Ring avulsion

Contents • 1 Background • 2 Clinical Features • 2.1 Classes of Injury [1] • 3 Differential Diagnosis • 3.1 Hand and finger injuries • 3.2 Extremity trauma • 4 Evaluation • 5 Management • 6 Disposition • 7 See Also • 8 External Links • 9 References Background • Sudden pull on a ring results in severe soft tissue avulsion injury • Can range from circumferential soft tissue laceration to complete amputation • Often with concomitant neurovascular damage Clinical Features • Typically only one digit involved • History of working with machinery or getting digit caught in door • Pain, bleeding, lack of sensation Classes of Injury Based on circulatory status • Class I: Circulation adequate • Class II: Circulation inadequate • Class III: Complete degloving or complete amputation Differential Diagnosis • Distal finger • • • • • • Other finger/thumb • • • • • • • • • Infiltrative tenosynovitis • • Hand • • Wrist • • • • • • Compressive neuropathy ("bracelet syndrome") • • • • General • • • • • • • • • Contusion • • • • • • • • • • • • • Evaluation • • Assess for distal neurovascular function • Dedicated digit x-ray Management • Will require consultation with hand surgeon for operative repair • Antibiotics • • Disposition • Admit See Also • External Links • References

Recently talk show host Ring Avulsion injury. Ring avulsion results from the mechanism of crushing, shearing and avulsion, inducing severe macroscopic and microscopic damage. This type of injury often occurs when a ring that an individual is wearing is caught on an object, usually during a fall or jump. It can also occur when caught on fast moving equipment or just simply in a “freak” accident. Damage from the abrupt and often harsh tug of the caught ring can range from a simple contusion to “degloving” of soft tissue – pulling the skin off circumferentially and stripping away the nerves, tendons and bone. Severe accidents may result in traumatic amputation of the finger. Ring avulsion can be among one of the most devastating traumatic finger injuries, as often replantation following severe soft tissue damage is not possible – requiring revision amputation. Fortunately, advances in microsurgery and interposition graft techniques have improved results with ring avulsion replantation. Patients should see a hand specialist immediately after the injury is identified. Symptoms of Ring Avulsion While Fallon knew he had severely injured his finger in his fall, the extent of the damage and seriousness of the injury was not completely revealed until his examination and x-ray. Prompt attention and surgical care from a specialized hand team fortunately saved his finger. The severe damage that can occur in a ring avulsion case is not always evident to a patient. Immediate examination ...

Avulsion injuries or fractures occur where the joint capsule, ligament, tendon or muscle attachment site is pulled off from the bone, usually taking a fragment of cortical bone. Avulsion fractures are commonly distracted due to the high tensile forces involved. There are numerous sites at which these occur. Being familiar with them is important as subacute/chronic injuries can appear aggressive. Article: • • • • • • • Images: • • Epidemiology Avulsion injuries are common among those who participate in sports, in particular adolescents. Pathology Avulsion fractures can be classified as acute, subacute or chronic. In acute avulsion fractures, there is usually a clear preceding traumatic incident. Subacute and chronic avulsion injuries can be due to delayed presentation of an acute injury or secondary to repetitive use / overuse injuries 4. The mechanism is from either 4: • high muscle activity • forced extreme range of motion Location Pectoral girdle • greater tuberosity: insertion of • lesser tuberosity: insertion of • coracoclavicular avulsion Elbow • medial epicondyle: apophyseal avulsion in children • see also • • radial tuberosity: insertion of • olecranon process: insertion of Hand • base of middle phalanx: • distal phalanx: Pelvis and hip • • • • • • • body and inferior ramus of pubic bone: thigh adductors and Knee • • posterior • inferior pole of • see also: • • see also • lateral • head of • medial aspect of femoral condyle: • see also: Ankle and foot • • anterior p...

