Abstract
An anatomical cadaver dissection was used to compare two approaches to the volar aspect of the distal radius. The traditional approach between flexor carpi radialis and the radial artery limits the exposure of the ulnar aspect distal radius. In the trauma setting, it is difficult to perform a carpal tunnel release whilst protecting the palmar branch of the median nerve and gain sufficient exposure of the volar ulnar fragments and the DRUJ. An extensile ulnar sided approach to the distal radius is described which permits wide exposure of the volar aspect of the distal radius including the DRUJ and radial styloid. This exposure utilises the plane between flexor carpi ulnaris/ulnar neurovascular bundle and flexor digitorum profundus. It permits easy and safe release of the carpal tunnel and Guyon’s canal.
Its use in the trauma and post traumatic setting will be shown with intra-operative pictures.
The abstracts were prepared by Professor A. J. Thurston. Correspondence should be addressed to him at the Department of Surgery, Wellington School of Medicine, PO Box 7343, Wellington South, New Zealand
