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1Preliminary remarks

Choice of approach

If dealing with a rotated avulsion fracture without associated ligament injury, this can be approached through a palmar incision on the radial side.

If there is a compression fracture with impaction of the articular surface, and/or a scapholunate ligament disruption, it is better to use a dorsal approach to the radius.

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