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Schedule with Brian Puskas, M.D.

Brian Puskas, M.D.

Specializing in Shoulder & Upper Arm Surgery

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About Dr. Brian Puskas

Dr. Brian Puskas is a Board-Certified orthopedic surgeon with advanced, dual fellowship training in both Shoulder and Elbow Surgery and Sports Medicine. He specializes in the diagnosis, treatment, and surgical management of complex shoulder and elbow conditions, including rotator cuff tears, shoulder instability, arthritis, and tendon injuries, as well as sports-related injuries across all levels of activity.

Dr. Puskas is committed to providing personalized, evidence-based care, combining the latest surgical techniques with a strong emphasis on rehabilitation and long-term recovery. His dual fellowship background allows him to offer both minimally invasive arthroscopic procedures and advanced reconstructive surgeries tailored to the unique needs of each patient.

Dedicated to excellence in patient outcomes and professional collaboration, Dr. Puskas works closely with primary care physicians, physical therapists, and athletic trainers to support comprehensive, team-based care. He is passionate about helping patients return to their active lifestyles—whether that means elite-level athletics or everyday movement without pain.

 

Dr. Puskas is currently accepting new patients and welcomes them to ROC.

Read more about Dr. Puskas' past experience and expertise

Dr. Puskas is a board-certified orthopedic surgeon specializing in shoulder & upper arm surgery. 

Dr. Puskas completed his undergraduate studies at Stanford University and received his medical degree at Pennsylvania State University Hershey College of Medicine. Afterward, he completed both his internship and orthopedic residency programs at Boston University in Boston, Massachusetts. While at Boston University, he also completed his Sports Medicine fellowship. Dr. Puskas completed an additional Shoulder and Elbow surgery fellowship at Florida Orthopaedic Institute in Tampa, Florida. 

Dr. Puskas’ favorite activities include running, cycling, hiking, skiing, traveling, and spending time with his family. 

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PATIENT EDUCATION VIDEOS

Get to Know Dr. Puskas

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Speciality Services

Adult Joint Reconstruction

Shoulder Replacement

Elbow, Hand, & Wrist

Shoulder Conditions and Procedures

Conditions Treated

Procedures Performed

Hand, Wrist and Elbow Conditions and Procedures

Conditions Treated

Procedures Performed

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Dr. Puskas' FAQ

Education

Undergraduate Degree

Stanford University

Stanford, California

 

Medical Degree

Pennsylvania State University Hershey College of Medicine 

Hershey, Pennsylvania

Training

Internship and Orthopedic Residence

Boston University

Boston, MA 

Professional Affiliations

American Academy of Orthopaedic Surgeons

American Orthopaedic Society for Sports Medicine

AANA, North Pacific Orthopaedic Society

Western Orthopaedic Association

Locations

Pinned Map Oregon City Oregon
Pinned Map Tualatin Oregon

What Patients Say

Joseph D.

I'm able to live on my own again. Thanks to Dr. Puskas, I now have flexbility and no pain. Because of the shoulder issues I was living in an independent adult facility. I am now looking forward to moving out and into a condo.

Joseph D.

Jim H.

5 stars for Dr. Puskas. One of the most skilled, conscientious and talented doctors I've met. Also very kind with a great bedside maner.

Jim H.

Megan M.

Dr. Puskas was truly wonderful. He explained the surgery in terms I could understand and relieved me of all my nervous feelings with his professional, clearly capable, and still funny beside manner. After surgery, Dr. Puskas was very, very good. I can't recommend Dr. Puskas enough.

Megan M.

Fred W.

The team has been the best! I would like to thank Dr. Puskas and Emily for the best experience and the ease they made my shoulder surgery go.

Fred W.

Christy W.

Compassionate care. Dr. Puskas is one of the best surgeons I have ever had. He takes the time to explain the problem and how to make it better. He is kind and compassionate. I had no problems after the surgery.

Christy W.

Kathleen L

Dr. Puskas was great. He explained what my problem is and possible treatments. He gives a painless injection, too. Thank you.

Kathleen L.

Timothy C.

Dr. Puskas and the rest of the staff there were very nice and helpful. Would recommend to see.

Timothy C.

Quy N.

Doctor Puskas is very respectful, caring. He provided service professionally.

Quy N.

Brandon F.

Professional, thorough, and clear in his approach.

Brandon F.

Jacqueline F.

Dr. Puskas explained my procedure to me taking his time to help me feel like I understood what the surgery would entail. He seems to enjoy his job. He made me feel comfortable.

