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J Am Acad Orthop Surg, Vol 9, No 3, May/June 2001, 200-209.
© 2001 the American Academy of Orthopaedic Surgeons
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Wrist Arthroscopy: Principles and Clinical Applications

Ranjan Gupta, MD, David J. Bozentka, MD and A. Lee Osterman, MD

Dr. Gupta is Assistant Professor of Orthopaedic Surgery, University of California, Irvine Medical Center, Irvine. Dr. Bozentka is Assistant Professor of Orthopaedic Surgery, University of Pennsylvania, Philadelphia. Dr. Osterman is Professor of Orthopaedic Surgery, Thomas Jefferson University–Philadelphia Hand Center, Philadelphia.

Reprint requests: Dr. Bozentka, Pennsylvania Orthopaedic Institute, Presbyterian Medical Center, 1 Cupp Pavilion, 39th and Market Streets, Philadelphia, PA 19104-4303.

With the development of better and smaller equipment, arthroscopy of the wrist offers the same benefits achievable with arthroscopy of the knee, shoulder, or elbow—not only diagnostic information but also a therapeutic option. Standardized techniques of performing wrist arthroscopy have been developed to evaluate and treat various wrist disorders, such as lesions of the triangular fibrocartilage complex, intraarticular distal radius fractures, and scaphoid fractures. Arthroscopy is now performed in the treatment of dorsal-wrist ganglion cysts and interosseous ligament disruptions, as well as for bone excisions, such as radial styloidectomy, distal ulnar excision (wafer procedure), and proximal-row carpectomy. Compared with open techniques, arthroscopic procedures, such as repair of the triangular fibrocartilage complex, demonstrate better results and improved localization of the injury with a low complication rate. In addition, arthroscopic procedures involve less surgical dissection, less postoperative pain, a shorter recovery time, and an earlier return to work for the patient.






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Copyright © 2001 by the American Academy of Orthopaedic Surgeons.