Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Replace the flap or bring separated tissue to the hospital: If the tissue (skin, fat, and muscle) is not completely torn away, replace the flap and cover the wound. Other common areas include the: Most doctors diagnose closed degloving injuries using an MRI scan, which can detect Morel-Lavalle lesions. Keep reading to learn more about this type of injury and how its treated. Kicking. The Tonight Show host talks about his bout with ring avulsion, a finger injury that looks and sounds like something from . Outcomes of tibial avulsion fracture of the posterior cruciate ligament treated with a homemade hook plate. Latifi R, et al. We use cookies and similar tools to give you the best website experience. Many closed degloving injuries involve a force that separates the top layer of skin and tissue from deeper tissues, leaving a space under the skin. Treatment of degloving injury involving multiple fingers with combined abdominal superficial fascial flap, dorsalis pedis flap, dorsal toe flap, and toe-web flap. 2020;8(1):1-6. doi:10.17816/PTORS17926. If that were to develop, it would stop blood flow to major organs. The dressing will trap blood and hold it against the open wound, promoting clotting. The patient has heavy bleeding or bleeding that does not stop. Remove rings before working, especially if your job involves harsh or slippery conditions, heavy machinery, or anything that puts you at risk of falling. Anterior Inferior Iliac Spine Avulsion Fracture. A piece of bone attached to a ligament or tendon breaks away from the main part of the bone. The goal is for the patient to fully use the finger with no stiffness or pain. Diagnosis. X-rays may be ordered if the doctor suspects a fracture or a foreign body such as glass or metal in the wound. In an avulsion fracture, your bone moves one way and your tendon or ligament moves in the opposite direction with a broken chunk of bone in tow. Children's Hospital of Philadelphia. Broken fingers generally heal well after treatment and rehabilitation. If your wedding band gets caught on anything fast moving, it can result in a ring avulsion injury and lead to permanent damage. Even class 2 avulsion injuries can have circulation problems that lead to the need for amputation. The clot forms first, and then the callus replaces it. A finger may be injured by a direct blow or cut. In addition to reattaching your finger, your surgeon might need to perform a skin graft around your finger to repair the avulsions degloving. The stabilizing part of the extensor tendon, called the central slip, is torn. (https://meeting.handsurgery.org/abstracts/2021/ODP-Trauma23.cgi). Fox remained in the game after the injury and even made a key 3-pointer in the closing minute . Depending on how severe the ring avulsion is, it can cause a lot of damage to your finger. If not treated properly, serious finger injuries can lead to permanent deformity and loss of function. We do not endorse non-Cleveland Clinic products or services. About 60 percent of these injuries involve the greater trochanter, according to the 2017 review. A clinicoradiological classification and a treatment algorithm for traumatic triceps tendon avulsion in adults. cnet.com/news/ring-avulsion-happens-to-people-other-than-jimmy-fallon-and-its-horrifying/, ncbi.nlm.nih.gov/pmc/articles/PMC4753839/, sites.surgery.northwestern.edu/reading/Documents/curriculum/Box%2001/11000253.pdf, healthcare.utah.edu/healthfeed/postings/2015/07/071515_ring.avulsion.php, 6 Ways to Get a Ring Off a Swollen Finger, Eye Exercises: How-to, Efficacy, Eye Health, and More, Achilles Tendon Rupture: Symptoms to Look For, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Ruptured Spleen: Symptoms and Treatment in Adults and Children, Drug-Related Bicycle Accidents Drawing Concerns. The therapeutic challenges of degloving soft-tissue injuries. Get useful, helpful and relevant health + wellness information. Verywell Health's content is for informational and educational purposes only. Take care of yourself by heading to the emergency department if you think you broke a bone. An avulsion injury will usually cause severe pain and bleeding. The Kings said Monday night that X-rays revealed an avulsion fracture on Fox's left index finger. They are serious injuries that frequently lead to amputation. Change the dressing once a day or if it gets dirty or wet. Diviti S, et al. Do not try to remove objects that are deeply or firmly embedded. Your anesthesiologist will provide the most appropriate method such as general anesthesia or regional anesthesia such as an epidural. Many people with class 3 avulsions require permanent amputation. A blood clot is a clump of blood that is more like a gel than a liquid. Ring avulsions are serious injuries. Purpose: Finger avulsion injuries account for 5% of upper extremity injuries requiring evaluation in an emergency room. (2013). Proximal adductor avulsions are rarely isolated but usually involve injury to the PLAC and pectineus: descriptive MRI findings in 145 athletes. Rinse the wound: Use water or saline solution. Although ring avulsion injury can result in devastating functional and . Animal bites, for example, pose a high risk of infection. You have an accident while working with a power saw, drill, or other tools. