Arthroscopy is an intricate surgical procedure that is used to picture, establish, and treat complications in a joint. This practice involves creating an insignificant opening in the skin and then introducing a pencil-sized camera into the joint that has the problem. The tiny camera and the instrumentation of the arthroscope give Dr. Samimi a chance to see the interior of the joint in an expanded and lightened manner to perfectly make a diagnosis and effectually treat the ailment. Dr. Samimi majors in dealing with complex and repetitive wrist hitches that may be treated with the arthroscopic procedures.
Technological advancement for instance the high definition monitors and the high resolution cameras have enabled arthroscopy to be a very efficient tool for treatment of a variety of wrist complications.
The arthroscopy operation is more or less constantly done as outpatient surgery and it has benefits like risk reduction, less complications, lower post-operative pain, a reduced amount of recovery time, and far less blemishing. With this negligibly invasive practice we are able to perform wrist related surgeries like the ganglion cyst excision and TFCC repair also known as debridement.
What happens during the procedure?
Dr. Samimi makes use of arthroscopy to fill, repair or eliminate impaired tissue.
First, your wrist is examined with the arthroscope. Then it is placed into your wrist through the small incision made, which is only wide enough for the minute camera. The arthroscope is linked to a video monitor feed in the operating room. All the tissues of the joint of your wrist; the cartilage, the TFCC, as well as ligaments are examined.
After a detailed understanding of the complication is obtained, the tissues that have been damaged are either detached or repaired. This is done by tiny surgical instruments like graspers, scissors, and even electrically powered shavers which are placed into the joint of the wrist through the small incisions previously made. Generally either 2 or 3 small openings are required in the wrist arthroscopy.
Usually the process lasts from half an hour to single hour depending on the outcomes and the required treatment.
When the surgery ends, all your incisions are stitched up and enclosed with a dressing bandage. Just about all arthroscopic wrist surgical operations are performed on an outpatient basis. Normally you will return home the same day and a physical therapy course follows. You are provided with a wrist splint that is ordinarily for just a week after the surgery.
Arthroscopic surgical procedures can be treatments of a number of wrist conditions. They include: fractures on the wrist, ganglion cysts, ligament tears, triangular fibrocartilage complex (TFCC) tears and chronic/long-term wrist pain. The wrist arthroscopy procedure may also be used in smoothening of surfaces of the bone and removal of inflamed tissue.
Chronic/long term wrist pain: the arthroscopic surgery procedure may be used in the diagnosis of the causes of long term wrist pain once the outcomes of other examinations fail to provide a clear diagnosis. Usually, there may be inflamed areas and cartilage impairment, among other findings after injury to the wrist. Sometimes, after diagnosis is made, the condition could as well be treated arthroscopically.
Fractures of the wrist: miniature bone fragments may remain within the joint of a bone after fractures. Wrist arthroscopy surgery can eliminate these fragments, align the pieces of broken bone, and make them stable by use of wires screws or pins,
Ganglion cysts: the ganglion lumps normally grow from a stem in the middle of two of the wrist bones. In the course of an arthroscopic procedure, the surgeon can get rid of the cyst or lump.
TFCC/Ligament tears: Ligaments are tough bands of the connective tissue that hinge or link the bones. They are responsible for joint stability and support. The TFCC (triangular fibrocartilage complex) is a structure of cushioning within the wrist. A fall on a hand that is outstretched can tear up the TFCC, the ligaments, or even both. This results to pain with motion or a snapping sensation. In the course of arthroscopic surgery, the tears can be repaired by the surgeon.
Carpal tunnel release: The carpal tunnel syndrome is described as a feeling of numbness or tingling sensation in the hand, sometimes with some pain up the length of the arm. It is caused by exertion of pressure on the nerve that passes through the carpal tunnel (a tunnel formed by wrist bones with a roof of thick tissue) There are a lot of causes of pressure build up within the tunnel such as swelling and irritation of the synovium tissue that covers the tendons. Once the carpal tunnel syndrome fails to respond to non-surgical action, the option that follows is surgically cutting the ligament roof and broadening of the tunnel. This reduces pressure on the nerve and gets rid of symptoms. Sometimes this can be done by use of an arthroscope.