Livio Di Mascio

Mr Livio Di Mascio

Shoulder, Elbow & Hand Surgeon

Consultant Orthopaedic Surgeon, Bart's Health NHS Trust

AXA: LD01046
BUPA: 04630278

MBBS (London), FRCS Ed (Tr & Orth)

Secretary: Carla McLoughlin - 0207 496 3567

Based at:

Special interests

  • Upper limb sports injuries
  • Arthroscopic shoulder surgery for impingement and cuff tear
  • Arthroscopic shoulder reconstruction for instability
  • Complex shoulder arthroplasty including complex revision and reverse geometry arthroplasty
  • Traumatic shoulder reconstruction
  • Elbow arthroscopy and complex arthroplasty
  • Traumatic elbow reconstruction
  • Degenerate and traumatic wrist conditions
  • Hand surgery and reconstruction

Professional positions

  • Consultant Orthopaedic Surgeon, St Bartholomew’s and the Royal London Hospitals NHS Trust
  • NHS Clinical Lead for Upper Limb Surgery

Personal details

Livio was born and raised in London and attended Worth Abbey School in West Sussex. He was a very keen sportsman but this gave way to a career in medicine. He is married and has two young boys who take up most of his time outside of work. He continues to participate in many outside pursuits and is a keen scuba diver and enjoys kite surfing.

Medical and Surgical Training

Livio graduated from the Royal Free Hospital School of Medicine in 1999 and completed his basic surgical training on the Royal Free Hospital Training Rotation. He obtained his Fellowship in Surgery in 2004 before working as a Trauma Fellow at the Royal London Hospital.

In 2005, Livio entered higher surgical training in Trauma and Orthopaedics on the prestigious Percival Pott training program and trained in hospitals including Barts and the London, Princess Alexandra Harlow, the Norfolk and Norwich and the Royal National Orthopaedic Hospital. During this time he gained experience and expertise in all areas of general and high energy orthopaedic trauma and expertise in elective upper limb and hand disorders. He also obtained valuable experience whilst working in the Peripheral Nerve Injury Unit at Stanmore.

In 2009 Livio obtained his Fellowship in Trauma and Orthopaedics from the Royal College of Surgeons and was placed on the Specialist Register in 2011. On his return to the UK in 2011 he joined the Barts and London as Consultant Orthopaedic Surgeon.

Specialist Fellowship Training

Livio completed a one year fellowship in the Brisbane Upper Limb and Hand Unit in Australia.   It was here he developed his expertise in upper limb arthroscopic techniques, complex arthroplasty and elective and traumatic disorders of the upper limb including soft tissue reconstruction and  microsurgery. The Princess Alexandra Hospital is the tertiary referral centre for complex upper limb orthopaedics serving a geographical area equivalent to that of Western Europe. He learnt techniques in minimally invasive and arthroscopic reconstruction in shoulder and elbow surgery and also complex revision and reverse geometry shoulder arthroplasty surgery. He also learnt cutting edge techniques in small bone arthroplasty and motion preserving reconstructive surgery for degenerate disease.

Current Consultant Position

Livio is a Consultant Orthopaedic Surgeon at St Bartholomew’s and Royal London teaching hospital. He joined the department in August 2011 on his return from Australia. Much of Livio’s upper limb practice is day-stay surgery and as such he has taken the lead within the department at the new Royal London site’s Ambulatory Care And Discharge (ACAD) unit within the department. He is also is the departmental lead in Upper Limb Orthopaedic Services and has a particular interest in complex shoulder arthroplasty, arthroscopic shoulder reconstruction, sports injuries, traumatic and degenerate disorders of the wrist and hand, and motion preservation in degenerate disease.


Wrist Arthroscopy.
Moore N, Filipek A, Di Mascio L
Orthop Trauma. Dec 2015; 29(6) 384-392.

Surgical Repair of Posterolateral Rotatory Instability of the Elbow Using Surgilig/ Lockdown: A Novel Surgical Technique.
Williams D, Martin G, Di Mascio L
Tech Should Surg. 2014;15: 87–91.

Classification and management of acute wounds and open fractures.
Lee N, Di Mascio L
Surgery. 29 (2014), pp 134-138.

Comparison of plain X-rays and computed tomography for assessing distal radioulnar joint inclination.
Heiss-Dunlop W, Couzens GB, Peters SE, Gadd K, Di Mascio L, Ross M
J Hand Surg Am. 2014 Dec; 39(12): 2417-23.

Defining residual radial translation of distal radius fractures: a potential cause of distal radioulnar joint instability.
Ross M, Di Mascio L, Peters S, Cockfield A, Taylor F, Couzens G.
J Wrist Surg 2014 Feb; 3(1): 22-9.

A model of osteoblast-osteocyte kinetics in the development of secondary osteons in rabbits.
Pazzaglia UE, Congiu T, Franzetti E, Marchese M, Spagnuolo F, Di Mascio L, Zarattini G.
J Anat. 2012 Apr; 220(4): 372-83.

Severe brachial plexus injuries in rugby.
Altaf F, Mannan K, Bharania P, Sewell MD, Di Mascio L, Sinisi M.
Injury. 2012 Mar; 43(3): 272-3.

The surgical treatment of isolated mason type 2 fractures of the radial head in adults: comparison between radial head resection and open reduction and internal fixation.
Zarattini G, Galli S, Marchese M, Di Mascio L, Pazzaglia UE.
J Orthop Trauma. 2012 Apr; 26(4): 229-35.

Herpes zoster virus: an unusual but potentially treatable cause of sciatica and foot drop.
Sprenger De Rover WB, Alazzawi S, Hallam PJ, Hutchinson R, Di Mascio L.
Orthopedics. 2011 Dec 6; 34(12): 965-8.

Late presentation of a partial median nerve palsy following a Gartland III suprachondylar fracture.
Humphrey J, Marchese, Di Mascio L, Sinisi M.
Acta Orthop Belg. Accepted for publication Aug 2011.

Neuropathic pain following hip resurfacing due to a transneural suture.
Marchese M, Sinisi M, Anand P, Di Mascio L, Humphrey J.
J Bone Joint Surg Br. 2011 Apr; 93(4): 555-7.

Classification and management of acute wounds and open fractures.
Di Mascio L.
Surgery (Oxford) 29(2011), pp. 76-79.

Glenoplasty for complex shoulder subluxation and dislocation in children with brachial plexus palsy.
Di Mascio L. Chin K-F. Fox M. Sinisi, M.
J Bone joint Surg Br. 2011 Jan; 93(1): 102-7.

The value of preoperative and intraoperative electromyography in the management of obstetric brachial plexus injury.
Chin KF, Di Mascio L, Holmes K, Misra VP, Sinisi MM.
J Neurosurg Pediatr. 2010 Dec; 6(6): 595-9.

Cervical Prevertebral Soft Tissue Swelling in the Traumatised Patient : What is Normality in the intubated patient?
Di Mascio L.  Sivaraman A.
Euro J Trauma. 2009; 35(2): 165-168.

Open Reduction Of Developmental Hip Dysplasia using a Medial Approach: a review of 24 cases.
Di Mascio L,Carey-Smith R,Tucker JK.
Acta Orthop Belg. 2008 Jun; 74(3): 343-348.

Intussuscepting giant liposarcoma of the oesophagus.
Di Mascio L, Gamble L, Wajed S, Winslet M.
J Postgrad Med 2006; 52: 231-232.

Effect on Bone Stock of Delay to Revision Surgery: A Radiological Assessment.
Owers K, Di Mascio L, Ware H.
J Bone Joint Surg Br. 2004 86-B: 274.