Prevention of Ring finger avulsion
T. Dubert
Paris
France
2
References
 Author Year Nbre of cases % devasc Contry Period
 Crawford 1952 7 57 USA
 Davalli 1959 12 Italy 12 ye...
3
Mechanism of the accident:
Catching the ring on a fixed object
while falling or jumping
30 % are occupational accide...
4
Mechanism of the accident:
Catching the ring on a fixed object
while falling or jumping
 Jumping from a moving vehi...
5
Mechanism of the accident
6
Mechanism of the accident
The ring is caught...
… and forces the soft tissues to tear
Amputation is frequent
7
Epidemiology
200 to 350 cases per year
for a 60.106 population
1 case per day in France
5 cases per day in Europe 2...
8
for the patient and the community
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
Prevention of ring finger avulsion ("degloving"
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Prevention of ring finger avulsion ("degloving"

WARNING! This presentation contains GRAPHIC images that may be upsetting to some. Viewer discretion is advised. Great presentation on why rings should NOT be worn when working.
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Prevention of ring finger avulsion ("degloving"

  • 1. Prevention of Ring finger avulsion T. Dubert Paris France
  • 2. 2 References  Author Year Nbre of cases % devasc Contry Period  Crawford 1952 7 57 USA  Davalli 1959 12 Italy 12 years  Bevin 1963 4 100 USA  Kinmonth 1964 1 per year 100  Thompson 1968 24 USA  Bianchi 1969 16 100 Italy 11 years  Alonso Artieda1971 1 100 Spain  Chase 1971 1 100 USA  Carroll 1974 100 90 USA 20 years  Flagg 1977 2 100 USA  Hougaard 1986 14 85 Danemark 10 years  Tampieri 1988 2 100 Italy  Weil 1989 16 53 USA 10  Urbaniak 1981 24 USA 5 years  Weeks 1982 1 100 USA  Nissenbaum 1984 17 88 USA 6 years  Tsai 1984 12 100 USA 10 years  Sturzenegger 1988 25 78 Switzeland 9 years  Hung 1989 2 100 Hong Kong  Kay 1989 55 95 UK 9 years  Beris 1994 14 92 Greece 9 years  Varela 1996 2 100 USA/Croatie  Van der Horst1989 48 100 Netherlands 5 years 1/2
  • 3. 3 Mechanism of the accident: Catching the ring on a fixed object while falling or jumping 30 % are occupational accidents 70% of the accidents occur in every day activities 30 to 49 yo « Regular » wedding rings Women : 30 % Men : 60 %
  • 4. 4 Mechanism of the accident: Catching the ring on a fixed object while falling or jumping  Jumping from a moving vehicle  Catching on a -pole or fence post  A moving belt or other moving object  On a nail  slipping off a ladder or a tree  Hanging up keys on a hook  Shutting a door  Jumping into the water from a pier  Diving from a boat  Attaching a goal-post nets  Jammed in an antiaircraft machinegun 13 à 15 % of all finger amputations
  • 5. 5 Mechanism of the accident
  • 6. 6 Mechanism of the accident The ring is caught... … and forces the soft tissues to tear Amputation is frequent
  • 7. 7 Epidemiology 200 to 350 cases per year for a 60.106 population 1 case per day in France 5 cases per day in Europe 25 (300.106 population) Bianchi et al 1969 Carrol 1974 Davalli et Zarotti 1959 Holst-Nielsen 1980 Kinmonth 1964
  • 8. 8 for the patient and the community

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