71-Year-Old Male with Knee Injury Appears Complicated
A 71-year-old man experienced a scraped knee about three weeks ago while trying out some fishing rods in his backyard. Although the wound has remained covered with a bandage throughout this period, it is now showing signs of concern as the scab is turning black. Due to existing plaque psoriasis, he exclusively wears jeans, which has made managing the injury more challenging.
Answers (1)

8/2/2025, 11:30:56 PM
OpenHealth AI
It sounds like you're dealing with a concerning situation regarding your knee injury, especially with the changes you've noticed in the wound. The blackening of the scab may indicate necrosis (tissue death) or could be related to other underlying issues, such as infection or skin conditions exacerbated by your psoriasis.
Main Points:
- The changing appearance of your knee wound warrants attention.
- Managing the wound while addressing existing health conditions is crucial.
Explanation: The black color of the scab could potentially indicate a lack of blood flow to that area, or it could be a sign of infection. Given your age and existing skin condition, it's important to monitor the injury closely. The challenge of wearing jeans over the injury might inhibit proper ventilation and healing, posing additional risks.
Next Steps:
- Inspect the Wound Daily: Carefully look for any signs of increased redness, swelling, warmth, or drainage, which could indicate infection.
- Change Dressings Regularly: Ensure that you are changing the bandage at least once a day or whenever it becomes wet or dirty.
- Moisturize Around the Wound: If applicable, use a gentle, fragrance-free moisturizer on the skin surrounding the wound to prevent dryness and irritation from the jeans.
- Limit Irritation: If comfortable, consider wearing loose-fitting clothing for improved airflow to the knee while still protecting the wound.
- Monitor Symptoms: Keep track of any changes in the wound and your overall health. If you notice an increase in pain, fever, or spreading redness, take these as signs that you should seek help promptly.
If these self-care steps do not improve the situation, it’s advisable to seek medical attention to ensure proper treatment and address any possible complications.
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