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00:08:32

Displaced Radial Shaft Fracture: The Dorsal Approach to the Forearm

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Kenneth A. Egol, Charlotte Shields

Demonstration of a radial shaft fracture repaired through a dorsal (Thompson) approach to the forearm. The patient is an 18-year-old male who sustained a left elbow dislocation and ipsilateral radial shaft fracture (AO/OTA: 22-B2) while playing basketball. He underwent a closed reduction of the elbow and operative repair of the radius. Anatomic reduction and fixation was obtained. A dorsal approach to a radial shaft fracture is advantageous for fractures involving the proximal 1/3 of the radius and with dorsal soft tissue damage, which requires debridement. This case also demonstrates the technique to protect the PIN.

 
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