Difference between revisions of "Degloving injury"
| Line 4: | Line 4: | ||
*Often related to other severe injuries, including neurovascular damage, so the degloved tissue is often nonviable | *Often related to other severe injuries, including neurovascular damage, so the degloved tissue is often nonviable | ||
*Important to recognize quickly, as they are often associated with high morbidity/mortality | *Important to recognize quickly, as they are often associated with high morbidity/mortality | ||
| + | **Delayed diagnosis can lead to full-thickness necrosis, or even [[necrotizing fasciitis]] | ||
==Clinical Features== | ==Clinical Features== | ||
| Line 13: | Line 14: | ||
==Evaluation== | ==Evaluation== | ||
| − | * | + | *Clinical diagnosis, but important to assess for concomitant injuries |
*Assess distal neurovascular function | *Assess distal neurovascular function | ||
==Management== | ==Management== | ||
| − | *Surgical consult- will need debridement/repair in OR | + | *Surgical consult- will need debridement/repair and eventual skin grafting in OR |
*Antibiotics | *Antibiotics | ||
| + | **[[Cefazolin]] | ||
| + | *Resuscitation with IVF/blood products | ||
==Disposition== | ==Disposition== | ||
Revision as of 05:17, 19 March 2018
Contents
Background
- Severe avulsion injury resulting in skin and subcutaneous fat separating from the underlying tissues
- Can present on any part of the body, but most commonly affects lower extremities
- Often related to other severe injuries, including neurovascular damage, so the degloved tissue is often nonviable
- Important to recognize quickly, as they are often associated with high morbidity/mortality
- Delayed diagnosis can lead to full-thickness necrosis, or even necrotizing fasciitis
Clinical Features
Differential Diagnosis
Extremity trauma
- Compartment syndrome
- Contusion
- Crush syndrome
- Degloving injury
- Fracture
- Laceration
- Myositis ossificans
- Open joint injury
- Peripheral nerve injury
- Rhabdomyolysis
- Tendon injury
- Vascular injury
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
Evaluation
- Clinical diagnosis, but important to assess for concomitant injuries
- Assess distal neurovascular function
Management
- Surgical consult- will need debridement/repair and eventual skin grafting in OR
- Antibiotics
- Resuscitation with IVF/blood products
Disposition
- Admit
See Also
External Links
References
- ↑ Latifi R, El-Hennawy H, El-Menyar A, et al. The therapeutic challenges of degloving soft-tissue injuries. Journal of Emergencies, Trauma, and Shock. 2014;7(3):228-232. doi:10.4103/0974-2700.136870.