Rings are not only commonly worn as symbols of love and commitment, such as wedding rings, but they also serve as decorative pieces in various cultures. The finger rings are made up of materials of different grades (Soft or hard metals), influenced by availability and social customs. However, these accessories can sometimes become problematic when they get stuck on the fingers. This problem tends to occur more frequently in women and younger people. Most of patients present with distal digit swelling and pain, and sometimes present late with gangrene of the involved digits. In most cases, trapped rings do not cause any vascular or neurological damage, but timely removal is critical to prevent complications such as the tourniquet effect, where blood flow to the digit is compromised. The removal of rings is necessary under certain clinical conditions, especially in emergencies where swelling or trauma complicates the situation. Patients with psychological disorders or substance abuse problems may sometimes resist the removal of rings, making treatment more complicated. In this case report, we discuss the management of a psychiatric patient who presented with significant swelling in three digits due to embedded rings, highlighting the delayed treatment and the methods used for successful ring removal. In our case, we managed to remove entrapped and embedded finger rings by non-destructive and destructive methods with good outcomes.
| Published in | Journal of Surgery (Volume 12, Issue 6) |
| DOI | 10.11648/j.js.20241206.12 |
| Page(s) | 133-138 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Psychiatric Patient, Entrapped Finger, Partially Embedded Metal Rings, Dental Drill, Ring Tourniquet Syndrome, Clinical Outcome
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APA Style
Ranjan, K. R. (2024). Partially Embedded Metal Rings on the Right Middle Finger and Entrapment of Rings on the Right Index and Ring Fingers in a Psychiatric Patient: A Case Study. Journal of Surgery, 12(6), 133-138. https://doi.org/10.11648/j.js.20241206.12
ACS Style
Ranjan, K. R. Partially Embedded Metal Rings on the Right Middle Finger and Entrapment of Rings on the Right Index and Ring Fingers in a Psychiatric Patient: A Case Study. J. Surg. 2024, 12(6), 133-138. doi: 10.11648/j.js.20241206.12
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Download@article{10.11648/j.js.20241206.12,
author = {Kumar Raj Ranjan},
title = {Partially Embedded Metal Rings on the Right Middle Finger and Entrapment of Rings on the Right Index and Ring Fingers in a Psychiatric Patient: A Case Study
},
journal = {Journal of Surgery},
volume = {12},
number = {6},
pages = {133-138},
doi = {10.11648/j.js.20241206.12},
url = {https://doi.org/10.11648/j.js.20241206.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241206.12},
abstract = {Rings are not only commonly worn as symbols of love and commitment, such as wedding rings, but they also serve as decorative pieces in various cultures. The finger rings are made up of materials of different grades (Soft or hard metals), influenced by availability and social customs. However, these accessories can sometimes become problematic when they get stuck on the fingers. This problem tends to occur more frequently in women and younger people. Most of patients present with distal digit swelling and pain, and sometimes present late with gangrene of the involved digits. In most cases, trapped rings do not cause any vascular or neurological damage, but timely removal is critical to prevent complications such as the tourniquet effect, where blood flow to the digit is compromised. The removal of rings is necessary under certain clinical conditions, especially in emergencies where swelling or trauma complicates the situation. Patients with psychological disorders or substance abuse problems may sometimes resist the removal of rings, making treatment more complicated. In this case report, we discuss the management of a psychiatric patient who presented with significant swelling in three digits due to embedded rings, highlighting the delayed treatment and the methods used for successful ring removal. In our case, we managed to remove entrapped and embedded finger rings by non-destructive and destructive methods with good outcomes.
},
year = {2024}
}
TY - JOUR T1 - Partially Embedded Metal Rings on the Right Middle Finger and Entrapment of Rings on the Right Index and Ring Fingers in a Psychiatric Patient: A Case Study AU - Kumar Raj Ranjan Y1 - 2024/11/22 PY - 2024 N1 - https://doi.org/10.11648/j.js.20241206.12 DO - 10.11648/j.js.20241206.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 133 EP - 138 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20241206.12 AB - Rings are not only commonly worn as symbols of love and commitment, such as wedding rings, but they also serve as decorative pieces in various cultures. The finger rings are made up of materials of different grades (Soft or hard metals), influenced by availability and social customs. However, these accessories can sometimes become problematic when they get stuck on the fingers. This problem tends to occur more frequently in women and younger people. Most of patients present with distal digit swelling and pain, and sometimes present late with gangrene of the involved digits. In most cases, trapped rings do not cause any vascular or neurological damage, but timely removal is critical to prevent complications such as the tourniquet effect, where blood flow to the digit is compromised. The removal of rings is necessary under certain clinical conditions, especially in emergencies where swelling or trauma complicates the situation. Patients with psychological disorders or substance abuse problems may sometimes resist the removal of rings, making treatment more complicated. In this case report, we discuss the management of a psychiatric patient who presented with significant swelling in three digits due to embedded rings, highlighting the delayed treatment and the methods used for successful ring removal. In our case, we managed to remove entrapped and embedded finger rings by non-destructive and destructive methods with good outcomes. VL - 12 IS - 6 ER -
Department of Surgery, Durgapur Steel Plant Hospital & Research Centre, Durgapur, India
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