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Dangers of neglect: partially embedded ring upon a finger
Anand Kumar1, Huw Edwards, Surjit Lidder
1Department of Trauma and Orthopaedics, Eastbourne District General Hospital, Eastbourne, UK. anandkumar@doctors.net.uk
BMJ Case Reports
|May 14, 2013
Summary
Swollen fingers with embedded rings can lead to serious complications like ischemia if not treated promptly. Prompt removal of constricting rings is crucial to prevent long-term digital damage.
Area of Science:
- Emergency Medicine
- Clinical Case Study
Background:
- Digital swelling is a common emergency department presentation.
- Rings on swollen fingers can cause complications if not removed promptly.
Observation:
- An unusual case of a patient with psychiatric illness presented late with an embedded ring on the volar aspect of the index finger.
- The ring acted as a tourniquet, causing significant digital compromise.
Findings:
- Delayed presentation and ring impaction pose challenges for emergency practitioners.
- Potential consequences include finger ischemia, infection, tendon damage, and amputation.
Implications:
- Highlights the importance of timely ring removal in cases of digital swelling.
- Underscores the need for awareness regarding the tourniquet effect of embedded rings.
- Emphasizes strategies for managing difficult ring removals in emergency settings.
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