Fellowship-trained shoulder and elbow surgeon Dr. Ralph Rynning practices in Coronado at 230 Prospect Place within Orthopedic Specialists of San Diego at the Coronado Physicians Medical Center. Post-operative shoulder and elbow patients transition to structured rehabilitation at Results Rehabilitation Inc on 10th Street, where physical therapists manage the rotator cuff repair and arthroplasty recovery protocols the practice prescribes on Coronado Island. A Bowdoin College magna cum laude biology degree, a Jefferson Medical College MD earned with honors, and a Rothman Institute orthopedic residency plus shoulder-elbow fellowship — at the practice nationally ranked as the top private orthopedic group — provide the surgical training behind the 92118 office's upper-extremity specialization near Orange Avenue. Patients cleared from post-surgical rehabilitation progress to long-term conditioning at Coronado Fitness Club, where supervised strength programs maintain the range-of-motion and rotator cuff stability gains achieved during formal recovery. The practice's highest-complexity cases include reverse total shoulder arthroplasty for massive irreparable cuff tears, complex proximal humerus fracture fixation with locking-plate constructs, and arthroscopic Bankart repair with remplissage for recurrent anterior glenohumeral instability.