https://www.kunalkalramd.com/home daily 1.0 2025-06-20 https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/1622227639514-GX2NDSHTMUVVOLWO5LZY/DrKunalKalra2.jpg Home - Kunal Kalra, MD, MBA, FAAOS Dr Kalra is a multi-fellowship trained, board-certified orthopaedic surgeon specializing in Pediatric and Adult Sports Injuries, Shoulder Replacements, and other conditions of the Knee, Shoulder, Elbow, Ankle and Hip. He believes in individualized care and attention to detail. https://www.kunalkalramd.com/experience daily 0.75 2024-02-09 https://www.kunalkalramd.com/contact daily 0.75 2025-06-20 https://www.kunalkalramd.com/shoulder daily 0.75 2025-06-20 https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/817416bb-1b49-40a0-bf77-4a6da53955d2/Screen+Shot+2022-01-30+at+8.33.44+AM.png Shoulder Surgery - Massive rotator cuff tear - 63Y M- with collagen scaffold augmentation Rotator Cuff Tears Tear of the most important muscle “cables” around your shoulder can lead to constant pain and difficulty in moving your arm. Most patients hare uncomfortable sleeping on that side and also pain radiating down to the arm. Read more about this condition https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/02d1afd2-e085-4201-99ce-19ec84f6c459/IMG_0178.jpg Shoulder Surgery - 72 Y Old with severe arthritis and rotator cuff deficiency on MRI, post reverse shoulder replacement. Arthritis With age, most of our body tissues undergo wear and tear. Shoulder joint is the third most common large joint after knee and hip that can undergo degenerative changes with age leading to arthritis. Patients often have pain and limitation in motion. Most can be treated initially with physical therapy, injections or injections. Some may need surgery to return back to the activities that they love to do. Shoulder replacement is one of the options along with cartilage re-surfacing, cartilage allograft and minimally invasive options such as shoulder arthroscopy. Read more about this condition https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/0e00d5d3-22bd-49b9-ba8b-09e689dee486/Screen+Shot+2022-01-30+at+8.36.02+AM.png Shoulder Surgery - Young male with labral repair and remplissage Ligament Tears Dislocation of a shoulder can be either a traumatic episode, like say during a game of football, or can happen spontaneously with little injury in some patients. Patients older than 45 years of age are at an additional risk for tearing their rotator cuff. Other ligament tears around the shoulder joint include superior labral tear (SLAP tear) or posterior labral tear. 360 degree tears are very uncommon but possible. Read more about this condition https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/f6a82bbf-a5d6-4ba7-8191-bc2d810891ac/Screen+Shot+2022-01-04+at+6.44.59+PM.jpg Shoulder Surgery - Completely displaced humeral head Fractures Most fractures can be treated non-operatively, especially in the elderly age group. However, some may need fixation. Dr Kalra offers surgical options from minimally invasive nailing, plating and total and reverse shoulder replacements. Read more about this condition https://www.kunalkalramd.com/elbow daily 0.75 2022-05-26 https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/1638151277577-GBBB5ZB052UM33DS4EUK/unsplash-image-xzikohlx4jY.jpg Elbow - Tommy John Ligament Tears Ligaments around the elbow can be damage especially during throwing types of sports such as baseball, volleyball and tennis. One of the more common ligaments that may be injured is the ulnar collateral ligament. Surgery to repair or replace this ligament (Tommy John surgery) can help in some cases Read more about this condition https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/3df02a94-6584-4aa8-ab37-433e10546584/unsplash-image-optBC2FxCfc.jpg Elbow - AVN-Osteonecrosis Osteochondritis Dissecans (OCD) Sometimes, a portion of the elbow may lose its normal blood flow causing it to collapse. The overlying cartilage can not support itself leading to some damage and potential arthritis in the future. This painful condition needs to be diagnosed in time to prevent further loading of the joint. This condition can be seen in adolescents or adults. Typically athletes who use their arms frequently such as gymnasts, who weight bear on their arms, are at a slightly higher risk. Read more about this condition https://www.kunalkalramd.com/pediatric daily 0.75 2022-05-26 https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/4848b087-9440-4692-9a24-f5ba69fc5a17/Screen+Shot+2022-01-29+at+2.00.52+PM.png Pediatric Sports - Cartilage injuries Cartilage Injuries Cartilage injuries in kids are fortunately rare. However, these happen from time to time and can be hard to diagnose. When they do get these, it’s imperative that these are treated diligently and to the fullest extent possible. https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/3ce72f65-7ae3-43e9-b7a6-99415c8baff7/Screen+Shot+2021-10-10+at+11.59.26+AM.jpg Pediatric Sports - ACL tear in a 9 year old girl ACL Injuries Anterior Cruciate Ligament (ACL) tears in children can be