Ring-Embedded Finger Over Proximal Interphalangeal Joint with Preserved Neurovascularization-Reference-Cited by-同舟云学术

Ring-Embedded Finger Over Proximal Interphalangeal Joint with Preserved Neurovascularization

Published:2024-07 Issue:3 Volume:14 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

Chen Wei-Cheng¹^ORCID,Chi Kuan-Yu²³,Chiang Chang-Jung¹⁴,Chen Chia-Hsien¹⁵⁶⁷^ORCID

Affiliation:

1. Department of Orthopedics, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan

2. Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan

3. Department of Education, Center for Evidence-based Medicine, Taipei Medical University Hospital, Taipei, Taiwan

4. Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

5. Department of Orthopedics, Hsin Kuo Min Hospital, Taipei Medical University, Taoyuan City, Taiwan

6. School of Biomedical Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei, Taiwan

7. Department of Orthopedic Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

Abstract

Case: We present a unique case of a 45-year-old man with his right middle finger embedded with rings. Limited finger flexion was noted because of flexor tendon injury caused by the dorsal migration of the embedded ring through joint. The rings were removed under anesthesia, resulting in the resolution of swelling and recover of osseous structure. Follow-up examinations revealed no residual edema or numbness, indicating preserved neurovascularization, despite the dorsal migration of the ring. Conclusion: Our unique case reveals continuous finger ring migration without compromising neurovascular bundles, with review of 30 cases emphasizing the importance of psychiatric consultation. Timely intervention yielded nearly half of patients achieving full recovery.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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