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The capsulotomy extends distally to the level of the dorsal radioulnar ligament, which appears as a distinct thickening of the capsule as the sigmoid notch is approached. The capsulotomy extends ulnarly along the proximal edge of the dorsal radioulnar ligament until the sixth compartment is reached. This exposure will allow unencumbered visualization of the distal radioulnar joint, and by rotating the forearm, the entire surface of the ulnar head articulating with the sigmoid notch of the radius can be visualized.
Orthopedics 2002;25:817–9.  Adams BD, Berger RA. An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability. J Hand Surg [Am] 2002;27:243–51. Hand Clin 22 (2006) 435–446 Lesions and Tumors of the Carpus Christopher L. Forthman, MDa,*, Keith A. Segalman, MDb a Curtis National Hand Center, Union Memorial Hospital, 3333 North Calvert Street, 2nd Floor, Baltimore, MD 21218, USA b Department of Orthopaedic Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, Baltimore, MD 21287-0765, USA Wrist pain is one of the most common complaints seen by a hand or orthopedic surgeon.
The posterior interosseous nerve is typically found lying on the ﬂoor of the radial side of the fourth extensor compartment. It runs distally and innervates the dorsal wrist capsule. It is typically divided and a segment discarded. the lunate and triquetrum, and the lunotriquetral ligament will be visible (Fig. 11B). If exposure of the midcarpal joint is required, a distally based capsulotomy can be performed . The landmarks for this include the triquetrum, the scaphoid, and the dorsal intercarpal ligament.