Ring-Embedded Finger Over Proximal Interphalangeal Joint with Preserved Neurovascularization: A Case Report and Literature Review

JBJS Case Connect. 2024 Aug 15;14(3):e24.00078. doi: 10.2106/JBJS.CC.24.00078. eCollection 2024 Jul 1.

Abstract

Case: We present a unique case of a 45-year-old man with his right middle finger embedded with rings. Limited finger flexion was noted because of flexor tendon injury caused by the dorsal migration of the embedded ring through joint. The rings were removed under anesthesia, resulting in the resolution of swelling and recover of osseous structure. Follow-up examinations revealed no residual edema or numbness, indicating preserved neurovascularization, despite the dorsal migration of the ring.

Conclusion: Our unique case reveals continuous finger ring migration without compromising neurovascular bundles, with review of 30 cases emphasizing the importance of psychiatric consultation. Timely intervention yielded nearly half of patients achieving full recovery.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Finger Injuries / surgery
  • Finger Joint*
  • Foreign-Body Migration / diagnostic imaging
  • Humans
  • Male
  • Middle Aged