Percutaneous fixation of scaphoid fracture. A and B, Guidewire is placed at base of proximal pole of scaphoid (A) and driven along central axis (B). C, Wrist is extended, and fracture alignment and guidewire position are confirmed with fluoroscopy. (From Slade JF III, Gutow AP, Geissler WB: Percutaneous internal fixation of scaphoid fractures via an arthroscopically assisted dorsal approach, J Bone Joint Surg 84A[Suppl 2]:21, 2002.) SEE TECHNIQUE 69.8.