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. DOI: Wojcicki P, et al. The patient cannot completely clean out the dirt or foreign bodies from a. A 44-year-old male jumped from his dump truck, catching his ring on a bolt protruding from the bed of the truck and lacerating his finger while falling. Closed degloving injuries are most common at the top of the hip bone in an area called the greater trochanter. Still, there's the risk of finger loss in some very extreme cases. (2014). You can fracture a finger when: You slam your fingers in a door. Ring avulsion isnt common, but it is possible. This splinting allows the tissues to rest and therefore heal faster. DOI: Mello DF, et al. Tendons lie just under the skin of the fingers and are covered by a protective sheath. Ring avulsions can damage any part of your finger including your: Ring avulsions can be caused by any force that pulls on your ring hard enough to damage your finger. Avulsions and degloving injuries will almost always need surgical intervention to heal properly. Jimmy Fallon raises awareness about horrifying injury called ring avulsion. Follow the doctor's instructions for bandage changes. Reduction (realignment) of broken or dislocated bones usually occurs in the emergency department under local anesthesia. Damaging the nerve can cause numbness on the side of the finger supplied by the nerve. How can I reduce my risk for a ring avulsion injury? Hydrocolloid bandages are used to treat open, superficial wounds and open pimples. 2021 Aug;3(4):1-4. doi:10.1016/j.jhsg.2021.07.004. The damage can also cause blood clots and bone fractures in your damaged finger. Cover the wound with a clean, dry bandage. Diagnosis is confirmed with physical examination most commonly showing degloving of a finger. Avulsion injuries will almost always need medical care, and will often need surgical intervention. The pelvis is the sturdy ring of bones located at the base of the spine. The mechanism inflicts both longitudinal traction and crush/degloving injury to the finger. Sterile irrigation is the best. Your finger jams while trying to catch a ball. Jones M, Gujral S. Ring avulsion injuries. Knee Surg Sports Traumatol Arthrosc. Michael Menna, DO, is board-certified in emergency medicine. When your skin and tissue is ripped away exposing muscle, bone, or connective tissue its known as open degloving. This is because they involve large amounts of blood loss and tissue death. Trouble moving or using your finger the way you usually can. It might take up to 12 weeks for you to fully heal. Injury ranges from simple contusion to degloving of soft tissues to traumatic amputation. Treatment involves urgent repair or reconstruction depending on extend of soft tissue and neurovascular injury to the digit. Most pelvic fractures are caused by some type of traumatic, high-energy event, such as a car collision. Because the hand is a finely coordinated tool that must function correctly for so many everyday activities, even a minor finger injury can lead to some loss of function. Emergency care for an accidental amputation. Anyone wearing a ring is at risk for a ring avulsion injury, especially if you wear a ring while operating industrial machinery. Figure 2. Their activities can involve a lot of sudden changes in direction, leaping and kicking. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Generally, treatment for an avulsion fracture includes: After the pain subsides, your healthcare provider might recommend range-of-motion (ROM) exercises monitored by a physical therapist. Some degloving injuries eventually result in surgical amputations. (2005). If the patient is prescribed antibiotics, take the entire course of medication even if there is no sign of infection. But if youre married or wear rings for another reason, avoid wearing them in situations where the ring can get caught on something, such as heavy machinery. 