Ver el código de «Ring avulsion injury»

==Background==
*Sudden pull on a ring results in severe soft tissue avulsion injury
**Can range from circumferential soft tissue laceration to complete amputation
**Often with concomitant neurovascular damage

==Clinical Features==
*Typically only one digit involved
*History of working with machinery or getting digit caught in door
*Pain, bleeding, lack of sensation

===Classes of Injury<ref>Jones M, Gujral S. Ring Avulsion Injuries. Eplasty. 2016;16:ic5.</ref>===
''Based on circulatory status''
*Class I: Circulation adequate
*Class II: Circulation inadequate
*Class III: Complete degloving or complete amputation

==Differential Diagnosis==
{{Hand and finger injury DDX}}
{{Extremity trauma DDX}}

==Evaluation==
*[[Hand exam]]
**Assess for distal neurovascular function
*Dedicated digit x-ray

==Management==
*Will require consultation with hand surgeon for operative repair
*Antibiotics
**[[Cefazolin]] 1 g IV
*[[Tetanus prophylaxis]]

==Disposition==
*Admit

==See Also==
*[[Degloving injury]]

==External Links==
*https://www.orthobullets.com/hand/6061/ring-avulsion-injuries

==References==
<references/>

[[Category:Trauma]]