Occult Morel-Lavallee Lesion Within the Superior Gluteal Region in a Collegiate Lacrosse Player

Barcavage, Christine; Sanguino, Roger A.; Roux, M; Dundas, Mark; Reiner, Dan S.; Wyss, James F.

doi:10.1097/phm.0000000000001356

Cited by 3 publications

(8 citation statements)

References 4 publications

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“…Once an ML lesion develops, the resultant fluid collection can be refractory to treatment. Early recognition and treatment with compression bandages may prevent the late complication of pseudo-capsule formation, which is often difficult to treat 13 . The diagnosis of an ML lesion should prompt the immediate use of a compression wrap and the application of ice and rest.…”

Section: Discussionmentioning

confidence: 99%

Cervicothoracic Morel-Lavallée Lesion After a High-Speed Motor Vehicle Crash

Vaccaro

Scuderi

2023

JBJS Journal of Orthopaedics for Physician Assistants

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The Morel-Lavallée (ML) lesion occurs as a result of a shearing force that separates the subcutaneous tissue from fascia, with no discontinuity with the dermis to the environment. Although most commonly occurring in the proximal lower extremity and pelvis, awareness of the injury has led to recognition of ML lesion in other regions of the body such as the thoracolumbar and lumbar spine. Late or misdiagnoses can lead to complications and increased morbidity. Awareness and early recognition of these lesions, which can occur anywhere in the spine posteriorly, often lead to successful conservative management. A complete physical examination during patient follow-up will likely lead to increased diagnoses of these lesions in a subacute setting. We present a unique case of a patient with 2 ML lesions a first report of this, with one ML lesion involving the cervicothoracic junction, previously unreported, and the other involving the thigh, the most common site for ML lesions, in the patient after a high-speed rollover motor vehicle collision. The etiology and pathophysiology of these lesions are discussed.

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Section: Discussionmentioning

confidence: 99%

Cervicothoracic Morel-Lavallée Lesion After a High-Speed Motor Vehicle Crash

Vaccaro

Scuderi

2023

JBJS Journal of Orthopaedics for Physician Assistants

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“…While acute lesions may be managed with compression, aspiration, and/or injection of sclerosing agents, the pseudocapsule seen in chronic MLLs makes these management strategies less effective and prone to recurrence. 9 MLLs frequently require surgical intervention, especially with large lesions, those that are recurrent, or with overlying soft tissue compromise. Debridement of any devitalized tissue is critical to effective management.…”

Section: Discussionmentioning

confidence: 99%

“…Sports-related MLLs with these same mechanisms are described in a number of series and case reports. 7–12…”

Section: Discussionmentioning

confidence: 99%

“…Sportsrelated MLLs with these same mechanisms are described in a number of series and case reports. [7][8][9][10][11][12] Lesions typically present within hours-to-days after trauma; however, up to one-third of cases present monthsto-years later and may be difficult to associate with a specific inciting event. 13 Clinical presentation can range from obvious external soft tissue damage with edema, ecchymosis, and epidermal or dermal injury, to no outward signs of underlying tissue trauma.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…17 Chronic MLLs with well-developed pseudocapsules have higher likelihood of recurrence after aspiration and compression. 1,3,9,26 Pharmacologic sclerosing agents may be used to create a local inflammatory response to promote apposition of the cavity walls, thereby preventing recurrence of fluid accumulation. In one study of 16 patients who had failed simple aspiration therapy, all had complete resolution after doxycycline sclerodesis and subsequent compression.…”

Section: Minimally Invasivementioning

confidence: 99%

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Practical Review of the Comprehensive Management of Morel-Lavallée Lesions

Molina

Ghazoul

Janis

2021

Plastic and Reconstructive Surgery - Global Open

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Background: Morel-Lavallée lesions have been described in the literature since the mid-19th century, yet contemporary clinical management continues to be challenging and remains variable. These closed degloving injuries are usually seen in the setting of blunt trauma and are due to shearing forces, creating a space for the collection of hemolymphatic fluid. These fluid collections can be persistent despite conservative treatment attempts and can require staged surgical interventions. Methods: A literature search of peer-reviewed articles pertaining to Morel-Lavallée lesions was performed. Articles relating to the pathophysiology, clinical presentation, diagnosis, treatment, and management of complications of Morel-Lavallée lesions were included to formulate recommendations for clinical management. Results: Fifty-six relevant articles were included in the review. Recognition of these lesions may be delayed and the use of imaging is important in diagnosis. Initial attempts at conservative management may be appropriate for smaller, uncomplicated Morel-Lavallée lesions. Surgical interventions such as open debridement, techniques to close dead space, negative pressure wound therapy, and skin grafts or flaps are critical to managing complex or recurring lesions. An algorithm for the treatment of Morel-Lavallée lesions is proposed based on review of the literature. Conclusions: Plastic and reconstructive surgeons are frequently involved in more complex Morel-Lavallée lesions such as those exhibiting delayed healing or super-infection. The skillset needed for successful management of patients with Morel-Lavallée lesions is well within the armamentarium of plastic and reconstructive surgeons.

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The Morel‐Lavallée Lesion: Review and Update on Diagnosis and Management

Yang

Tang

2023

Orthopaedic Surgery

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Morel‐Lavallée lesion is a closed soft tissue degloving injury usually associated with high‐velocity trauma. It most commonly occurs in the thigh, hip, and pelvis. Because such lesions are prone to a missed or delayed diagnosis, it may present a potential risk of infection at the fracture site once it progresses. Therefore, timely identification and management of Morel‐Lavallée lesion is crucial. Moreover, there are no relevant guidelines for the treatment of Morel‐Lavallée lesion. Based on the above facts, we reviewed the etiology, epidemiology, pathophysiology, clinical presentation, imaging features, treatment, prognosis, and complications of Morel‐Lavallée lesion with the aim of providing a comprehensive overview of Morel‐Lavallée lesion, increasing awareness of this injury among orthopaedic surgeons, and thus providing a management algorithm that can be applied to this injury.

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Occult Morel-Lavallee Lesion Within the Superior Gluteal Region in a Collegiate Lacrosse Player

Cited by 3 publications

References 4 publications

Cervicothoracic Morel-Lavallée Lesion After a High-Speed Motor Vehicle Crash

Cervicothoracic Morel-Lavallée Lesion After a High-Speed Motor Vehicle Crash

Practical Review of the Comprehensive Management of Morel-Lavallée Lesions

The Morel‐Lavallée Lesion: Review and Update on Diagnosis and Management

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