Understanding Wrist Arthroscopy: A Minimally Invasive Solution for Wrist Pain

What is Wrist Arthroscopy?

Wrist arthroscopy is a procedure where a small camera (arthroscope) is inserted into the wrist joint through tiny incisions. This allows surgeons to visualize the joint’s interior in detail and perform precise repairs using specialized tools. Commonly referred to as “keyhole surgery,” this technique is highly effective for addressing various wrist issues.

When is Wrist Arthroscopy Needed?

Wrist arthroscopy is often recommended for conditions such as:

• Ligament injuries: Repairing torn ligaments that cause instability or pain.
• Triangular fibrocartilage complex (TFCC) tears: Treating damage to this important wrist structure.
• Ganglion cysts: Removing cysts from the wrist joint.
• Wrist fractures: Assisting in the alignment and stabilization of broken bones.
• Chronic wrist pain: Diagnosing and addressing unexplained pain.
• Arthritis: Removing inflamed tissue or bone spurs to relieve pain and improve function.

The Wrist Arthroscopy Procedure

The procedure typically involves the following steps:

1. Preparation: The patient receives regional or general anesthesia to numb the wrist.
2. Incisions: Small incisions, or portals, are made to insert the arthroscope and surgical instruments.
3. Visualization: The surgeon uses the arthroscope to examine the wrist joint and identify the issue.
4. Treatment: Specialized tools are used to repair or remove damaged tissues, smooth out bone surfaces, or address other problems.
5. Closure: The incisions are closed with sutures or adhesive strips, and a bandage is applied.

The entire procedure typically takes 30 minutes to an hour, depending on the complexity of the condition.

Benefits of Wrist Arthroscopy

• Minimally invasive: Small incisions result in less pain and scarring.
• Quick recovery: Faster return to daily activities compared to open surgery.
• Accurate diagnosis and treatment: High-definition visualization allows for precise repairs.
• Reduced risk: Lower likelihood of complications such as infection or stiffness.

Recovery After Wrist Arthroscopy

Recovery times vary depending on the condition treated, but generally include:

• Initial healing: Swelling and discomfort are common in the first week and can be managed with pain medications and ice therapy.
• Immobilization: A splint or brace may be worn for 1-3 weeks to protect the wrist.
• Physical therapy: Gradual exercises to restore strength, flexibility, and range of motion.
• Full recovery: Most patients return to normal activities within 4-6 weeks, although complex repairs may take longer.

Potential Risks and Complications

While wrist arthroscopy is considered safe, potential risks include:

• Infection
• Temporary stiffness or reduced range of motion
• Nerve or blood vessel injury
• Persistent pain in rare cases

Tips for a Smooth Recovery

• Follow your surgeon’s post-operative instructions carefully.
• Keep the surgical site clean and dry to prevent infection.
• Attend all follow-up appointments to monitor healing progress.
• Perform recommended physical therapy exercises to optimize recovery.

Conclusion

Wrist arthroscopy is a highly effective and minimally invasive procedure for diagnosing and treating a range of wrist conditions. Whether you’re dealing with chronic pain, a ligament injury, or arthritis, this advanced technique can provide relief and restore function. If you’re considering wrist arthroscopy, consult an experienced orthopedic specialist to determine if it’s the right option for you.

For more information on wrist health and surgical options, explore our blog or schedule a consultation with one of our specialists today.