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http://dx.doi.org/10.1016/j.jen.2023.07.004DOI Listing

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Purpose: Crush injuries result from the physical compression of muscles and may lead to crush syndrome. Early fluid resuscitation and surgical intervention is key. Few studies have reported the outcomes of crush injuries in the non-disaster setting.

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Morel-Lavallée lesion, also called closed degloving injury, is a rare clinical entity in routine pediatric surgical practice. We present a case of an 11-year-old girl presenting with a left hip lesion, treated with compression bandage, and the clinical outcome was favorable.

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Background: Degloving soft-tissue injuries are underreported in Sudan and are potentially devastating. They require early recognition and diagnosis with early and systemic management to reduce the complications that may arise, and to minimize delay for proper intervention by a multidisciplinary team that is usually needed to ensure the effective rehabilitation of these patients and a better outcome.

Objective: To assess the degloving soft tissue injuries of the upper limb and their management in Khartoum.

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Morel-Lavallee Lesion (MLL) is a rare diagnosis of a closed internal degloving injury that can occur with high energy trauma. The pain, soft tissue swelling, and ecchymosis that patients describe mimic many other emergent diagnoses to include compartment syndrome and fractures. The following case highlights the importance of the role of Emergency Medicine physicians using point-of-care ultrasound (POCUS) to recognize and treat a potentially life-threatening injury.

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Article Synopsis
  • This study focused on the epidemiology and management of degloving soft tissue injuries (DSTIs) at a tertiary care center in northern India, with a follow-up on postoperative outcomes and disabilities.
  • A total of 75 patients were examined, predominantly young males with injuries mostly resulting from traffic accidents; treatments included multiple surgical procedures and rehabilitation efforts.
  • The findings revealed significant postoperative complications, varying lengths of hospital stays, and varying degrees of disability, with most patients returning to work, although some faced lasting impacts from their injuries.
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