Carlos A. Guanche, MD

Carlos A. Guanche, MD

Specializes in Arthroscopy of the Shoulder, Hip and Knee, Traditional and Reverse Shoulder Replacement, and Sports Medicine.


Fellowship-Trained Sports Medicine and Shoulder Surgeon

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Verified Patient Rating: 5 (69 patient reviews and ratings)

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Carlos Guanche, MD, is a world-renown expert in hip and shoulder arthroscopy as well as complex shoulder reconstruction. In the 20 years he has been in practice, Dr. Guanche 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 center 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. 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, more recently.  He has written more than 35 orthopaedic textbook chapters and nearly 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, Dr. Guanche relocated to Minneapolis, where he joined the Minneapolis Sports Medicine Center. He was appointed to the faculty of the University of Minnesota as an adjunct associate professor of orthopedic 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, Dr. Guanche 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. Dr. Guanche has been a partner at Southern California Orthopedic Institute since 2003.

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, and is one of only a small group of surgeons in the country who perform reverse total shoulder replacements on a regular basis and has been performing these procedures and was one of the first surgeons to perform this procedure in the United States in 2002.

Dr. Guanche is a diplomate of the American Board of Orthopaedic Surgery and 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.

He, his wife Anna, and their two children live in the west San Fernando Valley. When not working on his inventions, Dr. Guanche is active in running (including two marathons), golf, traveling, wine, and enjoying time with his family.

Dr. Guanche is available to see patients at the Van Nuys office.


  • Hip Arthroscopy
  • Knee
  • Shoulder
  • Shoulder Arthroscopy
  • Shoulder Replacement
  • Sports Medicine


Practice Coordinator: (818) 901-6600 Ext. 6704

Surgery Scheduler: (818) 901-6600 Ext. 6704

Additional Information:

Workers' Comp: Yes

“Everything about my experiences with Dr. Guanche was ideal. He was caring, communicative, responsive, and, based on my recovery, did a great job implanting my hip replacement. I have nothing but the best to say about Dr. Guanche.”
– Lee S.
Patient Rating:
  • University of Miami, 1983: Bachelor of Science, Cum Laude
  • Mount 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 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
  • Named in Top 70 Hip Surgeons in the US
  • Named a Los Angeles Magazine Super Doctor