Figure 7: Volar approach distal radius. (a) The volar radial approach uses the interval between the flexor carpi radialis tendon and the radial artery. The pronator quadratus is elevated sharply, starting at its insertion on the distal radius. (b) Top detail, the volar ulnar approach can be extended distally to release the median nerve from the carpal tunnel. Bottom detail, at the level of the distal radius, the flexor tendons and the median nerve are retracted radially to expose the volar medial distal radius.