An Improved Method of Ring Removal
A number of techniques exist for the removal of rings from swollen fingers. An improved method is described using ribbon gauze and a paper clip. It is cheap, quick and effective and can be used in the presence of minor lacerations and abrasions.
Respiratory failure after lumbar epidural anesthesia in a patient with uncontrolled hyperthyroidism.
1. Belliappa PP. A technique for removal of a tight ring. J Hand Surg 1989;14:127. 2. Rubio PA. Letter to the editor. Am J Surg 1987;153:A42. 3. Mizrahi S, Lunski I. Am J Surg 1986;151: 412–3. 4. Soichiro I, Akazawa S, Fukuda H, Shimizu R. Another simple method for ring removal. Anesthesiology 1995;83:1133–4. 5. Clarke AC, Spencer RF. Ring removal from the injured or swollen finger. J R Coll Surg Edinb 1991;36:59. 6. McElfresh EC, Peterson-Elijah RC. J Hand Surg [Br] 1991;16:225–6. 7. Hiew LY, Juma A. A novel method of ring removal from a swollen finger. Br J Plast Surg 2000;53:173–4. 8. Paterson P, Khanna A. A novel method of ring removal from a swollen finger. Br J Plast Surg 2001;54:182. 9. Thiagarajan M. An improved method of ring removal. J Hand Surg [Br] 1999;24: 118–9. 10. Leider M. Removal of a ring from a swollen finger without injuring the ring. J Dermatol Surg Oncol 1980;6:298–9. 11. Witz R. Ring removal. Nurse Pract 2002;27:54. 12. Mullett ST. Ring removal from the oedematous finger. An alternative method. J Hand Surg [Br] 1995;20:496. 13. Cresap CR. Removal of a hardened steel ring from an extremely swollen finger. Am J Emerg Med 1995;13:318–20. DOI: 10.1213/01.ane.0000239052.17287.d0
The Pronator Quadratus Sign: Its Classification and Diagnostic Usefulness for Injury and Inflammation of the Wrist
The clinical value of the pronator quadratus radiological sign was investigated. Fresh undisplaced fractures of the distal radius and acute injuries of the distal radio-ulnar joint showed anterior displacement of the radiolucent shadow in 85% and 88% respectively, but normal subjects no displacement. In rheumatoid arthritis, the presence of synovitis of the wrist joint appeared to be correlated with a blurred shadow at the distal end.