Our Surgeons


Clayton J H Brown


Shoulder, Elbow & Hand Surgeon

I am a New Zealand trained Orthopaedic Surgeon, qualifying in 1994. Following this I spent 2 years in the USA training as a subspecialist in the area of upper extremity surgery, including paediatric upper limb surgery. I trained with one of the world’s leading wrist arthroscopic surgeons as part of this training.

Since 1997, I have held a public hospital appointment at Auckland City Hospital, and commenced private practice in that same year.

I am a founding partner in a group private practice setting at Domain Orthopaedic alongside three other subspecialist orthopaedic surgeons covering hip, knee, foot and ankle and tumour surgery. All have public hospital appointments at Auckland City Hospital.

My area of orthopaedic practice is confined to the upper extremity, including hand, wrist, elbow and shoulder surgery.

I have a well-established practice and have extensive experience in all aspects of upper limb surgery.

Surgical Expertise

Hand and Wrist

  • All common and complex problems
  • Trigger fingers
  • Carpal Tunnel Syndrome
  • Dupuytren’s Contracture
  • De Quervain’s Tendonitis,
  • Arthritis of the hand/wrist/thumb CMC joint
  • Wrist ligament and TFCC injuries
  • Joint replacement of the fingers and wrist.
  • Extensive experience in wrist arthroscopy and scaphoid surgery.


  • Extensive experience with lateral and medial ligament injuries
  • Elbow dislocation
  • Ulnar nerve surgery
  • Elbow contracture surgery
  • Degenerative/arthritic conditions of the elbow
  • Elbow joint replacement
  • Hemiarthroplasty


  • Arthroscopic and open instability surgery for recurrent dislocations
  • Rotator cuff repairs (arthroscopic-assisted and mini-open)
  • Arthroscopic SLAP repair/biceps surgery
  • Standard/reverse shoulder replacement surgery
  • Arthroscopic treatment of frozen shoulder.

Procedures and Treatment

You should become as well informed about your problem as you can.

You will find many differing opinions on the multiple sites on the internet so if you are getting what seems like conflicting advice please say so and ask questions so you can be involved and share responsibility in the management of your condition.

I encourage you to look on the Internet and have attached some links, which may be useful.

Many musculo-skeletal conditions cannot be addressed by surgery and these websites also cover many of the conditions where surgery is generally not appropriate or is a last resort.


What’s New


In September I travelled to Sydney for the Arthrex international Orthopaedic Trauma meeting. This was focused on latest developments in Shoulder surgery and shoulder implants used for arthroscopic shoulder instability, rotator cuff repair and other shoulder conditions. This was a great chance to meet colleagues in NZ and Australia, and hear from world renowned guest speakers. I have already started incorporating some of these newer and more refined implants in my shoulder practice.


At the weekend I attended the Auckland UFC fight night as a ringside doctor. This was an honour and an incredible experience. These athletes have immense courage and strength, and the brutality of the exchanges up that close was a real experience. Examining them all after each fight gave me an insight into their incredible conditioning and pain tolerance. There were some significant injuries to deal with out back, quite a bit of stitching, and a number got sent for scans or to hospital. A great event; fun to work with other docs from Australia, and I look forward to doing this again when the UFC returns, hopefully soon.


I recently returned from an Advanced Techniques Shoulder Symposium at Royal North Shore Hospital in Sydney, Australia. This was a top meeting and another valuable update on advanced shoulder surgery techniques that are used in my day to day practice.


In September I attended the European Shoulder Society (SECEC) meeting in Geneva.

An excellent learning experience and valuable update on Shoulder Surgery with and an opportunity to catch up with overseas colleagues.

I visited the LIMA Factory in Italy. This is the company that produces the Reverse and Anatomic Shoulder Replacement implants that I use in my practice, and also makes “custom made” implants for difficult Revision Surgery of the Shoulder. These implants will be used more and more in the future.


Hand and Wrist