Our Summary

This research paper discusses the growing use of dry wrist arthroscopy, a surgical procedure used to diagnose and treat problems in the wrist. This technique is particularly used for ligament repair, bone procedures like correcting deformities in the radius (one of the two bones in the forearm), fixing fractures and partially fusing bones together. The paper provides advice and techniques specifically for managing pain on the ulnar side of the wrist, which is the side of the wrist opposite the thumb. The paper also emphasizes the differences in technique between dry wrist arthroscopy and the previously used wet arthroscopic procedures.

FAQs

  1. What is the role of dry wrist arthroscopy in the treatment of wrist disorders?
  2. How does dry wrist arthroscopy differ from wet arthroscopic procedures?
  3. What strategies are suggested for managing ulnar-sided wrist pain?

Doctor’s Tip

One helpful tip a doctor might tell a patient about wrist arthroscopy is to follow post-operative care instructions carefully to ensure proper healing and recovery. This may include keeping the wrist elevated, applying ice as directed, and performing prescribed exercises to regain strength and range of motion in the wrist. Additionally, it is important to attend all follow-up appointments with the doctor to monitor progress and address any concerns or complications that may arise.

Suitable For

Patients who may be recommended for wrist arthroscopy include those with:

  1. Triangular fibrocartilage complex (TFCC) tears or injuries
  2. Ulnar impactions
  3. Ulnotriquetral split tears
  4. Distal radius corrective osteotomies
  5. Fracture fixation
  6. Partial arthrodesis

Dry wrist arthroscopy may be particularly beneficial for patients with ulnar-sided wrist pain, as it offers a minimally invasive approach for diagnosis and treatment of these conditions.

Timeline

Before wrist arthroscopy:

  • Patient will have a consultation with a hand surgeon to discuss symptoms and potential treatment options.
  • Diagnostic tests such as X-rays, MRI, or CT scans may be ordered to assess the wrist joint.
  • Patient may undergo conservative treatments such as physical therapy, medications, or cortisone injections before considering surgery.
  • Pre-operative preparations such as fasting and medication adjustments may be necessary.

After wrist arthroscopy:

  • Patient will be monitored in a recovery room before being discharged home the same day.
  • Pain and swelling are common after surgery, and patients may be prescribed pain medications.
  • Physical therapy may be recommended to improve range of motion and strength in the wrist.
  • Follow-up appointments with the surgeon will be scheduled to monitor progress and address any concerns.
  • Full recovery may take several weeks to months, depending on the extent of the procedure and individual healing abilities.

What to Ask Your Doctor

  1. What specific procedure will be performed during wrist arthroscopy?
  2. What are the potential risks and complications associated with wrist arthroscopy?
  3. What is the expected recovery time following wrist arthroscopy?
  4. Will physical therapy be necessary after the procedure, and if so, for how long?
  5. How long will it take to see improvements in wrist function after the procedure?
  6. What are the alternatives to wrist arthroscopy for treating my condition?
  7. How many wrist arthroscopy procedures have you performed, and what is your success rate?
  8. Will I need any additional imaging or tests before the procedure?
  9. Will I need to make any modifications to my daily activities or work routine following wrist arthroscopy?
  10. What is the long-term outlook for my wrist condition following arthroscopy?

Reference

Authors: Burnier M, Herzberg G, Luchetti R, Del Piñal F, Kakar S. Journal: J Hand Surg Am. 2021 Feb;46(2):133-141. doi: 10.1016/j.jhsa.2020.08.011. Epub 2020 Oct 27. PMID: 33127207