Our Summary

This research paper discusses wrist arthritis, a common ailment that can be caused by various factors and can manifest in different ways. Treatment should be tailored to the individual, taking into account factors like their age, other health conditions, job, how long they’ve been experiencing symptoms, and any treatments that haven’t worked for them in the past. Some treatment options like arthroscopy and denervation are attractive because they allow for a quicker recovery and maintain wrist movement. However, the longevity of these treatments can vary from person to person. For patients who don’t respond to these treatments, or those with widespread arthritis in the wrist, total wrist fusion or total wrist replacement can be effective, particularly for patients with less physically demanding lifestyles. The article aims to review the causes and types of wrist arthritis and discuss treatment strategies that aim to maintain function while minimizing complications.

FAQs

  1. What are the common causes and presentations of wrist arthritis?
  2. What are the treatment options available for wrist arthritis?
  3. How effective is arthroscopy and denervation in managing wrist arthritis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about wrist arthroscopy is to follow post-operative rehabilitation and physical therapy recommendations closely to ensure optimal recovery and regain full function of the wrist. It is important to communicate any pain, swelling, or limitations in movement to your healthcare provider to address any potential complications early on. Additionally, maintaining a healthy lifestyle, including regular exercise and proper nutrition, can help support the healing process and prevent future issues with the wrist.

Suitable For

Patients who are typically recommended for wrist arthroscopy include those with wrist arthritis who have not responded to conservative treatments such as medication, physical therapy, or injections. The procedure may also be recommended for patients with wrist injuries, ligament tears, or cartilage damage. Additionally, patients with certain conditions such as carpal tunnel syndrome, ganglion cysts, or wrist fractures may benefit from wrist arthroscopy. Ultimately, the decision to undergo wrist arthroscopy is based on the individual patient’s specific condition and treatment goals.

Timeline

Before wrist arthroscopy:

  1. Patient experiences wrist pain, swelling, stiffness, and limited range of motion.
  2. Patient may undergo physical therapy, corticosteroid injections, and other conservative treatments.
  3. Imaging studies such as X-rays, MRI, or CT scans may be ordered to assess the extent of damage.
  4. Orthopedic surgeon determines that wrist arthroscopy is a suitable treatment option.

After wrist arthroscopy:

  1. Patient undergoes minimally invasive surgical procedure to diagnose and treat wrist joint issues.
  2. Recovery period typically involves wearing a splint or brace, physical therapy, and pain management.
  3. Patient may experience temporary swelling, stiffness, and discomfort in the wrist.
  4. Over time, patient gradually regains strength, range of motion, and function in the wrist.
  5. Follow-up appointments with the surgeon are scheduled to monitor progress and address any concerns.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with wrist arthroscopy?
  2. What is the success rate of wrist arthroscopy in relieving pain and improving function?
  3. How long is the recovery time after wrist arthroscopy?
  4. Are there any alternative treatment options for wrist arthritis that I should consider?
  5. Will I need physical therapy after the procedure, and if so, for how long?
  6. How long can I expect the benefits of wrist arthroscopy to last?
  7. Will I need any additional procedures in the future for my wrist arthritis?
  8. What type of anesthesia will be used during the wrist arthroscopy procedure?
  9. How many wrist arthroscopy procedures have you performed, and what is your success rate?
  10. Are there any specific restrictions or limitations I should be aware of after wrist arthroscopy?

Reference

Authors: LoGiudice A, Awan H. Journal: Hand Clin. 2023 Aug;39(3):353-365. doi: 10.1016/j.hcl.2023.04.001. PMID: 37453763