Citation, DOI, disclosures and article data
Citation:
Knipe H, Hartung M, Bell D, Degloving soft tissue injury. Reference article, Radiopaedia.org (Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-49677
Disclosures:
At the time the article was last revised Michael P Hartung had the following disclosures:
- Otsuka Pharmaceutical, Consultant (ongoing)
- Innovenn, Inc, Consultant (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Michael P Hartung's current disclosures
Degloving soft tissue injuries can be extensive and quite severe conditions. These may be open or, less commonly, closed injuries, which are known as Morel-Lavallée lesions. This article focuses on open injuries, with closed injuries discussed in the Morel-Lavallée article.
"Degloving" itself is a non-specific term but typically refers to open degloving injuries of the skin and soft tissues. Degloving injuries can also rarely involve bowel or be intramuscular.
Degloving soft tissue injuries are seen in ~5% of trauma admissions in one series 1, with young males most commonly injured 1,2.
Degloving soft tissue injuries involved the separation of skin and subcutaneous tissue from the underlying fascia, muscle and/or bone 1-3. They are a result of a shearing injury, commonly from being run over by rubber tires in motor vehicle collisions 2.
Location
These injuries can occur anywhere but are commonly of the 1,3:
- lower limbs
- trunk
- face/scalp
- perineum/genitalia
- necrosis of the affected skin flap
- infection
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1. Hakim S, Ahmed K, El-Menyar A, Jabbour G, Peralta R, Nabir S, Mekkodathil A, Abdelrahman H, Al-Hassani A, Al-Thani H. Patterns and management of degloving injuries: a single national level 1 trauma center experience. World journal of emergency surgery : WJES. 11: 35. doi:10.1186/s13017-016-0093-2 - Pubmed
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2. Yan H, Gao W, Li Z, Wang C, Liu S, Zhang F, Fan C. The management of degloving injury of lower extremities: technical refinement and classification. The journal of trauma and acute care surgery. 74 (2): 604-10. doi:10.1097/TA.0b013e31827d5e00 - Pubmed
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3. Latifi R, El-Hennawy H, El-Menyar A, Peralta R, Asim M, Consunji R, Al-Thani H. The therapeutic challenges of degloving soft-tissue injuries. Journal of emergencies, trauma, and shock. 7 (3): 228-32. doi:10.4103/0974-2700.136870 - Pubmed
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