Mr. Karuppaiah joined as a Consultant in Kings College Hospital, London, in 2014 following completion of his advance training in shoulder, elbow, hand and wrist surgeries. With the experience, he manages a wide range of orthopaedic conditions affecting the shoulder, elbow, hand and wrist. His clinical expertise is comprehensive evaluation and management of sports injuries, arthritis, nerve and tendon problems in the upperlimb. He also treats multiple injured patients, at Kings College Hospital, one of the busiest Major Trauma Centres in the UK and also provides tertiary referral service for complex upper-limb injuries.