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The severity of avulsion ranges from skin flaps (minor) to degloving (moderate) and amputation of a finger or limb (severe). Suprafascial avulsions are those in which the depth of the removed skin reaches the subcutaneous tissue layer, while subfascial avulsions extend deeper than the subcutaneous layer. [2]
Skin grafting and flap procedures use the patient’s own healthy soft tissues to heal a wound. Debridement describes the process of surgically removing unhealthy tissue from an area. After an injury, portions of the soft tissue may be able to survive while other parts may be dead.
An avulsion fracture is a bone fracture which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma. This can occur at the ligament by the application of forces external to the body (such as a fall or pull) or at the tendon by a muscular contraction that is stronger than the forces holding the bone ...
Tears of the volar plate may lead to an avulsion fracture – when a piece of bone is pulled off with the ligament. [13] This is due to the thickness and strength of the ligament. [14] To rule out an avulsion fracture, x-rays are frequently utilized in evaluation of suspected volar plate tears. [12] Volar plate avulsions are most evident on ...
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]
A more traumatic abrasion that removes all layers of skin is called an avulsion. Abrasion injuries most commonly occur when exposed skin comes into moving contact with a rough surface, causing a grinding or rubbing away of the upper layers of the epidermis.
In terms of anatomy location, fractures of finger phalanges are the most common one at the rate of 14 per 100,000 people per year in the general population, followed by fracture of tibia at 3.4 per 100,000 population per year, and distal radius fracture at 2.4 per 100,000 population per year. [5]
An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. [ 2 ] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis ...