Morel-Lavallée Lesion: A Study of Three Cases (original) (raw)
Related papers
The Morel-Lavallée lesion and its management: A review of the literature
Journal of orthopaedics, 2018
Morel-Lavallée lesions can occur in polytrauma patients. Post-operative seroma is more frequently encountered, holds many pathological similarities with MLLs and continues to challenge plastic surgeons. We aimed to provide a comprehensive overview of MLLs to increase awareness of optimum treatment options amongst plastic surgery teams, and to provide a management algorithm that may also be applied to post-operative seromas. PubMed, Google Scholar and the Cochrane Library were searched using the terms "Morel-Lavallée", "management" and "treatment", which yielded 52 results. One reviewer screened titles and abstracts for relevance. Seventeen full text articles were retrieved. Review of reference lists provided a further three articles for inclusion. Morel-Lavallée lesions (MLLs) represent closed injuries with internal degloving of superficial soft tissues from fascial layers. Main causes of MLLs include high-energy, blunt force trauma or crush injuries. T...
Morel-Lavallée lesion associated with atypical skin damage: a case report
Acta Orthopaedica Belgica
A Morel-Lavallée lesion is a post-traumatic, soft tissue lesion that is little known and for which there is no standard treatment. This report describes the case of a 51-year-old man who presented with a large Morel-Lavallée lesion on the left calf that was not diagnosed on two visits to the emergency department. Given the deteriorating condition of the skin, we performed surgical drainage of the effusion because the skin was showing signs of major damage. Complications occurred following surgery, with cellulitis in the lower limb caused by Citrobacter Koseri, a gram-negative bacillus that is rarely implicated in soft tissue infections, and wound dehiscence. The purpose of our article is to present the difficulty involved in choosing the right treatment from among the many proposed in the literature, and to inform any practitioner working in an emergency setting about the existence of this often overlooked condition.
Morel-lavallée lesion closed legs, site and etiology rare trauma Case Report
Background: The Morel-Lavallée Injury (MLI) is a closed soft tissue injury as a result of an abrupt separation of the skin and subcutaneous tissue from the underlying fascia degloving. Clinically this lesion is presented as a long and painful injury to the affected part with soft tissue swelling and fluctuation.
Morel-Lavallée Lesion: Uncommon Injury often Missed
Journal of Orthopaedic Case Reports, 2022
Introduction The Morel-Lavallée lesion is a closed degloving injury involving the soft tissues of the extremities [1]. It is usually caused by blunt high energy trauma. The thigh, hip, and pelvic region are particularly predisposed to such lesions. Morel-Lavallae was first described by Victor Auguste Morel-Lavallée in 1863 [1]. Although the lesion has typical characteristics, there is not an abundance of information on the issue. Awareness of this lesion, especially in trauma patients is essential for early diagnosis and prompt treatment. A case of Morel-Lavallée lesion is presented in order to highlight clinical features, the role of imaging, and the various surgical options available for treating this lesion. Case Report A 32-year-old man presented with a history of blunt injury to the thigh following a vehicular accident. The patient was admitted to a peripheral hospital where he was treated for the injury to the thigh. The patient was treated for superficial abrasions over the thigh as well as for the shocked state. There was no evidence of any fracture of the pelvis, hip, and femur on the right side. The
The importance of morel-lavallee lesion in medicolegal evaluation: a case report
Medicine Science | International Medical Journal, 2017
Morel-Lavallee Lesion (MLL) is the separation of the subcutaneous tissues from underlying fascia as a result of blunt or tangential forces and the recollection of hemolymphatic and liquefied fat in this separated area. This situation may occur months after the event, as well as immediately after the event. In this case report, a 55-year-old female injured in a road accident as a pedestrian and diagnosed as MLL was presented and it was aimed to call attention to difficulties of these kinds of cases and its reports. Therefore in forensic cases with such lesions, problem may arise regarding the establishment causation link during the regulation of final report and disability reports.
