Brian Gilmer, MD

Brian Gilmer, MD Dr. Gilmer is a sports medicine and orthopaedic specialist with expertise in minimally invasive knee, shoulder, and fracture surgery. English, Minor Spanish.

Dr. Gilmer's clinical interests include treating multi-season mountain sport athletes. He specializes in arthroscopic and open surgery of the knee, shoulder, and ankle including anterior cruciate ligament tears, meniscal tears, shoulder rotator cuff and labral tears, and peroneal tendon tears. He is particularly interested in knee preservation and non-arthroplasty (joint replacement) treatments for cartilage injury. His academic interests include publications on minimally invasive knee repairs which can preserve the patient’s own tissue and avoid the need for reconstructions using grafts. He is on the editorial board of Arthroscopy Journal and has presented research at a host of national meetings. Board Certification
American Academy of Orthopaedic Surgery

American Orthopaedic Society for Sports Medicine

Arthroscopy Association of North America

Education
Texas A&M University, College Station, Texas - B.A. University Honors, Magna Cum Laude

University of Texas, Galveston, Texas - M.D. Doctor of Medicine, Summa Cum Laude. Class Speaker. President, Alpha Omega Alpha Medical Honor Society. President, Theta Kappa Psi Medical Fraternity. Medical Training
University of Washington / Harborview Medical Center, Seattle, WA - Orthopedic Surgery Residency
Chief Orthopedic Resident Teaching Award

Taos Orthopaedic Institute, Taos, NM - Orthopedic Sports Medicine Fellowship

Biography
Dr. Gilmer was born and raised in the Houston Texas area. He spent much of his childhood and early years around the Texas Medical Center with his mother who was a nurse at the University of Houston Health Science Center and later a nurse anesthetist at the renowned Texas Orthopedic Hospital. There he was exposed to great mentors in the field of Orthopedics who fostered his interest in medicine and clinical research. His childhood was spent largely outdoors hunting and fishing. He held a series of jobs from welding shops, to ambulance services, to guiding wilderness backpacking and whitewater trips in Alaska. He moved to Seattle for residency training and found passion in the outdoors. During his residency in Taos, New Mexico where he specialized in ski and snowboard injuries he was recruited by the Mammoth Orthopedic team

Dr. Gilmer, his wife and young son moved to Mammoth Lakes to be in the mountains. When not chasing his family, he can be found trail running with his dogs, Nordic and alpine skiing, or playing guitar by the fire. Honors and Awards
Eagle Scout Award, Boy Scouts of America
Alpha Omega Alpha Honor Medical Society
William Todd Midget Award - For fraternity, scholarship, humility, and humanity
Global Health Scholars Award
Excellence in Student Teaching Award
John P. Mcgovern Award in Oslerian Medicine - For emulating the life and principles of Sir William Osler
Esther Whiting Award
Chief Resident Teaching Award

Professional Memberships
Dr. Gilmer is a diplomate of the American Board of Orthopaedic Surgery (ABOS). He is also an active member of the American Academy of Orthopedic Surgeons (AAOS), Arthroscopy Association of North America (AANA), and the American Orthopaedic Society for Sports Medicine (AOSSM). He has served on committees within both the AAOS and AANA. Teaching and Professional Positions

Dr. Gilmer is a team physician for the US Ski and Snowboard Teams (USSA), and works in particular with the athletes of the US Freeski team. He has provided team coverage for the Dew Tour, XGames, and Mammoth Grand Prix. He provides support to the Mammoth Ski and Snowboard teams, and is medical director for the Mammoth Hospital Department of Physical Therapy and Rehabilitation. He has performed medical mission work in Mexico, Nicaragua, Belize, and Indonesia and has taught English as a second language (ESL) classes to Spanish speakers. Dr. Gilmer takes an active role in teaching by holding a clinical faculty position through the University of Nevada, Reno and by teaching arthroscopy to orthopedic surgery residents. He co-founded the Mammoth Orthopedic Institute to expand clinical research on sports related injuries in the Eastern Sierra, and established the Mammoth Sports Course as a venue for local, regional, and national providers to discuss controversial topics in sports medicine. Personal Statement
In 1890 the United States census announced that the frontier was closed and Frederick Jackson Turner penned his thesis that the American spirit of ambition and ingenuity had been forged by the frontier experience. A hundred years later I sat on the edge of a levy in Southeast Texas watching houses sprout across the fields where I roamed as a child, and I wondered if it were true. I resolved that if the frontier was closed, then I must find a new one, and soon. I have always been drawn to stories, and I am privileged that medicine has allowed me access to the stories of my patients. In the Eastern Sierra, these are often stories of adventure told by the new pioneers. People who are pushing the boundaries of their bodies and their sports led by a passion to explore and experience the world around them. In practice, I am interested not just in the story of what happened, but what future story my patients hope to write. This means the conversation is not just about your injury but your goals for treatment and recovery. I provide an individualized approach and a range of treatment options. I feel strongly that understanding the injury and the treatment plan are critical to successful outcomes and use diagrams, videos, and thoughtful discussion to improve that understanding. I am proud to remain in contact with many of my patients long after they have fully recovered and take ownership in the story of their lives. As a lifelong learner I am committed to maintaining cutting edge knowledge, technical expertise, and compassionate care. Despite all of our technological advances in the field of sports medicine, our patients are the real pioneers. They expect not just relief from pain but return of optimal function. They pass this expectation to their surgeons,

11/14/2025

Medoh Video Series 1 of 7 - Can a meniscus tear heal on its own?

Understanding meniscus tears—their causes, symptoms, and treatment options—so they can make informed choices about recovery and protecting long-term knee health.

