Ring Avulsion Injuries

Matt Jones BMBS, BSc, MRCS; Sameer Gujral MBChB, BSc, MRCS

ePlasty. 2016;16

Description

This right hand–dominant teacher sustained a left ring finger avulsion injury, including avulsion of his flexor digitorum profundus tendon, catching his wedding ring climbing down from a fence. There was no fracture. Flexor digitorum superficialis was intact. The digit terminalized at the level of the mid-proximal phalanx.

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Table 1. Ringer finger avulsion classifications
Urbaniak classification¹
I Avulsion injury with adequate circulation
II Avulsion injury with inadequate circulation
III Complete degloving or complete amputation
Nissenbaum modification of Urbaniak classification²
IIa Avulsion injury with inadequate circulation (only arteries injured)
Kay classification³
I Adequate circulation, with or without skeletal injury
II Inadequate circulation (arterial and venous), no skeletal injury
III Inadequate circulation (arterial and venous), fracture of joint injury present
IV Complete amputation
a. Arterial circulation inadequate only
b. Venous circulation inadequate only

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Ring Avulsion Injuries

Description

Tables

References

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Authors and Disclosures

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