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
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)
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Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)

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Published on: Mar 4, 2016
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Transcripts - Preventionofringfingeravulsion 141109125807-conversion-gate02 (1)

  • 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