This is a retrospective audit of 25 wrist arthroscopies performed between January 2002 and March 2004.

A 2.7-mm 30° small joint arthroscope was used. The procedure was done as a diagnostic tool, to aid decision-making in chronic wrist pathology and as definitive treatment. Trauma had played a role in most of the joints. There were interesting findings about the sequelae of distal radius fractures, despite apparently good radiological appearances.

Visualisation and assessment of wrist cartilage is of cardinal importance in making long-term treatment decisions. Some wrist pathology is amenable to arthroscopic treatment.