[Wrist arthroscopy]

Abstract

Wrist arthroscopy has found its place in surgeons armamentarium. Since its introduction the value of wrist arthroscopy has been developing. Current indications for wrist arthroscopy include three groups: diagnostic, evaluation (staging) and therapeutic. Arthroscopy allows for establishing correct diagnosis, including possibility for dynamic testing and probing of examined tissues. Some wrist disorders can be staged and qualified for appropriate operative procedure. Number of therapeutic possibilities have been presented by many authors to be performed by arthroscopic technique in wrist. Our material included 41 wrist arthroscopies. 17 arthroscopies were diagnostic, 4 staging and 20 therapeutic. Arthroscopic interventions included: TFCC repair, debridement, synovectomy, ganglion removal. Ultimate value of wrist arthroscopy remains to be established by more long term scientific update. Wrist arthroscopy is attractive instrument in diagnosis and treatment of different wrist disorders. However its application must be based on detailed knowledge of anatomy, pathology and thorough clinical examination including imaging.