Creating Game Characters - Beginning Game Art in 3ds Max 8 - page 215

5. Extrude the first finger three times, stopping at each knuckle and the end of
the finger, as shown in Figure 6.82. Scale the extrusions to taper the finger.
Figure 6.82 Extrude the first finger.
6. Repeat the process for the other three fingers, as shown in Figure 6.83.
Figure 6.83 Extrude the remaining three fingers together.