Radius - Anterior Approach
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Radius - Anterior Approach

This Radius – Anterior Approach course will teach you:

  • To gain exposure to the midshaft of the radius using the anterior approach in order to treat its pathology

Special attention is paid to the following hazards you may encounter during the Radius – Anterior Approach:

  • Superficial veins and nerve injury
  • Radial artery injury
  • Superficial branch of radial artery injury
  • Postoperative hematoma formation
  • Posterior interosseous nerve injury

With the following tips you might perform the Radius – Anterior Approach even better:

  • Determination of the length of the incision
  • Avoid nerve isolation
  • Skin flap creation to gain better exposure
  • Blunt versus sharp dissection of the subcutaneous tissue
  • Scissors usage
  • Retraction of brachioradialis muscle to gain exposure of superficial branch of radial nerve
  • Isolating the superficial branch of radial nerve in order to retract it from the operating field
  • Alternative approach of the superficial branch of radial nerve
  • Distal palpation of the radial artery
  • Radial artery identification
  • Radial artery branch identification
  • Deep muscles exposure by dissection the pronator teres muscle away
  • Supinator muscle identification
  • Pronator teres muscle identification by pronating the forearm
  • Determination of the degree of dissection of pronator teres muscle
  • Improving distal radius exposure by dissection of pronator quadratus muscle
  • Antebrachial fascia closure

After studying the Radius – Anterior Approach course you are familiar with the most common complications:

  • Non-union
  • Compartment syndrome
  • Posterior interosseous nerve injury
  • Superficial radial nerve injury

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Radius – Posterior Approach

Step by step

Superficial dissection

Skin

Mark

Mark the incision on the skin. Starting over the radial styloid process and extending proximally to a point just radial to the biceps brachii tendon in the elbow crease.

Length of the incision

The length of the incision depends on the indication for the procedure and the needed exposure.

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