Tscherne classification

The Tscherne classification is a system of categorization of soft tissue injuries[1]

Classification

Tscherne Grade Open soft tissue injuries Closed fractures
0 Fr. C 0 - No or minor soft-tissue injury from a simple fracture due to indirect trauma
I Fr. O 1 - Skin lacerated by bone fragment. No or minimal contusion to the skin Fr. C 1 - Superficial contusion or abrasion to the skin
II Fr. O 2 - Skin laceration with circumferential skin or soft-tissue contusion and moderate contamination Fr. C 2 - Deep contaminated abrasions with skin or muscle contusion from direct trauma
III Fr. O 3 - Extensive soft-tissue damage with major vessel or nerve injury Fr. C 3 - Extensive skin contusion with destruction of subsutaneous tissue avulsion or muscle destruction
IV Fr. O 4 - Subtotal and total amputations with separation of all important anatomical structures

References

  1. ↑ Tscherne H, Oestern HJ. (1982). "A new classification of soft-tissue damage in open and closed fractures". Unfallheilkunde 85 (3): 111–5. PMID 7090085.

See also

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