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