- See:
-
Plating Techniques:
- Technique:
- incision begins in front of radial styloid process, extending proximally in straight
line along anteromedial border of the
brachioradialis;
- brachioradialis is reflected laterally to expose superficial
radial nerve in
proximal portion;
- avoid injury this nerve as it passes into the subcutaneus tissue;
-
radial artery is seen beneath
BR deep to radial nerve;
-
FCR muscle is retracted medially;
- radial artery & vein are retracted medially w/ FCR;
-
FDS, FPL,
pronator quadratus are then exposed at bottom of wound;
- change position of arm from supination to pronation in order to expose
the portion of radius that is just lateral to pronator quadratus &
FPL;
- there is a line of insertion of these muscles that is identified
on lateral aspect of the radius;
- longitudinal incision is then made in the periosteum of radius along
insertion of pronator quadratus and FPL muscles medially;
- tendon of
ECRL is seen dorso-lateral
to origins of
FPL &
pronator quadratus;
- when closing the wound do not to put undue pressure on superficial branch of
radial nerve or to put excessive pressure on
radial artery when suturing
fascia, particularly when there is extensive swelling;
