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The therapeutic challenges of degloving soft-tissue injuries.

Latifi R, El-Hennawy H, El-Menyar A, Peralta R, Asim M, Consunji R, Al-Thani H - J Emerg Trauma Shock (2014)

Bottom Line: However, their impact on patients' outcomes is frequently underestimated.They require early recognition, and early management.A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Arizona, Tucson, Arizona, USA ; Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.

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.

No MeSH data available.


Related in: MedlinePlus

A patient with severe degloving injury at the presentation after he had been run by a tire of industrial truck (a) 24 hours later
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Figure 4: A patient with severe degloving injury at the presentation after he had been run by a tire of industrial truck (a) 24 hours later

Mentions: Although, degloving soft-tissue injuries can be present in any part of the body, the lower limb degloving injuries are the most common ones [Figure 1] and if not managed optimally, are associated with high rates of morbidity and potentially mortality [Figure 4].[11] Scalp,[12] upper limb,[3] heel,[13] degloving injuries may cause significant blood loss and hemodynamic instability. In particular, one should keep this in mind with scalp injuries that degloving injuries involving the external genitalia,[14] though uncommon, can be life threatening, with incapacitating and psychologically devastating consequences. Degloving injuries, in children in particular, foot degloving injuries - can be serious and may require advanced complex surgical techniques, if functionality is to be restored.[1516]


The therapeutic challenges of degloving soft-tissue injuries.

Latifi R, El-Hennawy H, El-Menyar A, Peralta R, Asim M, Consunji R, Al-Thani H - J Emerg Trauma Shock (2014)

A patient with severe degloving injury at the presentation after he had been run by a tire of industrial truck (a) 24 hours later
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126125&req=5

Figure 4: A patient with severe degloving injury at the presentation after he had been run by a tire of industrial truck (a) 24 hours later
Mentions: Although, degloving soft-tissue injuries can be present in any part of the body, the lower limb degloving injuries are the most common ones [Figure 1] and if not managed optimally, are associated with high rates of morbidity and potentially mortality [Figure 4].[11] Scalp,[12] upper limb,[3] heel,[13] degloving injuries may cause significant blood loss and hemodynamic instability. In particular, one should keep this in mind with scalp injuries that degloving injuries involving the external genitalia,[14] though uncommon, can be life threatening, with incapacitating and psychologically devastating consequences. Degloving injuries, in children in particular, foot degloving injuries - can be serious and may require advanced complex surgical techniques, if functionality is to be restored.[1516]

Bottom Line: However, their impact on patients' outcomes is frequently underestimated.They require early recognition, and early management.A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, University of Arizona, Tucson, Arizona, USA ; Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.

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.

No MeSH data available.


Related in: MedlinePlus