Wrist Arthroscopy Overview
Wrist arthroscopy is a minimally invasive procedure used to diagnose and treat joint problems through very small incisions. Surgeons use a tiny camera to inspect the wrist structures and address damage without disrupting surrounding tissues. This approach is commonly chosen for ligament injuries, cartilage wear, cysts, and certain fractures. Because the incisions are small, recovery is often quicker and less painful than with open surgery. Patients typically experience improved mobility and reduced discomfort following treatment.
How Wrist Arthroscopy Works
During wrist arthroscopy, the surgeon places a small arthroscope into the joint to view the internal structures in real time. This camera provides detailed images that guide precise repairs of tissues such as ligaments or cartilage. Several small incisions are made to allow instruments to access the joint without cutting through major muscles or tendons. Diagnostic arthroscopy may be used when the cause of wrist pain is unclear or when symptoms persist despite conservative care. Surgical arthroscopy allows the physician to repair damage within the joint using specialized tools.
The procedure typically requires regional anesthesia to numb the hand and arm, though a sedative may be provided for comfort. After repairs are complete, the incisions are closed with stitches and a small splint may be applied to support healing. Many patients can return home the same day, and postoperative discomfort is usually mild. Early movement is often encouraged once healing begins to prevent stiffness and maintain wrist function.
Conditions Wrist Arthroscopy Can Address
Wrist arthroscopy is commonly recommended for patients with chronic wrist pain that has not improved with non-surgical approaches. The procedure can identify and treat areas of cartilage injury, inflammation, or scar tissue that contribute to persistent discomfort. It may also be used to treat certain fractures, particularly those involving loose bone fragments within the joint space. Surgeons can stabilize fractures or remove fragments through small portals while preserving surrounding tissues. The technique is also valuable for treating ganglion cysts by removing the stalk that causes recurrence.
For conditions such as ligament tears, arthroscopy allows precise repair to restore stability and function. Patients with carpal tunnel syndrome may undergo arthroscopic release to ease pressure on the median nerve. Arthritis-related changes, infections, or inflammatory conditions may also be addressed arthroscopically if they affect wrist alignment or joint integrity. This versatility makes wrist arthroscopy a useful tool for diagnosing and treating a broad range of wrist disorders.
Who May Be a Candidate
A person may be considered for wrist arthroscopy if they experience ongoing pain, swelling, weakness, or clicking that does not improve with rest, medication, or bracing. Candidates often include individuals with sports injuries, workplace strain, or age-related wrist degeneration that limits daily function. Those with suspected ligament tears, cysts, or joint damage identified on imaging may also benefit. Arthroscopy is particularly helpful for patients who require both diagnosis and treatment in a single procedure. It offers a less invasive solution for addressing wrist problems with reduced recovery time and minimal scarring.
Recovery and Expected Outcomes
Recovery from wrist arthroscopy varies based on the condition treated and the patient’s overall health. Most individuals wear a splint for one to two weeks before beginning gentle movement exercises. Physical therapy may be recommended to restore strength, flexibility, and proper joint mechanics. Mild discomfort is common during the early healing process but typically improves quickly as tissues recover. Many patients resume light activities within days and return to full function as healing progresses. Wrist arthroscopy offers effective relief for many conditions while allowing patients to regain comfortable use of the hand and wrist with minimal disruption.