2021 Premier Health. Healthline Media does not provide medical advice, diagnosis, or treatment. You might find yourself with questions about avulsion fractures and your specific situation. Bamba R, Malhotra G, Bueno RA Jr, Thayer WP, Shack RB. Before treating the injury, the doctor may numb the tissue with a local anesthetic such as lidocaine. Degloving injuries are serious and sometimes fatal. Advertising on our site helps support our mission. Sensation to the finger is supplied by four nerves, two (dorsal and volar digital nerves). (https://pubmed.ncbi.nlm.nih.gov/28720047/), (https://pubmed.ncbi.nlm.nih.gov/26933469/). You could ask some of the following questions when you see your healthcare providers: An avulsion fracture is a serious injury that can stop you from playing your favorite sports. They are commonly caused by animal bites, industrial equipment injuries, or motor vehicle accidents (especially motorcycles). Ring avulsion injuries are difficult to treat, Dr. Cavo says. The patient develops redness, drainage, pus, swelling, fever, or other signs of infection. (2015). It's also smart to remove rings before doing home improvements or yard work, playing sports, exercising, or enjoying hobbies. To reduce your risk, ensure that any rings you wear are properly fitted to your finger. Your ring could catch on something as obviously dangerous as industrial machinery, or even something stationery, say when falling from a ladder or coming down from a basketball rim (if you can dunk). Do not be afraid to put direct pressure on raw muscle or fat tissue. The tendons are repaired, the blood vessels are repaired, the skin is repaired, and the bones are fixed, if possible. If your finger was cut open during the injury, you may need stitches to sew up the cut, and the injury should heal within several weeks. The way to prevent a ring avulsion injury is to take off your wedding band, or any other ring, before you begin working with fast moving equipment or begin a job where your ring could get caught on metal or other rigid material. Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb. The patient is unable to use the finger usually. Sometimes this leads to a collection of blood under the nail, called a. Subungual hematomas can be very painful and sometimes need to be drained. Mott Children's Hospital. Cleveland Clinic is a non-profit academic medical center. If a tendon is torn away from its attachment, the patient may be unable to bend completely, straighten, or grip with the finger (or thumb). Because this is a relatively new trend, experts are still studying it. Galante JM. If blood flow is cut off, you could lose the finger. Do not approach or try to hand feed feral (animals). Treatment usually requires an extended stay at the hospital and several surgeries, followed by several months of physical therapy. Both the tendon and its sheath can be damaged by a. A case report of ring avulsion injury: under-recognized for its unique implications in transfer, Closed ring avulsion injury with isolated arterial insufficiency, Against all odds: traumatic thumb amputation following ring avulsion injury, Emergency care for an accidental amputation. An accident with a type II ringAvulsion injury, which results in complete amputation through the diptheria. There is obvious deformity of the finger. A hangmans fracture is a serious, but treatable injury. Always seek medical care if the following occur: Go to a hospital's emergency department if these conditions develop: The doctor will want to examine the patient's hand, including testing the injured area's strength, sensation, and range of motion. Unfortunately, often times, these injuries have to result in a surgical amputation even further back from where the injury started, so that the skin can be closed and you have a functioning hand. You should keep the bag iced until you reach medical care. Last reviewed by a Cleveland Clinic medical professional on 09/15/2021. With degloving injuries, you may need to take antibiotics. Treatment for degloving injuries depends on the type, severity, and location of the injury. General care instructions for avulsion wounds include: Keep the wound clean and dry for about 24-48 hours. A spinal cord injury is damage to the spinal cord that can have a lasting and significant impact on your daily life. Vascular studies. Jimmy Fallon shares gory details of his finger surgery, won't get feeling back after 8 weeks. doi:10.1111/aos.14578, Krishnamoorthy R, Karthikeyan G. Degloving injuries of the hand. 2023 Healthline Media LLC. These tests will give them a complete picture of your finger and all its bones and tissues. Read our, ER Productions Limited / DigitalVision / Getty Images, List of Common Avulsion Injuries and Sites. Microsurgical treatment of ring avulsion injuries. There is an area of numbness or weakness. Dont wear rings or other jewelry while working with tools or heavy equipment. Avoiding ring avulsion injuries with silicone rings: a biomechanical study. That's where the term comes from. The Los Angeles Times. Depending on the amount of skin left and the type of injury, treatment options include: All of these options usually require multiple surgeries. Avulsion fractures are commonly distracted due to the high tensile forces involved. DOI: Jones M, et al. In some cases, a small degloving injury will only need a thorough cleaning and some bandaging to help it heal. Degloving is a type of severe injury that happens when the top layers of your skin and tissue rip