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In medicine, an avulsion is an injury in which a body structure is torn off by either trauma or surgery (from the Latin avellere, meaning "to tear off"). [1] The term most commonly refers to a surface trauma where all layers of the skin have been torn away, exposing the underlying structures (i.e., subcutaneous tissue , muscle , tendons , or ...
Patients with bone fractures beneath the Morel-lavallée lesion can benefit from an open surgery. [6] Lesions that persist despite minimally invasive techniques will also need open surgery. [6] Patients with skin that has died, necrosed, will often need the dead tissue cut out by a surgeon. [8]
If no avulsion fracture is present, the splint should be in place for six weeks. [22] An extra four to six weeks of splinting should be done during sporting activities. [16] If there is an avulsion fracture, open reduction and internal fixation may be required. This is when the bone is put back into place via surgery. [16]
Open fractures, in which the skin is broken, also increase the risk of infection and complications, especially if the wound is dirty or parts have to be removed. [1] Open fractures are usually operated on. [1] A Busch fracture is a specific type of finger fracture where the base of a distal phalanx is affected. [5]
Avulsion in general refers to a tearing away. Specifically, it can refer to: Avulsion fracture, when a fragment of bone tears away from the main mass of bone as a result of physical trauma; Avulsion injury, in which a body structure is detached from its normal point of insertion, either torn away by trauma or cut by surgery
Replantation or reattachment is defined as the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body. [1] Examples include reattachment of a partially or fully amputated finger, or reattachment of a kidney that had had an avulsion-type injury.
Fracture of the tuft of the finger. Finger injuries are usually diagnosed with x-ray and can get to be considerably painful. The majority of finger injuries can be dealt with conservative care and splints. However, if the bone presents an abnormal angularity or if it is displaced, one may need surgery and pins to hold the bones in place.
Open fracture, wound > 1 cm but < 10 cm in length [14] without extensive soft-tissue damage, flaps, avulsions IIIA: Open fracture with adequate soft tissue coverage of a fractured bone despite extensive soft tissue laceration or flaps, or high-energy trauma (gunshot and farm injuries) regardless of the size of the wound [14] [15] IIIB