A 23-year-old male collegiate soccer player presents to the clinic one day after he fell on his left wrist. He noticed immediate pain in the wrist with radiation into the thumb, index, and long finger. There is associated numbness and tingling in the median nerve distribution. The patient had not sought medical attention prior to his presentation to the clinic.
No pertinent past medical history.
A focused physical exam is significant for diffuse swelling at the wrist with a poor tolerance for range of motion due to pain. Diffuse tenderness over the dorsal and volar radiocarpal joint. There is diminished 2-point discrimination (> 5 mm) in the thumb, index, and long finger. He is unable to oppose the thumb due to pain. There is a brisk capillary refill in all of his digits.
If you choose Operative management, what procedure would you perform?
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