Epidemiology and Clinical Outcome of Entrapped Finger Rings: Experience from a Tertiary Health Institution

Background: Ring entrapment could occur and they present to the emergency department. In our environment it is uncommon. Aim: To describe the epidemiology and clinical outcome of patients presenting with entrapped finger rings to a tertiary health institution. Methods: Prospective study of patients with entrapped finger ring(s) presenting to the University of Port Harcourt Teaching Hospital between 1st October 2007 and 30th September 2018. A nondestructive traction technique utilizing electric cables was used to remove the entrapped ring(s). Data obtained was analyzed using IBM’s Statistical Package for Social Sciences (SPSS) version 23. Results: Twenty five patients presented with entrapped finger rings. Most were in the 17-22 years age group. There were 10 males and 15 females, with slightly more singles. More had tertiary education. Majority presented with finger swelling and pain with no vascular or neurological compromise. Duration the rings were worn ranged from one day to five years. Most rings were entrapped for five days or less. Left ring finger was most involved. Tight rings were common. All the patients had attempted severally to remove the entrapped rings and all used soap and water and petroleum jelly. The patients and neighbours were involved. Median duration of ring removal was 45 seconds. Mostly abrasions complicated initial removal process. Abrasions and laceration complicated the procedure. All entrapped rings were successfully removed utilizing the electric cables. Conclusion: The younger age group and females are most affected. Majority had no vascular or neurological compromise. Electric cable traction technique successfully removed all entrapped rings