Arthroscopy joint by a portal on the outer border of the patella. It is not clear if these examinations were of deceased or of living patients. Pioneering work began as early as the 1920s with the work of Eugen Bircher. He published several papers in the 1920s about his use of arthroscopy of the knee for diagnostic purposes. After diagnosing torn tissue, he used open surgery to remove or repair the damaged tissue. Initially, he used an electric Jacobaeus thoracolaparoscope for his diagnostic procedures, which produced a dim view of the joint. Later, he developed a double-contrast approach to improve visibility.
Wrist arthroscopy patient's skin may be too fragile or atrophic. The traction brought about by the traction apparatus is then applied to three or even four fingers. The surgeon can either opt for dry arthroscopy or for wet arthroscopy. When performing a dry procedure the wrist can still, if necessary, be approached using open surgery. This may, for example, be required when a TFCC lesion is diagnosed. The latter is not possible when a wet procedure is performed, because the fluid that is used causes expansion of the tissue. To improve visualization within the wrist, an inflow irrigation system is used during