Lesão de Morel-Lavallée no joelho: relato de caso

Pitrez, Eduardo Hennemann; Pellanda, Roberto Campos; Silva, Mariana Eltz; Holz, Gustavo Garcia; Hertz, Felipe Teixeira; Filho, João Rubião Hoefel

doi:10.1590/s0100-39842010000500014

Cited by 6 publications

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References 8 publications

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“… 7 , 9 , 12 The result is that the subcutaneous tissue becomes detached from the muscle fascia, thereby injuring the vessels that pass through these layers. 1 , 5 , 15 The hemolymph fluid becomes surrounded by granulous tissue, which may lead to formation of a fibrous pseudocapsule, prevention of fluid reabsorption and predisposition toward bacterial colonization and infection. 9 , 11 , 12 , 13 , 14…”

Section: Discussionmentioning

confidence: 99%

“…They are rare soft-tissue injuries that are associated with high rates of morbidity and mortality. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 They occur because of sudden application of high-intensity forces to a certain area of the body and their effect is to separate skin and subcutaneous tissue from the underlying muscle fascia. 9 , 10 The space thus created becomes filled with blood, lymph or necrotic fatty tissue, and this not uncommonly leads to severe inflammatory and infectious processes.…”

Section: Introductionmentioning

confidence: 99%

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Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study

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Lima

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo present the results from early diagnosis and delayed surgical treatment of a cohort of patients who were diagnosed with Morel-Lavallée lesions.MethodsBetween January 2006 and December 2013, we performed delayed surgical debridement on Morel-Lavallée lesions, after delimitation of the local tissue necrosis, followed by closure through second intention and/or use of grafts/flaps.ResultsAll the patients evolved with complete closure of the lesion after the delayed debridement, granulation of the operative wound and primary suturing or construction of pedunculated flaps. Three patients (50%) evolved with deep infectious processes due to the successive operative procedures.ConclusionWhatever the treatment methods used are, they should be performed in a radical manner. If not, the patient will be at risk of evolution to septicemia and death.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study

Palácio

Stasi

Lima

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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“…Nesse momento os pacientes eram levados ao centro cirúrgico para ser submetidos aos procedimentos de desbridamento, sempre associados a irrigação e lavagem profusas (figs. [1][2][3][4][5].…”

Section: Pacientes E Métodosunclassified

“…7,9,12 O resultado é a separação do tecido subcutâneo da fáscia muscular, que lesiona os vasos perfurantes. 1,5,15 O líquido hemolinfático é cercado por tecido granuloso, que pode levar à formação de uma pseudocápsula fibrosa, prevenir a reabsorção dos fluidos e predispor à colonização bacteriana e à infecção. 9,[11][12][13][14] Historicamente, o tratamento da lesão diz respeito ao desbridamento aberto seriado, seguido por cicatrização por segunda intenção.…”

Section: Figura 1 -Corte Tomográfico Coronal Que Evidencia Grande Colunclassified

“…Trata-se de um traumatismo incomum de partes moles associado a elevados índices de morbimortalidade. [1][2][3][4][5][6][7][8] São lesões que ocorrem devido à aplicação súbita de forças de alta intensidade sobre determinada área corporal, separando a pele e o tecido subcutâneo da fáscia muscular subjacente. 9,10 O espaço criado é preenchido por sangue, linfa ou tecido gorduroso necrótico, que, não raro, leva a processos inflamatórios e infecciosos graves.…”

Section: Introductionunclassified

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Resultados do tratamento cirúrgico da lesão de Morel‐Lavallée. Estudo coorte prospectivo

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Stasi

Lima

et al. 2015

Revista Brasileira de Ortopedia

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r e v b r a s o r t o p . 2 0 1 5;5 0(2):148-152 w w w . r b o . o r g . b r Resultados do tratamento cirúrgico da lesão de Morel-Lavallée. Estudo coorte prospectivo ଝ informações sobre o artigo Histórico do artigo: Recebido em 23 de fevereiro de 2014 Aceito em 20 de março de 2014 On-line em 31 de julho de 2014 Palavras chave: Ferimentos e lesões Lesões dos tecidos moles/patologia Lesões dos tecidos moles/cirurgia Traumatismo múltiplo r e s u m o Objetivo: apresentar os resultados do diagnóstico precoce e do tratamento cirúrgico tardio de uma coorte de pacientes diagnosticada com a lesão de Morel-Lavallée (LML). Métodos: de janeiro de 2006 a dezembro de 2013 os autores fizeram o desbridamento cirúrgico tardio da LML, após a delimitação da necrose tecidual local, seguido de fechamento por segunda intenção e/ou enxertos/retalhos. Resultados: todos os pacientes evoluíram com fechamento total da lesão após o desbridamento tardio a granulação da ferida operatória e a(os) sutura primária/retalhos pediculados. Três pacientes (50%) evoluíram com processo infeccioso profundo devido aos sucessivos procedimentos operatórios. Conclusão: sejam quais forem os métodos de tratamento empregados, estes devem ser feitos de maneira radical, sob risco de evolução dos pacientes para septicemia e óbito. © 2014 Sociedade Brasileira de Ortopedia e Traumatologia. Publicado por Elsevier Editora Ltda. Todos os direitos reservados. Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study Keywords: Wounds and injuries Soft-tissue injuries/pathology Soft-tissue injuries/surgery Multiple trauma a b s t r a c t Objective: to present the results from early diagnosis and delayed surgical treatment of a cohort of patients who were diagnosed with Morel-Lavallée lesions. Methods: between January 2006 and December 2013, we performed delayed surgical debridement on Morel-Lavallée lesions, after delimitation of the local tissue necrosis, followed by closure through second intention and/or use of grafts/flaps. Results: all the patients evolved with complete closure of the lesion after the delayed debridement, granulation of the operative wound and primary suturing or construction of pedunculated flaps. Three patients (50%) evolved with deep infectious processes due to the successive operative procedures.

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The Morel-Lavallee lesion: a review and a proposed algorithmic approach

et al. 2012

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Morel-Lavallee lesions (MLL) are rarely diagnosed posttraumatic sequel. They follow closed degloving injuries due to accumulation of blood and debris in the subcutaneous plane. Though they are not uncommon, they are rarely diagnosed which results in delay in their treatment. Diagnosis is through a combination of clinical examination, history, and imaging studies. MRI is the diagnostic modality of choice. Different treatments have been used for their management like compression therapy, sclerosant injection, pulse lavage, and open debridement. These treatments have met with varying success. Treatment protocols vary when managing acute and chronic MLL. The knowledge of such lesions hastens their diagnosis and treatment.

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Lesão de Morel-Lavallée no joelho: relato de caso

Cited by 6 publications

References 8 publications

Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study

Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study

Resultados do tratamento cirúrgico da lesão de Morel‐Lavallée. Estudo coorte prospectivo

The Morel-Lavallee lesion: a review and a proposed algorithmic approach

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