Degloving soft tissue injury

Changed by Henry Knipe, 29 Nov 2016

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Degloving soft tissue injuries can be extensive and quite serious conditions. These may be open or, less commonly a, closed injuries, ~~which~~these are known as Morel-Lavallee lesions. This article focuses on open injuries with closed injuries discussed in the Morel-Lavallee lesion article.

Terminology

"Degloving" itself is a non-specific term but typically refers to open degloving injuries of the skin and soft tissues. Degloving injuries can also rarely involve bowel or be intramuscular.

Epidemiology

Degloving soft tissue injuries are seen in ~5% of trauma admissions in one series ¹, with young males most commonly injured ^1,2.

Pathology

Degloving soft tissue injuries involved the separation of skin and subcutaneous tissue from the underlying fascia, muscle and/or bone ^1,2-3. They are a result of a shearing injury, commonly from being run over by rubber tires in motor vehicle collisions ².

Location

These injuries can occur anywhere but are commonly of the ^1,3:

lower limbs
trunk
face/scalp

perineum/genitalia

Complications

necrosis of the affected skin flap
infection
- necrotising fasciitis¹

-<p>Degloving soft tissue injuries can be extensive and quite serious conditions. These may be open or less commonly a closed injuries, which are known as Morel-Lavallee lesions. This article focuses on open injuries with closed injuries discussed in the <a href="/articles/morel-lavallee-lesion-1">Morel-Lavallee lesion</a> article. </p><p>Terminology</p><p>"Degloving" itself is a non-specific term but typically refers to open degloving injuries of the skin and soft tissues. Degloving injuries can also rarely involve bowel or be intramuscular. </p><p>Epidemiology</p><p>Degloving soft tissue injuries are seen in ~5% of trauma admissions in one series <sup>1</sup>. </p><p>Pathology</p><p>Degloving soft tissue injuries involved the separation of skin and subcutaneous tissue from the underlying fascia, muscle and bone <sup>1,2</sup>. </p><p>Location</p><p>These injuries can occur anywhere but are commonly of the <sup>1</sup>:</p><ul>
+<p><strong>Degloving soft tissue injuries</strong> can be extensive and quite serious conditions. These may be open or, less commonly, closed injuries, these are known as Morel-Lavallee lesions. This article focuses on open injuries with closed injuries discussed in the <a href="/articles/morel-lavallee-lesion-1">Morel-Lavallee lesion</a> article. </p><h4>Terminology</h4><p>"Degloving" itself is a non-specific term but typically refers to open degloving injuries of the skin and soft tissues. Degloving injuries can also rarely involve bowel or be intramuscular. </p><h4>Epidemiology</h4><p>Degloving soft tissue injuries are seen in ~5% of trauma admissions in one series <sup>1</sup>, with young males most commonly injured <sup>1,2</sup>. </p><h4>Pathology</h4><p>Degloving soft tissue injuries involved the separation of skin and subcutaneous tissue from the underlying fascia, muscle and/or bone <sup>1-3</sup>. They are a result of a shearing injury, commonly from being run over by rubber tires in motor vehicle collisions <sup>2</sup>. </p><h5>Location</h5><p>These injuries can occur anywhere but are commonly of the <sup>1,3</sup>:</p><ul>
~~-</ul><p>Complications</p><ul>~~
+<li>perineum/genitalia</li>
+</ul><h4>Complications</h4><ul>
~~-<li>infection<ul><li><a title="Necrotising fasciitis" href="/articles/necrotising-fasciitis">necrotising fasciitis</a></li></ul>~~
+<li>infection<ul><li>
+<a href="/articles/necrotising-fasciitis">necrotising fasciitis</a> <sup>1</sup>
+</li></ul>
~~-</ul>~~
+</ul><h4>See also</h4><ul><li><a title="Degloving injury (disambiguation)" href="/articles/degloving-injury">degloving injury (disambiguation)</a></li></ul>

References changed:

1. Hakim S, Ahmed K, El-Menyar A, Jabbour G, Peralta R, Nabir S, Mekkodathil A, Abdelrahman H, Al-Hassani A, Al-Thani H. Patterns and management of degloving injuries: a single national level 1 trauma center experience. World journal of emergency surgery : WJES. 11: 35. <a href="https://doi.org/10.1186/s13017-016-0093-2">doi:10.1186/s13017-016-0093-2</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/27468300">Pubmed</a> <span class="ref_v4"></span>
2. Yan H, Gao W, Li Z, Wang C, Liu S, Zhang F, Fan C. The management of degloving injury of lower extremities: technical refinement and classification. The journal of trauma and acute care surgery. 74 (2): 604-10. <a href="https://doi.org/10.1097/TA.0b013e31827d5e00">doi:10.1097/TA.0b013e31827d5e00</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/23354258">Pubmed</a> <span class="ref_v4"></span>
3. Latifi R, El-Hennawy H, El-Menyar A, Peralta R, Asim M, Consunji R, Al-Thani H. The therapeutic challenges of degloving soft-tissue injuries. Journal of emergencies, trauma, and shock. 7 (3): 228-32. <a href="https://doi.org/10.4103/0974-2700.136870">doi:10.4103/0974-2700.136870</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25114435">Pubmed</a> <span class="ref_v4"></span>

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