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The periwound (also peri-wound) is tissue surrounding a wound. Periwound area is traditionally limited to 4 cm outside the wound's edge but can extend beyond this limit if outward damage to the skin is present. Periwound assessment is an important step of wound assessment before wound treatment is prescribed. [1]
The hand is a very complex organ with multiple joints, different types of ligament, tendons and nerves. Hand disease injuries are common in society and can result from excessive use, degenerative disorders or trauma. Trauma to the finger or the hand is quite common in society. In some particular cases, the entire finger may be subject to ...
[26] [26] Examples include a severe crush injury or an open or closed fracture of an extremity. [26] Rarely, ACS can develop after a minor injury or another medical issue. [12] It can also affect the thigh, buttock, hand, abdomen, and foot. [19] [14] The most common cause of acute compartment syndrome is a fractured bone, usually the tibia.
[6] [7] Acute wounds can further be classified as either open or closed. An open wound is any injury whereby the integrity of the skin has been disrupted and the underlying tissue is exposed. A closed wound, on the other hand, is any injury in which underlying tissue has been damaged but the overlying skin is still intact. [8]
Wounds are normally described in a variety of ways. Descriptions may include wound size (length) and thickness; plainly visible wound characteristics such as shape and open or closed; and origin, acute or chronic. [3] The most common descriptors of wounds are these: Incision: Straight edges to the wound margins, as if sliced with a knife.
Chronic wound healing may be compromised by coexisting underlying conditions, such as venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. If wound pain is not assessed and documented it may be ignored and/or not addressed properly. It is important to remember that increased wound pain may be an ...
The RICE method is an effective procedure used in the initial treatment of a soft tissue injury. [6] Rest It is suggested that the patient take a break from the activity that caused the injury in order to give the injury time to heal. Ice The injury should be iced on and off in 20 minute intervals, avoiding direct contact of the ice with the skin.
In open injuries, the skin is torn back so that the underlying structures are visible. Such an injury could thus resemble the process of removing a glove from a hand. The treatment of a degloving injury requires assessment of the damage to the soft tissue and associated blood vessels. [1] Any soft tissue that is dead must be removed.