This patient sustained a proximal phalanx fracture of the ring finger through a twisting injury. The fracture was a displaced spiral-type and the finger was obviously malrotated (crooked). Surgical intervention was chosen for this injury after discussing treatment options. Pins were placed percutaneously (through the skin) during surgery and the pins were removed in about 3 weeks. There was minimal scar tissue formation and no incision required. Therapy was continued for several weeks afterwards. Full range of motion and good finger alignment was achieved with this less-invasive technique.