Blood supply has been cut off, and a bone or joint is injured. This most often happens when you suddenly change direction. A blunt trauma injury can cause your spleen to rupture. All rights reserved. Anatomy of the tendons and ligaments of the finger. 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. Michael Menna, DO, is a board-certified, active attending emergency medicine physician at White Plains Hospital in White Plains, New York. 1 Also called degloving, this could cause a range of problems from mild bruising to bone, blood vessel, ligament, or nerve damage. 1 2 In most cases it involves the fourth digit of the hand, also known as 'the ringfinger'. The patient is unable to use the finger usually. Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients. Know the symptoms and what to do if you experience them. Closed degloving injuries arent always visible. If your wedding band gets caught on anything fast moving, it can result in a ring avulsion injury and lead to permanent damage. DOI: Lau J, et al. This means a silicone ring should break before your finger can get pulled with enough force to injure it. Thread used to close the skin usually does not absorb, and stitches will need to be removed in one to two weeks. Ring injuries of the finger: long-term follow-up. As public awareness rises, there is a growing market for silicone rings, with limited data on their ability to prevent ring avulsion injuries. An avulsion that wraps all the way around an extremity and causes the layers of tissue to pull away is called a degloving injury. X-rays may be ordered if the doctor suspects a fracture or a foreign body such as glass or metal in the wound. Morel-Lavallee lesions: Review of pathophysiology, clinical findings, imaging findings and management. Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Follow first aid advice to manage any bleeding and help protect your finger from further damage on the way. If you have a class III injury, your surgeon may be able to reattach, or replant, the finger using microsurgery to repair any nerves, blood vessels, or bone fractures. A ruptured Achilles tendon is not uncommon for athletes and can cause a great deal of pain. Even though the wound is open and raw, direct pressure is the best way to stop bleeding. 2020 Aug 6. doi:10.1007/s00167-020-06180-5, Chen HJ, Feng K, Feng XF, Wang CG, Ma ZZ. Playing sports comes with risks. General care instructions for avulsion wounds include: Keep the wound clean and dry for about 24-48 hours. 2023 WebMD, LLC. Getting your ring ripped off is painful. A direct blow to the tip of a finger can cause tendon or ligament damage, as well as fracture or dislocation of the bones.
