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Home » Arthroscopic Surgery for Hand and Wrist Pathology

Arthroscopic Surgery for Hand and Wrist Pathology

Posted on April 30, 2017 by Badia Hand to Shoulder Center

  • arthroscopy-hand-surgen arthroscopy-hand-surgen

Arthroscopy is a minimally invasive surgical technique developed over three decades ago in order to explore a joint from within. Tiny incisions are used to insert a fiberoptic instrument which serves as a camera to the inside of a joint and allows a surgeon to not only diagnose a problem but often times allows definitive treatment. This is opposed to the more standard technique of open joint surgery, which can result in increased scarring and prolonged recovery time.

More recently, general and gynecologic surgery have also benefited from these endoscopic techniques and joint arthroscopy has enjoyed great success in both the knee and shoulder. Smaller joints now have also benefited from this technique. A smaller arthroscope has been devised in order to diagnose and even treat wrist pathology, which up until now has been a problem area. We have even used arthroscopic techniques to treat pathology in the basal joint of the thumb and knuckle joint of the hand. 

The wrist is widely regarded as the most complex joint in the human body

There are eight carpal bones, which articulate with the two forearm bones creating a joint that moves in multiple planes. Wrist pain until recently has often eluded doctors due to the complexity and small size of this joint. Even MRI technology still cannot elucidate subtle problems with this articulation. The carpal bones are held together by small ligaments, which are often the subject of trauma and can lead to instability of these bones, leading to posttraumatic arthritis in the future. 

The triangular fibrocartilage is a small cartilage disc, similar to the meniscus in the knee, which often leads to wrist pain along the ulnar or pinky side of the wrist. Tears in these ligaments can now be diagnosed and either debrided or repaired using arthoscopic means. The artroscope can also be used to resect inflamed joint tissue (synovium), remove bony, loose bodies, or treat articular fractures. The tiny holes made by the arthroscope also provide a more cosmetic means to treat wrist ganglions or cysts that are not only a source of pain but are quite disfiguring in a thin person’s wrist. The traditional open excision of this cyst leads to an ugly scar in a very visible place. The arthroscopic technique avoids this. As in other joints arthroscopy has broadened the horizons in hand and wrist surgery leading to improved diagnosis and treatment of complex problems that were previously untreatable and difficult to diagnose.

Alejandro Badia, M.D, F.A.C.S.

Alejandro Badia, MD, FACS is a hand and upper extremity orthopedic surgeon treating orthopedic problems of the Hand & Wrist, Arm & Forearm, Elbow, and Shoulder, at Badia Hand to Shoulder Center in Doral, Florida previously serving as chief of hand surgery, Baptist Hospital of Miami. Dr. Badia studied physiology at Cornell University and obtained his medical degree at NYU, where he also trained in orthopedics. A hand fellowship at Alleghany General Hospital in Pittsburgh was followed by an AO trauma fellowship in Freiburg, Germany. He runs an active international hand fellowship, and serves on the editorial board of two hand journals. Learn more about Dr. Alejandro Badia


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Leonard Wolfson
Leonard Wolfson
19:42 04 Nov 19
Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
Luisa Alfonso
Luisa Alfonso
16:25 06 Sep 19
The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
Robledo Aybar
Robledo Aybar
16:30 09 Aug 19
Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today I’m working, and back on my bike and running. The best service and experience!read more
Ellen Westbrook
Ellen Westbrook
23:08 29 Jul 19
Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
victor mendelsohn
victor mendelsohn
02:37 30 May 19
From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered the phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
Alexander Aguiar
Alexander Aguiar
18:19 24 Apr 19
From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
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Badia Hand to Shoulder Center

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Dr. Alejandro Badia, M.D, F.A.C.S.
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