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1Preliminary remarks

Fracture assessment

Fractures of the radial styloid may have some comminution. They may occur because of shearing and compression forces.

When assessing styloid fractures, it is imperative to ascertain whether there is an associated scapholunate or radiocarpal ligament injury present.

These fractures are normally approached through a standard dorsal approach, to gain access to the articular surface, and apply the plate. This is illustrated below.

If there are associated injuries requiring further surgery, such as median nerve decompression, a choice must be made using two incisions or a single (usually palmar) incision to address all the problems.

A thorough knowledge of the anatomy around the wrist is essential. Read more about the anatomy of the distal forearm.