[Set-up, portals and normal exploration in wrist arthroscopy.]

Area of Science:

• Orthopedics
• Surgical Techniques
• Musculoskeletal System

Background:

• Arthroscopy is a well-established method for evaluating and treating wrist joint pathologies.
• Specialized miniaturized instrumentation and traction systems are essential for wrist arthroscopy.
• Both dry (external distraction) and wet (saline infusion) techniques can be employed for joint distension.

Purpose of the Study:

• To describe the technique of wrist arthroscopy, including portal placement and visualization of intra-articular structures.
• To highlight the importance of anatomical knowledge and surgical precision to avoid neurovascular injury.
• To outline the utility of different portals for diagnostic and therapeutic arthroscopic interventions in the wrist.

Main Methods:

• Detailed description of radio- and medio-carpal portals.
• Explanation of visualization of bony, chondral, synovial, and ligamentous structures.
• Discussion of dry and wet arthroscopic techniques for wrist joint distension.

Main Results:

• Arthroscopy allows for comprehensive evaluation and treatment of intra-articular wrist disorders.
• Proper portal placement, guided by anatomical landmarks, is crucial for safety.
• Both dry and wet techniques offer distinct advantages for visualization and surgical access.

Conclusions:

• Wrist arthroscopy is a versatile and effective procedure for managing wrist joint conditions.
• Surgeons can select optimal portals based on diagnostic or therapeutic requirements.
• Mastery of surgical technique and anatomical knowledge ensures successful arthroscopic interventions.