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SA Orthopaedic Journal

On-line version ISSN 2309-8309
Print version ISSN 1681-150X

SA orthop. j. vol.7 n.2 Centurion Apr./Jun. 2008

 

CLINICAL ARTICLE

 

Morel-Lavallée lesion: A review

 

 

LN BomelaI; H BassonII; NS MotsitsiIII

IMBChB(UCT), Medical Officer, Kalafong Hospital
IIMBChB(UP), Registrar, University of Pretoria
IIIMBChB, MMed(Orth)(Medunsa), FCS(ASEA), Consultant Department of Orthopaedic Surgery, Kalafong Hospital, Pretoria

Correspondence

 

 


ABSTRACT

Morel-Lavallée lesions are a relatively rare clinical problem, referring to closed degloving injuries around the pelvis or proximal femur, but have also been described in other areas of the body.
The pathology involves a shearing of the hypodermis from the underlying fascia, with disruption of the perforating arteries and lymphatic plexus. In the early stages, there is predominantly accumulation of haematoma in the newly formed cavity, which is later reabsorbed and replaced by slow-leaking lymph.
The diagnosis of an acute Morel-Lavallée lesion is clinical. The chronic Morel-Lavallée lesion, however, can pose diagnostic difficulties due to its resemblance to other soft tissue tumours.


 

 

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References

1. Tseng S, Tornetta P. Percutaneous management of Morel-Lavallée lesions. Journal of bone and joint surgery 2006;88-A:92-6.         [ Links ]

2. Tsur A, Galin A, Kogon L, Loberant N. Morel-Lavallée syndrome after crush injury. Harefuah 2006;145(2):111-3.         [ Links ]

3. Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: The Morel-Lavallée lesion. Journal of trauma injury infection and critical care 1997;42(6):1046-51.         [ Links ]

4. Puig J, Pelaez I, Banos J, Balliu E, Casas M, Maroto A, Pedraza S. Longstanding Morel-Lavallée lesion in the proximal thigh; Ultrasound and MRI findings with surgical and histopathological correlation. Australasian radiology 2006;50:594-7.         [ Links ]

5. Mellado JM, Perez Del Palomar L, Diaz L, Ramos A, Sauri A. Long-standing Morel-Lavallée lesion of the trochanteric region and proximal thigh; MRI features in 5 patients. American Journal of Roentgenology 2004;182:1289-94.         [ Links ]

6. Mellado JM, Bencardino JT. Morel-Lavallée lesion; review with emphasis on MRI. Magnetic resonance imaging clinics of North America 2005;13:775-82.         [ Links ]

7. Carlson DA, Simmons J, Sando W, Weber T, Clemens B. Morel-Lavallée lesion treated with debridement and meticulous dead space closure. Journal of orthopaedic trauma 2007;21:140-4.         [ Links ]

8. Kalaci A, Karazincir S, Yanet AN. Long standing Morel-Lavallée lesion of the thigh simulating a neoplasm. Clinical imaging 2007;31:287-91.         [ Links ]

9. Hudson DA. Missed closed degloving injuries: late presentation as a contour deformity. Plastic and Reconstructive Surgery 1996;98(2):334-7.         [ Links ]

10. Jovanovis M, Janjic Z, Vuckovic N. Giant posttraumatic cyst after closed degloving injury. Archive oncology 2007;15(1-2):42-4.         [ Links ]

11. Gilbert BC, Bui-Mansfield LT, Dejong S. MRI of a Morel-Lavallée lesion. American Journal of Roentgenology 2004;182:1347-8.         [ Links ]

12. Collinge C, Tornetta P. Soft tissue injuries associated with pelvic fractures. Orthopaedic clinics of North America 2004;35:451-6.         [ Links ]

13. Mukherjee K, Perrin S, Hughes P. Morel-Lavallée lesion in an adolescent with ultrasound and MRI correlation. Skeletal radiology 2007;36:43-5.         [ Links ]

14. Powers ML, Hatem SF, Sundaran M. Morel-Lavallée lesion. Orthopaedics 2007;30:250-5.         [ Links ]

15. Krieg JC, Mohr M, Amer J, Bottlang M. Pelvic circumferential compression in the presence of soft tissue injury. A case report. Journal of trauma injury infection and critical care 2005;59:468-70.         [ Links ]

16. Shai L, Yaakov A, Yorem W, Meir L, Peyser A. Talc sclerodesis of Morel-Lavallée lesions (posttraumatic pseudocyst): case report of 4 patients. Journal of Orthopaedics 2006;20(6):435-8.         [ Links ]

17. Parra JA, Fernandez MA, Encinas B, Rico M. Morel-Lavallée effusions in the thigh. Skeletal radiology 1997;26:239-41.         [ Links ]

18. Hsing-Lin L, Wei-Che L, Liang-Chi K, Chao-Wen C. Closed internal degloving injury with conservative treatment. American journal of emergency medicine 2008;26:254e5-254e6.         [ Links ]

19. Keenan S, Bui-Mansfield LT. Musculoskeletal lesions with fluid-fluid level: a pictorial essay. Journal of computer assisted tomography 2006;30(3):517-24.         [ Links ]

 

 

Correspondence:
Dr NS Motsitsi
Department of Orthopaedic Surg, Kalafong Hospital
Private Bag X 396, Pretoria 0001
Tel: (012) 373-1011; Fax: (012) 373-9031
Email: silasmotsitsi@up.ac.za

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