Microvascular management of ring avulsion injuries.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Urbaniak, JR; Evans, JP; Bright, DS

Published Date

  • January 1, 1981

Published In

Volume / Issue

  • 6 / 1

Start / End Page

  • 25 - 30

PubMed ID

  • 7204914

International Standard Serial Number (ISSN)

  • 0363-5023

Digital Object Identifier (DOI)

  • 10.1016/s0363-5023(81)80006-8


  • eng

Conference Location

  • United States