Though avulsion amputation of the thumb is a devastating hand injury,
microsurgical techniques allow for immediate reconstruction and early
restoration of function. The majority of these injuries occur in the w
orkplace. An uncommon cause of thumb avulsion amputation is team ropin
g. Recently, several individuals with such injuries presented and unde
rwent successful replantation. Early perioperative venous thrombosis i
n one case led to secondary reconstruction with a delayed skin flap. N
onetheless, all patients have returned to full activity including team
roping.