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Common Wrist Conditions

Microtrauma

Joint dysfunction (hypo- or hyper-mobility)
Osteoarthritis
Ganglion cyst
Tendinopathy:
- De Quervain's
- Trigger finger

Neuropathy

Carpal tunnel
Pronator teres
Radial tunnel
Cubital tunnel

Disease

Inflammatory arthropathy
Less common threatening presentations:
- Avascular necrosis
- Infection
- Neoplasm

Wrist arthroscopy

Wrist arthroscopy is surgery that uses a tiny camera and surgical tools to examine or repair the tissues inside or around your wrist. The camera is called an arthroscope. The procedure allows the doctor to detect problems and make repairs to the wrist without making larger cuts in the skin and tissue. This means that you may have less pain and recover more quickly than open surgery.

Description

You will likely receive general anesthesia before this surgery. This means you will be asleep and unable to feel pain. Or, you will have regional anesthesia. Your arm and wrist area will be numbed so that you do not feel any pain. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.

During the procedure, the surgeon does the following:

Inserts the arthroscope into your wrist through a small incision. The scope is connected to a video monitor in the operating room. This allows the surgeon to view the inside of your wrist.
Inspects all the tissues of your wrist. These tissues include cartilage, bones, tendons, and ligaments.
Repairs any damaged tissues. To do this, your surgeon makes 1 to 3 more small incisions and inserts other instruments through them. A tear in a muscle, tendon, or cartilage is fixed. Any damaged tissue is removed

At the end of the surgery, the incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.

Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues.