Our Summary

This research paper investigates how close certain nerves and tendons are to where surgeons make incisions (portals) during wrist arthroscopy, a minimally invasive surgical procedure used to diagnose and treat problems in the wrist. The study involved performing this procedure on ten deceased human wrists, then dissecting them to measure the distance between the incisions and certain nerves and tendons. The researchers also reviewed previously published studies on the same topic. They found that some nerves were at risk of injury during the creation of these incisions, suggesting that surgeons need to be cautious during this procedure to avoid damaging these nerves.

FAQs

  1. What is the main purpose of the research paper on wrist arthroscopy?
  2. How did the researchers carry out the study on wrist arthroscopy?
  3. What did the researchers find about the risk to nerves during wrist arthroscopy?

Doctor’s Tip

A doctor may advise a patient undergoing wrist arthroscopy to ensure they follow post-operative instructions carefully, including rest, elevation, and wearing a splint as directed. It is important for the patient to communicate any unusual symptoms such as increased pain, swelling, or numbness to their healthcare provider immediately. Additionally, the patient should follow up with their doctor for regular check-ups to monitor their recovery progress and address any concerns promptly.

Suitable For

Patients who are typically recommended wrist arthroscopy are those who have persistent wrist pain, swelling, stiffness, or instability that has not improved with conservative treatments such as rest, physical therapy, and medications. Common conditions that may be diagnosed and treated with wrist arthroscopy include ligament tears, cartilage damage, ganglion cysts, and wrist arthritis. Patients who have had a previous wrist injury or surgery that has not fully resolved may also be candidates for this procedure. Additionally, wrist arthroscopy may be recommended for patients who need to have a biopsy or removal of a growth or tumor in the wrist joint. It is important for patients to consult with a qualified orthopedic surgeon to determine if wrist arthroscopy is the appropriate treatment option for their specific condition.

Timeline

Before wrist arthroscopy:

  1. Patient experiences wrist pain, swelling, or limited range of motion.
  2. Patient consults with a doctor and undergoes physical examination and imaging tests to diagnose the wrist problem.
  3. Doctor recommends wrist arthroscopy as a minimally invasive surgical option.
  4. Patient undergoes pre-operative evaluations and receives instructions on preparing for the procedure.

During wrist arthroscopy:

  1. Surgeon makes small incisions (portals) in the wrist to insert a camera and surgical instruments.
  2. Surgeon examines the structures inside the wrist joint, such as ligaments, tendons, and cartilage.
  3. Surgical instruments are used to repair or remove damaged tissue.
  4. Procedure typically lasts around 30 minutes to 1 hour.

After wrist arthroscopy:

  1. Patient is monitored in the recovery room before being discharged home.
  2. Patient may experience some pain, swelling, and stiffness in the wrist.
  3. Physical therapy and exercises are recommended to help with rehabilitation and regain strength and flexibility in the wrist.
  4. Follow-up appointments with the surgeon are scheduled to monitor healing and address any concerns.
  5. Full recovery can take several weeks to months depending on the extent of the procedure and individual healing process.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with wrist arthroscopy?
  2. How experienced is the surgeon in performing wrist arthroscopy procedures?
  3. How long is the recovery period after wrist arthroscopy?
  4. Will I need physical therapy or rehabilitation after the procedure?
  5. Are there any alternative treatments or procedures that could be considered for my condition?
  6. What are the expected outcomes of wrist arthroscopy for my specific condition?
  7. Will I need any additional imaging tests or diagnostic procedures before the wrist arthroscopy?
  8. How long will the procedure take and will I need to stay overnight in the hospital?
  9. Will I need to make any lifestyle changes or modifications after the wrist arthroscopy?
  10. How often will I need follow-up appointments after the procedure?

Reference

Authors: Shyamalan G, Jordan RW, Kimani PK, Liverneaux PA, Mathoulin C. Journal: J Hand Surg Eur Vol. 2016 Oct;41(8):852-8. doi: 10.1177/1753193416641061. Epub 2016 Apr 7. PMID: 27056276