About your surgeon
I am an orthopaedic surgeon specialising in two areas: orthopaedic oncology, and hand and wrist surgery.
I have specialty interests in wrist arthroscopic surgery, carpal instability, upper limb sarcoma resection and reconstruction, wrist reconstructive procedures, and hand trauma management in both adult and paediatric populations.
I believe in combining technical excellence with compassionate, patient-centred care.
Every patient deserves a thorough explanation of their condition, a clear understanding of their treatment options, and to be an active participant in decisions about their care.
My dual fellowship training in hand surgery and orthopaedic oncology allows me to approach complex problems from multiple perspectives, ensuring the best possible outcomes while never losing sight of what matters most—helping patients return to the activities and life they love.
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I completed my pre-clinical medicine at the University of Cambridge, graduating with a BA (Hons) in Biological and Biomedical Sciences, before undertaking clinical medicine training at Imperial College London, graduating with an MBBS in 2009. I have a strong commitment to academic medicine with a Masters of Surgery degree from the University of Sydney and multiple peer-reviewed publications. I present regularly at meetings and was recently awarded Best Free Paper at the 2025 BSSH & BAHT Combined Autumn Meeting.
Professional qualifications include Fellowship of the Royal Australasian College of Surgeons (FRACS), Fellowship of the Australian Orthopaedic Association (FAOrthA), and a Diploma in Orthopaedic Oncology through the British Orthopaedic Oncology Society (BOOS). I am a member of the Australian Hand Surgery Society and the British Orthopaedic Oncology Society.
When not in the operating theatre, I enjoy music (I play violin and have recently taken up DJing), hiking, travel, and spending time with my partner Mick and our cat Mishka.
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I am dual-fellowship trained in Orthopaedic Oncology and Hand and Wrist Surgery, with experience across major centres in Australia and the United Kingdom.
Australian Hand Surgery Society Post-fellowship Education and Training (PFET) programme:
Wrist & Hand Institute, Perth, under the supervision of Mr. Jeff Ecker (6 months)
Macquarie Hand Clinic, Sydney (6 months)
Queen Elizabeth Hospital Birmingham (6 months)
Sarcoma fellowship, Royal National Orthopaedic Hospital Stanmore (12 months)
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I commenced consultant practice in Perth in April 2026, working publicly in Sir Charles Gairdner Hospital, Osborne Park Hospital and Fremantle Hospital.
My private rooms are based in Perth Orthopaedic & Sports Medicine Centre, Level 1/1 Havelock St, West Perth WA 6005, Australia. I see both privately insured patients and workers’ compensation referrals. I operate privately in Bethesda and Hollywood Hospitals.
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Best Free Paper Award: "Ulnarly deviated motor branch of the median nerve" – BSSH & BAHT Combined Autumn Meeting, Birmingham, November 2025
“The anatomy of the extensor tendon insertion in the arthritic distal interphalangeal joint” - WASHS ASM and WA AOA ASM, August 2021
“Recurrent giant cell tumour of the distal radius" – ODU Sarcoma Meeting, Melbourne, February 2023
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Houghton ER, Sivakumar B, Thompson N, Smith NC. Midcarpal Ultra-wide Scapholunotriquetral Capsulo-Ligamentoplasty (MUSCL) Procedure. J Wrist Surg. 2025. Epub ahead of print. doi: 10.1055/a-2698-9750
Houghton ER, Ecker J. Ulnarly deviated motor branch of the median nerve: prevalence during supraretinacular endoscopic carpal tunnel release. J Hand Surg Eur. 2026;51(3):381-383
Houghton ER, Moulton LS, Keogh A. The anatomy of the extensor tendon insertion in the arthritic distal interphalangeal joint: a cadaveric study. J Hand Surg Eur. 2024; 49(2):272-274.