Empty toe: a unique type of closed degloving injury with dismal outcome

Tang, Chen-Ling; Lee, Su-Shin; Lin, Tsung-Ying; Lin, Yen-Ko; Yeh, Yung‐Sung; Lin, Hsing-Lin; Lee, Wei-Che; Chen, Chao-Wen

doi:10.1016/j.ajem.2012.03.031

Cited by 7 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fifty-eight of the remaining articles were about open degloving injuries or very severe injuries involving multiple tissue layers, and 13 were reviews describing general management strategies. In all, there were 10 case reports/case series with 11 patients who had an isolated foot injury causing a degloving [5][6][7][8][9][10][11][12][13][14][15]. All of these described the empty toe phenomenon, which is a form of closed degloving foot injury where the toe is translocated.…”

Section: Discussionmentioning

confidence: 99%

Closed Degloving Injury of the Foot Caused by a High Impact Force: A Case Report

Sinha,

Chauhan,

Wani

2024

Cureus

View full text Add to dashboard Cite

An 18-year-old male subject was referred to our MRI scanning center, by an orthopedic surgeon, for a swelling over the plantar region of the foot. He had been in a motor vehicle accident a few weeks back, with no evidence of fracture at the time of injury. In subsequent weeks, he developed a swelling over his foot. MRI showed the presence of a fluid intensity lesion in the subdermal and dermal layers of his foot. Unguarded motor vehicle accidents often tend to cause severe injuries. Sometimes, they even need operative management since a motor vehicle collision is a high-impact accident. One of the pathologies caused by a high impact force is the Morel-Lavallée lesion or a closed type of degloving injury. A Morel-Lavallee lesion also needs operative intervention if major vascular channels are involved in the degloving. However, if the major vessels supplying the region of degloving are intact, open surgery may not be needed. In such cases, incision and drainage along with serial wound dressing may be attempted. The primary risk in closed degloving is recurrent or subsequent tissue necrosis. Close and watchful monitoring is needed to anticipate and prevent these. Closed degloving injuries or Morel-Lavallée lesions have been commonly described in the thigh and pelvis region. Here, we describe a case that developed in the dermal and fascial layers of the foot and was managed conservatively. The epidermal layer showed regeneration, and the patient did not need subsequent amputation.

show abstract

Section: Discussionmentioning

confidence: 99%

Closed Degloving Injury of the Foot Caused by a High Impact Force: A Case Report

Sinha,

Chauhan,

Wani

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Our goal was to present a case report of the rare injury and also to examine some of the prior case reports to look for trends and predictors or management strategies that may lead to more favorable outcomes. [6][7][8][9] One of the more obvious trends with this injury is the propensity for involvement of the fifth toe primarily. Although fingers may be more prone to open-type degloving injuries given adornment with rings or jewelry, toes tend to be more vulnerable to this closed-degloving injury, which is capable of causing osseous translocation.…”

Section: Discussionmentioning

confidence: 99%

Understanding the “Empty Toe” Phenomenon: A Rare Case Report

DiMassa¹,

Monson²,

Cravey³

2021

Journal of the American Podiatric Medical Association

View full text Add to dashboard Cite

show abstract

“…The capillary refill was sluggish and the toe was amputated. Moreover, Tang CL, et al reported a case of a 20-year-old scooter passenger with dismal outcome, since the fifth toe was eventually amputated [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of closed degloving injury of the fifth toe

Kateros

Kyriakopoulos

Vlachou

et al. 2020

Trauma Case Reports

View full text Add to dashboard Cite

Empty toe injury is a rare type of closed degloving injury; limited cases have been reported previously, with controversial outcomes. Our case is a 22 year old male who was injured by a trolley bus. The patient presented at our emergency department with extensive swelling of the right foot, deformity of the fifth toe, bruising and intact skin. On clinical examination the phalangeal bone could not be palpated in the fifth toe and there was no capillary refill. The patient underwent open reduction combined with fasciotomies. The toe regained perfusion after the reduction and was under close observation to ensure its viability. Finally the distal and part of the middle phalanx of the toe was amputated. The purpose of this report is to inform health providers about this unique type of injury and contribute to a more sufficient treatment plan. Level of evidence: IV.

show abstract

Empty toe: a unique type of closed degloving injury with dismal outcome

Cited by 7 publications

References 10 publications

Closed Degloving Injury of the Foot Caused by a High Impact Force: A Case Report

Closed Degloving Injury of the Foot Caused by a High Impact Force: A Case Report

Understanding the “Empty Toe” Phenomenon: A Rare Case Report

A rare case of closed degloving injury of the fifth toe

Contact Info

Product

Resources

About