Executive Editor: Chris Colton

Authors: Dominik Heim, Shai Luria, Rami Mosheiff, Yoram Weil

Forearm shaft

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Glossary

Anterior approach (Henry)

Anterior approach (Henry)

The anterior (Henry) approach offers good exposure of the whole length of the radius. The length of the incision depends on the extent of exposure needed.

Posterolateral approach (Thompson)

Posterolateral approach

The posterolateral (Thompson) approach offers good exposure of the middle and distal thirds of the radial shaft. The skin incision lies straight down the dorsal aspect of the forearm and its length depends on the exposure needed.

Approach to the ulna

Approach to the ulna

The standard ulnar approach offers good exposure along the whole ulnar shaft. The length of the incision depends on the exposure needed.

Combined posterior approach to radius and ulna

Combined posterior approach

The proximal third of the shaft of the ulna and the proximal two thirds of the shaft of the radius can be reached by using a single incision.
The main drawback of this combined approach is an increased risk of synostosis.

Speed and Boyd's approach

Speed and Boyd's approach

This approach gives good exposure for fractures that include proximal ulnar shaft fractures and disorders of the radial head. It can be used for Monteggia injuries with persistent displacement of the radial head after anatomical reduction and fixation of the ulnar fracture.

Approaches to the DRUJ (posterior/anterior)

Approaches to the DRUJ

Approaches to the distal radioulnar joint (DRUJ) become necessary in cases in which ulnar head dislocations, in the context of Galeazzi injuries, can not be reduced closed.

Safe zones for pin placement in the forearm

Safe zones for pin placement

The forearm anatomy is complex due to the presence of three major neurovascular bundles.

Approach to the ulna for intramedullary nailing

Nailing approach for ulna

With the patient in supine position and the arm in pronation on an arm table, make a straight longitudinal, approximately 1 cm long incision at the tip of the olecranon.

Approaches to the radius for intramedullary nailing

Nailing approaches for radius

The correct nail entry point and so the chosen approach depends on the nail type used.

Lateral approach to prox. radius

The lateral approach can be used to access the radial head.

v2.0 2013-07-09