Tuesday, 29 August 2017

Jimmy Fallon Ring Avulsion injuries (VIDEO)

last week top light night talk show host jimmy fallon return to the tonight show

after a potentially catastrophic finger injury kept him hospitalized for nearly two weeks upon his return Fallon told his audience that he had tripped on a rug in his kitchen and called his ring on the countertop sustaining what is known as a ring of ol shin injury Fallon story is unusual as I can't think of anything on a counter that could

cause this this was no minor incident found underwent an emergency six-hour surgery in New York in an effort to save his finger ring avulsion injuries are rare and usually catastrophic as the name implies it typically involves the ring finger and a wedding ring most commonly this injury happens when a person falls while reaching for

something on an overhead shelf catching the ring on the shelf and essentially pulling the finger off as the finger stays with the ring other cases have involved the use of power tools when a person gets the ring call on the tool itself there are three types of ring avulsion injuries classified one two and three type 1 is the is the more minor minor injury where the blood vessels are

adequate in the circulation is is normal standard treatment involves treating the soft tissue or bone injury that second type is when the blood vessels have been injured and these have to be repaired to preserve the finger allowing repair of the other injured areas finally the type 3 is the worst this involves a horrific degloving or the ring pulls off the whole soft tissue envelope of the digit or even amputates

through the tip of the finger revascularisation preserves the digit but there is usually very limited function after this this is actually a type to injury that's likely what Fallon had where the you can see the tip of the digit is still there it's just opened up the soft tissue there's a lack of blood vessels here and circulation to the tip but the bone and the tendons are intact because this injury is not a clean-cut injury

the microscopic blood vessels are usually stretched or torn and cannot be repaired without removing the damaged vessel and bridging the gap this is done with either an artery from adjacent finger present felons case his foot this is actually a microscopic view through the microscope that we are looking at when we repair these blood vessels this is a digital artery in the

finger it measures one millimeter in diameter the arrow is the yellow arrow is a very tip of the lacerated or injured digital artery the repair is with a very fine suture thinner than a human hair Fallon was kept in the ICU post-surgery not because he was sick like the other patients but so that the finger could be closely monitored for circulation

this was merely a safety precaution sort of this so if the circulation stopped he could be taken back to surgery quickly after 10 days in the ICU the circulation is usually well established and he was discharged the key to felons injury and his prognosis is what else was injured during the incident the media has reported that it will be an eight-week recovery a very speedy time frame for this type of injury for this to be accurate

there would have to be no fracture tendon injuries and Jimmy would have to begin rehab right away if in fact there was a tendon injury or fracture he could well be looking at a recovery that may last as much as a year with a blood vessel injury there is frequently a nerve injury and loss of feeling to the digit in some severe cases the finger may need to be amputated later if complications develop we wish Jimmy well as he goes through what is likely to be

a very tough recovery yeah

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