Morel-Lavallee Lesions-Review of Pathophysiology, Clinical Findings, Imaging Findings and Management
Journal of clinical and diagnostic research : JCDR, 2017
Morel-Lavallee lesion is a post-traumatic soft tissue degloving injury. This is commonly associated with sports injury caused by a shearing force resulting in separation of the hypodermis from the deeper fascia. Most common at the greater trochanter, these injuries also occur at flank, buttock, lumbar spine, scapula and the knee. Separation of the tissue planes result in a complex serosanguinous fluid collection with areas of fat within it. The imaging appearance is variable and non specific, potentially mimicking simple soft tissue haematoma, superficial bursitis or necrotic soft tissue neoplasms. If not treated in the acute or early sub acute settings, these collections are at risk for superinfection, overlying tissue necrosis and continued expansion. In this review article, we discuss the clinical presentation, pathophysiology, imaging features and differential diagnostic considerations of Morel-Lavallee lesions. Role of imaging in guiding prompt and appropriate treatment has als...
Scholars Journal of Medical Case Reports
Morel-Lavallée lesion is a closed soft-tissue degloving injury that remains rare and whose management is not yet standardized. It is a closed delamination between the fascia superficialis and the cutaneous-subcutaneous tissue. This empty space is filled with fluid and may be complicated by surinfection and tissue necrosis. Regularly described in heavy traumatology, but can also be seen in post-surgical situations, it should not be ignored in routine practice. We present the case of post-surgical Morel-Lavallée lesion and we discuss the clinical presentation, pathophysiology, imaging features of Morel-Lavallée lesions. Role of imaging in guiding prompt and appropriate treatment has also been discussed.
2022
Introduction The Morel-Lavallée lesion is a closed degloving injury involving the soft tissues of the extremities [1]. It is usually caused by blunt high energy trauma. The thigh, hip, and pelvic region are particularly predisposed to such lesions. Morel-Lavallae was first described by Victor Auguste Morel-Lavallée in 1863 [1]. Although the lesion has typical characteristics, there is not an abundance of information on the issue. Awareness of this lesion, especially in trauma patients is essential for early diagnosis and prompt treatment. A case of Morel-Lavallée lesion is presented in order to highlight clinical features, the role of imaging, and the various surgical options available for treating this lesion. Case Report A 32-year-old man presented with a history of blunt injury to the thigh following a vehicular accident. The patient was admitted to a peripheral hospital where he was treated for the injury to the thigh. The patient was treated for superficial abrasions over the thigh as well as for the shocked state. There was no evidence of any fracture of the pelvis, hip, and femur on the right side. The
Morel-Lavallée Lesion: Report of a Case of Unknown Mechanism
Morel-Lavall´ee lesions are cystic lesions occurring between the subcutaneous tissue and the underlying layer of a fascia. The most frequent mechanism of occurrence is posttraumatic, usually after degloving injuries. The chain of events leading to the occurrence of this lesion is the formation of a potential space between the subcutaneous tissue and the firmly attached deep fascia, which in turn fills with blood and/or lymph and/or necrotic fat, secondary to disruption of the capillaries. We present a case of a 74-yearold male patient with a cystic lesion of the lateral surface of his left thigh increasing in size over a period of six months. Despite the meticulous history acquisition, we were unable to reveal any alleged mechanism of injury of the area. The patient underwent an MRI which revealed an ovoid cyst.The patient underwent surgical excision of the cyst.The pathology examination revealed a simple cyst, lined by a fibrous capsule and filled with serosanguineous fluid, thus confirming the diagnosis. The patient made a full recovery and since has been asymptomatic.
Surgical Treatment of a Chronic Morel-Lavallée Lesion: A Case Report
Journal of Orthopaedic Case Reports, 2020
Introduction Morel-Lavallée lesions (MLLs) are a post-traumatic degloving injury which the superficial fascia and skin are separated from the deep fascia through shearing forces. This process leads to the development of a potential space in which blood products and necrotic material can collect, potentially resulting in abscesses, cellulitis, or osteomyelitis. Most of these cases occur at the greater trochanter, gluteal musculature, proximal femur, and around the knee. However, there have been few reports of MLLs occurring in the lumbar region. In this report, we seek to present our experience with a case of a lumbar MLL and outline the diagnostic and operative management utilized. Case Report A 48-year-old female presented to our clinic with complaints of persistent low back and swelling 1 month after sustaining a fall from stand resulting in an L5 transverse process fracture. The patient was treated non-operatively but continued to have swelling noted to the lower back. A computed...