Currently, many of the pathologies of the wrist are understood and solved by a Wrist Arthroscopy.
The Arthroscopic Surgery of the wrist and hand is a relatively modern discipline that is evolving by leaps and bounds and one of the sophisticated techniques concerned with the arthroscopic world.
Roth and cols began to clarify the usefulness and effectiveness of arthroscopy on the wrist. Throughout the 90s, new techniques and technology arose that showed that this technique is a useful tool and a valuable modality in the diagnosis and treatment of wrist diseases.
Wrist arthroscopy requires the use of specific tools as well as ability on the anatomy of this articulation to differentiate normal anatomy from the pathological one.
Using this technique, we can treat the following pathologies:
– The diagnosis of wrist pain due to unknown causes despite having received a nonsurgical treatment for 3 months.
– Debridement of chondral lesions and removing free bodies or synovectomy.
– Removal of synovial cysts (ganglion) in the dorsal region of the wrist.
– Treatment of mechanical symptoms resulting from the pathology of interosseous ligaments or the triangular fibrocartilage complex (TFCC).
– Additional display to reduce and fix the articular fractures.
– Evaluation and treatment of carpal instability.
– Treatment of ulnar impaction Syndrome, with TFCC and lunotriquetral ligament debridement and distal ulnar resection.
– Carpal Tunnel Syndrome.
– Early osteoarthritis of the carpometacarpal joint of the 1st finger on the hand (Rizarthrosis).
At present, the results of this diagnostic and surgical technique have a 96% and 98% of success, just only with a complication rate of 2% and 3%.