Mr Paul D Cowling

Consultant Orthopaedic Surgeon

Paul Cowling

Mr Paul Cowling is a consultant orthopaedic surgeon specialising in upper limb surgery and trauma.  His specialisms in clinical practice include complex upper limb trauma, shoulder replacement surgery and rotator cuff surgery.  He provides expert evidence for personal injury claims and cases of clinical negligence.

Instructing Mr Paul D Cowling

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Paul Cowling has been a consultant shoulder and elbow surgeon at Leeds Teaching Hospitals since August 2016.  His main areas of speciality are keyhole surgery to the shoulder, and both primary and revision shoulder replacement surgery.  He works at a major trauma centre, and specialises in the treatment of complex upper limb trauma.  He has published on shoulder replacement surgery using National Joint Registry data, as well as rotator cuff surgery and adult trauma. Paul has an active involvement in research performed at the Leeds Biomedical Research Centre, and the Institute of Medical and Biological Engineering. He is a panel member of the national ODEP Committee for shoulder replacements, and on the ’Beyond Compliance’ committee for the introduction of new shoulder replacement implants into the UK.  He teaches on Medical Ethics at the University of Leeds, and holds a position on the Ethics and Law Management Team (ELMT) Committee for the university’s medical school.

Experience of giving evidence

He has been involved in providing reports for a number of clinical negligence cases.  He has experience of writing joint reports with opposing experts.

Cases undertaken

Paul Cowling has experience of providing over 200 personal injury reports in the last 3 years.  He has been involved in providing reports for a number of clinical negligence cases.


Paul Cowling is available for face to face consultations at rooms in Wetherby, Yorkshire.  He is also experienced in providing examinations via video consultation.


Languages spoken

  • English – Fluent

Specialist assessments offered

  • Personal injuries and clinical negligence

Qualifications & Professional memberships

  • MBBS MSc FRCS (Tr & Orth)


  • What is a Latarjet? A review of surgical techniques and outcomes.  Cowling PD, Akhtar MA, Liow R. Bone Joint J 2016 98-B (9) 1208-1214
  • Intra-operative complications during revision shoulder arthroplasty. A study using the National Joint Registry.  Ingoe H, Cowling PD, Holland P, Kottam L, Baker P, Rangan A.  Shoulder Elbow 2017 Apr 9 (2): 92-99
  • Risk factors associated with intra-operative complications during primary shoulder arthroplasty.  Cowling PD, Holland P, Kottam L, Baker P, Rangan A.  Acta Orthop 2017 Dec; 88 (6): 587-591
  • What imaging detected pathologies are associated with shoulder symptoms and their persistence?  A systematic literature review.  Tran G, Cowling P, Smith T, Bury J, Lucas A, Barr A, Kingsbury S, Conaghan PG.  Arthritis Care and Research. 70 (8)  Feb 2018.
  • Management of first time shoulder dislocation.  King S, Cowling PD.  Journal of Arthroscopy and Joint Surgery 5 (2018) 86-89
  • Outcomes of Shoulder Surgery.  Rampal R, Cowling PD.  Orthopaedics and Trauma.  2018
  • The management of large and massive rotator cuff tears – current trends amongst UK shoulder surgeons.  Cowling PD, Hackney RG.  Orthopaedics and Rheumatology Open Access Journal (OROAJ). December 2018
  • Humeral Shaft Fractures.  Cowling PD.  Orthopaedic and Trauma.  September 2019
  • The use of a synthetic shoulder patch for large and massive rotator cuff tears – a feasibility study.  Cowling P et al.  BMC Musculoskeletal Disorders 21: 213 2020.

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