from the underlying muscle, connective tissue, or bone. Boutonniere deformity. DOI: ncbi.nlm.nih.gov/pmc/articles/PMC4753839/, symbiosisonlinepublishing.com/surgery/surgery01.php, ijri.org/article.asp?issn=0971-3026;year=2014;volume=24;issue=3;spage=288;epage=290;aulast=Nair, Achilles Tendon Rupture: Symptoms to Look For, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Ruptured Spleen: Symptoms and Treatment in Adults and Children, accidents with industrial or farm equipment, draining any built-up fluid from the lesion, sclerotherapy, which involves injecting blood vessels with medication to make them shrink, oozing around the wound, especially if its yellow or smells bad. A common cause of degloving injury is when a ring catches on something, resulting in a degloving injury of the finger. Several common kinds of injuries that can result from jamming a finger: The nail bed, which is the supportive tissue underneath the nail, can be damaged by a cut or blow. To minimize your risk, make sure you seek emergency medical treatment so the wound is thoroughly cleaned. Figure 1. Thank you, {{form.email}}, for signing up. Other described mechanisms include pressure erosion ( 52 ), thermal injury caused by an electrical charge to a ring ( 52 ), blast injury ( 53 ), and traction from a horse . X-rays do not show all types of foreign bodies nor injuries to tendons or ligaments (such as sprains and strains). Do not remove a splint unless instructed by the doctor. Learn how it's diagnosed and treated, and how you can prevent this type of injury. Ring avulsion injuries. A ring avulsion is an injury to one of your fingers that happens when a ring youre wearing is suddenly pulled with a strong force. 2016 Feb;16(1):1-5. Fortunately, theyre rare. Animal bites can cause tissue damage and lead to serious infections if not treated properly. In some cases, the skin might still be partially attached as a flap near the wound. Many of these injuries result in amputation. Fractures, dislocations, tendon injuries, and some lacerations may be treated by. It is based on patient activity (how many patients are being treated and the severity of their injuries) within the last hour, and it is subject For more minor cases, you may just need a combination of compression bandages, physical therapy, and rest. A tendon can also be torn away from its bony attachment, which is called an avulsion fracture. irrigate wound and inspect for visible avulsed vessel, nerve, tendon, damaged skin edges, proximal skin avulsion (from PIPJ to base of digit), distal bone fracture or dislocation (distal to PIPJ, often at DIPJ level), diagnosis is made with careful history and physical examination, minimal soft tissue injury with absence of neurovascular injury, place amputated part, if present, in bag with saline-moistened gauze, followed by bag of ice water, disruption of venous and arterial flow (requires revascularization), complete amputation (especially proximal to PIPJ and FDS insertion) is relative contraindication to replantation, lower overall survival for avulsed digits replantation (60%) than finger replantation in general (90%), lower survival for complete (66%) vs incomplete avulsion replantation (78%), lower survival for avulsed thumb (68%) than finger (78%) replantation, surgeons more likely to attempt technically difficult avulsed thumb replantation where conditions not favorable because of importance of thumb to hand function (unlike other digits, where revision amputation would be performed instead), better sensibility with incomplete avulsion replantation (8mm) than complete (10mm), average total arc of motion (TAM) of 170-200 degrees, better TAM with incomplete avulsion replantation (199 degrees) than complete (174 degrees), replantation likely to leave poor hand function, consider revision amputation or ray amputation, thorough arterial debridement (inadequate debridement leads to failure), disadvantage is this sacrifices major artery from adjacent digit, full-thickness skin grafts or venous flaps, smoking and level of bone injury have not been found to affect survival, advances in interposition graft techniques have improved results with ring avulsion replantation, Lunate Dislocation (Perilunate dissociation), Gymnast's Wrist (Distal Radial Physeal Stress Syndrome), Scaphoid Nonunion Advanced Collapse (SNAC), Carpal Instability Nondissociative (CIND), Constrictive Ring Syndrome (Streeter's Dysplasia), Thromboangiitis Obliterans (Buerger's disease). Ring avulsions are rarely life-threatening injuries, but theres a good chance that a ring avulsion will permanently affect how you use your hand. If the bleeding was very difficult to stop and you are concerned that it will be out of control if you rinse the wound, then skip this step while you are waiting for professional help. Always see a doctor if you have neck pain following an injury. Class 3 (complete avulsion): No circulation