How do you get a Morel-Lavallée lesion?
Generally, Morel Lavallee lesions form after a shearing force or trauma to the hip or thigh. Most cases occurring in sports or after minor trauma involve small amounts of fluid. We treat these lesions conservatively with ice, compression and repeated aspiration.
What is a degloving injury?
A degloving injury is a traumatic injury that results in the top layers of skin and tissue being torn away from the underlying muscle, connective tissue or bone. They most commonly affect the legs and are frequently associated with underlying fractures.
Is a Morel-Lavallée lesion painful?
Morel-Lavallée lesions tend to be unilateral. Patients usually suffer from pain, swelling, and tension usually in the lateral thigh accompanied by ecchymosis. The lesion size may be variable and usually have an oval shape, particularly in chronic cases.
How long does it take for a Morel-Lavallée lesion to heal?
The mean soft tissue healing time was 3.25 weeks. There were no reoccurrences of the lesions and no deep infections or other complications during the 1-year follow-up period.
What is a morel Lavallee?
Morel-Lavallée lesions are post-traumatic, closed degloving injuries occurring in the subcutaneous plane superficial to the muscle plane due to disruption of capillaries resulting in an effusion containing hemolymph and necrotic fat. MRI is the modality of choice in the evaluation of Morel-Lavallée lesion.
How do you treat Morel Lavallee lesions?
There is no standard treatment protocol for the treatment of Morel-Lavallée lesions. The conservative treatment of Morel-Lavallée lesion includes observation, percutaneous aspiration, elastic compression bandaging and sclerosis such as doxycycline, alcohol and fibrin glue [6,7].
How do you treat Morel Lavallee?
What is a morel lesion?
The Morel-Lavallée lesion is a closed soft-tissue degloving injury commonly associated with high-energy trauma. The thigh, hip, and pelvic region are the most commonly affected locations.
What is Morel Lavallee lesions?
How common is a Morel-Lavallée lesion?
The incidence of a Morel-Lavallée lesion is unknown and goes often undiagnosed. However one out of three Morel-Lavallée lesions go undiagnosed at the time of acute trauma . It is important to think of a Morel-Lavallée lesion when there is posttraumatic pain.
What is Morel Lavallée lesion?
Morel-Lavallée lesions are post-traumatic, closed degloving injuries occurring deep to subcutaneous plane due to disruption of capillaries resulting in an effusion containing hemolymph and necrotic fat. Magnetic resonance imaging (MRI) is the modality of choice in the evaluation of Morel-Lavallée lesion.
What are Morel-Lavallée lesions of the thigh?
Morel-Lavallée lesions are most commonly seen in the trochanteric region and proximal thigh.[1,2] Clinically, Morel-Lavallée lesions usually present as an enlarging painful lesion within the anterolateral portion of affected thigh with soft tissue swelling and fluctuance.
Why is early diagnosis and management of Morel-Lavallée lesions important?
Early diagnosis and management is essential as any delay in diagnosis or missed lesion will lead to the effusion becoming infected or leading to extensive skin necrosis. Keywords: Closed degloving injury, magnetic resonance imaging, Morel-Lavallée lesions
What does a CT aortogram show with Morel Lavallée lesion?
Computed tomography (CT) aortogram was done to rule out any vascular injury, which showed hypodense collection within the deep subcutaneous plane with strands of intralesional fat density suggestive of a Morel-Lavallée lesion [Figure 2]. Open in a separate window Figure 2