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A Modified String Technique for Atraumatic Ring Removal.

Chelsea Boe1, Sanjeev Kakar1

  • 1Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota.

The Journal of Emergency Medicine
|June 24, 2018
PubMed
Summary
This summary is machine-generated.

A modified string technique effectively removes rings from swollen fingers in upper-extremity trauma patients. This method uses sutures for controlled advancement, avoiding ring cutting.

Keywords:
edematous fingerhandupper-extremity trauma

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Orthopedic Surgery

Background:

  • Ring removal is a critical intervention for patients presenting with upper-extremity trauma.
  • Edema often complicates standard ring removal procedures, necessitating specialized techniques.

Purpose of the Study:

  • To describe a novel, modified string technique for ring removal from edematous digits.
  • To provide an alternative to ring cutting or shattering in trauma settings.

Main Methods:

  • A modified string technique utilizing multiple sutures looped around the ring.
  • Differential tension is applied to advance the ring distally over a lubricated digit.
  • An assistant facilitates the advancement in a 'caterpillar fashion' to prevent proximal slippage.

Main Results:

  • The described technique allows for successful ring removal despite significant digital edema.
  • The method prevents the ring from sliding back proximally when pressure is released.

Conclusions:

  • This multisuture string technique offers a valuable addition to the available methods for ring removal in upper-extremity trauma.
  • It provides a non-destructive alternative to ring cutting, preserving the ring when possible.