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Lacerations and Soft Tissue Injuries in Athletes, Sports Medicine

Ross Osborn, MD, FAAFP, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Lacerations, contusions, hematomas, and abrasions are disruptions to the skin resulting from trauma.

  • Soft tissue injuries include:

    • Friction blisters—pressure and shear forces causing d...

DIAGNOSIS

  • First and foremost, observe standard universal precautions; assess airway, breathing, and circulation (ABCs); and control bleeding as initial steps.

  • Determine the time, mechanism, and circums...

TREATMENT

  • Initial stabilization:

    • Manage ABCs.

    • Ensure hemostasis prior to further evaluation, treatment, or repair.

  • Initial examination:

    • Explore wound for foreign body.

    • Remove devitalized tissue.

    • Assess inju...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Suture removal 3 

REFERENCES

1
Worthing RM, Percy RL, Joslin JD. Prevention of friction blisters in outdoor pursuits: a systematic review. Wilderness Environ Med.  2017;28(2):139–149.
2
Blankenship RB, Baker T. Imagi...

CLINICAL PEARLS

  • Traumatic skin lesions are commonly seen in the athletic arena, and their proper management can facilitate a safe and rapid return to play.

  • Proper assessment and preparation will allow ...

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