One of the most devastating finger injuries is the ring avulsion injury (1). This injury occurs when someone catches a ring on moving machinery or on a projection while descending unexpectedly or rapidly (jumping). Examples are jumping off a loaded truck or falling while going down a ladder, etc. Not only does the ring pull the skin off circumferentially but it also usually strips away the nerves, tendons, and bone as well. Replantation is often not possible because of the extensive soft tissue damage, requiring a more proximal amputation.
Suggesting to your patients in manual work environments that they not wear a ring while working can remove the risk of this injury and save a finger.
(1) Brooks D, et al. Ring avulsion: injury pattern, treatment, and outcome. Clinics in Plastic Surgery April 2007 ;34(2):187-95, viii.
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