Quick Answer
Wrist arthroscopy uses a small camera and instruments through small portals to inspect the wrist joint. It can assist diagnosis or treatment of selected TFCC, ligament, cartilage, ganglion and fracture problems. It should not be presented as an automatic next step for every case of persistent wrist pain.
When May It Be Considered?
- Clinically supported TFCC injury
- Selected carpal instability or ligament injury
- Loose bodies or cartilage lesions
- Selected ganglion cysts
- Assistance with selected distal radius or scaphoid fractures
Diagnostic Role
Arthroscopy allows direct inspection of cartilage, ligaments and the TFCC. However, a 2023 systematic review found limited randomized evidence across many wrist-arthroscopy indications. It should therefore not be labelled a universally required approach; its value depends on the specific clinical question.
Procedure and Recovery
The wrist is placed under controlled traction and small portals are created for the camera and instruments. The procedure may involve diagnostic inspection, TFCC repair, debridement, ganglion treatment or fracture assistance. Recovery varies considerably according to what is actually done.
Risks
Potential risks include nerve or tendon irritation/injury, infection, stiffness, persistent pain and occasionally further surgery. Expected benefit should be discussed in relation to the exact procedure planned.
Frequently Asked Questions
Is arthroscopy a replacement for MRI?
No. Arthroscopy is surgery, not a routine imaging substitute. It is considered when direct inspection or treatment is likely to change management.
Is arthroscopy always better than open surgery?
No. The best approach depends on the diagnosis and the reconstruction required.
Sources
- PubMed — Minimal invasions: wrist arthroscopy systematic review and meta-analysis
- PubMed — Arthroscopy-assisted Procedures in Hand and Wrist Surgery: 2024 update
- American Society for Surgery of the Hand — Wrist Arthroscopy
Evidence sources checked: 7 August 2026.
This page is for general patient education and does not replace an individual medical examination or treatment plan.