The rationale for using both palmar and dorsal approaches includes: the hyperextended palmoulnar fragment (intermediate column) and the rotated radial styloid (radial column) requiring a
palmar approach; and the displaced dorsoulnar fragment and the impacted central articular fragment (intermediate column) that require a
dorsal approach and arthrotomy.
A thorough knowledge of the anatomy around the wrist is essential. Read more about the
anatomy of the distal forearm.