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The Journal of Bone and Joint Surgery 81:1184-97 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Techniques of Wrist Arthroscopy*{dagger}

WILLIAM B. GEISSLER, M.D.{ddagger}, ALAN E. FREELAND, M.D.{ddagger}, JACKSON, MISSISSIPPI, ARNOLD-PETER C. WEISS, M.D.§, PROVIDENCE, RHODE ISLAND and JAMES C.Y. CHOW, M.D.#, MOUNT VERNON, ILLINOIS

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


   Introduction
 
Arthroscopy has revolutionized the practice of orthopaedics by providing the technical capability to examine and treat intra-articular abnormalities directly. The development of wrist arthroscopy was a natural evolutionary progression from the successful application of arthroscopy to other, larger joints. Wrist arthroscopy has seen considerable growth since Whipple et al. reported their original description of the techniques that they developed for viewing the anatomy of the wrist56. The wrist is a labyrinth of eight carpal bones, multiple articular surfaces with intrinsic and extrinsic ligaments, and a triangular fibrocartilage complex, all within a five-centimeter interval. This perplexing joint continues to challenge clinicians with an array of potential diagnoses and treatments. Wrist arthroscopy allows direct visualization of cartilage surfaces, synovial tissue, and ligaments under bright illumination and magnification.

While most acute sprains of the wrist with normal radiographic findings resolve after temporary immobilization, how to further evaluate the patient who does not . . . [Full Text of this Article]


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