A degloving injury is a type of avulsion in which an extensive section of skin is completely torn off the underlying tissue, severing its blood supply. It is named by analogy to the process of removing a glove.
Contents
1Effects
2Other animals
3References
4External links
Effects
A Morel-Lavallee lesion is a closed traumatic soft-tissue degloving injury, caused by separation of the hypodermis from the underlying fascia.[1] It most frequently occurs in the peritrochanteric region along the proximal lateral thigh,[1] such as in this CT scan.
Typically, degloving injuries affect the extremities and limbs; in these cases, they are frequently associated with underlying fractures. [2] Any injury which would induce degloving of the head or torso is likely to be lethal. However, controlled facial degloving is often featured in plastic surgery.
Degloving injuries invariably require major surgical interventions. Treatment options include replantation or revascularization of the degloved skins, or when these are not possible, skin grafts or skin flaps. While the preservation of the extremities and limbs is normally preferred, in some cases amputations may be advised or required. Post-operative physiotherapy is of particular importance for degloving injuries involving the hand.[3]
Other animals
Many small mammals are able to induce degloving of their tails to escape capture;[4] this is comparable to tail autotomy in reptiles.
References
^ abScolaro, John A.; Chao, Tom; Zamorano, David P. (2016). "The Morel-Lavallée Lesion". Journal of the American Academy of Orthopaedic Surgeons. 24 (10): 667–672. doi:10.5435/JAAOS-D-15-00181. ISSN 1067-151X. PMID 27579812.
^Lekuya, HM; Galukande, M (January 2018). "Degloving injuries with versus without underlying fracture in a sub-Saharan African tertiary hospital: a prospective observational study". Journal of Orthopaedic Surgery and Research. 13 (2): 2. doi:10.1186/s13018-017-0706-9. PMC 5756448. PMID 29304820.
^Krishnamoorthy, R; Karthikeyan, G (May–August 2011). "Degloving injuries of the hand". Indian Journal of Plastic Surgery. 44 (2): 227–236. doi:10.4103/0970-0358.85344. PMC 3193635. PMID 22022033.
^"Guide to treatment of degloving injuries in pet rats". Ratguide.com. Retrieved 2018-03-02.
External links
Report on degloving injuries in children
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…completely, resulting in large areas of soft tissue loss that must then be skin grafted Once a degloving injury has been identified, systemic antibiotics should be administered to cover skin flora (eg, cefazolin) …
… underlying fascia without a break in the skin constitutes a closed degloving injury (Morel-Lavallee, post-traumatic seroma) . Closed degloving occurs most frequently overlying the hip and in the proximal thigh …
…for urethral injury . Degloving – Blunt injury can result in partial, circumferential, or complete penile skin loss (ie, degloving). Scrotal degloving can also occur. Straddle injury – Straddle injuries …
…venous injuries can be treated with ligation, but the major deep veins should be repaired to prevent extremity edema distal to the injured site. Veins should also be reconstructed in degloving injuries to …
English Journal
Specific small bowel injuries due to prolapse through vaginal introitus after transvaginal instrumental gravid uterus perforation: a review.
Augustin G, Mijatovic D, Zupancic B, Soldo D, Kordic M.
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 2019 Jul;39(5)587-593.
A small bowel prolapse through the vaginal introitus after a transvaginal instrumental gravid uterus perforation is a surgical emergency. To define the mechanisms of an irreversible, small bowel ischaemia due to small bowel prolapse through a vaginal introitus, ClinicalTrials.gov, PubMed, PubMed Cen
Revision surgery with dermal regeneration template and vacuum sealing drainage for reconstruction of complex wounds following necrosis of reattached avulsed skins in a degloving injury: A case report.
Lv Z, Yu L, Fu L, Wang Q, Jia R, Ding W, Shen Y.
Medicine. 2019 Jun;98(23)e15864.
Degloving injury of the upper limb often extends to underlying tendons and bone, which is at high risk of treatment failure if only simple reattachment of defatted avulsed skins was performed. Pelnac dermal regeneration template could be used as a treatment choice for necrosis of the reattached avul
Degloving, also called avulsion, is a type of severe injury that happens when the top layers of your skin and tissue are ripped from the underlying muscle, connective tissue, or bone. It can affect any body part, but it’s more common in ...
Looking for online definition of degloving injury in the Medical Dictionary? degloving injury explanation free. What is degloving injury? Meaning of degloving injury medical term. What does degloving injury mean? Degloving injury ? ...
INTRODUCTION The avulsion of skin from the underlying structures is usually a result of trauma. Besides the possibility of injury to other structures, there may be a problem with viability of the skin involved. A degloving ...