Alternatively, the fusion of the digit in a functional position, or amputation due to ischaemia of the digit, maybe more appropriate. Graphics are protected from weather and abuse. Made of 4 mil thick, conformable vinyl and has an aggressive adhesive backing. There should be consideration for hand dominance and discussion with the patient regarding repair or delayed repair of tendons which may be ruptured. SmartSign 'Danger - Keep Fingers Clear Pinch Point' Pack of 5 Labels 3.5' x 5' Laminated Vinyl 31.95 ( 6.39 / Item) DURABLE VINYL. When considering surgical removal, a multidisciplinary team is needed both for the surgical removal and when further hand therapy is required. If all non-operative methods fail, then surgical removal of the ring may be necessary.
6įailure of the conservative methods mentioned above requires cutting the ring, either with a ring cutter or orthopaedic wire cutter. Wrapped tightly around the digit to decrease the swelling, the ring is gently rotated with traction while holding the proximal end of the thread (under the ring). The use of thread can be used as an adjunct in removing the ring. Axial traction with lubrication can then be attempted again. You are moving too quickly and aggressively in some area of your life. This dream is a sign for your struggles and desires to break free. You are not owning up to your responsibilities. If this fails, elevation of the limb, followed by exsanguination of the digit, and the application of a tourniquet around the upper extremity, can decrease swelling. Dream about pinky finger cut off symbolises aggression, anger and potential danger. Simple methods such as lubrication with axial traction should first be attempted. Limiting further swelling by elevating the limb and applying ice is important. If pain impedes removal, then a ring block can be administered. The method adopted for removing the ring is largely dependent on the degree of oedema and venous engorgement of the digit. To avoid reaching the above-mentioned sequelae, it is imperative that a thorough examination is performed and the rings are removed at the earliest. 3 4 It is therefore not uncommon for the history to be vague.
2–5 The common denominator in most of these cases seems to be some form of psychiatric illness.
1 There have been a few documented cases whereby the delay in presentation has led to the overgrowth of skin and the ring becoming embedded. These consequences are more often seen in delayed presentations. With a ring becoming imbedded into the volar aspect of the finger as in this case, the sequelae can include infection, contracture, flexor tendon rupture and finger ischaemia which may require amputation. Eventually arterial compromise will ensue. Progression of the swelling will then cause disruption to the venous drainage leading to venous congestion. This will cause disruption to the lymphatic drainage exacerbating digital oedema. Digital swelling can be exacerbated with the presence of a ring acting as a tourniquet. Swelling of the fingers may be secondary to dependence, infection, trauma or fluid retention secondary to other medical conditions.