Badara Gueye Alioune, Athos Lubenga, Moustapha Niane Mouhamadou, Ababacar Faye Khalifa, Yacine Sock, Alain Kinkpe Charles Valerie
Department of Orthopedics Traumatology, Order Malta Hospital Center, CH Order Malte Dakar, Senegal BP 23000 CD annexe Fann.
J Orthop Case Rep. 2025 May;15(5):177-179. doi: 10.13107/jocr.2025.v15.i05.5602.
The wearing of finger rings is cultural and widespread in Senegal, which explains why injuries caused by them can affect any finger. Although burn injuries are less common, they can still cause finger disability. Their management is challenging for any surgeon as the functional prognosis is at stake.
A 25-year-old female patient was referred from a health center for a deep electrical burn of the middle finger of the left hand 21 days after the injury. Clinically, she had a dark circumferential necrotic plaque at the base of the left middle finger with a swollen extremity. The exposure of the flexor tendon prompted the indication for a flap using the cross-finger technique. In the post-operative period, the flap had settled well after flap division 3 weeks later. Sensitivity was normal. The finger extension was complete.
The cross-finger technique on an exposed tendon after a circumferential electrical burn injury can be a salvage solution given that these types of burns often result.
佩戴指环在塞内加尔是一种文化现象且很普遍，这就解释了为什么由指环导致的损伤会累及任何一根手指。尽管烧伤相对少见，但仍可能导致手指残疾。由于功能预后至关重要，这类损伤的处理对任何外科医生来说都具有挑战性。
一名25岁女性患者在受伤21天后从一家健康中心转诊而来，其左手中指遭受深度电击伤。临床上，她左手中指根部有一个深色环形坏死斑块，手指末端肿胀。屈肌腱外露促使采用交指技术进行皮瓣移植。术后3周皮瓣断蒂后情况良好。感觉正常。手指伸展完全。
鉴于这类环形电击伤常常会导致肌腱外露，交指技术可作为一种挽救方案。
