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Puncture of the distal interphalangeal (coffin) joint with a needle

puncture

The piercing of an organ or cavity with a pointed object. This can be done to diagnose or treat a disorder: if the piercing object is hollow (needle or trocar), fluid (or tissue) can be aspirated from the punctured structure or medication applied. A puncture wound is the accidental piercing of the skin and structures beneath it by a sharp object. 

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