Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review()

CASE: An 81 year old male with four failed aspirations presented with recurrent knee swelling following irrigation and debridement, which suggested the presence of a Morel-Lavallée lesion (MLL). This diagnosis was intraoperatively confirmed by separation of the tissue layers forming a space with acc...

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Detalles Bibliográficos
Autores principales: Heifner, John J., Small, Tyler M., Fox, Yitzak M., Ogg, Robert, Corces, Arturo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213101/
https://www.ncbi.nlm.nih.gov/pubmed/37251436
http://dx.doi.org/10.1016/j.tcr.2023.100842
Descripción
Sumario:CASE: An 81 year old male with four failed aspirations presented with recurrent knee swelling following irrigation and debridement, which suggested the presence of a Morel-Lavallée lesion (MLL). This diagnosis was intraoperatively confirmed by separation of the tissue layers forming a space with accumulated fluid. Treatment consisted of doxycycline sclerodesis and tight closure of the tissue layers. The patient had a satisfactory outcome at 4 months. CONCLUSION: Resolution of Morel-Lavallée lesions requires prompt recognition and appropriate treatment. In the presence of a different diagnosis, recurrence of symptoms following treatment may indicate an MLL. Surgical treatment with doxycycline sclerodesis resulted in resolution of symptoms.

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