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Ring Avulsion Injuries



Ring Avulsion Injuries ICD-9

Ring Avulsion Injuries Etiology / Epidemiology / Natural History

Ring Avulsion Injuries Anatomy

Ring Avulsion Injuries Clinical Evaluation

Ring Avulsion Injuries Xray / Diagnositc Tests

Ring Avulsion Injuries Classification / Treatment

  • Urbaniak classification
  • class I injuries, circulation is adequate and the standard bone and soft-tissue treatment is recommended
  • Class II =complete vascular compromise.  Vein grafts are needed for the vascular anastomoses, and the nerves should be repaired simultaneously.  This type of class II injury has a success rate of approximately 75%.
  • Class III complete degloving injuries, especially those proximal to the flexor superficialis, are best managed with amputation.  When the proximal interphalangeal joint is damaged or the proximal phalanx is fractured, amputation is also recommended.  
  • Urbaniak JR, Evans JP, Bright DS: Microvascular management of ring avulsion injuries.  J Hand Surg 1981;6:25-30.

Ring Avulsion Injuries Associated Injuries / Differential Diagnosis

Ring Avulsion Injuries Complications

Ring Avulsion Injuries Follow-up Care

Ring Avulsion Injuries Review References

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