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{ "pk": 973, "title": "A Case Report of Ring Avulsion Injury: Under-recognized for Its Unique Implications in Transfer", "subtitle": null, "abstract": "Introduction:\n Ring avulsion injuries consist of a characteristic injury pattern resulting from sudden intense force pulling on a finger ring. While ring avulsion injury is a known entity in the hand surgery literature, there is scant description of the injury pattern in emergency medicine, much less its management and transfer implications in the emergency department (ED). \nCase Report:\n This is a report of a patient presenting to the ED with ring avulsion injury after a workplace accident, initially transferred to a tertiary care hospital with general hand surgery, who then required a second transfer for consideration of microsurgical revascularization.\nConclusion:\n In addition to fully assessing the degree of injury, including neurovascular and tendon involvement, emergency physicians must recognize cases of severe ring avulsion injuries without complete amputation as potential opportunities for microsurgical revascularization.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "Ring avulsion injury" }, { "word": "traumatic amputation" }, { "word": "microsurgery" }, { "word": "revascularization" }, { "word": "digital replantation" } ], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2606820t", "frozenauthors": [ { "first_name": "Amanda", "middle_name": "", "last_name": "Horn", "name_suffix": "", "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts", "department": "None" }, { "first_name": "Brian", "middle_name": "", "last_name": "Freniere", "name_suffix": "", "institution": "Lahey Hospital and Medical Center, Department of Plastic Surgery, Burlington, Massachusetts", "department": "None" }, { "first_name": "Alexander", "middle_name": "Y.", "last_name": "Sheng", "name_suffix": "", "institution": "Boston University School of Medicine, Boston, Massachusetts", "department": "None" } ], "date_submitted": "2021-01-17T02:31:10+08:00", "date_accepted": "2021-01-17T02:31:10+08:00", "date_published": "2021-01-17T02:32:04+08:00", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/973/galley/721/download/" } ] }