In which type of soft-tissue injury is the skin integrity usually compromised?

The correct choice identifies a category of injuries where the skin's surface is broken, exposing underlying tissues. In open wounds—such as lacerations, abrasions, and punctures—there is a clear breach of skin integrity. This type of injury can lead to increased risks of infection, significant bleeding, and complications related to the exposure of internal structures.

In lacerations, sharp objects may create jagged cuts, while abrasions involve the top layers of skin being scraped off, and punctures can occur from sharp objects penetrating the skin. Each of these injuries underscores the fundamental characteristic of open wounds: the skin barrier is compromised, prompting immediate care to prevent infection and enhance healing.

Understanding the distinctions between different types of soft-tissue injuries is vital for effective assessment and treatment. For instance, closed wounds do not compromise skin integrity, and contusions can involve underlying tissues but leave the skin intact. Thus, the selection of open wounds as the answer accurately captures the essence of the question regarding compromised skin integrity.