Degloving injury: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Extremity trauma DDX}} | |||
{{SSTI DDX}} | |||
==Evaluation== | ==Evaluation== | ||
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==Management== | ==Management== | ||
*Surgical consult- will need debridement/repair in OR | |||
*Antibiotics | |||
==Disposition== | ==Disposition== | ||
*Admit | |||
==See Also== | ==See Also== | ||
*[[Morel-Lavallée Lesion?]] | |||
==External Links== | ==External Links== | ||
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==References== | ==References== | ||
<ref>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. </ref> | |||
<references/> | <references/> | ||
Revision as of 05:08, 19 March 2018
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
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
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Evaluation
Management
- Surgical consult- will need debridement/repair in OR
- Antibiotics
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.