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What is shearing of the skin?

Shearing of the skin, also called skin tear, is a type of skin injury that occurs when the skin and underlying tissues are separated from each other. It can be caused by a variety of factors, including:

  • Trauma: Any type of trauma that can cause the skin to be torn or broken can lead to skin shearing, such as a fall, car accident, or laceration.

  • Friction: Prolonged rubbing or friction against the skin can cause the skin to become weakened and more susceptible to shearing. This is often seen in people who are bedridden or use wheelchairs, as the skin can rub against the sheets or the wheelchair.

  • Moisture: Wet skin is more fragile and easily torn than dry skin, so skin shearing is more likely to occur in areas that are frequently moist, such as the perineal area or the underarms.

  • Poor nutrition: People who are malnourished or have certain vitamin deficiencies may have skin that is more fragile and more susceptible to tearing.

  • Age: As we age, our skin becomes thinner and more fragile, making us more susceptible to skin shearing.

    • Skin shearing can range in severity from a small superficial graze to a deep laceration that may require stitches. Symptoms of skin shearing include:

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  • Pain

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  • Bleeding

  • Bruising

  • Swelling

  • Open wound

  • Infection

    • Treatment for skin shearing will depend on the severity of the injury. Minor skin tears may be treated with simple first aid, such as cleaning the wound and applying a bandage. More severe skin tears may require medical attention, such as antibiotics, stitches, or skin grafting.

    Prevention is the best way to avoid skin shearing. Here are some tips for preventing skin shearing:

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  • Keep skin clean and dry.

  • Avoid friction against the skin.

  • Use moisturizers to keep the skin hydrated.

  • Eat a healthy diet that includes plenty of fruits, vegetables, and whole grains.

  • Get regular exercise to help maintain healthy skin.

  • Protect your skin from the sun.

  • Talk to your doctor or nurse about ways to prevent skin shearing if you are at risk for this type of injury.

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