and your finger has been pulled off. Blood is still flowing through the finger, meaning blood vessels are intact. Fingertip injuries. Mallet finger. A case report of ring avulsion injury: under-recognized for its unique implications in transfer. Your surgeon will assess your injury according to the Urbaniak classification: If your finger bones were broken, you may need to wear a cast for several weeks or longer until the bones reset. Avulsions are severe traumatic injuries in which one or more pieces of tissue are torn and detached from the body, including at least all three layers of skin. The finger is amputated, and blood supply to the artery is cut off. There may be skin damage and bleeding, but it depends on the severity of the injury. An avulsion fracture is where a small piece of bone attached to a tendon or ligament gets pulled away from the main part of the bone. (2016). Theyre also often accompanied by other serious injuries, such as broken bones, that require emergency treatment. Ring Avulsion Injuries occur secondary to a sudden pull on a finger and result in severe soft tissue injury ranging from circumferential soft tissue laceration to complete amputation. DOI: Gallagher D. (2015). But if you think there's a chance a ring avulsion injury could happen to you or your loved one, remember that a ring is never as important as the person wearing it. Athletes might reduce their risk of an avulsion fracture by taking some helpful steps, including: Your avulsion fracture can get worse if you dont follow your healthcare providers advice. DOI: Wang QC, et al. DOI: Nair AV, et al. This rates the injury based on how much blood is lost. They'll work with you to help you design your personal plan of care that gets you back to your regular activities. If you experience a ring avulsion, you need to get medical attention right awaywhether you think the injury is significant or not. Gently rinse the tissue with water if it is filthy, and place it in a sealed plastic bag. Nearly everyone will experience an. Ring avulsions are rare injuries in which soft tissue like a ligament, tendon, or muscle are torn loose in the finger when a ring is suddenly and accidentally pulled off. Last medically reviewed on January 3, 2018. DOI: Hakim S, et al. It can be a devastating injury because it involves stripping away often all of the soft tissue around the bone of your finger. Finger injuries range from minor cuts and scrapes to wounds with significant damage to bone, tendons, and ligaments. Your body creates a blood clot and callus around the fracture. How long it takes to recover form a ring avulsion depends on what caused it and how severely damaged your finger is. Your provider will use a scale called Urbaniak classification to define the severity of your ring avulsion: Ring avulsions may also be referred to as involving degloving (pulling your skin and soft tissue off your bone). You should expect a long recovery time, and you might never be able to use your finger the way you could before the injury. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Theyre only around 5% of emergency room visits for arm and hand injuries each year. Patterns and management of degloving injuries: A single national level 1 trauma center experience. Theres some evidence that wearing a silicone ring can prevent ring avulsions. Place the bag in ice water and bring it to the hospital with the patient. The lesions can fill with lymph fluid, blood, and fat. Some fractures and dislocations require surgery to repair. You will not be of any help if you are injured while trying to save someone else. Tuncali D, et al. Learn about the different types of avulsion fractures and the best ways to treat them. Eplasty. Ring avulsion can be categorized into three types, based on the circulatory status of your finger. 2017;48(1):137-141. doi:10.1016/j.injury.2016.10.026, Liu H, Liu J, Wu Y, et al. Depending on your injury, you might need to go to an appointment as often as twice a week. Severe lower extremities degloving injuries medical problems and treatment results. Talk to your surgeon or provider for a specific healing timeline. For an avulsion fracture in your pelvis or anywhere else where your healthcare provider cant apply a cast, a short period of rest followed by crutches is helpful. "Because ring avulsion injuries are so devastating (and difficult to treat) the most important thing to take away from any kind of education about them is to try and prevent them from happening in the first place," says Dr. Cavo. A ruptured Achilles tendon is not uncommon for athletes and can cause a great deal of pain. Early treatment is key to prevent infections. This protects the broken bones. The finger is amputated, and blood supply to veins is cut off. By Jonathan Cluett, MD Dont put it directly on ice. The suggested treatment method for ring avulsion depends on the severity of the injury. Jones M, et