A patient presents with an injury where a large area of skin has been completely torn away from the underlying tissue, exposing muscle and bone. What type of wound is this most likely to be?
A degloving injury is a severe form of soft-tissue avulsion produced by shearing forces. The skin and subcutaneous tissue are peeled off the underlying fascia, frequently leaving deeper structures such as muscle, tendon, or bone exposed. Degloving can be open (skin visibly torn back) or closed (internal separation, e.g., a Morel-Lavallée lesion). Although all degloving injuries are avulsions, the broader term avulsion also includes smaller skin flaps or the complete tearing away of digits or other structures. Lacerations, abrasions, and puncture wounds do not involve circumferential or extensive separation of skin from deeper tissues.
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What is the main difference between a degloving injury and other avulsion injuries?
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What is a Morel-Lavallée lesion, and how does it relate to degloving injuries?
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How are degloving injuries typically treated in an emergency setting?
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BCEN CEN
Musculoskeletal and Wound Emergencies
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