@article{ref1,
title="When marriage hurts: a literature review of embedded jewellery ring injuries",
journal="Curēus",
year="2020",
author="Tak, Sameem and Irvine, Esmee and Baba, Muzamil and Ghanate, Vinayak and Khairandish, Hamidreza",
volume="12",
number="11",
pages="e11624-e11624",
abstract="A ring is traditionally worn as a symbol of love and affection or as decorative ornamental jewellery. However, rings are not without risk. The spectrum of danger  can range from debilitating avulsion injuries to simple contact dermatitis. Unknown  to many, an unusual rarity exists; previous authors have termed this entity  'embedded ring syndrome'. We sought to review the literature and collate evidence on  the common features of this syndrome. A literature review was performed on cases  reported from 1947 to 2017 accessed through the healthcare database advanced search  (HDAS). A total of 28 cases were analysed for demographics, symptomatology and  operative techniques. Overall, 64.3% were females, and 50% had a psychiatric  comorbidity. There was a causative event preceding the injury in 35.7% of cases;  71.4% had a reduced range of movement or reported a stiff finger and 32.1% had  reduced sensation. The majority of patients underwent ring removal and primary  closure, without documentation as to whether neurovascular bundles and tendons were  visualised. Embedded ring injuries are rare. Consequently, information is sparsely  available regarding its natural history and management. The hand surgeon's approach  requires an understanding that the chronicity of these injuries can have a  significant traumatic impact on the structures of the finger.<p /> <p>Language: en</p>",
language="en",
issn="2168-8184",
doi="10.7759/cureus.11624",
url="http://dx.doi.org/10.7759/cureus.11624"
}