Wrist Arthroscopy, Ligament Repair and Reconstruction

Overview

Wrist arthroscopy allows direct assessment of the small joints, cartilage and ligaments inside the wrist using keyhole techniques. It is useful when pain persists after injury or when imaging suggests a treatable internal wrist problem.

Ligament repair or reconstruction may be required when important stabilising ligaments, such as the scapholunate ligament, are torn and the wrist becomes painful or unstable.

Who may benefit from this surgery?

Patients may benefit if they have persistent wrist pain, clicking, instability, reduced grip strength, suspected ligament injury or symptoms that have not improved with splinting and therapy. Early diagnosis is important for some ligament injuries because untreated instability can lead to arthritis.

What does the procedure involve?

Arthroscopy uses small portals to inspect the wrist. Minor tears may be debrided or stabilised. More significant ligament injuries may require repair, pinning or reconstruction using tendon graft depending on timing and tissue quality.

Recovery after wrist ligament surgery

Recovery depends on the procedure. Ligament repair and reconstruction often require immobilisation before motion and strengthening begin. Grip strength and confidence return gradually.

Rehabilitation protocol

You will receive a protocol matched to wrist arthroscopy, scapholunate repair or reconstruction.

FAQs

Can wrist ligaments heal without surgery?

Some minor injuries can. Complete or unstable tears may require repair or reconstruction.

Why is scapholunate injury important?

It can alter wrist mechanics and lead to arthritis if instability persists.

Will I need a cast or splint?

Often yes, particularly after ligament repair or reconstruction.

When can I return to sport?

Return depends on healing, strength and sport demands, often taking several months.

Can wrist arthroscopy diagnose problems MRI misses?

Yes, arthroscopy can directly assess structures that may be difficult to interpret on imaging.

Book or Refer Today

For persistent wrist pain or suspected ligament injury, book a consultation to review diagnosis and treatment options.

Reconstructive Orthopaedics Melbourne (ROM)

We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.