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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 ...
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 ...
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 ]
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.
The purpose of the procedure is to prevent re-growth where the matrix was cauterized. After the procedure, the nail is slightly narrower (usually one millimeter or so) and is barely noticeable a year later. The surgery is advantageous because it can be performed in the doctor's office under local anesthesia and recovery time is minimal.
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]
A broken finger or finger fracture is a common type of bone fracture, affecting a finger. [1] Symptoms may include pain, swelling, tenderness, bruising, deformity and reduced ability to move the finger. [2] Although most finger fractures are easy to treat, failing to deal with a fracture appropriately may result in long-term pain and disability ...
The Busch fracture is named after Friedrich Busch (1844–1916), who described this type of fracture in the 1860s. Busch's work was drawn on by Albert Hoffa in 1904, resulting in it sometimes being called a "Busch-Hoffa fracture". [5] The mechanism of this injury can be described as an avulsion of the tendon fixed to the distal phalanx. [6] [7] [8]