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Background
- Severe avulsion injury resulting in skin and subcutaneous fat separating from the underlying tissues [1]
- Can present on any part of the body, but most commonly affects lower extremities
- Important to recognize quickly, as they are often associated with high morbidity/mortality
Clinical Features
- Soft tissue loss of varying degrees
- Limited loss with abrasion/avulsion
- Non-circumferential
- Circumferential in single plane
- Circumferential multiplane
- Often related to other severe injuries, including neurovascular damage
- Avulsed tissue is often nonviable
Differential Diagnosis
Look-A-Likes
Evaluation
- Clinical diagnosis, but important to assess for concomitant injuries[2]
- Assess distal neurovascular function
Management
- Surgical consult- will need debridement/repair and eventual skin grafting in OR
- Antibiotics
- Resuscitation with IVF/blood products
Disposition
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.
- ↑ 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.
