Wrist Arthroscopy .pdf

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Original filename: Wrist_Arthroscopy.pdf
Title: CTS June 2006
Author: Paul

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WA
PAUL JARRETT
ORTHOPAEDIC SURGEON

Other joints if required and discussed preoperatively can be assessed such as the
base of the thumb, distal radio-ulnar joint
and some finger joints.

Hand
Upper Limb
Orthopaedic Trauma

Risks of wrist arthroscopy include
infection (under 1%), bleeding, stiffness,
wound tenderness, tendon/nerve/blood
vessel injury and no resolution of
symptoms.

Your Guide to
Wrist Arthroscopic
Surgery

Post-operative care
Most arthroscopic procedures will require
a small bandage post-operatively which
is reduced to a small dressing after two
days and then no dressing after a further
week, and near full recovery usually takes
4 weeks. In procedures involving complex
work within the joint the post-operative
treatment and splintage will vary
according to the nature of the operation
and I will discuss this with you prior to the
operation.
Your wounds can be
washed and moisturised
from 10 days post-op.
Good luck in your
recovery.
PAUL JARRETT
ORTHOPAEDIC AND HAND SURGEON

Wrist
traction

Murdoch Orthopaedic Clinic
100 Murdoch Drive
Murdoch WA 6150

tower
Phone: 08 9311 4636
Fax: 08 9311 4627
E–mail: admin@pauljarrett.info

pauljarrett.info

WRIST ARTHROSCOPY
Wrist arthroscopy

Arthroscopic procedures

When surgery of the wrist is required,
many procedures can be undertaken
using a small telescope and camera to
look into the wrist joint and perform
procedures.

In addition to diagnostic arthroscopy,
interventional procedures include:

At times arthroscopy can be used to
make a diagnosis or to assess structures
within the wrist to aid planning of further
treatment.
Wrist arthroscopy may also be used to
undertake surgical treatment of
conditions such as ligamentous injuries,
some fractures, some cartilage and
arthritis problems and excision of
ganglions.
The advantages of performing operations
arthroscopically include smaller wounds,
more rapid and sometimes fuller recovery
and at times operations can be
undertaken arthroscopically that cannot
be undertaken by conventional open
surgery.



Triangular fibrocartilagenous repair



Distal ulnar wafer resection



Scapholunate ligament repair



Ulnocarpal ligament repair



Debridement of degenerate tissue



Assisted scaphoid fracture fixation



Assisted distal radius fixation



Radial styloidectomy



Partial scaphoid replacement



Partial trapeziecomy/ interposition

The operation
An arm block or general anaesthetic is required.
A tourniquet is placed on the arm and the upper
limb is placed in a special device (traction tower)
to hold the wrist in the correct position. A number
of small incisions are used to place the telescope
and small instruments into the different parts of
the wrist joint, typically 3-4 in number. The
wounds are sufficiently small to usually not require
suturing.
The inside of the different parts of the wrist joint
are visualized and some conditions treated, as
discussed with each patient before the procedure
with the treating surgeon.

Wrist splint often used

Wrist arthroscopy views


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