What it is
Wrist arthroscopy utilises small incisions and a camera to diagnose and treat conditions within the wrist. Standard procedures include TFCC debridement or repair, synovectomy, cartilage lesion debridement, and removal of loose bodies. The goals are pain reduction, improved range of motion, and an earlier return to function.
Rehabilitation restores motion and strength while protecting healing tissues during the repair process.
What happens when it occurs
A camera and small instruments are used to treat targeted issues. Early motion prevents stiffness for debridement cases; repair procedures require more protection. Strength and function are built in stages.
Common causes and indications
- Persistent pain, catching, or mechanical block after conservative care
- Suspected TFCC injury, synovitis, or chondral lesions
- Loose bodies or dorsal wrist impingement
Who is most affected
Active adults and athletes with mechanical symptoms or confirmed intra‑articular pathology.
Typical symptoms before surgery
- Ulnar‑sided pain with rotation or load
- Catching, clicking, or a painful block
- Loss of extension or forearm rotation
When to seek care
When mechanical symptoms persist and limit function despite structured rehabilitation.
How we diagnose
History, examination including TFCC and ligament testing, and imaging with X‑ray and MRI; arthroscopy provides direct assessment and treatment.
Management
- Early range within tolerance for debridement procedures
- Protection with a brace or cast after repairs
- Progressive strength for grip, forearm rotation, and shoulder
- Task coaching and graded return to work and sport
Rehabilitation milestones
Debridement: Phase 1, weeks 0–2, early motion, swelling control; Phase 2, weeks 2–6, progressive strength; Phase 3, weeks 6–12, sport skills.
Repair: Follow the surgeon's limits on rotation and load; progress strength and skills after the protection phase.
Readiness to progress
- Wound healed and swelling controlled
- Range improving without block
- Strength and endurance targets met for tasks
Long-term care
- Maintain mobility and strength habits
- Plan workloads during busy periods
- Use protective taping or bracing during early return if advised
Australia snapshot
- Common day surgery in metropolitan centres
- Used after conservative care for mechanical symptoms
- Most return to work in staged timeframes, depending on procedure type
Latest insights
Early motion for debridement; patient protection for repairs.
Clear procedure‑specific limits prevent setbacks.
