Master Tech Ortho Surgery Elbow CH1

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PART I Exposures

●● After splitting the forearm fascia distally, the common extensor is reflected posteriorly and the tendinous portion of the brevis and longus is isolated in the midforearm (Fig. 1C-7). The radial attachment of the pronator teres muscle is in the midportion of the exposure. ●● Distally, by retracting the extensor digitorum communis posteriorly and extensor carpi radialis brevis anteriorly, the abductor pollicis longus and extensor polis brevis are observed to course obliquely superficial to the extensor carpi radialis brevis tendon at the distal aspect of the incision (Fig. 1C-8). The middle 80% of the radius is exposed.

Supinator muscle (released)

Pronator teres muscle (insertion)

Extensor carpi radialis brevis muscle

Extensor digitorum communis

Abductor pollicis longus muscle

B

FIGURE 1C-7

FIGURE 1C-8

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