Ring Avulsion Injuries

McDonald, AH; Cleland, Heather; Leung, Michael; Slattery, P. G.

doi:10.1046/j.1440-1622.1999.01614.x

Cited by 14 publications

(11 citation statements)

References 13 publications

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“…The skin may remain intact in which case the limb feels like a fluid-containing bag, owing to the presence of an extensive hematoma between the skin and the fascia (compartment syndrome) [14,20,24,32]. If the skin is torn, the effect is the creation of a large flap of full-thickness skin.…”

Section: Discussionmentioning

confidence: 99%

Degloving Injury

2005

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European Journal of Trauma Ab stractBackground: Degloving is a potentially serious injury in which an extensive area of skin is torn from its underlying attachments and thereby deprived of its blood supply. Case Study: Two cases of degloving injury are described, one occurring as a result of the shearing effect of a vehicle wheel passing over the limb in a run-over accident and one caused by a ring of the fourth-hand finger. The degloved skin must be grafted with the help of plastic surgery either by removing the subcutaneous fat from the damaged skin and applying it as a free graft or by taking a graft from elsewhere. Conclusion: Degloved skin is dead and should be replaced as if it were a free skin graft. A number of plastic surgical procedures are available at the moment. IntroductionDegloving injuries cause stripping of skin and underlying tissues from the bones, usually of the hands or feet, as occurs in run-over accidents, wringer or industrial roller injuries [3,22,46,48]. These two cases of degloving injury of the lower limb and the fourth finger of the right hand, respectively, are presented in order to describe this rare and potentially very serious injury of soft tissue.

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Section: Discussionmentioning

confidence: 99%

Degloving Injury

2005

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“…Interpositional vein grafting and free venous flow-through flaps are other options for ring avulsion injuries. 10 Making the decision to use microvascular repair versus leech therapy can be problematic because failure of one mode may preclude the use of the other, thereby compromising the outcome. Case 1 showed us the promising role of medical leeches in delayed applications for salvaging class IIC ring avulsion injuries.…”

Section: Discussionmentioning

confidence: 99%

The value of medical leeches in the treatment of class IIC ring avulsion injuries: Report of 2 cases

Tuncali

Terzioglu

Cigsar

et al. 2004

The Journal of Hand Surgery

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“…It can vary in severity from a mere skin laceration to total degloving. In the more severe injuries it is controversial as to whether to salvage or whether amputation should be the treatment [5]. A practical and simple classification based on soft tissue injury and circulation has been defined by Urbaniek et al [1].…”

Section: Discussionmentioning

confidence: 99%

The use of leeches in the management of a ring avulsion injury

Güven

Akbaş

2002

Eur J Plast Surg

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Ring avulsion injury presents a spectrum of injury and the treatment varies accordingly from simple suture to amputation. In the current patient, we present a case that has a ring avulsion injury with intact bones, pulleys, flexor tendons, and one digital artery. The problems were venous insufficiency on nearly total avulsed skin and mallet type deformity due to extensor tendon laceration. The avulsed finger skin was sutured in place with interrupted skin sutures and leeches were applied to relieve venous congestion. The result was satisfactory.

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Ring Avulsion Injuries

Abstract: Referral to a microsurgical unit and attempted repair where possible are recommended.

Cited by 14 publications

References 13 publications

Degloving Injury

Degloving Injury

The value of medical leeches in the treatment of class IIC ring avulsion injuries: Report of 2 cases

The use of leeches in the management of a ring avulsion injury

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