P1 Percutaneous Screws

History: 40 year-old male school principal came to my office after injuring his finger playing basketball and jamming the finger. He had significant pain and swelling and was unable to make a fist. X-rays showed a fracture of the proximal phalanx with displacement and rotation.

Diagnosis: Left 5th proximal phalanx oblique fracture

Treatment: Proximal phalanx closed reduction with percutaneous screws

Outcome: Within 3 weeks he had near full motion. Aside from some mild swelling he had no pain. Because the screws were percutaneous, or through the skin, there was no scar and no incision.