The therapeutic challenges of degloving soft-tissue injuries

Abstract

Background:Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients’ outcomes is frequently underestimated.Objectives: We aimed to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries.Materials and Methods:We conducted a narrative traditional review using the key words; degloving injury and soft-tissue injuries through search engines PubMed, Science Direct, and Scopus.Results:There are several therapeutic options for treating degloving soft-tissue injuries; however, no evidence-based guidelines have been published on how to manage degloving soft-tissue injuries, although numerous articles outline the management of such injuries.Conclusion:Degloving soft-tissue injuries are underreported and potentially devastating. They require early recognition, and early management. A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

Effects of heparin and hyperbaric oxygenation on necrosis reduction in an animal model for degloving injuries

“…In addition, it is very difficult to precisely define which areas are devascularized and which are viable. Hence, optimal treatment is hardly achieved 4,27 .…”

The importance of morel-lavallee lesion in medicolegal evaluation: a case report

“…MLL is often the result of traffic accidents, but it can also be seen in people who play sports with close contact, such as football or wrestling [1,2,3,7]. MLL diagnosis is often delayed because clinical findings are variable and subcutaneous tissue injury are masked by skin findings [4,7,8]. It can occur in hours or days or even months or even years after the trauma [1,2,3,6].…”

“…Clinical findings such as swelling, ecchymosis, tension, pain, hypoesthesia in the lesion area and skin deformity can be detected in these cases [2,4]. Diagnosis is based on USG, CT and MR imaging methods besides physical examination findings [2,3,6,7]. Treatment of acute or chronic lesions may vary [1][2][3][4]6,8,9].…”

“…MLL is also referred to as "closed internal degloving injury", "Posttraumatic soft tissue cyst", "Morel-Lavallee extravasation or effusion" and "Chronic expanding hematoma". MLL is often the result of traffic accidents, but it can also be seen in people who play sports with close contact, such as football or wrestling [1,2,3,7]. MLL diagnosis is often delayed because clinical findings are variable and subcutaneous tissue injury are masked by skin findings [4,7,8].…”

“…The blunt trauma or tangential force to the fascia results in tearing of the trans-aponeurotic vessels by the separation of the immobile fascia under the mobile subcutaneous tissue. Thus, a cavity comes into being due to the accumulation of hematomas and lymphocele, including necrotic and damaged skin tissues [1][2][3][4][5][6][7][8][9]. MLL is also referred to as "closed internal degloving injury", "Posttraumatic soft tissue cyst", "Morel-Lavallee extravasation or effusion" and "Chronic expanding hematoma".…”