Trans-web approach for fixation of avulsion fractures of the proximal phalangeal base: report of two cases.

Although displaced fractures of the lateral aspect of the base of the proximal phalanx can be treated surgically, previously described approaches to the fracture are not necessarily easily performed. We describe a trans-web approach to the metacarpophalangeal joint and report 2 clinical cases. This technique allows the fracture fragments to be reduced and fixed with minimal risk of damage to the adjacent structures. (J Hand Surg 2010;35A:412-414. Copyright (C) 2010 by the American Society for Surgery of the Hand. All rights reserved.)