Fcr Approach To Distal Radius Approaches Orthobullets Incise the radial and distal borders of the pq, elevating the muscle off the volar radius. proximal extension. indications. to further expose median nerve or radius. dissection. extend incision up middle of forearm. incise deep fascia between pl and fcr. retract pl and fcr to expose fds. Positioning. supine with shoulder at edge of bed centered on hand table. radiolucent hand table with bed turned 90°. c arm perpendicular to bed. approach. volar approach to distal radius: flexor carpi radialis (fcr) reduction. reduce fracture using traction and direct manipulation techniques. fixation.
Fcr Approach To Distal Radius Approaches Orthobullets Pronate the forearm to bring the insertion of the pronator teres, along the radial aspect of the radius, into view. detach the pronator insertion from bone and retract medially. deep dissection distal third. partially supinate the forearm. dissect the periosteum off the lateral aspect of the distal third of the radius, lateral to the pronator. Henry approach, (2) the trans fcr approach, and the (3) volar extensile approach (see fig. 4). both the henry and trans fcr approaches provide excellent exposure to the volar surface of the distal radius for the reduction and internal fixation of distal radius fractures [8, 10, 29, 31]. in contrast, the volar extensile approach incorporates a. The palmar approach to distal forearm offers good exposure of the radius and ulna, and is a modification of the henry approach. Patients with distal radius fractures favor a shared decision making approach to their care.12,14 there fore, using patient centered and shared decision making approaches and decision making tools may help the care team (and the patient) understand the values, preferences, and functional demands of a pa.
Comments are closed.