All types of wounds can occur in the scalp as abrasion, laceration, & contusion. Examination of the scalp injuries usually requires shaving the area around the injure. Anatomy of the scalp: Layers of the scalp:
Thescalpconsists of 5 layers.These layers arranged from superficial to deep can be remembered from the letters of the scalp:
It is thick, hairy and contains numerous sebaceous glands.
It is dense fibro-fatty layer. Its fibrous septa uniting the skin to theaponeurosis. All nerves and vessels of the scalp are present in this layer with free anastomosis between the vessels.3) A
It is the tendon of the occipitofrontalis muscle. It is separated from the periosteum of the skull by a space called the subaponeurotic space. It is a continuous space closed at the margins of the scalp.
Loose areolar tissue
It consists of loose fibrous bands occuping the subaponeurotic spaceand extending from the aponeurosis to the periosteum. It contains few small arteries and some important emissary veins. These veins are valveless veins connecting the scalp veins with the skull diploic veins and the intracranial dural venous sinuses.
Pericranium (outer periosteum of the skull
): It is loosely attached to and easily separated fromthe skull bones. It is continuous with the inner periosteum at the sutures and so there is a separate spacebetween the pericranium and each skull bone.