A novel method of ring removal from a swollen finger

Hiew, L.Y.; Juma, Ali

doi:10.1054/bjps.1999.3287

Cited by 15 publications

(7 citation statements)

References 2 publications

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“…which utilizes sequential upward and downward pressure with swinging of the ring has also been described. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] Fingers are ellipsoidal in cross-section and not circular and the soft tissues that overlies the structure of the finger are deformable. 29 The widest point of the finger is usually the proximal interphalangeal joint, 4,30 and once the ring goes beyond this point, it is easily removed.…”

Section: Resultsmentioning

confidence: 99%

Removal of entrapped rings from swollen fingers by a non destructive technique

Echem¹,

Eyimina

Adiela

2019

Int J Res Med Sci

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Background: Ring entrapment is uncommon in our environment. It is necessary to remove entrapped rings and the removal techniques could be either destructive or non-destructive. The aim of this study is to present a non-destructive method of entrapped ring removal.Methods: A prospective study of patients who presented to the University of Port Harcourt Teaching Hospital, Port Harcourt between 1st October 2007 and 30th September 2018, with entrapped finger ring(s). The authors developed a non-destructive technique of entrapped ring removal utilizing 1.5-2.5 mm electric cables. The cables are passed under the ring and looped over it. The surgeon and his first assistant applies traction towards the distal aspect of the finger through the cables while moving the cables from side to side around the finger, with the second assistant maintaining a counter-traction. Data obtained was analyzed using IBM’s Statistical Package for Social Sciences (SPSS) version 23.Results: During the period, there were 25 patients who had entrapped ring(s) in their fingers. Mean age was 22.92±9.33 years. There were 10 males and 15 females. Mean duration of ring entrapment was 5.72±4.57 days. Mean duration of ring removal was 63.6±46.58 seconds. Abrasion was the most common complication following initial removal attempts as well as this technique. The entrapped rings were all successfully removed.Conclusion: The electric cable technique is a simple, inexpensive and readily available method of entrapped ring removal.

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Section: Resultsmentioning

confidence: 99%

Removal of entrapped rings from swollen fingers by a non destructive technique

Echem¹,

Eyimina

Adiela

2019

Int J Res Med Sci

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“…Cresap 9 also described the use of elastic bandage for exsanguination and blood pressure cuff as a tourniquet, but he repeated the process of exsanguinations four times for 10-15 min each time to eliminate the swelling. Hiew, 10 Mizrahi 11 and Thilagarajah 12 in their separate reports described a 'string wrap technique' in which the proximal end of nylon tape is passed under the object, and the digit is tightly wrapped from proximal to distal. Pulling on the proximal end of the tape moves the constricting object distally onto the tape overlying the compressed tissue and finally off the finger.…”

Section: Discussionmentioning

confidence: 99%

Finger trapped in door latch removed using an electric saw. A new technique and review of other techniques

Tiwari

Bhatnagar

Thora

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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“…Removal can be made difficult by several circumstances, and many techniques for ring removal are described in literature to assist. Most techniques describe a two‐stage process to reduce digital oedema, then remove the ring intact 1–7 . Within this group, binding techniques variably using string, suture material or nylon tape are described recurrently 5–7 .…”

Section: Discussionmentioning

confidence: 99%

“…Most techniques describe a two-stage process to reduce digital oedema, then remove the ring intact. [1][2][3][4][5][6][7] Within this group, binding techniques variably using string, suture material or nylon tape are described recurrently. [5][6][7] Common ring-cutters will be familiar implements to most readers, but references describing use of powered mechanical instrument for ring-cutting are few.…”

Section: Discussionmentioning

confidence: 99%

Unusually difficult ring removal from a finger solved using a dental instrument

Taylor

Boyd

2005

Emerg Medicine Australasia

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Ring removal is indicated in a number of clinical circumstances to manage or prevent tourniquet effect of the digit, or allow access to underlying conditions or injuries. A ring made from hardened metal may defy many or all commonly known methods of removal. We report a case of unusually difficult removal of a ring of hardened metal composition using a dental volvere. We believe the unusual circumstances of this case are likely to be repeated on some readers' clinical practice, and that this instrument is an appropriate option to consider in such cases.

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A novel method of ring removal from a swollen finger

Cited by 15 publications

References 2 publications

Removal of entrapped rings from swollen fingers by a non destructive technique

Removal of entrapped rings from swollen fingers by a non destructive technique

Finger trapped in door latch removed using an electric saw. A new technique and review of other techniques

Unusually difficult ring removal from a finger solved using a dental instrument

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