Jacqueline F.

Devon S.

Dr. Puskas provided a clear explanation of treatment options for my knee issues. He answered any questions I had and is easy to talk to. He’s very professional and courteous, but also friendly and reassuring.

Devon S.

Lilian M.

I was happy to meet Dr. Puskas and discuss my pain. He was very attentive and after taking some X-rays recommended a treatment. It has been one day and I already feel less pain. I highly recommend him.

Lilian M.

Ernie S.

Dr. Puskas performed surgery on a displaced fracture to the tibia (shin bone). I was incredibly fortunate to find a surgeon of such high caliber. The surgery was very successful, resulting in excellent healing and I expect to return to pre-injury function of my leg. Not only are his surgical skills excellent, the communication and explanation of what to expect throughout this "journey" have been superb. My sincere thanks and highest recommendation!

Ernie S.

Grace F.

I was very impressed with Dr. Puskas professionalism. He is kind friendly and very Knowledgeable. I feel much better after his treatment and advice. Thank you Dr. Puskas.

Grace F.

Bev S.

Excellent care excellent staff. No long waiting, thorough, kind, and professional.

Bev S.

Linda K.

I met and received treatment from Dr. Puskas, from ROC in Portland, and was SO very impressed. Not only is he very knowledgeable in his field, but he is exceptionally kind thorough, and thoughtful.
I highly recommend Dr. Puskas to anyone who might need a shoulder specialist.
Thank you doctor for the excellent care.

Linda K.

Elizabeth B.

Gracious people at the front desk, easy to find and plenty of parking... Dr. Puskas answered all my questions in a pleasant and easy to understand manor. We explored ways to avoid pain in the future with medical intervention. This included a discussion of newer techniques that removes some surgical risks. Thank you for spending time with me.

Elizabeth B.

Julie Z.

As always, Dr Puskas was detailed, thoughtful and patiently explained my situation as well as my options. Class act!

Julie Z.

Lawrence B.

Prepared, great bedside manner, courteous and appeared concerned.

Lawrence B.

Stephen V.

Consulted with Dr. Puskas about possible shoulder replacement. He was friendly and thorough. I appreciated his input.

Stephen V.

Barbara C.

Dr. Puskas, in 24 hours following my shot, I was 80% better. Hoorah! I continued taking the prednisone while my neck and side were sore. Today I am happy to report that I am pain free everywhere, so I will stop the prednisone. Thank you so much!

Barbara C.

Lei J.

I feel so relieved to be here with Dr. Puskas for surgery! From the surgery until now, I have not felt any pain. Not only did the surgery go smoothly, but the postoperative effect was also perfect. I could walk two weeks after the surgery. He is a patient, caring and professional doctor!

Lei J.

Udo K.

Dr. Brian Puskas and his staff are amazing I am so happy I found them they have really helped me. The surgical procedure they did helped me gain mobility in my Shoulder

Udo K.

Lynn S.

Dr. Puskas was extremely knowledgeable and had a clear plan to treat my knee.
I highly recommend him.

Lynn S.

Arlene R.

He is so professional and always willing to listen to you. My questions are answered in a manner that I can understand them. You never feel like you are rushed during the appointment. Everything is explained to you in detail. He is always very trustworthy in his decisions. Great doctor!

Arlene R.

Samuel R.

My first experience as a Orthopedics Northwest patient. It couldn't have been better. From scheduling to in-processing to care and treatment, it was first class.

Samuel R.

Elizabeth B.

Dr. Puskas did an excellent job of letting me know what's wrong with my shoulder. He was right that the injection would take 5 days to control pain. I am working on developing more muscular strength in my shoulders. See you in 5 months, and thanks for good service.

Elizabeth B.

Ben C.

Great experience. Dr. Puskas took his time, listened to me and suggested a conservative first treatment step.

Ben C.

Paul D.

Great professional office. Great "tone". Staff were great. Great service... look forward to working with folks here for the rest of my days on this Earth!

Paul D.

Kelly S.

I went in worried about surgery and out not worried Dr. Puskas was very informative and took the time to explain everything and put my worries to rest.

Kelly S.

Larry B.

Very personable and thorough. Happy the the results of my surgery.

Larry B.

Reece L.

Dr. Puskas was very pleasant and thorough and really wanted to find the problem with my shoulder. Definitely would recommend him to anyone with joint pain.

Reece L.

Scot J.

