Finger avulsion injuries: A report of four cases

Abstract

Injury that occurs to a finger wearing a ring though rare can have grave consequences. It is a preventable injury which has a peculiar mode of trauma that is usually occupational. Injury ranges from simple contusion to degloving of soft tissues to traumatic amputation. We hereby report our experience of four cases of finger avulsion injuries due to a ring and discuss their variable clinical presentation and individualized management.

Results of Replantation of 33 Ring Avulsion Amputations

“…Many authors 1,4,6,7,11,12,17,18,[21][22][23][24][25][26] choose not to attempt replantation when the ring avulsion amputations occur proximal to the FDS insertion. In the 6 cases reported since 1994, 23,25,27,28 only 1 patient 27 achieved acceptable functional results.…”

“…12,20,23,27,44 -47 Only a few papers (without reporting cases) do support this procedure. 18,28,48 The only unsuccessful case (no. 12) of artery transfer experienced a diffuse arterial vasospasm during surgery.…”

Avulsion amputation of the ring finger managed by double cross finger flap: 25 years follow-up

“…A number of additional procedures such as venous flaps and arterialised venous flaps have been reported by various authors. [ 2 3 4 5 ]…”

“…These include split skin grafts, full thickness skin grafts, cross finger flaps, fillet flaps, local flaps from the hand and groin and abdominal flaps. [ 2 3 4 5 6 7 8 9 10 11 ] There has also been a preference for a revision amputation due to poor results of attempts at reconstruction. [ 12 ]…”

Кольцевые Травмы Пальцев Кисти (По Данным Иностранной Литературы)

“…Травмы кольцом на сегодняшний день представляют собой сложную задачу для хирурга [20]. Хотя они довольно редки, но могут иметь фатальные для пальца последствия [22]. Так, по данным французских авторов, половина травм кольцом заканчивается потерей мягких тканей пальца, либо его ампутацией [47].…”