Closed Reduction and Intrafocal Pinning for Complex Dorsal Fracture Dislocation of the Distal Interphalangeal Joint: A Case Report and Novel Technique.

CASE: Dorsal dislocations of the distal interphalangeal joint with associated volar base fractures of the distal phalanx are complex injuries that pose challenges for achieving stable reduction and restoring optimal joint function. This case report describes the successful management of a 40-year-old male cardiologist who sustained such an injury after a cricket ball trauma. The treatment involved a combined approach of closed reduction, dorsal extension block pinning, and intrafocal pinning of the volar base fracture.

CONCLUSION: This combined technique achieved excellent radiological and functional outcomes at 1-year follow-up. The patient regained full range of motion and returned to his preinjury activities without limitations.