Wrist Arthroscopy

Wrist arthroscopy is a surgical procedure that allows doctors to look inside the wrist joint using a small camera and surgical instruments. The procedure is used to diagnose and treat various conditions affecting the wrist, such as injuries, inflammation, and degenerative diseases.

Indications for Wrist Arthroscopy

• Traumatic injuries, such as ligament sprains or tears
• Chronic wrist pain or instability
• Ganglion cysts or other types of tumors
• Wrist arthritis, including rheumatoid arthritis or osteoarthritis
• Scapholunate ligament injuries or tears
• Triangular fibrocartilage complex (TFCC) injuries or tears

Procedure Overview

The procedure typically involves the following steps:

1. The patient is given local or general anesthesia to numb the wrist and surrounding area.
2. A small incision, usually about 1-2 cm in length, is made in the skin over the wrist joint.
3. An arthroscope, a thin tube with a camera and light on the end, is inserted through the incision into the wrist joint.
4. The surgeon uses the arthroscope to visualize the inside of the wrist joint on a monitor.
5. Other small instruments may be inserted through additional incisions to perform surgical procedures, such as removing damaged tissue or repairing ligaments.
6. The incisions are closed with sutures or staples, and the wrist is bandaged or immobilized in a splint.

Benefits of Wrist Arthroscopy

The benefits of wrist arthroscopy include:

• Minimally invasive procedure, resulting in smaller incisions and less tissue damage
• Faster recovery time compared to traditional open surgery
• Less post-operative pain and discomfort
• Improved visualization of the wrist joint, allowing for more accurate diagnosis and treatment

Risks and Complications

As with any surgical procedure, there are potential risks and complications associated with wrist arthroscopy, including:

• Infection or bleeding at the incision site
• Nerve damage or numbness in the wrist or hand
• Temporary stiffness or limited range of motion in the wrist
• Reaction to anesthesia

Post-Operative Care and Rehabilitation

After wrist arthroscopy, patients typically require several weeks of rest and rehabilitation to allow the wrist joint to heal. This may include:

• Pain management with medication or ice
• Immobilization in a splint or cast to protect the wrist
• Physical therapy exercises to regain range of motion and strength in the wrist and hand
• Gradual return to normal activities, including work and sports

Frequently Asked Questions (FAQs)

What is wrist arthroscopy?
A surgical procedure using a small camera to visualize and treat wrist joint problems.

Why is wrist arthroscopy performed?
To diagnose and treat conditions such as wrist fractures, ligament tears, and cartilage damage.

How is wrist arthroscopy typically done?
Under local or general anesthesia, with small incisions made to insert the arthroscope and surgical instruments.

What are the benefits of wrist arthroscopy?
Less invasive than traditional open surgery, potentially reducing recovery time and scarring.

What are the risks of wrist arthroscopy?
Infection, nerve damage, and bleeding, as with any surgical procedure.

How long does wrist arthroscopy typically take?
Usually around 30-60 minutes, depending on the complexity of the procedure.

What is the typical recovery time after wrist arthroscopy?
Several weeks to several months, depending on the individual and the extent of the procedure.

Will I need physical therapy after wrist arthroscopy?
Possibly, to regain strength and range of motion in the wrist.

Can wrist arthroscopy be done on an outpatient basis?
Often, but may require a short hospital stay in some cases.

How soon can I return to normal activities after wrist arthroscopy?
Varies, but typically several weeks to months, depending on the individual and the procedure.