Avulsion injury
This patient sustained avulsion injury to his index and middle finger. Fingers got degloved from PIP joints distally with the flexor tendons still attached to the avulsed distal phalanges. A degloving injury is a type of avulsion in which an extensive section of skin is completely torn off the underlying tissue, severing its blood supply. It is named by analogy to the process of removing a glove. Degloving injuries invariably require major surgical interventions. Treatment options include replantation or revascularization of the degloved skin, or when these are not possible, skin grafts or skin flaps. While the preservation of the extremities and limbs is normally preferred, in some cases, especially digits, amputations may be advised or required.
