Symptoms are basically how the mantle apears in the first photo - like it wants to extend but can't. In general just looks really sick.Given you have already done the research, can you give a snapshot of the symptons and causes of pinched mantle??
From what I read you have about 2 weeks until the Clam expires. Not sure how far into the 2 weeks you can go and still be successful in treatment as I would imagine a 30min bath in RO (straight from Saltwater without aclimitisation) must be a shock - healthy clams can handle it in the wild but I guess this isn't healthy at the moment.
Here's a pic after I put it back in the tank - youcan see how tight it has closed (which in my mind is a good thing - it's still reactiting to stimulus)
View attachment awww.imagerocket.net_photos_1349862843_after_1st_bath.JPG
Also, as another observation I found 4 (large) mysis, about 10 bristleworms, a small snail and a few other types of worm in the RO once I pulled the clam out. All dead (I suspect as a result of the extended RO dip). Not sure if these where inside the clam or just on the outer shell.
I've also slightly repositioned to try and give it the best chance of re-attaching it's foot.