The Exception MD Clinic

Exception MD offers specialized medical and surgical care in a private setting. It is recognized as a beacon a model of excellence in Canada in the diagnosis and treatment of issues involving the hand, wrist, and elbow.

Our doctors use the most innovative and minimally invasive techniques. Our team advocates an approach based on patient satisfaction and well-being by prioritizing the fastest and most effective pain-relief and treatment methods.

Exception MD is a team of renowned physicians who are world leaders in their areas of expertise. Exception MD offers a warm personal, complete and rapid service in an ultra-modern, safe clinical environment.

Dr. Jean-Paul Brutus

Dr. Brutus is a plastic and reconstructive surgeon specializing in treatment of the hand, wrist and peripheral nerve surgeon. He is a proponent of less invasive treatment techniques and considered a leader in endoscopic hand and wrist surgery in Quebec and Canada. He is one of the few surgeons in Canada to perform endoscopic decompression in his treatments of trigger finger and carpal tunnel syndrome. He is the co-founder of Exception MD, the first private medical clinic in Canada dedicated to treatment of the upper and lower limbs.


Exception MD offers expertise and quality care that are recognized in the treatment of pathologies and accidental injuries of the hand, wrist and elbow. Our team of specialists favours the most advanced, sophisticated techniques to ensure a minimum of discomfort and the rapid restoration of mobility. From diagnosis to procedure through to healing and rehabilitation, we provide the most attentive and personalized care.

The elbow

The elbow is made up of three joints: the first, the humeroulnar, or trochlea, works a bit like a hinge to allow bending and straightening (flexion and extension) of the forearm; the second is the humeroradial, which allows the forearm to rotate the wrist (supination and pronation) and stabilizes the elbow. The third is the proximal radioulnar, which is the rolling of the radius on a tiny lateral facet of the ulna (necessary for supination and pronation). Elbow osteoarthritis is fairly rare, but issues with tendons (of the biceps and epicondyles) are frequent.

Hand and wrist

Whether you suffer from osteoarthritis of the fingers, a condition affecting the hand, or a hand or wrist injury, regardless of the nature and complexity of your problem, our team of specialized surgeons can help you regain optimal physical function so that you can go back to your regular activities as quickly as possible.

Contact us to make an appointment

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The Exception MD clinic is located near downtown Montreal and all major highways. Free parking is available to clients. The clinic is also a short drive from Pierre-Elliott-Trudeau Airport, which makes it easy access for international patients.

Contact us to make an appointment or for further details about distance consultations. Our staff will help you choose the most suitable option.

Address:1605 Marcel-Laurin Blvd., suite 230
Saint-Laurent, Quebec H4R 0B7

Phone: (514) 509-2000