BACKGROUND AND AIM OF THE WORK: ring avulsion are relatively common hand lesions and are associated with significant disability, especially in hand-workers. The treatment choice is still debatable. We sought to conduct a detailed systematic review in attempt to collate evidence on functional, cosmetic and patient-reported outcomes (PROs) following ray amputation for the management of traumatic hand injury and ring avulsion injury. METHODS: using the PubMed database we made a systematic search for articles regarding single ray amputation after traumatic hand lesion. Nine articles met our including criteria and were analysed. RESULTS: most of the included studies suggest that for those worse cases ray amputation still represent a good option. Indeed ray resection can eliminate the gap, remove a cumbersome or painful digit and guarantes better cosmesis but reduces grip and pinch strength (from 15% to 30%) and decreased palm width. CONCLUSIONS: different surgical techniques are available, almost all of them results in a loss of strength but ensure good both functional and cosmetic results.

Single ray amputation in traumatic injury of the hand: review of literature / Calderazzi, Filippo; Menozzi, Margherita; Nosenzo, Alessandro; Galavotti, Cristina; Pogliacomi, Francesco; Ceccarelli, Francesco. - In: ACTA BIO-MEDICA DE L'ATENEO PARMENSE. - ISSN 0392-4203. - 90:1S(2019), pp. 14-23. [10.23750/abm.v90i1-S.7677]

Single ray amputation in traumatic injury of the hand: review of literature

Menozzi, Margherita;Nosenzo, Alessandro;Galavotti, Cristina;Pogliacomi, Francesco;Ceccarelli, Francesco
2019

Abstract

BACKGROUND AND AIM OF THE WORK: ring avulsion are relatively common hand lesions and are associated with significant disability, especially in hand-workers. The treatment choice is still debatable. We sought to conduct a detailed systematic review in attempt to collate evidence on functional, cosmetic and patient-reported outcomes (PROs) following ray amputation for the management of traumatic hand injury and ring avulsion injury. METHODS: using the PubMed database we made a systematic search for articles regarding single ray amputation after traumatic hand lesion. Nine articles met our including criteria and were analysed. RESULTS: most of the included studies suggest that for those worse cases ray amputation still represent a good option. Indeed ray resection can eliminate the gap, remove a cumbersome or painful digit and guarantes better cosmesis but reduces grip and pinch strength (from 15% to 30%) and decreased palm width. CONCLUSIONS: different surgical techniques are available, almost all of them results in a loss of strength but ensure good both functional and cosmetic results.
Single ray amputation in traumatic injury of the hand: review of literature / Calderazzi, Filippo; Menozzi, Margherita; Nosenzo, Alessandro; Galavotti, Cristina; Pogliacomi, Francesco; Ceccarelli, Francesco. - In: ACTA BIO-MEDICA DE L'ATENEO PARMENSE. - ISSN 0392-4203. - 90:1S(2019), pp. 14-23. [10.23750/abm.v90i1-S.7677]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11381/2855462
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