ER Productions Limited / DigitalVision / Getty Images Avulsion or Degloving An avulsion injury extends through all the layers of skin. You may be able to lift up a flap of tissue that is still connected, or the tissue could be completely detached from the body. If the section of avulsed tissue is available, it can sometimes be repaired. Control bleeding with direct pressure and elevation: Use an absorbent clean dressing or whatever clean cloth is available to hold pressure on an open avulsion or degloving injury. The dressing will trap blood and hold it against the open wound, promoting clotting. Clotting will ultimately help to stop the bleeding. Avulsions and all degloving injuries are significant emergencies that require immediate emergency medical attention. Healing From an Avulsion It takes time to heal from an avulsion injury. During your recovery, you may need frequent visits to your healthcare provider for dressing changes and examination of the wound to assess for any complications, such as an infection. You should not drive right after an avulsion fracture when you still need emergency care. It is safer to have someone drive you to urgent care or the emergency department, or call for an ambulance. You might be able to drive while you are healing from an avulsion fracture if your healthcare provider says that it would be safe to do so. • Sorg H, Tilkorn DJ, Hager S, Hauser J, Mirastschijski U. Eur Surg Res. 2017;58(1-2):81-94. doi:10.1159/000454919 • Sorg H, Tilko...

What is ring avulsion? Ring avulsion happens when a ring on one of your fingers is caught on an object and gets yanked off suddenly and rapidly. The force and pressure of the ring being pulled can strip off and damage finger tissues, including muscles, tendons, and bones. This is called “degloving.” Ring avulsion Read on to learn more about how ring avulsion can happen, how it’s treated, and how you can prevent it from happening to you. Ring avulsion is caused when a ring on your finger gets caught on an object and is pulled off your finger quickly and forcefully. This often happens when a person wearing a ring gets it caught on metal equipment, such as a garbage truck, a steel fence, or a basketball hoop. Machines can pull a ring off your finger at extremely high speeds. Rings can also get yanked off your fingers when they get caught on metal and your body weight pulls you to the ground. When avulsion happens, the pressure that the ring places on the tissue can bruise or damage blood vessels. This causes a contusion injury, which isn’t too serious. In severe cases of avulsion, the ring can tear or strip off skin, blood vessels, and tendons along the entire length of your finger. Sometimes, this process may expose your finger bones underneath. Anyone wearing a ring is at risk for a ring avulsion injury, especially if you wear a ring while operating industrial machinery. Large, heavy objects, such as fences, thick ropes, or nets, can also catch your ring while you’re moving...

What is Ring Avulsion If you’re anything like me, you were fascinated and horrified to hear about Ring Avulsion is a condition that can occur when a ring catches with great force on something solid, like during a fall or trip. It can result in anything from the skin being torn around the ring to the finger being completely taken off. (I wouldn’t recommend Googling it.) Along with tearing the skin around the finger, the ring may also damaged arteries and tendons in the finger—and because the injury isn’t a clean cut, it can be extremely difficult for surgeons to repair the damage. Many patients with ring avulsion aren’t as lucky as Mr. Fallon, and can only be treated with amputation. How Can You Save Your Finger from Ring Avulsion? Yes, of course, you can just take off your ring. Simple, right? Perhaps. Some people have jobs that don’t allow them to wear metal rings, or work out so often they’d barely even get a chance to wear their rings. Some people experience swelling, or even have nickel allergies and can’t wear their ring for these reasons. For these people, I present Enso Rings as an alternative. So, how can • Enso Rings provide flexibility. Tungsten, steel, gold, silver: they’re all take some part of you with them when they catch on an edge or, in Jimmy Fallon’s case, a carpet. Instead of catching, Enso Rings are flexible and won’t take any skin with them. In fact, they’re designed to break apart when caught with high amounts of force. • Enso Rings are low profile. I...

What is ring avulsion? Ring avulsion happens when a ring on one of your fingers is caught on an object and gets yanked off suddenly and rapidly. The force and pressure of the ring being pulled can strip off and damage finger tissues, including muscles, tendons, and bones. This is called “degloving.” Ring avulsion Read on to learn more about how ring avulsion can happen, how it’s treated, and how you can prevent it from happening to you. Ring avulsion is caused when a ring on your finger gets caught on an object and is pulled off your finger quickly and forcefully. This often happens when a person wearing a ring gets it caught on metal equipment, such as a garbage truck, a steel fence, or a basketball hoop. Machines can pull a ring off your finger at extremely high speeds. Rings can also get yanked off your fingers when they get caught on metal and your body weight pulls you to the ground. When avulsion happens, the pressure that the ring places on the tissue can bruise or damage blood vessels. This causes a contusion injury, which isn’t too serious. In severe cases of avulsion, the ring can tear or strip off skin, blood vessels, and tendons along the entire length of your finger. Sometimes, this process may expose your finger bones underneath. Anyone wearing a ring is at risk for a ring avulsion injury, especially if you wear a ring while operating industrial machinery. Large, heavy objects, such as fences, thick ropes, or nets, can also catch your ring while you’re moving...

