Michigan 's Best Orthopedic Surgeon Center
In Need of The Best Orthopedic Surgeon Around Michigan? Choose Michigan Hand and Wrist!
For over 15 years, Michigan Hand and Wrist has been providing the highest quality care for our every one of our patients. We focus on treatment plans which help focus on traumatic and chronic conditions of the upper extremities. We understand that hand surgery isn't always a fun idea, so our center is designed around your comfort. Our staff is here to help you every step of the way.
Common Pathologies Treated:
- Arthritis of the hand, wrist, elbow and shoulder
- Carpal Tunnel, nerve entrampments
- Tendonitis
- Dupuytren's Disease
- Fractures and dislocations of the upper extremity
- Ganglion Cysts, hand tumors
- Tennis Elbow
- Frozen shoulder and rotator cuff tears
- Total joint replacement
Our goal is to provide treatment in a warm and caring atmosphere as if you are a family member. We seek to exhaust all non-operative measures when appropriate before discussing or moving on to operative interventions. We strive to provide exceptional, modern, and progressive care.
Meet Our Surgeons Who Serve The Michigan

Jean-Paul Guiboux, MD
Jean-Paul Guiboux, MD is an orthopaedic surgeon whose practice is limited to the treatment of hand and upper extremity disorders. Dr. Guiboux graduated from the University of Michigan Medical School in 1991. He completed his residency at William Beaumont Hospital in 1996. In 1997, Dr. Guiboux completed a fellowship in hand and upper extremity surgery at Thomas Jefferson University in Philadelphia. Also in 2001, Dr. Guiboux founded Michigan Hand and Wrist, P.C. a comprehensive care center for treatment of upper extremity disorders.
Dr. Guiboux treats patients of all ages with expertise in the management of acute and chronic disorders of the hand and upper extremities including rheumatologic conditions, sports injuries, neurologic disorders, microvascular reconstruction and trauma.
Meet Our Hand Specialists and Therapists Who Serve The Michigan Area As Well!

Darren Gustitus graduated for Eastern Michigan University in 1996 with a BS in Occupational Therapy. He has worked exclusively in rehabilitation of theupper extremities for the last 11 years. Darren is a certified hand therapist (CHT), indicating an achievement of the highest level of therapeutic competency in hand therapy.
Michigan Hand and Wrist Rehabilitation offers the most current and comprehensive treatment programs available for traumatic and chronic conditions of the upper extremity. The therapists and physicians of MHWR work closely with one another to offer all patients a more thorough and individualized treatment program.
Fees & Payments
We make every effort to decrease the cost of your medical care. Therefore, we request payment for all office services at the time they are rendered unless prior arrangements have been made. We accept cash, checks, Mastercard and Visa for your convenience. If we are a participating provider with your insurance company, we will bill your insurance company for you. However, payment is the patient's responsibility. We will help in any way to assist you in handling claims.