Dr. Puskas is very professional and caring in regards to how I felt before and after my surgeries. He really listened to how I felt and addressed my problem in a timely manner. I highly recommend him.

Scot J.

Kevin F.

Dr. Puskas was professional and courteous. He knew my history of injury and provided solid advice. I recommend Orthopedics NW to anyone in need of ortho help.

Kevin F.

Jean O.

This was my first visit with Dr. Puskas regarding ongoing right shoulder and arm pain. X-rays were taken which ruled out arthritis in the joint, but did expose a bone cyst. The next move is an MRI. Dr Puskas was very thorough and attentive. He is personable and friendly! Thank You!

Jean O.

Michael T.

Thanks for great care. Professional, experienced and a great communicator.

Michael T.

Nancy P.

Staff was pleasant and very helpful and Dr. Puskas was very professional and friendly. I received excellent care.

Nancy P.

Esther Y.

Four years ago I had a knee surgery. I was so pleased with Dr. Puskas and the concern and the care he gave me. I now have another knee issue and I came to him. He is simply the best genuine concern bedside manner can’t be topped. I totally trust him. I normally don’t do reviews— in fact this is my first. But Dr. Is awesome you won’t be disappointed.

Esther Y.

Ruriko H.

Dr. Puskas was very courteous, sympathetic and professional. He explained the if and if nots…the do’s and don’ts on my fractured elbow…very thorough with his diagnosis. I would highly recommend him to anyone without hesitation.

Ruriko H.

Robert S.

It is not very often when after having an initial visit you know you have found a doctor that is kind, compassionate and very skilled at what he does. This was my experience with Dr. Puskas after meeting with him for the first time yesterday. I know without doubt he is the right person to help me.

Robert S.

Jeffery M.

Dr. Puskas is polite, professional, caring, extremely knowledgeable and a great all around person.

Jeffery M.

Barbara C.

Dr. Puskas is terrific. He took time to listen, offered solutions, and fixed my problem. Highly recommend him.

Barbara C.

Elisabeth G.

Dr Puskas listens and is willing to think about the best way to help.

Elisabeth G.

Amanda S.

Love ONW doctors and all of the staff! They all make me feel safe and cared for. Totally trust Dr Puskas to perform my upcoming shoulder surgery.

Amanda S.

Terri E.

From my first visit on, I knew I’d found the right doctor. He was thorough and informative in his examination. After my MRI, he did not push me to make a decision about my rotator cuff, but offered several options, explaining the pros and cons of each. I ultimately decided on surgery, during the early winter so that I would be relatively recovered by summer. Dr. Puskas has followed me for a year now, and I have nothing but admiration and high praise for him.

Terri E.

Dan W.

Very efficient, virtually no wait, great results.

Dan W.

Gregg L.

Dr. Puskas is an excellent doctor. He spends adequate time with me discussing my concerns and providing options for me. Dr. Puskas is kind, caring and extremely knowledgeable. I highly recommend Dr Puskas to anyone in need of any shoulder issue.

Gregg L.

Jeffrey F.

Dr. Puskas is an Excellent surgeon technically, and with great skills of listening, explaining and communicating with you as the patient. As a retired orthopedic surgeon I felt complete confidence in my surgical team.

Jeffrey F.

Jackson B.

Dr. Puskas was very thorough in his evaluation and most importantly, providing me with the confidence to make the best decision for my shoulder.

Jackson B.

Henry N.

Dr. Puskas, and team. Did a wonderful job on my shoulder. Can't put into words how grateful I am to be 90% pain free, after just 10 weeks.

Henry N.

Patti P.

Professional and friendly doctors and staff. Dr. Puskas took the time to hear me and to explain what my replacement would entail. They took an x-ray and 10 minutes later showed me what the issues were. There's a positive vibe in the office that you feel when you walk through the door.

Patti P.

Andrew B.

Dr. Puskas was very knowledgeable and I am confident in his ability to help me I would highly recommend him.

Andrew B.

Brian M.

Dr. Puskas has provided excellent care, performing successful surgery on my ankle after a freak accident. His work has put me on the road to recovery. His staff has provided the best customer service from the day of my injury. I lucked up in getting Dr. Puskas as an orthopedic surgeon, and I am eternally grateful for the care he and his staff have provided me. I highly recommend Dr. Puskas for anyone in need of orthopedic medical care.

Brian M.

Alicia B.

Great clinic! People very friendly and helpful. So pleased I chose Dr. Puskas and his team to do my shoulder replacement surgery. Highly recommend!

Alicia B.

ROC Insights

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