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4Operative rationale

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.