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Microvascular management of ring avulsion injuries.

Publication ,  Journal Article
Urbaniak, JR; Evans, JP; Bright, DS
Published in: J Hand Surg Am
January 1981

Microsurgical revascularization has proved to be a useful method in managing the ring avulsion injury where both neurovascular bundles are damaged with only partial skin avulsion. Representative cases are used to illustrate guidelines for a practical classification for helping to decide the optimal method of treatment of acute ring avulsion injuries in light of digital revascularization techniques. Nine ring fingers were successfully revascularized of 24 acute ring avulsion injuries reviewed. Sensibility recovery was good and a functional range of motion obtained. No patient who has had his ring finger revascularized has requested its amputation because of appearance, painful neuromas, stiffness, or cold intolerance. Complete amputations, especially proximal to the superficialis insertion, and complete degloving injuries of the ring finger are usually best managed by surgical amputation of the digit.

Duke Scholars

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

January 1981

Volume

6

Issue

1

Start / End Page

25 / 30

Location

United States

Related Subject Headings

  • Veins
  • Vascular Surgical Procedures
  • Transplantation, Autologous
  • Rupture
  • Replantation
  • Orthopedics
  • Microsurgery
  • Male
  • Humans
  • Follow-Up Studies
 

Citation

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ICMJE
MLA
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Urbaniak, J. R., Evans, J. P., & Bright, D. S. (1981). Microvascular management of ring avulsion injuries. J Hand Surg Am, 6(1), 25–30. https://doi.org/10.1016/s0363-5023(81)80006-8
Urbaniak, J. R., J. P. Evans, and D. S. Bright. “Microvascular management of ring avulsion injuries.J Hand Surg Am 6, no. 1 (January 1981): 25–30. https://doi.org/10.1016/s0363-5023(81)80006-8.
Urbaniak JR, Evans JP, Bright DS. Microvascular management of ring avulsion injuries. J Hand Surg Am. 1981 Jan;6(1):25–30.
Urbaniak, J. R., et al. “Microvascular management of ring avulsion injuries.J Hand Surg Am, vol. 6, no. 1, Jan. 1981, pp. 25–30. Pubmed, doi:10.1016/s0363-5023(81)80006-8.
Urbaniak JR, Evans JP, Bright DS. Microvascular management of ring avulsion injuries. J Hand Surg Am. 1981 Jan;6(1):25–30.
Journal cover image

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

January 1981

Volume

6

Issue

1

Start / End Page

25 / 30

Location

United States

Related Subject Headings

  • Veins
  • Vascular Surgical Procedures
  • Transplantation, Autologous
  • Rupture
  • Replantation
  • Orthopedics
  • Microsurgery
  • Male
  • Humans
  • Follow-Up Studies