Wrist arthroscopy is surgery that uses a tiny camera and surgical tools to examine or repair the tissues inside or around your wrist. The camera is called an arthroscope. The procedure allows the doctor to detect problems and make repairs to the wrist without making larger cuts in the skin and tissue. This means that you may have less pain and recover more quickly.
You will likely receive general anesthesia before this surgery. This means you will be asleep and unable to feel pain. Or, you may have regional anesthesia. Your arm and wrist area will be numbed so that you do not feel any pain. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.
During the procedure, the surgeon does the following:
At the end of the surgery, the incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.
Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues.
You might need wrist arthroscopy if you have one of these problems:
Wrist pain: Arthroscopy allows the surgeon to explore what is causing your wrist pain.
Ganglionremoval: This is a small, fluid-filled sac that grows from the wrist joint. It is harmless, but it can be painful and can limit your ability to move your wrist freely.
Ligament tears: A ligament is a band of tissue that connects bone to bone. Several ligaments in the wrist help keep it stable and allow it to move. Torn ligaments can be repaired with this type of surgery.
Carpal tunnel release: Carpal tunnel syndrome occurs when the nerve that passes through certain bones and tissues in your wrist becomes swollen and irritated. With arthroscopy the area through which this nerve passes can be made larger to relieve the pressure and pain.
Wrist fractures: Arthroscopy can be used to remove small bits of bone and realign the bones in your wrist.
Risk of anesthesia are:
Risks of wrist arthroscopy are:
Tell your health care provider what medicines you are taking. This includes medicines, supplements, or herbs you bought without a prescription.
During the 2 weeks before your surgery:
On the day of surgery:
Arthroscopy uses small cuts in the skin, so compared to regular surgery, you may have:
The small cuts will heal quickly and you may be able to resume your normal activities in a few days. However, if your doctor had to repair a lot of tissue in your wrist, it may take several weeks to heal.
You may be shown how to do gentle exercises with your fingers and hand. Your doctor may also recommend that you see a physical therapist to help you regain the full use of your wrist.
Osterman AL, Lincoski C. Wrist Arthroscopy. In: Skirven, TM, Osterman AL, et al, eds. Rehabilitation of the Hand and Upper Extremity. 6th ed. Philadelphia, PA: Elsevier Mosby; 2011:chap. 77.
Part SJ III. Wrist. In: Wolfe SW, Hotchkiss RN, Kozin SH, Pederson WC, eds. Green's Operative Hand Surgery. 6th ed.
Philadelphia, PA: Elsevier Churchill-Livingston; 2010:chap 14.
Updated by: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.
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