Hand and Wrist Arthroscopy

Arthroscopy is a valuable procedure in the treatment of a variety of pathologies but it is also used to diagnose a problem in the hand or wrist joint.

Magnetic and nuclear resonance imaging and X-rays are not always sensitive or specific enough to detect pathologies of the ligaments and cartilage.

This procedure is also used to treat a number of other issues, such as torn ligaments and damaged cartilaginous tissue.

OSTEOARTHRITIS OF THUMB JOINT

Debridement of damaged joint tissue and insertion of an implant between the trapezium and the first metacarpal to ease early-stage yet painful osteoarthritis. This is a revolutionary technique that is truly much less invasive than the alternatives.

TEARS IN THE SCAPHOLUNATE OR LUNO-PYRAMIDAL WRIST LIGAMENTS

TEARS IN THE TRIANGULAR FIBROCARTILAGE COMPLEX (TFCC)

Relief from pain through repair, reinsertion or debridement of ligament.

CUBITAL TUNNEL SYNDROME WITH INTERNAL HYPERPRESSURE

The arthroscopy allows for debridement of the TFCC and shortens the cubitus by a few millimeters.

The procedure is done with a regional anesthetic. The patient’s arm is placed in traction and prepared sterilely.

An endoscope is inserted into the joint, along with miniature instruments to explore the wrist and, if necessary, debride the torn ligaments or worn cartilage. The incisions are then closed. An orthotic device is put in place for a few days to make the patient more comfortable and able to perform the prescribed rehabilitation exercises. Improvement is felt over a period of several months.

Complications are rare and include the risk of nervous or tendon lesions, infection or complex regional pain syndrome (CRPS).