Palmar to PIP joint
The palmar approach is mainly indicated for avulsion fractures of the volar plate, and for fracture dislocations of the PIP joint, or for comminuted impacted fractures of middle phalanx (pilon) fractures.
Dorsal to thumb metacarpal
This approach is indicated for extraarticular fractures of the first metacarpal, and for periarticular fractures of the first carpo-metacarpal joint.
Radiopalmar to the thumb base
This approach is indicated for intraarticular fractures of the first carpo-metacarpal joint, such as the Bennett, or Rolando, injuries.
Dorsal to MCP joint of thumb
This approach is indicated for intraarticular, or periarticular, fractures of the metacarpophalangeal (MCP) joint of the thumb.
Dorsoulnar to MCP joint of thumb
This approach is indicated for intraarticular and avulsion fractures.
Midaxial to the proximal phalanx
The midaxial approach is indicated for oblique, spiral, comminuted, or transverse fractures, of the diaphysis and metaphysis.
Midaxial to the PIP joint
This approach is indicated for intraarticular basal and condylar fractures.
Percutaneous through finger tip
The percutaneous approach through the finger tip is indicated for K-wire procedures of the distal phalanx.
Dorsal to the DIP joint
The dorsal approach to the distal interphalangeal (DIP) joint is indicated for extensor tendon avulsion fractures of the dorsal base of the distal phalanx, or intraarticular fractures with palmar dislocation.
It is also indicated for DIP arthrodesis.
Palmar to the DIP joint
The palmar approach is indicated for avulsion fractures of the palmar base of the distal phalanx.
Dorsal to IP joint of the thumb
This approach is indicated for intraarticular fractures, arthrodesis and avulsion fractures.