Percutaneous Management of Morel-Lavallee Lesions

Tseng, Susan; Tornetta, Paul

doi:10.2106/jbjs.e.00021

Cited by 126 publications

(88 citation statements)

References 8 publications

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“…In a study by Tseng and Tornetta (2006) most of the cases in the study had surgical debridement and drainage in the same setting for associated pelvic and acetabular fracture. Surgical intervention appears to be safe and effective.…”

Section: Discussionmentioning

confidence: 99%

Morel-Lavallee Lesion: A Forgotten Cause of Bleeding in Trauma

Khor¹,

Tan²

2017

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The Morel-Lavallee lesion is a rare soft tissue injury that occurs due to traumatic shearing force on skin surface causing separation of skin and subcutaneous tissue resulting in hematoma. This case report depicts a 22-year-old gentleman who was involved in a motor vehicle accident. He complained of pain and swelling over lower back. He was treated for soft tissue injury and admitted for pain control. One day post-trauma, he complained of increased swelling over the back. His

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Section: Discussionmentioning

confidence: 99%

Morel-Lavallee Lesion: A Forgotten Cause of Bleeding in Trauma

Khor¹,

Tan²

2017

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“…These lesions can be managed with early percutaneous drainage, debridement, irrigation, and suction drainage. [7] These lesions can be complicated by infection, necessitating the use of antibiotics. In rollover trauma with pelvic fractures, urgent surgery with debridement is necessary.…”

Section: Discussionmentioning

confidence: 99%

Morel-Lavallee lesion: case report of a rare extensive degloving soft tissue injury

Gummalla¹,

George²,

Dutta³

2014

Ulus Travma Acil Cerrahi Derg

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Morel-Lavallee syndrome (MLS) is a significant post-traumatic soft tissue injury in which the subcutaneous tissue is torn away from the underlying fascia (closed degloving), creating a cavity filled with hematoma and liquefied fat. It commonly occurs over the greater trochanter, but may also occur in the flank, buttocks and lumbodorsal regions. MLS is a rarely reported entity. The trauma surgeon and radiologist must be aware of this condition, as early diagnosis can lead to conservative management, while a delay can lead to surgical exploration. We report a case of extensive Morel-Lavallee lesion involving the left flank and thigh in a young adult. We discuss the magnetic resonance imaging findings and also describe the differential diagnoses and management options for MLS.

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“…18,19 Recalcitrant fluid collections can be safely and expeditiously treated with Doxycycline sclerodesis in MLL. 7,20 Closed degloving injuries can be managed satisfactorily with doxycycline induced obliteration of the cavity with early healing time without recurrences. 21 Regarding the mechanism by which doxycycline induces sclerotherapy, various hypotheses have been proposed like destruction of lining mesothelial cells, inhibition of fibrinolysis and induction of fibroblast growth factors.…”

Section: Discussionmentioning

confidence: 99%

Morel-Lavallee lesion in distal thigh: A case report

Kumar¹,

Kumar²

2014

Journal of Clinical Orthopaedics and Trauma

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Close degloving injury Distal thigh ACL a b s t r a c tIt is a relatively rare condition involving a close degloving injury due to direct trauma with tangential force followed by the separation of the subcutaneous tissue from the underlying fascia. The rupture of small perforating vessels in this area, resulting in the formation of a cavity that filled with blood, lymph and fat foci, the latter being sometimes necrotic. MorelLavallee lesion was originally described in the lateral aspect of the proximal thigh, which is the most common site of this lesion; however other anatomic sites such as periscapular, lumbar and gluteal regions, ankles and knees have been described in the literature. Various methods of treatment has been described, but open debridement can result in a successful functional outcome.Copyright © 2014, Delhi Orthopaedic Association. All rights reserved. IntroductionMorel-Lavallee lesion is a common but rarely described posttraumatic closed soft tissue injury sequel. 1 MLL in distal thigh is a relatively rare condition involving a close degloving injury due to direct trauma with tangential force followed by the separation of the subcutaneous tissue from the underlying fascia. Because of it, the rupture of small perforating vessels in this area, resulting in the formation of a cavity filled with blood, lymph and fat foci, the latter being sometimes necrotic. 2,3 Morel-Lavallee lesion was originally described in the lateral aspect of the proximal thigh, which is the most common site of this lesion; however other anatomic sites such as periscapular, lumbar and gluteal regions, ankles and knees have been described in the literature. 4,5 The case is reported to us with swelling over the anteromedial aspect of distal left thigh with ipsilateral united fracture of medial tibial condyle and partial ACL tear. This type of combination of injuries has not been described previously. Surgical intervention in the form of open debridement was done and resulting in the dramatic improvement. Case reportA 45 years old male presented with swelling over anteromedial aspect of distal left thigh (Fig. 1A þ B). He complained pain left knee during walking and also, weakness left lower limb following trauma. He met with an accident one and half year back, while driving a motorcycle and he was hit by a car from back. He sustained fracture left clavicle, ipsilateral medial tibial condyle and bruises over the anterior aspect of left distal thigh managed conservatively. On follow-up of after one month POP slab was removed and found huge swelling

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Percutaneous Management of Morel-Lavallee Lesions

Cited by 126 publications

References 8 publications

Morel-Lavallee Lesion: A Forgotten Cause of Bleeding in Trauma

Morel-Lavallee Lesion: A Forgotten Cause of Bleeding in Trauma

Morel-Lavallee lesion: case report of a rare extensive degloving soft tissue injury

Morel-Lavallee lesion in distal thigh: A case report

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