A ring avulsion, often referred to as “degloving,” is a rare but serious injury that occurs when a ring becomes caught on an object and is forcefully pulled. While it may sound unusual, this type of injury gained attention after Tonight Show host Jimmy Fallon shared his experience. If you’re curious, it’s best not to Google it—ring avulsions are as gruesome as they sound.
These injuries can range from minor skin abrasions to more severe cases, including finger amputations. Fortunately, the injury is not common, but knowing how it happens, how to treat it and how to prevent it could save you from a painful experience. Here's what you need to know.
What causes a ring avulsion?
A ring avulsion happens when a ring is unexpectedly caught on an object like a piece of machinery, a fence or even a door handle. As the ring is pulled, it can tear through the skin and tissue or, in extreme cases, sever the finger completely. The injury can also damage nerves, blood vessels and bones, depending on the severity of the pull. While these injuries are rare, they can be serious when they occur.
How are ring avulsions treated?
Treatment for ring avulsions varies based on the severity of the injury. The extent of the damage is classified into three main categories:
- Class 1: The injury is mild and blood flow to the finger remains intact. Treatment may only involve minor skin repair or stitches.
- Class 2: There is no blood circulation to the injured finger. In this case, surgery is needed to reconnect the blood vessels before repairing the tissue and bone.
- Class 3: The most severe injury, where the finger is either completely stripped of tissue or amputated. Surgery may be required to reattach the finger, and in some cases, permanent damage or loss of the finger may occur.
“Treatment for ring avulsions depends on how badly the injury affects circulation,” said Moneesh Bhow, MD, with Banner – University Medicine. “In severe cases, recovery can take several months and may involve physical and occupational therapy.”
Who is most at risk for ring avulsions?
Anyone who wears rings could potentially experience a ring avulsion, though the risk is higher for people working in active or hazardous environments. Those working with machinery, like in manufacturing or construction, are at greater risk. Other high-risk professions include police officers, first responders, military personnel and those in the food service industry.
Even if you wear a ring for personal or fashion reasons, you should still be aware of the potential for injury, especially in environments where hands are involved in strenuous or mechanical tasks.
How can I prevent a ring avulsion?
The most straightforward way to avoid a ring avulsion is to not wear rings in high-risk environments. If you must wear a ring, make sure it is properly fitted and remove it when engaging in activities like exercising, playing sports or handling heavy equipment.
“There are many options today, including silicone rings or breakaway rings, which can be a safer alternative,” said Dr. Bhow. These rings are designed to snap off under pressure, preventing more serious injury.
What should I do if I experience a ring avulsion?
If you or someone around you sustains a ring avulsion injury, it’s important to act quickly. Call 911 immediately and get medical help as soon as possible. If the finger is still attached but bleeding, apply pressure using a clean cloth or bandage. Elevate the hand to help reduce swelling.
If the finger is completely severed, don’t attempt to drive to the hospital. Call for an ambulance or have someone else take you. While waiting for medical help, carefully clean the severed finger with water, wrap it in moist gauze, and place it in a clean plastic bag. Keep the bag on ice—but do not place the finger directly on ice.
Seeking medical care for ring avulsion injuries
Prompt medical attention is key for a better outcome, especially in more severe cases. If you’ve experienced a ring avulsion injury or have concerns about your treatment, it’s essential to consult with a specialist. A Banner Health doctor can help assess your injury, explore surgical options and guide you through recovery and rehabilitation.
Recommended reading
- Why It’s Important to Treat Toenail Traumas and Injuries
- 5 Times When You Need More Than a Band-Aid for That Cut or Scrape
- How You Can Minimize the Appearance of Unsightly Scars
