Executive Editor: Chris Colton

Authors: Fiesky Nuñez, Renato Fricker, Matej Kastelec, Terry Axelrod

Distal phalanx

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Percutaneous approach through the finger tip

Percutaneous through finger tip

The percutaneous approach through the finger tip is indicated for K-wire procedures of the distal phalanx.

There are three common skin incisions: The H-shaped, the Y-shaped, and the lazy S-shaped incision.

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.

Make a carefully planned palmar angled skin incision (Bruner zigzag), using the flexor skin crease as a guide, as illustrated.

Palmar to the DIP joint

The palmar approach is indicated for avulsion fractures of the palmar base of the distal phalanx.

v2.0 2016-06.30