Introduction:

Fractures of the distal radius are among the most common and they should increase due to their relationship with population aging. Its surgical treatment has increased thanks to better knowledge of the anatomy, the introduction of new implants and the benefits of early mobilization.

Objective:

To review the regional anatomy of the distal radius, the wrist joint, and the current surgical approaches for this region.

Methods:

A PubMed search was performed using the terms distal radius anatomy, wrist anatomy, distal radius surgical approaches, distal radius fractures. Articles from the Clinical key and Hinari service were reviewed.

Development:

The distal bony end of the radius has 5 surfaces, the tendons and numerous neurovascular structures that require in-depth knowledge. There are multiple surgical approaches for the proper management of fractures of the distal end of the radius.

Conclusions:

The surgical approaches for the distal radius can be volar, radial and dorsal. Visualization of the articular surface is best achieved arthroscopically. Each approach requires a thorough understanding of the local anatomy of the distal radius in order to dissect and expose fractures.

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