Morel-Lavallée Lesions

Boyle, Kelly A; Carver, Thomas

doi:10.1007/s40719-018-0145-z

Cited by 3 publications

(9 citation statements)

References 68 publications

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“…MLLs produced on low-velocity impact such as ground level falls, sport and seat belt traction have also been recorded. 1,2…”

Section: Discussionmentioning

confidence: 99%

“…Delayed diagnosis, both in the acute and chronic stages, may require additional specialist referrals, further imaging and contribute to poorer outcomes. 2 Despite the APP’s upper limb specialism, his clinical knowledge and CASE (Consortium for the Accreditation of Sonographic Education) accredited musculoskeletal training enabled him to diagnose and improve patient care. 10 As such, this training provided the foundation for the robust use of PoCUS imaging, which was concurrently integrated with the clinician’s pre-existing expertise in musculoskeletal diagnosis, triage and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Sclerotherapy has also been utilised in large lesions failing to respond to conservative measures with varying effectiveness. 2 , 9…”

Section: Discussionmentioning

confidence: 99%

“…Surgical drainage and suction drain have been recommended if >50 mL is aspirated. 2,5 Surgical intervention, often reserved for infected and complex cases, may require major surgery involving open debridement with vacuum sealing drainage and skin grafting. 2,5…”

Section: Discussionmentioning

confidence: 99%

“…MLLs produced on low-velocity impact such as ground level falls, sport and seat belt traction have also been recorded. 1,2 The relative mobility of the surrounding soft tissues in relation to the firm attachments of the underlying fascia make the lateral hip susceptible to MLL. 3 Other sites include the lower back, anterior knee, upper arm and the posterior aspect of the head.…”

Section: Discussionmentioning

confidence: 99%

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Identification and triage of a Morel-Lavallée lesion using point of care ultrasound

Annison

Smith

2021

Ultrasound

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Introduction A Morel-Lavallée lesion is a relatively rare, closed, degloving injury. Polytrauma and severe injuries through to seemingly innocuous trauma can distract the clinician from thorough assessment of the affected site. Missed or misdiagnosis of the closed lesion is reported from both a clinical and imaging perspective. Case report A 46-year-old male is discharged from accident and emergency with a shoulder injury following a cycling accident. Ten days post trauma, an advanced practice physiotherapist suspects a lateral thigh Morel-Lavallée lesion during a telephone assessment (Covid-19 restrictions). A face to face appointment with imaging the following day confirmed the suspicion. Discussion The aetiology, imaging and clinical management of a Morel-Lavallée lesion is discussed. The addition of diagnostic ultrasound skills to clinical assessment in this case report may have improved patient care and experience by offering a ‘one stop shop’ to care. Formal training in musculoskeletal ultrasound imaging is emphasised. Conclusion Thorough history taking, clinical reasoning and subsequent application of robust imaging led to the identification of a Morel-Lavellée lesion and, in this case, highlights the value of a point of care ultrasound model in a triage setting.

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“…MLLs produced on low-velocity impact such as ground level falls, sport and seat belt traction have also been recorded. 1,2…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Sclerotherapy has also been utilised in large lesions failing to respond to conservative measures with varying effectiveness. 2 , 9…”

Section: Discussionmentioning

confidence: 99%