Dr. Jim RothThe Hand and Upper Limb Centre


I am very proud to welcome you to the Hand and Upper Limb Centre (HULC) website. HULC is a combined Orthopaedic and Plastic Surgery unit specializing in the care of patients with disorders of the upper limb. It was founded at St. Joseph's Health Care London in 1992. Since that time we have added surgeons, scientists, therapists, nurses, cast technicians, secretaries and others to become the largest such unit in Canada.

The twelve surgeons in the HULC unit see approximately 40,000 patients per year and perform approximately 4,000 procedures per year in state of the art operating rooms and clinic space. Patients with all disorders of the shoulder, elbow, wrist and hand are seen, including those due to congenital anomalies, trauma, arthritis and tumors. Children are seen in the HULC clinics but have their operations performed by HULC surgeons at the Children’s Hospital of Western Ontario. HULC surgeons do combined clinics with several rehabilitation physicians and have excellent professional relationships with the rheumatologists in London.

The research programs at HULC are well-established and world-renowned. The HULC unit includes a bioengineering lab, a cell and molecular biology lab and a clinical research lab. Each lab has a full time PhD scientist and additional research staff. All HULC labs are funded by multiple agencies including the Canadian Institutes of Health Research.

All HULC surgeons and scientists have academic appointments in the Schulich School of Medicine and Dentistry at the University of Western Ontario. The HULC team is dedicated to teaching health care professionals. We have a well-established fellowship program, are very active in resident teaching and also participate in the education of medical students, hand therapists, undergraduate and graduate science students, and others. The Robert M. McFarlane Library is an excellent resource for all HULC students and staff. Surgical Skills are taught in the HULC Surgical Skills Laboratory.

I hope you enjoy our website and are able to find the information you are looking for.

Director, Hand and Upper Limb Centre
St. Joseph's Health Care London
London, Ontario, Canada

Also from this web page:


HULC is currently in a fundraising drive to endow the Graham King Chair in the Hand and Upper Limb Centre, for more information, click here.

Congratulations to Dr. George Athwal who has recently been promoted to the rank of Associate Professor, and to Dr. Bing Siang Gan who has been promoted to the rank of Full Professor.