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A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function. [1]
Swelling of the Median nerve tissue leads to nerve entrapment ultimately resulting in restriction of movement, other symptoms include; pain, numbness and weakness. [1] DeQuervain's Tenosynovitis is a form of tendinitis of the muscles that move the thumb. [2] A neck injury associated with high impact vehicle crashes
Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, creating a deep but relatively narrow entry wound.In contrast, a blunt or non-penetrating trauma may have some deep damage, but the overlying skin is not necessarily broken and the wound is still closed to the outside environment.
The exact duration of time from initial injury in which delayed primary closure is preferred over primary closure is not clearly defined. [34] Wounds that cannot be closed primarily due to substantial tissue loss can be healed by secondary intention, a process in which the wound is allowed to fill-in over time through natural physiologic processes.
Fr. C 0 - No or minor soft-tissue injury from a simple fracture due to indirect trauma I Fr. O 1 - Skin lacerated by bone fragment. No or minimal contusion to the skin Fr. C 1 - Superficial contusion or abrasion to the skin II Fr. O 2 - Skin laceration with circumferential skin or soft-tissue contusion and moderate contamination
It can develop after traumatic injuries, like car accidents, gunshot wounds, fractures, or intense sports [26] [27]. Examples include a severe crush injury or an open or closed fracture of an extremity [27]. Rarely, ACS can develop after a minor injury or another medical issue. [28] It can also affect the thigh, buttock, hand, abdomen, and foot.
In open injuries, the skin is torn back so that the underlying structures are visible. Such an injury could thus resemble the process of removing a glove from a hand. The treatment of a degloving injury requires assessment of the damage to the soft tissue and associated blood vessels. [1] Any soft tissue that is dead must be removed.
Gunshot wounds can thus cause severe bleeding, fractures, nerve deficits, and soft tissue damage. The Mangled Extremity Severity Score (MESS) is used to classify the severity of injury and evaluates for severity of skeletal and/or soft tissue injury, limb ischemia, shock, and age. [39]