Qian Y, Jacobs I. Independent imaging assessment of denosumab treatment for giant cell tumor of bone. Connective Tissue Oncology Society Annual Meeting, Nov 2012 Prague, Czech Republic
Meftah M and Henshaw RM. Long-term Results of Cryosurgery in Treatment of Chondrosarcoma.Musculoskeletal Tumor Society 2012 Annual Meeting, 9/2012 Tampa, FL
Wallace M and Henshaw RM. Results of cement versus bone graft reconstruction after intralesional curettage of bone tumors in the skeletally-immature patient. Musculoskeletal Tumor Society 2012 Annual Meeting, 9/2012 Tampa, FL
Meftah M and Henshaw RM. Long-term Results of Cryosurgery in Treatment of Chondrosarcoma. Southern Orthopedic Association 29th Annual Meeting, 07/2012 White Sulphur Springs, VW
Meftah M and Henshaw RM. Long-term Results of Cryosurgery in Treatment of Chondrosarcoma. Eastern Orthopedic Association 43rd Annual Meeting, 6/2012 Sagamore, NY
Chawla S, Blay J, Broto J, Choy E, Dominkus M, Engellau J, Grimer R, Henshaw R, Palmerini E, Reichardt P, Rutkowski P, Skubitz K, Tomas D, Zhao Y, Qian Y, Jacobs I. Evaluating the Safety and Efficacy of Denosumab in Patients With Giant Cell Tumor of Bone (GCTB): Second Interim Analysis From a Phase 2 Study 11th International Conference on Cancer-Induced Bone Disease, Nov 2011 Chicago IL
Chawla S, Blay J, Broto J, Choy E, Dominkus M, Engellau J, Grimer R, Henshaw R, Palmerini E, Reichardt P, Rutkowski P, Skubitz K, Tomas D, Zhao Y, Jacobs I. Safety and efficacy of denosumab in giant cell tumor of bone (GCTB): second interim analysis from a phase 2 study. Connective Tissue Oncology Society and Musculoskeletal Tumor Society Combined Meeting, October 2011 Chicago, IL
Maheshwari A, Jelinek J, Song A, Murphey M, Henshaw RM. Metaphyseal and diaphyseal chondroblastomas. Connective Tissue Oncology Society and Musculoskeletal Tumor Society Combined Meeting, October 2011 Chicago, IL
Babushkina A, Hutson N, Henshaw RM. Effect of diabetes on patients presenting with soft tissue sarcomas. Connective Tissue Oncology Society and Musculoskeletal Tumor Society Combined Meeting, October 2011 Chicago, IL
Zhang C, Henshaw RM. Long-term results of treating bone tumors with cryosurgery. International Society of Limb Salvage, 16th General Meeting, Sept 2011 Beijing, China
Maheshwari A, Bergin P, Henshaw RM. Mechanisms Of Mechanical Failure Seen In Children Reconstructed With A Custom Expandable Repiphysis Endoprosthesis. Southern Orthopedic Association Annual Meeting, July 2011 Big Island, HI
Henshaw RM, Jelinek J. Radiographic Response Of Giant Cell Tumor Of Bone During Treatment With Denosumab Southern Orthopedic Association Annual Meeting, July 2011 Big Island, HI
Maheshwari A, Henshaw RM. Detachment Of The Achilles Tendon And Repair With Suture Anchors For Extensile Exposure Of The Posterior Ankle. Southern Orthopedic Association Annual Meeting, July 2011 Big Island, HI
Henshaw R, Salmon E, Perry D, Malawer M, Priebat D. Did the addition of ifosfamide to adriamycin and intra-arterial cis-platinum improve long term outcomes following induction chemotherapy for soft tissue sarcomas? Connective Tissue Oncology Society 16th Annual Meeting, Nov 2010 Paris, France
Maheshwari A, Song A, Jelinek J, Murphey M, Henshaw R. Metadiaphyseal chondroblastomas: A report of seven cases and review of literature. Connective Tissue Oncology Society 16th Annual Meeting, Nov 2010 Paris, France
Cleeland C, Blay J, Dominkus M, Henshaw R, Broto J, Skubitz K, Thomas D, Chung K, Atchison C, Qian Y, Jacobs I. Pain reduction with denosumab treatment in giant cell tumor of bone: Interim results from a phase 2 study. Connective Tissue Oncology Society 16th Annual Meeting, Nov 2010 Paris, France
Thomas D, Callahan J, Henshaw R, Skubitz K, Staddon A, Blay J, Stacchiotti S, Hicks R. Molecular and imaging biomarkers of disease and therapeutic response in giant cell tumor of bone. Connective Tissue Oncology Society 16th Annual Meeting, Nov 2010 Paris, France
Bergin P, Noveau J, Jelinek J, Henshaw RM. Aseptic loosening rates in distal femoral endoprostheses: Does surgical technique matter? Annual Meeting of the Musculoskeletal Tumor Society, Sept 2010 Philadelphia, PA
Maheshwari A, Henshaw RM. Posterior approach to the ankle with detachment of the Achilles tendon for oncologic indications. Annual Meeting of the Musculoskeletal Tumor Society, Sept 2010 Philadelphia, PA
Shehadah A, Noveau J, Henshaw RM. Percutaneous treatment of unicameral bone cysts with demineralized bone matrix. Annual Meeting of the Musculoskeletal Tumor Society, Sept 2010 Philadelphia, PA
Maheshwari A, Gilbert C, Noveau J, Henshaw RM. Modes of failures of custom expandable repiphysis prosthesis. Annual Meeting of the Musculoskeletal Tumor Society, Sept 2010 Philadelphia, PA
Maheshwari A, Bergin P, Henshaw RM. Implant fracture after long stemmed cemented hemiarthroplasty for oncologic indications. What are the risk factors? Annual Meeting of the Musculoskeletal Tumor Society, Sept 2010 Philadelphia, PA
MedStar Washington is the primary training location for the fellowship program. The hospital serves as the referral center and central hub for the region's most up-to-date acute medical care.
110 Irving St., NW
Washington, D.C., 20010
MedStar Georgetown offers leading diagnostic and treatment options with a trusting, compassionate, and empathetic environment.
3800 Reservoir Rd., NW
Washington, D.C., 20007
Children’s National Hospital has earned worldwide recognition for pioneering new therapies and treatments such as heart, cancer, neurology, and cutting-edge general surgery. It is ranked as the number 1 pediatric hospital in the Washington, D.C., metropolitan area.
111 Michigan Avenue NW
Washington, D.C., 20010
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