Remy Lindsay F, Azurdia Jacob, Fansa Ashraf, Ebraheim Nabil A
Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, Ohio, USA.
Arch Bone Jt Surg. 2017 Jul;5(4):259-262.
Originally described in 1853 by Dr. Morel-Lavellee, closed internal degloving injuries represent an important, although uncommon, source of morbidity in trauma patients. These injuries are typically the result of a shearing or crushing force that traumatically separates the skin and subcutaneous tissue from the underlying fat. This results in disruption of perforating blood vessels and lymphatics, leading to hematoma/seroma formation. We describe two cases in which industrial crush injuries resulted in lumbar transverse process fracture. Both patients developed closed degloving injuries of the flank. To the author's knowledge, this is the first case series describing the occurrence of closed internal degloving injuries of the flank with transverse process fractures. We advise that a high level of suspicion for these lesions to occur with transverse spinal fractures should be maintained, as they may arise several years after initial injury.
闭合性内部脱套伤最初由莫雷尔 - 拉韦利医生于1853年描述，它是创伤患者发病的一个重要来源，尽管并不常见。这些损伤通常是由于剪切力或挤压力导致皮肤和皮下组织与下方脂肪发生创伤性分离所致。这会导致穿支血管和淋巴管中断，进而形成血肿/血清肿。我们描述了两例因工业挤压伤导致腰椎横突骨折的病例。两名患者均出现了侧腹的闭合性脱套伤。据作者所知，这是首例描述伴有横突骨折的侧腹闭合性内部脱套伤发生情况的病例系列。我们建议，对于这些可能与脊柱横骨折同时出现的损伤应保持高度怀疑，因为它们可能在初始损伤数年之后才出现。
