Morel-Lavallée Lesion Following a Low-speed Injury: A Case Report

Management and Novel Treatment of Degloving Soft Tissue Injuries: A Case Report

Degloving soft tissue injuries (DSTIs) are injuries usually due to trauma sustained parallel to the body, shearing off skin and soft tissue from the underlying muscle and bone. Most commonly due to workplace and traffic accidents, DSTIs can occur due to a variety of traumas, resulting in a wide spectrum of clinical presentations. Treatment is often prolonged and complex, which requires the intervention of a multidisciplinary healthcare team to provide the most optimal outcomes. In this case, we report an 89-year-old male presenting with a lower left leg degloving injury due to a single motor vehicle accident (MVA). Initial surgery and observation were performed to determine the vascular structure, and subsequent debridement was performed to assess the viability of the tissue. Aggressive weekly debridement with stem cell injections and membrane wraps were used to stimulate healing in the patient. Once completed, a skin flap was grafted, which led to the patient completing his healthcare plan within six months. This case serves as an example of an effective healthcare team providing unified care to their patients to increase their mobility and quality of life.

Acute Cycling Injuries

The overall activity of cycling, although profoundly heterogenous, often occurs with mechanisms consistent with motor vehicle collisions. Advanced trauma life support is the standard of care. Traumatic brain injury is the leading cause of death, and concussions are common in cyclists. Road rash is the most common injury, and management should be synonymous with other kinds of burns. A unique aspect of cycling medicine is that it often is done on public roadways in close proximity to the athletes during competition. Clinicians who care for cyclists in the field setting should be prepared to manage a broad spectrum of traumatic injuries.