Sports Trauma - wrist fracture fixation (both bone forearm fracture)

#sportsmedicinesurgery series 

Both bone #forarm #radius #ulna #fracture #surgery

#FlexorCarpiRadialis (FCR) volar approach

Incise FCR sheath over #tendon in supination 

Palmar cutaneous branch of median nerve

arises 5 cm proximal to wrist joint & ulnar to FCR

Retract FCR radially w/ #radialartery (esp. if want to do #carpaltunnelrelease ) or ulnarly

Incise dorsal FCR sheath. #Flexorpollicislongus (FPL) will be underneath - retract ulnarly w/median nerve

#pronatorquadratus (PQ) will be underneath

Incise radial +/- distal border of PQ leaving a cuff for later repair in supination

Proximal extension

+- release #pronatorteres off radius in pronation

Incise deep fascia between FPL and FCR

#flexordigitorumsuperficialis FDS will be underneath 

#mediannerve underneath FDS