Background. Pain in the wrist area is quite a frequent lesion. If it is not treated soon enough, it leads to
development of degenerative changes which are curable with difficulty. Diagnosing is complicated
because it is often difficult to diagnose them by means of radiological methods. Wrist arthroscopy is
a method which enables to assess the problem and very often it also helps to solve it with an operation.
Methods and Results. Authors evaluated 93 wrist arthroscopies performed in their departments during
2004–2005. There were 28 arthroscopies performed due to an acute lesion and 65 arthroscopies due to
chronic problems. There were 59 arthroscopic curative interventions performed during the operation and
64 open interventions were indicated on the basis of an arthroscopic examination.
Conclusions. All wrist lesions where the lesion of connective tissues structures is suspected, accompanied
with edema and hematoma, should be indicated for acute wrist arthroscopy, even though there is no
finding on radiographs. Another group of patients indicated for the acute wrist arthroscopy are young
patients with wrist fractures where there is a frequent ligament lesion associated, and patients with persisting
ailments, even after radiologically confirmed healing of the fracture when intra-articular pathology
can be expected. All patients with pain in the wrist area are indicated for arthroscopy, including those
with not obvious cause of pain and with symptoms of arthrosis, because it is possible to evaluate
further procedure of the therapy.
wrist arthroscopy, wrist instabilities, TFCC lesions.www