SynthesisHand (New York, N.Y.)2018
Ring Avulsion Injuries: A Systematic Review.
Synthesis in Hand (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Novel Use of a One-stage Synthetic Dermal Substitute for the Treatment of a Class III Ring Avulsion Injury.Journal of hand surgery global online · 2025Article
- PelnacJournal of orthopaedic surgery and research · 2025Article
- Comparison of Functional Outcomes of Superficial Palmar Branch of Radial Artery (SPBRA) and Free Venous Flap (FVF) Techniques for Finger Tissue Defects.Journal of clinical medicine · 2025Article
- Indications for replantation and factors that predict success.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Review
- A Useful Technique for Templating the Reverse Radial Forearm Flap (RFF) for Thumb Degloving Injuries.Plastic surgery (Oakville, Ont.) · 2024Article
- Multiple finger avulsion with rare form of injury: A case of sufficient circulation but with pulley injury.Journal of clinical orthopaedics and trauma · 2023Article
- Reverse Flow Shunt Restricted Free Venous Flap for a Ring Avulsion Injury.Plastic and reconstructive surgery. Global open · 2022Article
- Destructive Arthropathy of the Interphalangeal Joint Following Revascularization After Degloving Hand Injury: A Case Report.Hand (New York, N.Y.) · 2022Article
- Closed Ring Avulsion Injury With Isolated Arterial Insufficiency.Journal of hand surgery global online · 2021Article
- Article
- A Case Report of Ring Avulsion Injury: Under-recognized for Its Unique Implications in Transfer.Clinical practice and cases in emergency medicine · 2021Article
- Photoacoustic Microscopy Provides Early Prediction of Tissue Necrosis in Skin Avulsion Injuries.Clinical, cosmetic and investigational dermatology · 2021Article
- Review
- Outcomes Following Replantation/Revascularization in the Hand.Hand clinics · 2019Review
- Use of silicone finger prostheses in amputee patients: An integrative review.Journal of Indian Prosthodontic SocietyReview
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRing avulsion injuries can range from soft tissue injury to complete amputation. Grading systems have been developed to guide treatment, but there is controversy with high-grade injuries. Traditionally, advanced ring injuries have been treated with completion amputation, but there is evidence that severe ring injuries can be salvaged. The purpose of this systematic review was to pool the current published data on ring injuries.
methodsA systematic review of the English literature published from 1980 to 2015 in PubMed and MEDLINE databases was conducted to identify patients who underwent treatment for ring avulsion injuries.
resultsTwenty studies of ring avulsion injuries met the inclusion criteria. There were a total of 572 patients reported with ring avulsion injuries. The Urbaniak class breakdown was class I (54 patients), class II (204 patients), and class III (314 patients). The average total arc of motion (TAM) for patients with a class I injury was 201.25 (n = 40). The average 2-point discrimination was 5.6 (n = 10). The average TAM for patients with a class II injury undergoing microsurgical revascularization was 187.0 (n = 114), and the average 2-point discrimination was 8.3 (n = 40). The average TAM for patients with a class III injury undergoing microsurgical revascularization was 168.2 (n = 170), and the average 2-point discrimination was 10.5 (n = 97).
conclusionsRing avulsion injuries are commonly classified with the Urbaniak class system. Outcomes are superior for class I and II injuries, and there are select class III injuries that can be treated with replantation. Shared decision making with patients is imperative to determine whether replantation is appropriate.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.