case_images: PMC6742862_01
case_images: Clinical picture at the time of presentationshowing an inability to flex the DIP joint of the ring finger.
case_images: JOCR-9-65-g001.jpg
case_images: PMC6742862_01_JOCR-9-65-g001.jpg
case_images: F1
case_images: When asked to make a fist, his ring finger remained extended at the DIP joint (Fig.1).
case_images: Radiograph at the time of presentation showing a large extra-articular fractured bony fragment of proximal phalanx lying in front of the middle phalanx.
case_images: JOCR-9-65-g002.jpg
case_images: PMC6742862_01_JOCR-9-65-g002.jpg
case_images: F2
case_images: We ordered radiographs of the hand in AP and oblique views with special focus on the ring finger and found that a fractured fragment from the distal phalanx was lying there in front of the middle phalanx (Fig. 2). 2 days after his visit, he was posted for surgery.
case_images: Intraoperative picture showing "flexor digitorum profundus" tendon exposed after cutting its sheath.
case_images: JOCR-9-65-g003.jpg
case_images: PMC6742862_01_JOCR-9-65-g003.jpg
case_images: F3
case_images: After a careful freshening of the margins, the bony fragment along with the attached tendon was reduced anatomically, and fixation was achieved using two K-wires (Fig. 3, 4, 5, 6, 7, and 8).
case_images: Intraoperative picture showing the flexor digitorum profundustendon attached to the bony fragment.
case_images: JOCR-9-65-g004.jpg
case_images: PMC6742862_01_JOCR-9-65-g004.jpg
case_images: F4
case_images: After a careful freshening of the margins, the bony fragment along with the attached tendon was reduced anatomically, and fixation was achieved using two K-wires (Fig. 3, 4, 5, 6, 7, and 8).
case_images: Intraoperative picture showing the normal anatomical location of the bony fragment.
case_images: JOCR-9-65-g005.jpg
case_images: PMC6742862_01_JOCR-9-65-g005.jpg
case_images: F5
case_images: After a careful freshening of the margins, the bony fragment along with the attached tendon was reduced anatomically, and fixation was achieved using two K-wires (Fig. 3, 4, 5, 6, 7, and 8).
case_images: End of the bone being the fresh end.
case_images: JOCR-9-65-g006.jpg
case_images: PMC6742862_01_JOCR-9-65-g006.jpg
case_images: F6
case_images: After a careful freshening of the margins, the bony fragment along with the attached tendon was reduced anatomically, and fixation was achieved using two K-wires (Fig. 3, 4, 5, 6, 7, and 8).
case_images: Intraoperative picture showing the reductionof the bony fragment with attached tendon and fixation achievedusing two percutaneous K-wires.
case_images: JOCR-9-65-g007.jpg
case_images: PMC6742862_01_JOCR-9-65-g007.jpg
case_images: F7
case_images: After a careful freshening of the margins, the bony fragment along with the attached tendon was reduced anatomically, and fixation was achieved using two K-wires (Fig. 3, 4, 5, 6, 7, and 8).
case_images: Post-operative X-ray showing fixation of the bony fragment with two K-wires.
case_images: JOCR-9-65-g008.jpg
case_images: PMC6742862_01_JOCR-9-65-g008.jpg
case_images: F8
case_images: After a careful freshening of the margins, the bony fragment along with the attached tendon was reduced anatomically, and fixation was achieved using two K-wires (Fig. 3, 4, 5, 6, 7, and 8).
case_images: Post-operative function at 6 months.
case_images: JOCR-9-65-g009.jpg
case_images: PMC6742862_01_JOCR-9-65-g009.jpg
case_images: F9
case_images: At present, he is able to make a complete fist and is able to do all his routine activities without any difficulty (Fig. 9, 10, and 11).
case_images: 1-year post-operative radiograph showing complete union.
case_images: JOCR-9-65-g010.jpg
case_images: PMC6742862_01_JOCR-9-65-g010.jpg
case_images: F10
case_images: At present, he is able to make a complete fist and is able to do all his routine activities without any difficulty (Fig. 9, 10, and 11).
case_images: Post-operative function after 1 year.
case_images: JOCR-9-65-g011.jpg
case_images: PMC6742862_01_JOCR-9-65-g011.jpg
case_images: F11
case_images: At present, he is able to make a complete fist and is able to do all his routine activities without any difficulty (Fig. 9, 10, and 11).