particularly devastating. Their young knees are still growing and to remain active, it needs the ACL to impart it stability. Dr Kalra has had the privilege of treating these young and active patients for nearly 10 years. He has published and lectured on these injuries and has done several of these very challenging surgeries. https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/6e13d6dc-c2f4-4c92-a501-2035de776092/Screen+Shot+2022-01-29+at+1.26.39+PM.png Pediatric Sports - 8Y F with congenital dislocation Patellar Instability Patellar dislocations can be seen in pediatric and adolescent age groups. These may occur due to either trauma like being hit on the side of the knee while paying sports, or more commonly, its due to underlying congenital abnormality. Dr Kalra advocates guided physical therapy for most cases but in select patients who need surgical intervention, he has performed both simple ligament repairs and complex reconstructions on several patients. https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/1633710706968-UCEFOM6RXSJTA7JI8LRI/unsplash-image-E_Jb9rSSgC8.jpg Pediatric Sports - Chondromalacia Patella Knee Pain Some adolescents may have debilitating pain in the front of their knees. This pain can last for several years. Fortunately most of these patients have benign conditions that can be treated very well with physical therapy alone. In some recalcitrant cases, more investigations are needed to find out more. Tilting of the knee cap (patella) due to a tight structure around it, may sometimes be responsible. Surgery to release this ligament can help in select cases, although this is controversial as some patients experience only minimal relief with this technique. If there is cartilage involvement, cartilage repair surgery may be needed. https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/f14539a3-39ad-4c3c-af12-a4dbdb4bc379/Screen+Shot+2022-01-29+at+1.19.21+PM.png Pediatric Sports - Meniscus Tears Meniscus Tears Meniscus is a shock absorber in the knee that protects the actual cartilage. When torn in kids, surgical repair is almost always recommended to restore the native anatomy in young patients. A sports medicine trained surgeon will have different kinds of techniques and tools at her/his disposal to treat this condition. https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/560342b8-ae0f-458a-bc3b-ba6a6a3d3c4f/Screen+Shot+2022-01-29+at+1.52.06+PM.png Pediatric Sports - Osteochondritis Dissecans OCD Sometimes, due to unknown reasons, a part of the bone may lose it blood supply. This can cause pain or eventually the fragment to be unstable and chip off inside the knee. OCD’s may be stable or unstable and its critical to accurately make this distinction for optimal outcomes. Read more about this condition https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/1633112406631-04JEMLDH8HFEHSP7LDBY/tempImageZs9TIw.gif Pediatric Sports - Growth plate fracture Fractures Fractures through the growth plate are very common in children. Fortunately, most are simple ones that heal up very well with time. However, some may need surgery for anatomical healing and full return to function. https://www.kunalkalramd.com/get-started daily 0.75 2022-01-22 https://www.kunalkalramd.com/our-approach daily 0.75 2021-05-30 https://www.kunalkalramd.com/knee daily 0.75 2023-03-03 https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/0c7a6153-7267-4c22-a624-51dee5118878/ME_KrisJenkins.jpg Knee - Cartilage Injuries Cartilage is a unique tissue in the body. It has less blood supply than other structures and that makes healing on its own very difficult. There are several techniques to restore cartilage function. Weight management, gentle exercises, avoiding impact all help in the long run. Other options include injections such as viscosupplementation, cortisone, stem cells and platelet rich plasma injections. Physical therapy for muscle balance, range of motion and strengthening is one of the main stays of treatment. Finally, surgical options such as cartilage allograft, mosaicplasty, cartilage allograft transfer help in select patients. Osteotomies (where you cut and realign the bone) is more invasive but does have good 5 to 10 year results in the right patient. Dr Kalra is uniquely trained in several of these procedures and has been performing them for over a decade. https://images.squarespace-cdn.com/content/v1/60a2b298b27aa9067b5d18d0/7943b080-6948-4486-a7ed-8a217ebb5adf/Screen+Shot+2022-01-28+at+10.47.40+AM.png Knee - ACL and Multiligamentous Injuries ACL tear is a common injury that is seen usually in sports. Twisting and pivoting of the knee is the most common cause. Typically seen in football, basketball and soccer players but can happen in any scenario that involves sudden change in direction. The ligament is one of the most important ligaments around the knee and many surgeons will recommend surgery to restore the anatomy and to be able to resume sports. In select patients, non-operative management with physical therapy, functional ACL brace and observation, is also appropriate.