View source for Degloving injury

==Background==
*Severe avulsion injury resulting in skin and subcutaneous fat separating from the underlying tissues <ref>Latifi R, El-Hennawy H, El-Menyar A, et al. The therapeutic challenges of degloving soft-tissue injuries. Journal of Emergencies, Trauma, and Shock. 2014;7(3):228-232. doi:10.4103/0974-2700.136870. </ref>
*Can present on any part of the body, but most commonly affects lower extremities
*Important to recognize quickly, as they are often associated with high morbidity/mortality
**Delayed diagnosis can lead to full-thickness necrosis, or even [[necrotizing fasciitis]]

==Clinical Features==
*Soft tissue loss of varying degrees
**Limited loss with abrasion/avulsion
**Non-circumferential
**Circumferential in single plane
**Circumferential multiplane
*Often related to other severe injuries, including neurovascular damage
**Avulsed tissue is often nonviable

==Differential Diagnosis==
{{Extremity trauma DDX}}
{{SSTI DDX}}

==Evaluation==
*Clinical diagnosis, but important to assess for concomitant injuries<ref>Latifi R, El-Hennawy H, El-Menyar A, et al. The therapeutic challenges of degloving soft-tissue injuries. Journal of Emergencies, Trauma, and Shock. 2014;7(3):228-232. doi:10.4103/0974-2700.136870. </ref>
*Assess distal neurovascular function

==Management==
*Surgical consult- will need debridement/repair and eventual skin grafting in OR
*Antibiotics
**[[Cefazolin]]
*Resuscitation with IVF/blood products

==Disposition==
*Admit

==See Also==
*[[Morel-Lavallée Lesion]]

==External Links==


==References==
<references/>

[[Category:Trauma]]