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Sinuhe Classification for Pretibial Injuries: Categorising Dermatoporotic Wounds
Toni Seppälä1, Vahur Grünthal2, Virve Koljonen1
1Department of Plastic and Reconstructive Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
International Wound Journal
|June 20, 2026
Summary
The Sinuhe Classification provides a new system for pretibial lacerations and hematomas, improving diagnosis and treatment. This classification addresses chronic skin fragility and offers evidence-based guidance for dermatoporotic wounds.
Area of Science:
- Dermatology
- Wound Care
- Surgical Classification
Background:
- Pretibial injuries, including lacerations and hematomas, are often misclassified.
- Existing classifications like the Modified Dunkin Classification inadequately address pretibial hematomas.
- A need exists for a comprehensive system distinguishing these injury types.
Purpose of the Study:
- To introduce the Sinuhe Classification for pretibial lacerations and hematomas.
- To propose 'dermatoporotic wounds' as an umbrella term for injuries from chronic skin fragility.
- To provide evidence-based treatment recommendations for each injury subtype.
Main Methods:
- A narrative literature review was conducted across PubMed, MEDLINE, and EMBASE.
- Clinical findings and treatment recommendations were synthesized from existing literature.
- A doctoral thesis on pretibial injuries was incorporated into the review.
Main Results:
- The Sinuhe Classification categorizes lacerations (linear, flap, total skin loss) and hematomas (open, closed, necrotic).
- Specific treatment guidance is provided for each subtype.
- The classification eliminates the ambiguous Modified Dunkin Type V category.
Conclusions:
- The Sinuhe Classification offers a unified framework for diagnosing and treating pretibial injuries.
- It provides a distinct classification for pretibial hematomas.
- Clinical adoption and integration into medical education are recommended.
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