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Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention

Morel-Lavallee lesions (MLL) are rare, closed degloving injuries caused by trauma that delivers a shearing force to the soft tissue most commonly of the hip. If not treated in the acute and subacute setting these lesions are often complicated by re-accumulation of fluid, infection, or chronic pain....

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Detalles Bibliográficos
Autores principales: Weiss, Nicholas A., Johnson, Jeremiah J., Anderson, Shane B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427222/
https://www.ncbi.nlm.nih.gov/pubmed/25987925
http://dx.doi.org/10.5811/westjem.2015.3.25148
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author Weiss, Nicholas A.
Johnson, Jeremiah J.
Anderson, Shane B.
author_facet Weiss, Nicholas A.
Johnson, Jeremiah J.
Anderson, Shane B.
author_sort Weiss, Nicholas A.
collection PubMed
description Morel-Lavallee lesions (MLL) are rare, closed degloving injuries caused by trauma that delivers a shearing force to the soft tissue most commonly of the hip. If not treated in the acute and subacute setting these lesions are often complicated by re-accumulation of fluid, infection, or chronic pain. We present a unique case of a recurrent, massive medial knee/thigh MLL in which proper treatment was delayed due to initial diagnosis of a quadriceps contusion. We describe the ultrasound and magnetic resonance imaging findings of this patient and based on a review of recent literature propose that the initial management should have included early drainage/debridement, which likely could have prevented recurrence and significantly shortened the clinical course.
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spelling pubmed-44272222015-05-18 Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention Weiss, Nicholas A. Johnson, Jeremiah J. Anderson, Shane B. West J Emerg Med Diagnostic Acumen Morel-Lavallee lesions (MLL) are rare, closed degloving injuries caused by trauma that delivers a shearing force to the soft tissue most commonly of the hip. If not treated in the acute and subacute setting these lesions are often complicated by re-accumulation of fluid, infection, or chronic pain. We present a unique case of a recurrent, massive medial knee/thigh MLL in which proper treatment was delayed due to initial diagnosis of a quadriceps contusion. We describe the ultrasound and magnetic resonance imaging findings of this patient and based on a review of recent literature propose that the initial management should have included early drainage/debridement, which likely could have prevented recurrence and significantly shortened the clinical course. Department of Emergency Medicine, University of California, Irvine School of Medicine 2015-05 2015-04-09 /pmc/articles/PMC4427222/ /pubmed/25987925 http://dx.doi.org/10.5811/westjem.2015.3.25148 Text en Copyright © 2015 the authors. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/.
spellingShingle Diagnostic Acumen
Weiss, Nicholas A.
Johnson, Jeremiah J.
Anderson, Shane B.
Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
title Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
title_full Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
title_fullStr Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
title_full_unstemmed Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
title_short Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
title_sort morel-lavallee lesion initially diagnosed as quadriceps contusion: ultrasound, mri, and importance of early intervention
topic Diagnostic Acumen
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427222/
https://www.ncbi.nlm.nih.gov/pubmed/25987925
http://dx.doi.org/10.5811/westjem.2015.3.25148
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