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著者:Philip M. Buttaravoli and Kevin J. Brochu
 
Abstract
Rings may become trapped on fingers or toes when the digit swells due to edema, venous constriction, or trauma. Removal may be required to prevent ischemia to the digit and is best performed early in the course. Various removal techniques are discussed, separated by destructive vs. nondestructive approaches.
 
Keywords
cast spreader
caterpillar technique
ceramic rings
destructive techniques
finger entrapment in plastic hole
glove technique
grip-style locking pliers
hair-thread tourniquet
nondestructive techniques
orthopedic pin cutter
ring cutter
ring cutting
Ring removal
string technique
string-loop technique
tight ring
tourniquet compression technique
tungsten carbide rings
twist and pull technique
winding string technique

Presentation  
    Removal of rings from fingers or toes may be required due a variety of conditions that predispose to digital swelling, such as trauma, infection, burns, peripheral edema, or arthropod assault. Sometimes chronic tight-fitting rings begin to obstruct lymphatic drainage, causing swelling and further constriction (Fig. 152.1). Rings often have sentimental and monetary value to the patient. Thus providers should be familiar with a variety of removal techniques.
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