Arthroscopy is widely used for diagnostic and interventional orthopedic surgery. Arthroscopy has almost a hundred years old and with the technological development it is used at small joints like wrist and carpometacarpals besides the large joints like knee and shoulder. Commonly usage of local anesthetics bring office arthroscopy; innovation of electronic technology and smaller size arthroscopic instruments bring nano arthroscopy to our lives. Nano arthroscopy is being used at diagnostic and interventional arthroscopy at the present time. Its cost-effectiveness and direct visualization of lesions are the advantages than indirect imaging methods.