What is wrist arthroscopy?
Arthroscopy is a type of laparoscopic (keyhole) surgery used to diagnose and treat joint problems. It can be used to look inside the wrist joint, and there are many techniques employed by various surgeons. Arthroscopy is performed on many parts of the body, and wrist arthroscopy is one of the most common arthroscopic procedures.
Why is wrist arthroscopy performed?
Wrist arthroscopy allows the physician or surgeon to examine the inside of the wrist joint, including the ligaments and cartilage surface, which can help them determine if there is an internal problem in the wrist. The procedure may be performed after an injury, such as a fall, or when the wrist has been sprained. There may be some swelling, popping or bruising that may lead a medical professional to believe that further investigation is necessary.
Wrist arthroscopy can also help align wrist fractures, remove infection (wash it out), remove excess joint lining from conditions such as inflammatory arthritis, and remove ganglions (fluid-filled swelling).
Wrist arthroscopy allows the physician or surgeon to examine the inside of the joint.
What is wrist arthroscopy?
An arthroscope is a small camera that is attached to the end of a long, narrow tube. This tube is inserted into the body through a small cut made in the back of the wrist joint. The camera allows the surgeon to see inside the wrist joint through a direct projection on the screen in front of them. More cuts can be made to allow the surgeon to see inside the different areas of the wrist joint. This also allows the surgeon to repair the ligament if necessary.
How to prepare for wrist arthroscopy?
There is usually no specific preparation that the patient needs to do prior to the procedure. It is advisable to arrange for transportation or plan for someone to help the patient get home after the procedure. The patient should give his/her medical history and tell the surgeon what type of medications he/she is taking, and will be advised which ones he/she can continue taking. Anticoagulants should be temporarily avoided before surgery (the most common anticoagulants are ibuprofen and aspirin). All these details will be discussed before surgery so that the patient is always aware of what is expected of him/her.
Postoperative care
After the procedure, the wound is closed with stitches and a bandage is placed around the wrist that limits movement. This allows for a quicker recovery, as it will protect the wrist area and the support helps relieve pain. Since arthroscopy is generally a daytime procedure, there is usually no overnight stay in the hospital. The patient can go home the same day and is advised to keep his or her wrist elevated for a few days after surgery to minimize swelling. Cold compresses may also help with swelling. Some patients may need to wear a splint to provide support. If a dressing is applied, it may need to be changed and corrected. Your health care provider will provide you with aftercare advice. He may recommend physical therapy or specific hand exercises to help the patient regain full range of motion.