Tscherne and Lobenhoffer graded soft tissue injury associated with closed fractures. This can help identify patients who may require more aggressive management. The authors are from Meizinische Hochschule Hannover in Germany.
Soft Tissue Damage
Compartment Syndrome
Closed Fracture
Grade
absent or negligible
none
simple
0
superficial abrasion or contusion
none
mild to moderate
1
deep contaminated abrasion; localized skin or muscle contusion
impending
moderate to severe
2
extensive contusion or crushing of skin; severe muscular damage; subcutaneous avulsions; rupture of a major blood vessel
present, may be decompensated
severe or comminuted
3
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