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Wrist Arthroscopy Case Volume Among Graduating Orthopedic Surgery Residents: A Four-Year Analysis from 2020-2024
Ignacio Pasqualini, MD, Shujaa Khan, MD; Youssra Marjoua, MD
Cleveland Clinic, Cleveland, OH
BACKGROUND: Understanding wrist arthroscopy case volume and variability is important for programs to ensure that orthopedic residents are gaining adequate exposure to these increasingly popular procedures. We aimed to evaluate graduating orthopedic resident case volume and variability for wrist arthroscopy procedures from 2020 to 2024.
METHODS: The Accreditation Council for Graduate Medical Education surgical case log data from 2020 to 2024 for graduating United States orthopedic surgery residents was assessed. Arthroscopy procedures of the forearm/wrist were categorized. The average number of cases performed per resident was compared from 2020 to 2024 to determine the percent change in case volume. The 10th, 30th, 50th, 70th, and 90th percentiles of case volumes were presented to demonstrate case volume variability.
RESULTS: There was no significant change in the average number of forearm/wrist arthroscopy cases from 2020-2021 to 2023-2024 (3.0 ± 3 [range 0-28] vs 3.0 ± 3 [range 0-23], P = .732), despite a 4.8% increase in the average number of total forearm/wrist procedures performed over time (160.2 ± 50 [range 57-410] in 2020-2021 to 167.9 ± 52 [range 56-409] in 2023-2024, P = .042). There was wide variability in forearm/wrist arthroscopy case volume among residents. The 90th percentile of residents performed 7 cases in 2023-2024, compared with 2 cases in the 50th percentile, and 0 cases in the 10th percentile.
CONCLUSION: Orthopedic surgery resident exposure to wrist arthroscopy has remained low over time, despite an overall increase in the total number of forearm/wrist procedures performed.
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