Ring Avulsion Injury,
What Do You See? No. 8

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.

Ring Avulsion Injury

ADDITIONAL SUGGESTED READING

Clinical Pearl No. 34 – Edema Control Instructions for Patients

Clinical Pearl No. 27 – Complex Made Simple: Pasta Transfer

Clinical Pearl No. 22 – Lumbrical Muscle Tightness & Testing

Clinical Pearl No. 21 – Nuances of Interosseous Muscle Tightness Testing

Clinical Pearl No. 20 – Quantifying Interosseous Muscle Tightness

Clinical Pearl No. 19 – Interosseous Muscle Tightness Testing

Clinical Pearl No. 9 – To Glove or Not to Glove; That is the Question

Clinical Pearl No. 7 – Attaching Interface Mold to Splint Surface

Clinical Pearl No. 4 – Leather, The Forgotten Strapping Material

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Disclaimer: HandLab’s What Do You See? is intended to be an informal sharing of practical clinical ideas; not formal evidence-based conclusions of fact.

 

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