Comparison of 2 surgical approaches for volar locking plate osteosynthesis of the distal radius.

Purpose: To determine whether a volar radial (Henry) exposure to the distal radius is associated with less median nerve dysfunction than a direct volar exposure of the distal radius through the carpal tunnel that has been abandoned due to median nerve problems.

Methods: Over an 18-month period, all patients with distal radius fractures treated with volar locking plate osteosynthesis were consecutively integrated into this therapeutic study. A direct volar midline approach ulnar to the flexor tendons and median nerve including prophylactic carpal tunnel release (CTR) was routinely performed from July 2003 to December 2004 (CTR group).

MRI of the intrinsic muscles of the hand: spectrum of imaging findings and clinical correlation.

Objective: The purpose of our study was to describe the spectrum of intrinsic hand muscle abnormalities on MRI in patients with clinically evident abnormalities of the intrinsic hand muscles and to correlate clinical and radiologic findings.

Materials And Methods: MRI of 21 hands was performed in 19 patients with clinically evident or suspected intrinsic hand muscle abnormalities. All MRI was performed on a 1.