Nerve-Sparing Dorsal and Volar Approaches to the Radiocarpal Joint
Surgical approaches to the wrist joint have traditionally been focused on providing wide exposure to allow adequate access to the carpus. In light of recent investigations on the innervation and proprioception of the wrist joint, one should also take into consideration not to denervate the wrist capsule and ligaments. In this manuscript, we propose 2 surgical approaches to the dorsal and volar radiocarpal joint, intended to minimize damage to the innervation of the capsule while providing ample access to the wrist.
Key words: Anterior interosseous nerve, nerve-sparing, posterior interosseous nerve, surgical technique, wrist
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The authors wish to extend their sincere gratitude to Professor Manuel Llusà, Universitat de Barcelona, Department of Anatomy, Barcelona, Spain, for the exquisite opportunity to perform the anatomical work in his department.
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
PII: S0363-5023(10)00352-7
doi:10.1016/j.jhsa.2010.03.032
© 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
