Stage 4 Pressure Injury
Presenting as a deep wound with tissue loss, not only is adipose (fat) visible in the wound, but fascia, musculature, or skeletal structures are visible and/or palpable as well.
Bezzant, John L. 1997. Occlusion of blood flow to the skin [Image description: Occlusion of blood flow to the skin, either from internal vessel damage or from external pressure, an ulcer can be created.]. Knowledge Weavers Project, Spencer S. Eccles Health Sciences Library, University of Utah. https://collections.lib.utah.edu/ark:/87278/s6wm4d99