Hand Surgery

Created in 2010, the Hand Management Unit (HMU) through Michigan State University College of Human Medicine's Department of Surgery utilizes the latest technological advancements in the treatment of hand and micro-vascular surgery including Virtual Reality. If the patient chooses, Dr. Clarkson and Dr. Bray offer in-office hand procedures and other local anesthetic procedures using virtual reality in addition to traditional surgical interventions. We have proven that this novel, first in the nation approach improves anxiety and even reduces injection pain for our more needle-phobic patients. It’s the most efficient and safest way to deliver this type of surgery without the need for major anesthesia. Patients can eat normally and take their usual medications on the day of surgery. We find it particularly useful for our more elderly patients, but children and adults alike have benefited from this technology.

MSU Health Care Surgery provides patients peace of mind through our successful outcomes which are supported by our:

  • Advanced training
  • Case numbers performed
  • Postoperative care from our highly skilled team


Meet the Surgeons

James HW Clarkson, MD, FRCSC, FRCS.plas, MSC

Dr. Clarkson is a fellowship-trained, board-certified plastic and reconstructive surgeon, specializing in hand and micro-vascular surgery. He is an assistant professor and chief of hand management unit in the Department of Surgery at Michigan State University’s College of Human Medicine.

Dr. Clarkson received his medical degree in 1995 from the Royal London Hospital of England. He completed general & plastic surgery trainings in England and Scotland from 1995-2008. In 2008–2010, he perfected his training through a hand and micro-vascular surgery fellowship from Keinert Institute in Louisville, Kentucky. He is a board-certified plastic & reconstructive surgeon from the Royal College of Physicians and Surgeons of Canada.

In 2010, Dr. Clarkson joined MSU where he has established the Department of Surgery Hand Management Unit providing specialized treatments of all hand and wrist conditions. His desire to provide exceptional patient care and total comfort has led to the expansion into wide awake surgery.

His desire to provide exceptional patient care with better access and greater safety has led to an increase in the range of surgeries that may be offered in the office, assisted where needed by Virtual Reality distraction. His research studies include Virtual Reality technologies for enhanced patient care and comfort. Other research includes the development with MSU Engineering of devices that help to standardize patient outcome assessment. At Sparrow Hospital, Dr. Clarkson provides hand and facial trauma care, hand and wrist surgery, and wound reconstructive services. He is the Medical Director of the Sparrow Wound Clinic.

Stephanie Bray, MD, MS, FACS

Dr. Stephanie Bray is a fellowship-trained, board-certified plastic and reconstructive surgeon, specializing in craniofacial and pediatric plastic surgery. She is an assistant professor and chief of craniofacial and pediatric plastic surgery in the Department of Surgery at Michigan State University’s College of Human Medicine.

Dr. Bray received her medical degree from Indiana University School of Medicine in Indianapolis, Indiana. She then completed her five-year General Surgery residency at the University of Kansas Medical Center in Kansas City, Kansas, with an additional year for laboratory research.

Dr. Bray continued her training by completing a three-year plastic and reconstructive surgery fellowship at the University of Illinois at Chicago. She then went on to complete specialty fellowship training in craniofacial surgery and pediatric plastics at Riley Children’s Hospital at Indiana University in Indianapolis, Indiana.

Dr. Bray received her board certification from the American Board of Plastic Surgery in 2018.

Dr. Bray serves as a MSU Health Care plastic & reconstructive surgeon with special interests in pediatric plastics (including cleft lip/palate, general pediatric plastics and pediatric hand anomalies), orthognathic jaw surgery, and craniomaxillofacial reconstruction and trauma. She also has interests in clinical and basic science research in pediatric plastic problems, specifically cartilage and bone abnormalities and reconstruction.

Services & Patient Resources

  • Peripheral Nerve Compression Syndromes
    • Peripheral nerve compression in hand
    • Peripheral nerve compression in upper extermity
  • Hand & Wrist Osteoarthritis
    • Basal joint arthroplasty
    • Carpal bone instability and
    • SLAC wrist
    • Scapholunate ligament reconstruction
    • Proximal row carpectomy
    • Four corner fusion
    • Isolated carpal fusion/carpectomy
    • Total wrist fusion
    • Finger fusion and implant arthroplasty
  • Rheumatoid Hand & Wrist
    • Radio-ulnar joint implant arthroplasty with the APTIS joint prosthesis
    • Synovectomy
    • Tendon reconstruction/transfers
    • MCPJ arthroplasty
  • Wrist Arthroscopy
    • Arthroscopic Triangular Fibrocartilage repair
  • Management of Common Congenital Hand Differences
    • Syndactly
    • Polydactyly
    • Constriction bands
    • Clinodactyl
    • Madelung deformity
  • Pediatric Hand
    • Syndactyly
    • Polydactyly
    • Constriction Band Syndrome
    • Clinodactyl
    • Genetic Hand abnormalities
      • Apert
      • Crouzon
  • Other Hand Management services
    • Ganglions and mucous cysts
    • Upper limb soft tissue and skin tumors
    • Osteomyelitis, infection and hand wound management
    • Nerve palsy and tendon transfers
    • Scar release
    • Aesthetic Hand rejuvenation with injectables and laser
  • Trauma Management

    Comprehensive reconstructive surgery of the hand and face. MSU Health Care Surgery serves Sparrow Emergency and urgent care facilities with hand and facial trauma call.

    • Hand fractures
    • Jaw fractures
    • Local soft tissue coverage
    • Nerve injuries
    • Pan facial fractures
    • Pediatric facial fractures
    • Tendon injuries


Monday 8:00am-5:00pm
Tuesday 8:00am-5:00pm
Wednesday 8:00am-5:00pm
Thursday 8:00am-5:00pm
Friday 8:00am-5:00pm
Saturday Closed
Sunday Closed