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Ring avulsion: injury pattern, treatment, and outcome
Darrell Brooks1, Rudolf F Buntic, Gabe M Kind
1California Pacific Medical Center, 45 Castro Street, San Francisco, CA 94114, USA. dbrooks@microsurgeon.org
Clinics in Plastic Surgery
|April 10, 2007
Summary
Ring avulsion injuries are complex hand injuries. Understanding their mechanics and anatomy is key to improving surgical outcomes and function.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Ring avulsion injuries present a significant challenge in reconstructive surgery.
- These injuries involve a spectrum from laceration to amputation, affecting soft tissue, tendons, joints, and bone.
Observation:
- Replantation for ring avulsion is often considered a relative contraindication due to concerns about poor functional outcomes.
- The severity of damage to neurovascular structures and bone is a critical factor.
Findings:
- This article clarifies the pathomechanics and anatomy specific to ring avulsion injuries.
- Identifying key elements of injury is crucial for surgical planning.
Implications:
- Improved understanding can lead to better surgical strategies for ring avulsion.
- Addressing specific injury components may enhance survival and functional recovery of the hand.