What is Ring Avulsion If you’re anything like me, you were fascinated and horrified to hear about Ring Avulsion is a condition that can occur when a ring catches with great force on something solid, like during a fall or trip. It can result in anything from the skin being torn around the ring to the finger being completely taken off. (I wouldn’t recommend Googling it.) Along with tearing the skin around the finger, the ring may also damaged arteries and tendons in the finger—and because the injury isn’t a clean cut, it can be extremely difficult for surgeons to repair the damage. Many patients with ring avulsion aren’t as lucky as Mr. Fallon, and can only be treated with amputation. How Can You Save Your Finger from Ring Avulsion? Yes, of course, you can just take off your ring. Simple, right? Perhaps. Some people have jobs that don’t allow them to wear metal rings, or work out so often they’d barely even get a chance to wear their rings. Some people experience swelling, or even have nickel allergies and can’t wear their ring for these reasons. For these people, I present Enso Rings as an alternative. So, how can • Enso Rings provide flexibility. Tungsten, steel, gold, silver: they’re all take some part of you with them when they catch on an edge or, in Jimmy Fallon’s case, a carpet. Instead of catching, Enso Rings are flexible and won’t take any skin with them. In fact, they’re designed to break apart when caught with high amounts of force. • Enso Rings are low profile. I...

Recently talk show host Ring Avulsion injury. Ring avulsion results from the mechanism of crushing, shearing and avulsion, inducing severe macroscopic and microscopic damage. This type of injury often occurs when a ring that an individual is wearing is caught on an object, usually during a fall or jump. It can also occur when caught on fast moving equipment or just simply in a “freak” accident. Damage from the abrupt and often harsh tug of the caught ring can range from a simple contusion to “degloving” of soft tissue – pulling the skin off circumferentially and stripping away the nerves, tendons and bone. Severe accidents may result in traumatic amputation of the finger. Ring avulsion can be among one of the most devastating traumatic finger injuries, as often replantation following severe soft tissue damage is not possible – requiring revision amputation. Fortunately, advances in microsurgery and interposition graft techniques have improved results with ring avulsion replantation. Patients should see a hand specialist immediately after the injury is identified. Symptoms of Ring Avulsion While Fallon knew he had severely injured his finger in his fall, the extent of the damage and seriousness of the injury was not completely revealed until his examination and x-ray. Prompt attention and surgical care from a specialized hand team fortunately saved his finger. The severe damage that can occur in a ring avulsion case is not always evident to a patient. Immediate examination ...

ER Productions Limited / DigitalVision / Getty Images Avulsion or Degloving An avulsion injury extends through all the layers of skin. You may be able to lift up a flap of tissue that is still connected, or the tissue could be completely detached from the body. If the section of avulsed tissue is available, it can sometimes be repaired. Control bleeding with direct pressure and elevation: Use an absorbent clean dressing or whatever clean cloth is available to hold pressure on an open avulsion or degloving injury. The dressing will trap blood and hold it against the open wound, promoting clotting. Clotting will ultimately help to stop the bleeding. Avulsions and all degloving injuries are significant emergencies that require immediate emergency medical attention. Healing From an Avulsion It takes time to heal from an avulsion injury. During your recovery, you may need frequent visits to your healthcare provider for dressing changes and examination of the wound to assess for any complications, such as an infection. You should not drive right after an avulsion fracture when you still need emergency care. It is safer to have someone drive you to urgent care or the emergency department, or call for an ambulance. You might be able to drive while you are healing from an avulsion fracture if your healthcare provider says that it would be safe to do so. • Sorg H, Tilkorn DJ, Hager S, Hauser J, Mirastschijski U. Eur Surg Res. 2017;58(1-2):81-94. doi:10.1159/000454919 • Sorg H, Tilko...