Abstract
IntroductionRing avulsion injuries consist of a characteristic injury pattern resulting from sudden intense force pulling on a finger ring. While ring avulsion injury is a known entity in the hand surgery literature, there is scant description of the injury pattern in emergency medicine, much less its management and transfer implications in the emergency department (ED).Case ReportThis is a report of a patient presenting to the ED with ring avulsion injury after a workplace accident, initially transferred to a tertiary care hospital with general hand surgery, who then required a second transfer for consideration of microsurgical revascularization.ConclusionIn addition to fully assessing the degree of injury, including neurovascular and tendon involvement, emergency physicians must recognize cases of severe ring avulsion injuries without complete amputation as potential opportunities for microsurgical revascularization.
Highlights
Ring avulsion injuries consist of a characteristic injury pattern resulting from sudden intense force pulling on a finger ring
While ring avulsion injury is a known entity in the hand surgery literature, there is scant description of the injury pattern in emergency medicine, much less its management and transfer implications in the emergency department (ED)
Case Report: This is a report of a patient presenting to the ED with ring avulsion injury after a workplace accident, initially transferred to a tertiary care hospital with general hand surgery, who required a second transfer for consideration of microsurgical revascularization
Summary
Section Editor: Austin Smith, MD Submission history: Submitted September 17, 2020; Revision received November 11, 2020; Accepted November 19, 2020 Electronically published January 16, 2021 Full text available through open access at http://escholarship.org/uc/uciem_cpcem DOI: 10.5811/cpcem.2020.11.49917
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