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Comprehensive Upper Extremity Care by San Diego’s Leading Orthopedic Specialists

Upper Extremity Specialists of Ortho 1 Medical Group, with locations in San Diego, La Jolla, Chula Vista, and Coronado, California, is led by Kristopher Downing, MD. Dr. Downing and the office, surgery center, and hospital staff work together to provide advanced surgical and nonsurgical treatments for conditions of the hands, wrists, elbows, and shoulders.

Explore our Upper Extremity Specialties

Upper Extremity Specialists including the hand, wrist, elbow and shoulder
  • American Board of Orthopaedic Surgery
  • American Board of Orthopaedic Surgery of the hand

Your Dedicated Specialists

Expertise You Can Trust

  • Kristopher Downing, MD - Orthopedic Hand & Upper Extremity Surgeon

    Kristopher Downing, MD

    Board-Certified Orthopedic Surgeon

    Hand & Upper Extremity Specialist

Star Rating

Top Rated Practice 5.0 star on our Google REview profile

  • Dr. Downing is an amazing doctor. He's very patient and willing to thoughtfully consider all of my questions and give insightful, intelligent answers. I'm very grateful for his treatment.

    ~ Happy Patient ~

  • I had a massive rotator cuff tear with complete separation of three of the four tendons plus a bicep dislocation. Dr. Downing performed a 3+ hour surgery to re-attach the ligaments and perform a bicep...

    ~ Happy Patient ~

  • Dr. Downing is a highly skilled surgeon. He was able to successfully correct the work of another hand surgeon, that had actually worsened my trigger finger. Aside from his great Surgical skills, Dr. D...

    ~ I A ~

  • After suffering of a broken arm for 4 months from a fall in August 2019 that occurred at my work - which forced me to utilize doctors within the Worker Compensation network, I ended up being misdiag...

    ~ N A ~

  • Dr. Downing is a very gifted surgeon. I am so very pleased with the outcome of the elbow surgery he performed and the after care I received. His staff is pleasant and knowledgable and willing to help....

    ~ J N ~

Hand, Wrist & Elbow Surgery

Hand, Wrist &
Elbow Surgery

Addresses injuries and conditions like fractures, arthritis, nerve compression, and tendon damage. These procedures aim to relieve upper extremity pain, restore function, and improve mobility. From minimally invasive techniques to complex reconstructions, specialized surgical care helps patients return to daily activities with greater comfort and confidence.

Shoulder Arthroscopy & Reconstruction

Shoulder
Arthroscopy &
Reconstruction

Treating a range of joint issues, including rotator cuff tears, labral injuries, and instability. Using small incisions and a camera, surgeons can diagnose and repair damage with minimal disruption. These advanced procedures help restore shoulder strength, function, and stability—supporting a faster, more complete recovery.