Morel-Lavallée lesion: Difference between revisions
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*Enlarging, painful area of swelling | *Enlarging, painful area of swelling | ||
*Soft tissue fluctuance | *Soft tissue fluctuance | ||
*Associated with blunt trauma with or without associated fracture | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
*Will require surgical consultation and drainage | |||
==Disposition== | ==Disposition== | ||
*Admit | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref> | |||
<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref> | |||
<references/> | <references/> | ||
Revision as of 19:07, 14 March 2018
Background
- Posttraumatic, closed degloving injury
- Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia
- Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat
- Most commonly seen in proximal thigh
- Also reported in trunk, prepatellar region, lumbar region, or scapular regions
- If not diagnosed early, can become infected
Clinical Features
- Enlarging, painful area of swelling
- Soft tissue fluctuance
- Associated with blunt trauma with or without associated fracture
Differential Diagnosis
Extremity trauma
- Compartment syndrome
- Contusion
- Crush syndrome
- Degloving injury
- Fracture
- Laceration
- Myositis ossificans
- Open joint injury
- Peripheral nerve injury
- Rhabdomyolysis
- Tendon injury
- Vascular injury
Evaluation
Management
- Will require surgical consultation and drainage
Disposition
- Admit
See Also
External Links
References
- ↑ J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.
- ↑ Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.