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Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

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Pin the tail on the finger - 2/28/2007
This pin was placed in this patients finger for a reason rather than a fancy decoration. What do you think this pin could be doing for this patient. Here is a bit of history about the patient. The patient has an intra-articular PIPJ fracture with comminution. Don't be shy post your comments, you can be anonymous.

Click here for moderators response.
 
Name:
Comment:
 
3/2/2007
Anonymous
PIP joint distraction
3/2/2007
Anonymous
potential for collateral ligament damage, the pins are keeping the PIP from deviating
3/2/2007
Jodi
It looks like its trying to maintain good alignment through the PIP joint and into middle phalanx. what a concept!
3/15/2007
Mike Borst
It's a bit tough to see from the picture, but it looks like the pin is through the middle phalanx, in order to be hooked up to a "banjo split" AKA "pie tin splint" via rubber band so that traction can be applied throughout the range of motion. (The splint has a circumferential forearm base and then a hoop attached with the center of the hoop aligned with the PIP joint. On the hoop is a sliding mechanism to which the pin is attached via the rubber bands.)
3/15/2007
rjwilson
A rubber band would be hooked to the pin to give PIP distraction with a "banjo splint" so that the PIP could be passively moved thru an arc of motion.
3/22/2007
t.g.tilak francis
volar plate damage?!! eaton lambert procedure for the same.
3/26/2007
Sally
I haven't had orders for one of those in ages...I hated making them...it took forever and always on a busy Friday!
3/26/2007
Moderator
So TRUE… It was always Fri. at 4:30 4 me!
4/18/2007
Anonymous
alignment and stabilization of P2
5/27/2007
Anonymous
PIP joint reconstruction...
6/2/2007
Anonymous
The pins are placed for application of dynamic attachment to shenk splint for post op flexion/extension of PIP joint
6/4/2007
tess davis
agree with banjo splint application for PIPJ fracture dislocation
7/3/2007
rachael
looks like that would hurt at first i thought it was so you can move it and lock it beacuse 1 of our paients had something like that
8/19/2007
BK
I have seen pins placed for traction of the PIP joint with splinting to allow motion in limited range to prevent adhesions.
11/14/2007
Anonymous
SCHENEK SPLINT
2/18/2008
Anonymous
for putting traction to reduce the fracture
2/12/2009
Anonymous
it is for the therapist to hook rubber band traction in a "pizza pan splint"
11/12/2011
Anonymous
holding the bones together
 
     
   
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