Our Summary

This research paper reviews current literature on the use of a medical procedure called arthroscopy for treating injuries in the hand and wrist. Arthroscopy is a minimally invasive surgery where doctors use a tiny camera to look inside a joint. Recently, more doctors are using arthroscopy for elective (non-emergency) surgeries on the hand and wrist, and this trend is now extending to emergency care for injuries. Supporters of this method argue that it allows for a better assessment of broken bones and early identification of related injuries. However, some express worries about longer surgery times and potential complications. Information on patient experience and cost-effectiveness is not widely available. The goal of this review is to explore the current knowledge and information available on this topic.

FAQs

  1. What are the advantages of using arthroscopy in managing hand and wrist injuries?
  2. Are there any concerns or complications associated with the use of arthroscopy in hand and wrist injuries?
  3. What data is available on the patient-reported benefits and costs of using arthroscopy for hand and wrist injuries?

Doctor’s Tip

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

Suitable For

Patients who may be recommended wrist arthroscopy include those with:

  • Chronic wrist pain or instability
  • Ligament tears or injuries
  • Ganglion cysts
  • Arthritis
  • Fractures or dislocations
  • Tendon injuries
  • Synovitis
  • Carpal tunnel syndrome

It is important for patients to undergo a thorough evaluation by a hand and wrist specialist to determine if wrist arthroscopy is the appropriate treatment option for their specific condition.

Timeline

Before wrist arthroscopy:

  1. Patient experiences wrist pain, swelling, and limited range of motion.
  2. Patient undergoes a physical examination and imaging tests to diagnose the underlying issue.
  3. Orthopedic surgeon recommends wrist arthroscopy as a minimally invasive procedure to diagnose and treat the problem.

After wrist arthroscopy:

  1. Patient undergoes the wrist arthroscopy procedure under anesthesia.
  2. Surgeon makes small incisions in the wrist and inserts a camera and small instruments to diagnose and treat the issue.
  3. Patient may experience some pain and discomfort after the procedure, but this typically resolves within a few days.
  4. Patient undergoes physical therapy to regain strength and range of motion in the wrist.
  5. Patient gradually returns to normal activities and experiences improved wrist function and reduced pain.

What to Ask Your Doctor

  1. What specific condition or injury is prompting the need for 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 or procedures that could be considered instead of wrist arthroscopy?
  5. How experienced is the surgeon in performing wrist arthroscopy procedures?
  6. What are the potential long-term outcomes and benefits of undergoing wrist arthroscopy?
  7. Will I need any additional follow-up appointments or treatments after the procedure?
  8. How should I prepare for the wrist arthroscopy procedure, both physically and mentally?
  9. Are there any restrictions or limitations on activities that I should be aware of post-surgery?
  10. What is the success rate of wrist arthroscopy in treating similar cases or injuries?

Reference

Authors: Stirling PHC, Duckworth AD, Adams JE, Kakar S. Journal: Bone Joint J. 2025 Mar 1;107-B(3):291-295. doi: 10.1302/0301-620X.107B3.BJJ-2024-1183.R1. PMID: 40020720