Microfracture surgery due to a lack of studies on the long-term effects and the fact that an unsuccessful surgery could end an athlete's career. Dr. Steadman has also adapted the surgery into a treatment to help reattach torn ligaments (a technique he calls the "healing response") The surgery is performed by arthroscopy, after the joint is cleaned of calcified cartilage. Through use of an awl, the surgeon creates tiny fractures in the subchondral bone plate. Blood and bone marrow (which contains stem cells) seep out of the fractures, creating a blood clot that releases cartilage-building cells. The microfractures are treated as an
Wrist arthroscopy consists of wrist immobilization, oral NSAIDs and/or injection with corticoids. Diagnostic wrist arthroscopy may also be indicated when other imaging techniques, such as MRI and ultrasonography, need confirmation on observed uncertainties or when other imaging techniques failed to establish a clear diagnosis. This makes arthroscopy an important diagnostic tool for some common anomalies around the wrist. However, relying on arthroscopic findings in the setting of an unclear preoperative diagnosis yields limited diagnostic benefit. Therefore, its use should be limited to the cases with other objective clinical findings. There are several therapeutic wrist arthroscopy indications, in this article the focus will