Abstract
A constricting band causing tourniquet syndrome is a common problem that can cause
much frustration and pain for both the patient and practitioner. The following review
classifies and describes the different aspects of the treatment of this condition.
We also describe a policy and procedure for the motorized removal of large bands by
using a high revolutions per minute cutting device.
Keywords
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References
- Emergency Medicine—a comprehensive study guide. McGraw Hill, New York1996
- Principles and practice of anesthesiology. Mosby, St. Louis, MO1993
- Principles of surgery. 6th edn. McGraw-Hill, New York1994
- Operative hand surgery. 3rd edn. Churchill-Livingstone, New York1993
- Clinical procedures in emergency medicine. WB Saunders, Philadelphia, PA1998
- Five minute emergency medicine consult. Lippincott, Williams, and Wilkins, New York1999
- Ring removal from the injured or swollen finger.J R Coll Surg Edinb. 1991; 36: 59
- Ring removal from the oedematous finger.J Hand Surg (Br). 1995; 20B: 496
- Removal of a hardened steel ring from an extremely swollen finger.Am J Emerg Med. 1995; 13: 318-320
Young JR. Unring a finger. Emerg Med 1982;Sept:107–8.
- Removal of a ring from a swollen finger with out injuring the ring.J Dermatol Oncol. 1980; 6: 298-299
- Removal of a tight ring by the rubber band.J Hand Surg (Br). 1991; 16: 225-226
- Strangulation of the penis by a metallic nut.Int Surg. 1977; 62: 558-560
- Strangulation of the glans penis by hair.Urology. 1978; 11: 170-172
- Removal of a strangulating object from the penis.Urology. 1979; 14: 209
- A hair coil strangulation of the penis.J R Coll Surg Edinb. 1980; 1: 47-51
- Treatment of penile incarceration by the string method.J Urology. 1993; 149: 272-273
- An improved method of ring removal.J Hand Surg (Br). 1999; 4B: 118-119
Pfenninger J, Fowler G. Procedures for the primary care physician. 1st edn. XXXX: Mosby Year-book; 1994.
- A simplified method for emergency ring removal.Am J Surg. 1986; 151: 412-412
- A technique for removal of a tight ring.J Hand Surg (Br). 1989; 14B: 127-128
- Another simple method for ring removal.Anesthesiology. 1995; 83: 1133-1134
- A Simple technique for removing stubborn rings prior to hand surgery.J Hand Surg (Br). 1993; 18B: 544
- Sapphire ring constriction syndrome.Ann Plastic Surg. 1988; 21: 375-376
- Ulceration of a ring in to a phalanx.The Hand. 1976; 8: 188-189
- Thrombosis of the digital arteries as the cause of a class IIa ring avulsion.Southern Med J. 1994; 87: 264-265
Shafiroff B. Easy removal of a partially embedded ring from a finger. Plastic Reconstructive Surg 1979;June:841–2.
- The embedded ring.Orthoped. 1985; 8: 999
- Embedded ring injuries.Clin Orthoped Relat Res. 1992; 276: 192-193
- Hair-thread tourniquet syndrome.Pediatrics. 1988; 82: 925-928
- Hair and gone.Emer Med. 1998; 30: 15
- A rapid method for emergency ring removal.Am J Ortho. 1996; 25: 42-44
Brock S, Kuhn W. Removal of a constricting band using the Dremel drill [letter]. Acad Emerg Med 1999;6:1182–3.
- Genital incarceration with metal rings.Tech Urol. 1999; 5: 116-118
Greenspan L. Tourniquet syndrome cause by metallic bands: a new tool for removal. Ann Emerg Med 1982;1 1:7:375–8.
- A rapid method of removal of rings impacted in fingers.J Hand Surg. 1989; 14B: 126
- Medical application of the Dremel Multipro rotary tool.Acad Emerg Med. 2000; 7: 308
- Foreign body granuloma and synovitis of the finger.J Hand Surg. 1987; 12A: 621-623
- Constricting bands. Manifestations of possible child abuse. Case reports and a review.Clin Pediatr (Phila). 1988; 27: 439-444
Article info
Publication history
Accepted:
November 8,
2000
Received in revised form:
October 16,
2000
Received:
May 19,
2000
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
