In general, there are two palmar surgical approaches to the distal radius– a modified Henry approach to the radius and a more ulnar approach, designed to expose the median nerve as well as the distal radius.
The modified Henry approach is suitable for most fractures of the distal radius.
If it is desired to decompress the carpal tunnel, this may be performed either through one ulnar
extensile approach or two separate approaches.
For isolated lunate facet fractures an ulnar approach is more useful.
For high energy fractures an extended ulnar approach may be used.