Sinuhe Classification for Pretibial Injuries: Categorising Dermatoporotic Wounds
Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine
ABSTRACT Pretibial injuries manifest as lacerations or haematomas. Despite differences in pathogenesis and treatment, these entities have been mixed together in previous classifications. No classification for pretibial haematomas exists, and the Modified Dunkin Classification includes a Type V category that conflates lacerations with haematomas. To present the Sinuhe Classification—a comprehensive system categorising pretibial lacerations and haematomas with evidence‐based treatment recommendations—and propose the umbrella term ‘dermatoporotic wounds’ to encompass the full spectrum of cutaneous injuries arising from chronic skin fragility. A narrative literature review of PubMed, MEDLINE and EMBASE was conducted. Treatment recommendations and clinical findings were synthesised from the available literature, including a doctoral thesis on pretibial injuries. The Sinuhe Classification categorises pretibial lacerations into linear lacerations; flap lacerations (vital, i.e., with adequate perfusion and non‐vital, i.e., with flap necrosis); and total skin loss. Pretibial haematomas are classified into open (ruptured), closed and necrotic haematomas. Each subtype is paired with specific treatment guidance. The classification eliminates the Modified Dunkin Type V category and provides a classification framework for pretibial haematomas. The Sinuhe Classification offers a unified yet distinct framework for diagnosing and treating pretibial injuries. Adoption into clinical practice an
Abstract
ABSTRACT Pretibial injuries manifest as lacerations or haematomas. Despite differences in pathogenesis and treatment, these entities have been mixed together in previous classifications. No classification for pretibial haematomas exists, and the Modified Dunkin Classification includes a Type V category that conflates lacerations with haematomas. To present the Sinuhe Classification—a comprehensive system categorising pretibial lacerations and haematomas with evidence‐based treatment recommendations—and propose the umbrella term ‘dermatoporotic wounds’ to encompass the full spectrum of cutaneous injuries arising from chronic skin fragility. A narrative literature review of PubMed, MEDLINE and EMBASE was conducted. Treatment recommendations and clinical findings were synthesised from the available literature, including a doctoral thesis on pretibial injuries. The Sinuhe Classification categorises pretibial lacerations into linear lacerations; flap lacerations (vital, i.e., with adequate perfusion and non‐vital, i.e., with flap necrosis); and total skin loss. Pretibial haematomas are classified into open (ruptured), closed and necrotic haematomas. Each subtype is paired with specific treatment guidance. The classification eliminates the Modified Dunkin Type V category and provides a classification framework for pretibial haematomas. The Sinuhe Classification offers a unified yet distinct framework for diagnosing and treating pretibial injuries. Adoption into clinical practice and medical education is recommended. Key Points Pretibial injuries present as lacerations and hematomas, both of which fall under the umbrella of dermatoporotic wounds — injuries of the fragile, atrophic skin of multimorbid older patients. iwj70981-li-1001 Sinuhe Classification unifies both injury types within a single framework and links each subtype to specific management recommendations. iwj70981-li-1002 Consistent use of the classification and unified terminology is encouraged to improve communication in clinical practice and research. iwj70981-li-1003 bullet iwj70981-list-1001 highlights iwj70981-abs-5002