Medial approach to the radius
1. Indications
In cases, where a medial plate is required, an additional medial incision is required.
Because of the need to have a craniolateral exposure and a medial exposure it is indicated to have the horse placed in dorsal recumbency with the leg held in extension.
2. Skin incision
The medial incision is made straight over the medial aspect of the radius extending from the proximal to the distal physis. If there is a wound on the medial side the incision is curved to avoid touching the wound, if possible.
Clinical example of the exposure
3. C-shaped incision
Alternatively, a C-shaped incision providing access to both the medial and the cranial surfaces of the radius may be considered.
The incision extends from the distal medial radius curving cranially over the cranial aspect of the radius and the extensor carpi radialis muscle (and distally tendon) and at its proximal extend curving caudally over the proximal medial radius. The skin and underlying deep fascia are reflected to expose the cranial and medial radius.
