Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report

A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronic...

Full description

Saved in:
Bibliographic Details
Main Authors: Sarah Razaq, James Geffner, Asma Khan, Harry Mee, Cynthia Udensi, Fahim Anwar
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-09-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2022-0060.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841527037394681856
author Sarah Razaq
James Geffner
Asma Khan
Harry Mee
Cynthia Udensi
Fahim Anwar
author_facet Sarah Razaq
James Geffner
Asma Khan
Harry Mee
Cynthia Udensi
Fahim Anwar
author_sort Sarah Razaq
collection DOAJ
description A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.
format Article
id doaj-art-8eb35696686a427d8d2b2c690fd694d0
institution Kabale University
issn 2799-4317
2287-1683
language English
publishDate 2023-09-01
publisher Korean Society of Traumatology
record_format Article
series Journal of Trauma and Injury
spelling doaj-art-8eb35696686a427d8d2b2c690fd694d02025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136326927510.20408/jti.2022.00601238Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case reportSarah Razaq0James Geffner1Asma Khan2Harry Mee3Cynthia Udensi4Fahim Anwar5 Department of Rehabilitation Medicine, Combined Military Hospital (CMH), Quetta, Pakistan Department of Rehabilitation Medicine, Addenbrooke’s Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke’s Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke’s Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke’s Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke’s Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UKA Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.http://jtraumainj.org/upload/pdf/jti-2022-0060.pdfmorel-lavallée lesiondiagnostic imagingcase reports
spellingShingle Sarah Razaq
James Geffner
Asma Khan
Harry Mee
Cynthia Udensi
Fahim Anwar
Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report
Journal of Trauma and Injury
morel-lavallée lesion
diagnostic imaging
case reports
title Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report
title_full Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report
title_fullStr Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report
title_full_unstemmed Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report
title_short Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report
title_sort posttraumatic bilateral thigh morel lavallee lesions without an underlying bone fracture in the united kingdom a case report
topic morel-lavallée lesion
diagnostic imaging
case reports
url http://jtraumainj.org/upload/pdf/jti-2022-0060.pdf
work_keys_str_mv AT sarahrazaq posttraumaticbilateralthighmorellavalleelesionswithoutanunderlyingbonefractureintheunitedkingdomacasereport
AT jamesgeffner posttraumaticbilateralthighmorellavalleelesionswithoutanunderlyingbonefractureintheunitedkingdomacasereport
AT asmakhan posttraumaticbilateralthighmorellavalleelesionswithoutanunderlyingbonefractureintheunitedkingdomacasereport
AT harrymee posttraumaticbilateralthighmorellavalleelesionswithoutanunderlyingbonefractureintheunitedkingdomacasereport
AT cynthiaudensi posttraumaticbilateralthighmorellavalleelesionswithoutanunderlyingbonefractureintheunitedkingdomacasereport
AT fahimanwar posttraumaticbilateralthighmorellavalleelesionswithoutanunderlyingbonefractureintheunitedkingdomacasereport