After announcing plans to take the Mountain Orthopedic Rendezvous (MORe) to Taos, NM, we’re excited to share that the 20...
11/09/2025

After announcing plans to take the Mountain Orthopedic Rendezvous (MORe) to Taos, NM, we’re excited to share that the 2026 course will remain right here in Mammoth Lakes, CA! This decision follows thoughtful feedback from our participants, who shared their appreciation for the setting, community, and unique atmosphere of Mammoth. While we may still explore a future MORe in Taos, we’re thrilled to welcome everyone back home to Mammoth for 2026.

This Year's Focus: The Knee
MORe 2026 will spotlight the knee, from arthroscopy to arthroplasty, revision surgery, and everything in between. Expect an in-depth discussion of current controversies, surgical pearls, and case-based learning focused on one of the most complex and high-volume areas of orthopedics.

https://site.pheedloop.com/event/MORe2026/home

11/08/2025

Medoh Video Series 4 of 4 - What physical exams can a doctor do to tell if I have a torn meniscus?
By Dr Brian Gilmer

Understanding meniscus tears—their causes, symptoms, and treatment options—so they can make informed choices about recovery and protecting long-term knee health.

11/07/2025

Medoh Video Series 3 of 4 - Do I need an MRI to confirm the diagnosis?
By Dr Brian Gilmer

Understanding meniscus tears—their causes, symptoms, and treatment options—so they can make informed choices about recovery and protecting long-term knee health.

As seen in a previous post, appreciating rotational deformity is challenging but crucial to understanding the underlying...
11/03/2025

As seen in a previous post, appreciating rotational deformity is challenging but crucial to understanding the underlying cause of patellar maltracking and instability. In this case, the patient clinically had abnormal rotation; however, the CT scanogram showed only mildly elevated femoral anteversion (approx 25 degrees) and normal tibial torsion. However, the TT-TG was 30, the largest I have personally seen.

Hence, the rotational deformity in this young patient is due to what Chris Wahl called "through joint rotation" or others have called 'increased tibiofemoral rotation'." In other words, a relatively normal femur and a relatively normal tibia with external rotation through the joint itself.

More common in younger patients who are obligate dislocators, this is challenging because it is impossible to follow the dictum of correcting the deformity at the level and location of the deformity.

I was hoping that the anteversion would be significant enough that the combined correction of the distal femoral valgus (only 2 degrees) and derotation of about 10 degrees would be enough. However, I was struck by the TT-TG distance of 30, and I did not feel that minor corrections of the femur would be enough to move the TG effectively. Instead, I planned a large TTO of 15mm.

There is endless debate about the source and meaning of the TT-TG, and I concede that the source of the pathology is not an externally rotated tubercle; however, this addresses the pathology closer to its source and at a single level. This was combined with MPFL reconstruction. Once again, advanced analysis of the bony anatomy from CT makes planning the proper operation much easier.

When doing tibial tubercle osteotomies, I have always done these by hand, both for AMZ and distalizing techniques. Still, in this case, with a significant correction and the validators built into the system, I felt much more confident making the larger correction than I likely would have made freehand.

If anyone has a more nuanced approach or additional thoughts on addressing 'through joint rotation', please drop me a line.

10/29/2025
10/24/2025

This case illustrates why patellofemoral joint surgery requires understanding all the risk factors for recurrence. The things that I routinely look closely at are:

1. Femoral Anteversion/ Tibial torsion (hip screen on exam, transmalleolar screen, low threshold for CT scanogram)
2. TT-TG distance/ Through joint rotation - (MRI and CT as above, greater than 15 MRI and 20 CT)
3. Dysplasia- (general appearance and LTI

I was honored to have my brother-in-law and velo guru, Jeremy Webb, with me to ride the 30th annual  quite possibly the ...
10/15/2025

I was honored to have my brother-in-law and velo guru, Jeremy Webb, with me to ride the 30th annual quite possibly the prettiest bike race around. While it wasn't pretty for me (Uncle JW was long gone by the time I crossed the line), it was a great time and a great community event—special thanks to the sponsors and volunteers who made this event happen.

https://mammothgranfondo.com/

I received my 10-year board recertification in the mail last week.  A little bit early to boot (year 9 instead of 10). T...
10/02/2025

I received my 10-year board recertification in the mail last week. A little bit early to boot (year 9 instead of 10). This is something that patients may too easily take for granted.

Case logs that require manual entry. Then, it is signed by each facility or hospital where you work. 5 years of review articles and questions. 240 hours of continuing education and 40 hours specifically of standardized tests. Peer reviews from your partners and other members of your community. It’s a mountain of work just to submit it all. We work in one of the most highly regulated fields in the world, but I think it’s worth it. Board certification means that you have been vetted. Don’t assume board certifications are required; you don’t have to be board-certified to practice medicine, but it should be a goal. Happy to be off the list for another decade.

We’re excited to share our updated ACL BEAR Implant Rehabilitation Protocol. This new version is streamlined, more objec...
09/30/2025

We’re excited to share our updated ACL BEAR Implant Rehabilitation Protocol. This new version is streamlined, more objective, and designed to support a smoother recovery. The updated version is available for download on both briangilmermd.com and mammothortho.com under the PT protocols section. Feel free to download, and I hope you find it helpful.

Highlights of the update:
1. Simplified early ROM progression (0–90° by 4 weeks) for more precise guidance.
2. Earlier integration of functional movements, including LAQ and treadmill running, occurs when strength benchmarks are met.
3. Objective strength criteria (Quadriceps Index thresholds) are now built into each phase for safer, evidence-based progression.
4. Expanded functional testing (hop tests, IKDC scoring) to guide return-to-sport decisions.
5. Phase VII added detailed sport-specific drills to support athletes through a full year of recovery.
These changes make the protocol easier to follow, while supporting faster and more confident recovery timelines for patients.

09/23/2025

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