Rodeo thumb: an unusual etiology of avulsion amputation of the thumb

Though avulsion amputation of the thumb is a devastating hand injury, microsurgical techniques allow for immediate reconstruction and early restoration of function. The majority of these injuries occur in the workplace. An uncommon cause of thumb avulsion amputation is team roping. Recently, several individuals with such injuries presented and underwent successful replantation. Early perioperative venous thrombosis in one case led to secondary reconstruction with a delayed skin flap. Nonetheless, all patients have returned to full activity including team roping.