Our Summary

This research paper discusses the recent advancements in wrist surgery techniques, allowing doctors to treat complex wrist disorders more effectively. The authors, who are leading experts in the field of wrist surgery, describe several new procedures. These include using bone grafts to treat a condition where the scaphoid bone in the wrist doesn’t heal properly, repairing a specific type of wrist injury (triangular fibrocartilage fovea avulsion) using a technique called transosseous repair, rebuilding the triangular fibrocartilage using a tendon from the forearm (the palmaris longus), and repairing certain wrist ligaments (the scapholunate and lunotriquetral ligaments) using a minimally invasive technique called arthroscopy. Overall, the paper highlights the progress being made in the field of wrist surgery.

FAQs

  1. What are some of the recent advancements in wrist arthroscopic surgery?
  2. What wrist disorders can be treated with wrist arthroscopy?
  3. What are some of the surgical techniques used in wrist arthroscopy?

Doctor’s Tip

A doctor might tell a patient undergoing wrist arthroscopy to follow post-operative instructions carefully, including keeping the wrist elevated and applying ice as needed to reduce swelling and discomfort. It is also important to attend follow-up appointments and engage in recommended physical therapy to optimize recovery and regain strength and function in the wrist.

Suitable For

Patients who may benefit from wrist arthroscopy include those with scaphoid nonunion, triangular fibrocartilage fovea avulsion, triangular fibrocartilage tears, scapholunate ligament injuries, lunotriquetral ligament injuries, and other difficult wrist disorders. Wrist arthroscopy can also be used for diagnostic purposes to evaluate and treat various wrist conditions. Patients with chronic wrist pain, limited range of motion, instability, and unresolved wrist injuries may be recommended for wrist arthroscopy to improve their symptoms and function.

Timeline

Before wrist arthroscopy:

  1. Patient experiences wrist pain, swelling, and limited range of motion.
  2. Patient may undergo imaging tests such as X-rays, MRI, or CT scans to diagnose the problem.
  3. Patient may try conservative treatments such as rest, ice, physical therapy, and medication.

After wrist arthroscopy:

  1. Patient undergoes wrist arthroscopic surgery to diagnose and treat the wrist disorder.
  2. During the procedure, the surgeon inserts a small camera and specialized instruments through small incisions in the wrist.
  3. The surgeon repairs or removes damaged tissue, ligaments, or bones causing the wrist problem.
  4. After surgery, the patient undergoes a period of rehabilitation and physical therapy to regain strength, range of motion, and function in the wrist.
  5. Patient may experience some pain and discomfort initially, but should gradually see improvement in wrist function over time.

What to Ask Your Doctor

  1. What specific wrist condition do I have that would benefit from wrist arthroscopy?
  2. What are the potential risks and complications associated with wrist arthroscopy?
  3. What is the expected recovery time and rehabilitation process after wrist arthroscopy?
  4. Are there any alternative treatments options for my wrist condition besides arthroscopy?
  5. How experienced are you in performing wrist arthroscopic surgery?
  6. What outcomes can I expect from wrist arthroscopy in terms of pain relief and improved function?
  7. Will I need any additional treatments or surgeries after wrist arthroscopy?
  8. How long will the effects of wrist arthroscopy last?
  9. Are there any specific precautions or lifestyle changes I should follow after wrist arthroscopy?
  10. Can you provide me with any resources or information to help me better understand wrist arthroscopy and my condition?

Reference

Authors: Nakamura T, Cheong Ho P, Atzei A, Corella F, Haugstvedt JR. Journal: J Hand Surg Eur Vol. 2022 Jan;47(1):52-64. doi: 10.1177/17531934211030861. Epub 2021 Jul 22. PMID: 34293945