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Abstract Wrist arthroscopy is a commonly used procedure that has undergone many modifications and improvements since it was first described. These technological advances allow wrist arthroscopy to be used to aid in the diagnosis and management of wrist problems. Wrist arthroscopy allows direct inspection of the joint and anatomic specific diagnosis. Indications for wrist arthroscopy have continued to expand, with more complex repairative, reconstructive, and salvage procedures now being performed. Further advances are likely to occur from adapting open reconstructive procedures into an arthroscopic model. Triangular fibrocartilage complex injury diagnosis, classification, and treatment can be performed arthroscopically, including distal ulna resection (wafer procedure). Assessment of fracture reduction of the distal radius and scaphoid is superior to that obtained with fluoroscopy, with the advantage of being able to look for associated soft tissue and chondral injuries. Arthroscopic assessment of inter-carpal ligament injuries and instability is now considered the gold standard by many authors. Arthroscopy can also aid us in the resection of ganglia, and can be used for confirmation , clarification , and supplementation of arthrography and other imaging techniques especially if they are inconclusive . It is extremely important that one is completely familiar with both intrinsic and extrinsic anatomy the wrist. Knowledge of the important anatomic relationships which arthroscopy of the wrist provides increases our interpretation of the arthroscopic findings and allows easier correlation with the patient’s clinical presentation. Complications of wrist arthroscopy are relatively uncommon. Wrist arthroscopy is a technique that has gained popularity over the last decade. Its unique advantages as a diagnostic and therapeutic tool cannot be ignored. Its superiority in the diagnosis of many wrist problems compared to other available techniques has been proved. With the ever-expanding list of indications and procedures that can be performed with this technique, it exists as an essential diagnostic and therapeutic tool for the orthopaedic surgeon. |