All approaches to the middle phalanx

Illustration of dorsal approaches to the PIP joint, offering access to extensor tendon, joint capsule, collateral ligaments, and phalanx. Ap-proach can be extended proximally and distally.

Illustration showing dorsal approach to the middle phalanx, accessing the extensor tendon, metaphysis, and diaphysis.

$Illustration showing midaxial approach to the middle phalanx, accessing midaxial ligaments, proximal phalanx, and proximal and distal end seg-ments. Incision may need to be enlarged distally for articular fractures of the head.$

See details

Midaxial approach to the proximal interphalangeal joint

See details

Palmar approach skin incision to proximal interphalangeal joint

See details

Dorsal approach to the carpometacarpal joints

AO Davos Courses 2025

Connect with peers, learn from experts. Nov 30–Dec 12, 2025

AO Surgery Reference

Hand - Middle phalanges revision published

Go to page

Authors of section

Author

Reviewer

Executive Editor

All approaches to the middle phalanx

Dorsal approach to the PIP joint

Dorsal approach to the middle phalanx

Midaxial approach to the middle phalanx

Midaxial (lateral) approach to the proximal interphalangeal joint

Palmar approach to the proximal interphalangeal joint

Dorsal approach to the carpometacarpal joint