al. A blunt trauma injury can cause your spleen to rupture. A ruptured spleen can be a life threatening condition and requires immediate attention. The main concern is blood flow to and from the finger. Rings can be sentimental to the wearer and, if applicable, the giver. Degloving injuries are often life threatening. (2017). Heavy objects . J Hand Surg. Ask the doctor whether water will damage the splint. Theyll ask you questions and perform tests to help diagnose your avulsion fracture. It usually happens from punching someone in the mouth with a closed fist (called a "fight bite"). The ring finger is the weakest finger and accounts for 75 percent of jersey finger cases. Avulsions are devastating injuries, and they come with a high degree of infection risksimilar to burns. (2011). A bandaged Jimmy Fallon returned to The Tonight Show Monday after a two-week absence and detailed the gruesome hand injury that left him in intensive care for 10 . Hamzan M, Jeffrey M, Halim A, Mat Saad A. Often they involve an injury to the blood vessels, tendons, and even the bones of a finger, so pretty much every level of the finger's anatomy is injured. Total deglovement of the fourth digit due to ring avulsion injury. Plus, learn the signs for when it's time to seek medical care for a stuck ring. Blood supply has been cut off, and a bone or joint is injured. Follow-up is critical to monitor the progress of the patient's recovery. Degloving can affect any part of the body, such as the fingers, feet, or hands. The X-ray shows how the multiple small pins hold the fracture in anatomic alignment and the shortening is gone. This is usually done by injecting an anesthetic near the base of the finger, called a "digital block". The most common way you can be bitten on the hand is when trying to separate two fighting animals. Eplasty. 2023 WebMD, LLC. Traditionally, advanced ring injuries have been treated with completion amputation, but there is evidence that severe ring injuries can be salvaged. As public awareness rises, there is a growing market for silicone rings, with limited data on their ability to prevent ring avulsion injuries. By Rod Brouhard, EMT-P Traumatic choroidal injuries - classification, incidence, diagnosis and prognosis twenty-year results of Eye Injury Vitrectomy Study. Morel-Lavalle lesion: A closed degloving injury that requires real attention. Here are three real-world examples of ring avulsion injuries: Doctors diagnose ring avulsion injuries using the Kay classification system. Prognosis depends on the type and severity of the injury. Avulsions and all degloving injuries are significant emergencies that require immediate emergency medical attention. Never underestimate the potential for blood loss. This often happens when a person wearing a ring gets it caught on metal equipment, such as a garbage truck, a steel fence, or a basketball hoop. Some wounds are at higher risk of infection than others and may be treated with antibiotics. The chunk of bone that separated from the main bone gets reattached to its place. These injuries are much more extensive than lacerations (cuts), but they are less substantial than traumatic amputations (a finger or limb is completely cut from the body). Ring Avulsion Injuries. Silicone rings break or tear easier than metal rings. Jonathan Cluett, MD, is board-certified in orthopedic surgery. Your healthcare provider or providers in the emergency room will diagnose a ring avulsion with a physical exam and imaging tests. Let the Emergency Department know you are on your way. Patients typically present with a deformity, swelling, and bruising with loss of function. Not all emergency centers may have the expertise for complex skin repair. Your healthcare providers at the emergency department will discuss your injury with you. Talk to your surgeon or healthcare provider about when you can resume working or other physical activities after a ring avulsion. Finger avulsion injuries: a report of four cases. Bone cells grow out of the bone that broke off and also from the main bone. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. If you are experiencing an emergency, call 911. Wear heavy leather gloves and do not wear rings or other jewelry when operating such equipment. Thank you, {{form.email}}, for signing up. Mallet Finger (Baseball Finger) Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb. All rights reserved. If you or someone else experiences an avulsion injury, seek immediate medical attention by going to an emergency room or urgent care clinic. 1996-2023 WebMD, LLC. Sliding, as in a baseball or softball player sliding into home base. Always be aware of your surroundings, and if possible take your rings off before doing anything that might be dangerous. Follow first aid advice to manage any bleeding and help protect your finger from further damage on the way.
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