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Missed Massive Morel-Lavallee Lesion
A Morel-Lavallee lesion (MLL) involves posttraumatic fluid collection around the greater trochanter. Many cases of MLL are missed at the initial evaluation, and the treatment of MLL is not well established. We present two cases in which MLL was missed at the initial evaluation. Case 1. A 65-year-old...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3985225/ https://www.ncbi.nlm.nih.gov/pubmed/24800092 http://dx.doi.org/10.1155/2014/920317 |
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author | Takahara, Shunsuke Oe, Keisuke Fujita, Hironori Sakurai, Atsushi Iwakura, Takashi Lee, Sang Yang Niikura, Takahiro Kuroda, Ryosuke Kurosaka, Masahiro |
author_facet | Takahara, Shunsuke Oe, Keisuke Fujita, Hironori Sakurai, Atsushi Iwakura, Takashi Lee, Sang Yang Niikura, Takahiro Kuroda, Ryosuke Kurosaka, Masahiro |
author_sort | Takahara, Shunsuke |
collection | PubMed |
description | A Morel-Lavallee lesion (MLL) involves posttraumatic fluid collection around the greater trochanter. Many cases of MLL are missed at the initial evaluation, and the treatment of MLL is not well established. We present two cases in which MLL was missed at the initial evaluation. Case 1. A 65-year-old man was run over by a parade float. There was subcutaneous hematoma around the left greater trochanter, and no fracture was found. We diagnosed this injury as MLL on the 7th day after the trauma. Although we performed percutaneous drainage, the injured area was infected. Case 2. A 57-year-old man was hit by a train in a factory. There was an iliac wing fracture, but an MLL was not initially recognized. On the 6th day after the trauma, when performing open reduction and internal fixation for the iliac fracture, we recognized the lesion and performed percutaneous drainage simultaneously. This lesion also became infected. In these two cases, the wounds finally healed after a long duration of treatment. We suggest that it is important to keep this injury in mind and debride the lesion early and completely in the treatment course. |
format | Online Article Text |
id | pubmed-3985225 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-39852252014-05-05 Missed Massive Morel-Lavallee Lesion Takahara, Shunsuke Oe, Keisuke Fujita, Hironori Sakurai, Atsushi Iwakura, Takashi Lee, Sang Yang Niikura, Takahiro Kuroda, Ryosuke Kurosaka, Masahiro Case Rep Orthop Case Report A Morel-Lavallee lesion (MLL) involves posttraumatic fluid collection around the greater trochanter. Many cases of MLL are missed at the initial evaluation, and the treatment of MLL is not well established. We present two cases in which MLL was missed at the initial evaluation. Case 1. A 65-year-old man was run over by a parade float. There was subcutaneous hematoma around the left greater trochanter, and no fracture was found. We diagnosed this injury as MLL on the 7th day after the trauma. Although we performed percutaneous drainage, the injured area was infected. Case 2. A 57-year-old man was hit by a train in a factory. There was an iliac wing fracture, but an MLL was not initially recognized. On the 6th day after the trauma, when performing open reduction and internal fixation for the iliac fracture, we recognized the lesion and performed percutaneous drainage simultaneously. This lesion also became infected. In these two cases, the wounds finally healed after a long duration of treatment. We suggest that it is important to keep this injury in mind and debride the lesion early and completely in the treatment course. Hindawi Publishing Corporation 2014 2014-03-30 /pmc/articles/PMC3985225/ /pubmed/24800092 http://dx.doi.org/10.1155/2014/920317 Text en Copyright © 2014 Shunsuke Takahara et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Takahara, Shunsuke Oe, Keisuke Fujita, Hironori Sakurai, Atsushi Iwakura, Takashi Lee, Sang Yang Niikura, Takahiro Kuroda, Ryosuke Kurosaka, Masahiro Missed Massive Morel-Lavallee Lesion |
title | Missed Massive Morel-Lavallee Lesion |
title_full | Missed Massive Morel-Lavallee Lesion |
title_fullStr | Missed Massive Morel-Lavallee Lesion |
title_full_unstemmed | Missed Massive Morel-Lavallee Lesion |
title_short | Missed Massive Morel-Lavallee Lesion |
title_sort | missed massive morel-lavallee lesion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3985225/ https://www.ncbi.nlm.nih.gov/pubmed/24800092 http://dx.doi.org/10.1155/2014/920317 |
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