Your wrist is a complex joint made up of eight small bones called carpal bones. These bones are supported by connecting ligaments. Various conditions can affect your wrist joint such as carpal tunnel syndrome, osteoarthritis and others.
Wrist arthroscopy is a minimally invasive surgical procedure performed to view, diagnose, and treat problems of your wrist joint.
Wrist arthroscopy can of considerable value in diagnosing:
- unexplained pain
- swelling and
- giving way or popping of the joint
Wrist arthroscopy is also used to treat conditions such as:
- chronic wrist pain
- wrist fractures
- ligament tears
- ganglion cysts
Wrist arthroscopy is usually performed under local or regional anaesthesia. You may be given a sedative to keep you relaxed.
3 or 4 x 1cm incisions will be made, known as portals, on the back of your wrist. The portals are placed in specific locations on the wrist, depending on the areas that need to be visualised. The arthroscope and special surgical instruments are inserted into your wrist through these portals. The arthroscope is a thin tube with a camera, lens and light source. It allows visualisation of the joint surfaces and ligaments.
After the procedure, the portals are closed with small stitches and a dressing is applied. You may be instructed to wear a splint for a short time after the procedure.
- Keep your hand elevated above the level of your heart for the first 2 to 3 days after your procedure
- Keep your bandage clean, dry, and intact
- You may apply ice over the operated area to reduce swelling and discomfort
- You will be instructed on exercises to regain strength and mobility of your wrist
- You will be prescribed pain medications to relieve any pain
Recovery following wrist arthroscopy is generally more comfortable for the patient than an open surgery which requires a larger incision. There is usually less pain following the procedure and the healing time is faster when compared to an open procedure. Wrist arthroscopy is performed as a day surgery where most patients can go home within several hours after their surgery.
Risks and complications
Complications are rare with wrist arthroscopy. However, some of the possible complications that can occur include scarring, bleeding, swelling, infection, numbness and injury to adjoining structures.