Forearm volar fasciotomy incisions

Several approaches for volar fasciotomy are described. The gentle S-shaped incision on the volar side of the forearm is referred to as the volar incision. The volar incision provides improved visibility of deep compartment anatomy compared with a separated incision approach. Visibility of deep compartment anatomy with a volar ulnar incision is similar to that of a volar incision. With both volar and volar ulnar incisions, the distal incision can be extended to the hand; however, difficulty closing the incision can expose the median nerve. Using a separated incision approach, or separate hand incision with a volar or volar ulnar approach, avoids this problem.