Morel-Lavallée Lesion in Sports

Khodaee, Morteza; Deu, Rajwinder S.; Mathern, Seth; Bravman, Jonathan T.

doi:10.1249/jsr.0000000000000306

Cited by 20 publications

(21 citation statements)

References 31 publications

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“… 10 – 12 They are frequently reported in conjunction with sporting injuries. 13 – 19 The true incidence of MLLs in people is unknown, with a reported 1.7% of patients with pelvic fractures found to have concomitant MLLs. 20 …”

Section: Discussionmentioning

confidence: 99%

Morel-Lavallée lesions: a phenomenon in cats? Case report and review of the literature

McGhie

Gibson

Herndon

2018

Journal of Feline Medicine and Surgery Open Reports

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Case summaryA 3-year-old male neutered domestic shorthair cat sustained a severe sacrococcygeal luxation post-motor vehicle trauma. Six days post-trauma, a fluid-filled swelling was noticed over the caudoventral abdomen and inguinal regions. Needle aspiration, closed suction drain placement and debridement with subcutaneous tacking were all attempted but failed to resolve the continued accumulation of serosanguinous lymphocyte-rich fluid in the subcutaneous pocket. Clinical resolution was ultimately achieved after surgical debridement and omentalisation of the lesion.Relevance and novel informationMorel-Lavallée lesions are post-trauma closed soft tissue degloving injuries described infrequently in people. The avulsion of subcutaneous tissue from deep muscle fascia results in the accumulation of haemolymph and necrotic fat, which can persist for several days to months after the inciting incident. In people, they are commonly seen in the proximal thigh. This article proposes the existence of Morel-Lavallée lesions in cats.

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Section: Discussionmentioning

confidence: 99%

Morel-Lavallée lesions: a phenomenon in cats? Case report and review of the literature

McGhie

Gibson

Herndon

2018

Journal of Feline Medicine and Surgery Open Reports

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“…Road crashes are the main cause of MLLs [1,5]. Sports requiring sliding actions (such as football, soccer, or baseball) rank second in order of frequency [8,9].…”

Section: Morel-lavallée Lesion and Accountabilitymentioning

confidence: 99%

“…Early diagnosis and appropriate care seem to allow an evolution without functional consequence in the majority of cases (overall, permanent disability = 0%) [1,2,9]. Aesthetic damage may exceptionally be considered in the case of a surgical scar or late management, since displacement and laxity of adjacent tissues are possible [9,13]. On the other hand, sclerosis of chronic lesions causes cutaneous immobility (but rarely articular immobility), which is symptomatic for high level athletes [11,13].…”

Section: Morel-lavallée Lesion and Permanent Aftermathmentioning

confidence: 99%

Medico-legal considerations for Morel-Lavallée lesions

Scanvion

Garff

Gosset

et al. 2019

Forensic Sci Med Pathol

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The Morel-Lavallée lesion is an infrequent traumatic lesion that the forensic physician may need to evaluate during examination of a victim. Using a review of the literature and an illustrative case, the objective is to discuss the medico-legal issues (accountability, functional recovery and healing times, and aftermath) associated with Morel-Lavallée lesions. We describe the case of a 24-year-old motorcycle driver who was hit by a car. Clinically, the right lumbar region had a large 16×15 cm ecchymosis with subcutaneous fluid swelling found by palpation. A body scan revealed a Morel-Lavallée lesion among other lesions. On day 7, its thickness was decreased by half. Morel-Lavallée lesions are specifically induced by shearing force with moderate-to-high kinetics in an anatomical area with an underlying fascia. The associated functional disability is globally moderate, but a large lesion or recurrences can extend the time needed to recover. Apart from some exceptions, care without any delay in diagnosis and treatment allows evolution of the lesion without functional consequences, but these lesions are frequently unnoticed in the initial phase. Key points  The Morel-Lavallée lesion is an infrequent lesion, often missed in the initial phase, but should be known for medico-legal reports.  The Morel-Lavallée lesions are the result of a shearing force causing translational movement.  Road crashes are the main cause of Morel-Lavallée lesions and sports requiring sliding actions rank second in order of frequency.  Its functional disability is globally moderate, but a large lesion or recurrences can increase the time of resolution of the disability.

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“…First described in 1863 by the French physician Maurice Morel-Lavallée, he mentioned a posttraumatic superfi cial fl uid collection after a fall from a moving train [1]. In time, Letournel and Judet gave it the eponymous term Morel-Lavallée lesion [2].…”

Section: Introductionmentioning

confidence: 99%

Morel-Lavallée Lesion: A not so rare, but often missed diagnosis

Opdam¹,

Coevering²,

Haven³

2017

Open J Trauma

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The Morel-Lavallée lesion is a closed, post-traumatic, soft tissue degloving injury. There is separation of the skin and subcutaneous tissue from the underlying fascia resulting in an effusion and creation of a perifascial space often containing lymph and necrotic fat.We present a case of a 70-year-old female that was referred to us with a painful right thigh after a fall from her bike. Ultrasound showed a persistent MLL and an ultrasound-guided injection with cortisone was injected the MLL, which resolved the patient's complaints. Level of evidence: Level 4.

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Morel-Lavallée Lesion in Sports

Cited by 20 publications

References 31 publications

Morel-Lavallée lesions: a phenomenon in cats? Case report and review of the literature

Morel-Lavallée lesions: a phenomenon in cats? Case report and review of the literature

Medico-legal considerations for Morel-Lavallée lesions

Morel-Lavallée Lesion: A not so rare, but often missed diagnosis

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