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2017 ; 11
(4
): TE01-TE04
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English Wikipedia
Morel-Lavallee Lesions-Review of Pathophysiology, Clinical Findings, Imaging
Findings and Management
#MMPMID28571232
Diviti S
; Gupta N
; Hooda K
; Sharma K
; Lo L
J Clin Diagn Res
2017[Apr]; 11
(4
): TE01-TE04
PMID28571232
show ga
Morel-Lavallee lesion is a post-traumatic soft tissue degloving injury. This is
commonly associated with sports injury caused by a shearing force resulting in
separation of the hypodermis from the deeper fascia. Most common at the greater
trochanter, these injuries also occur at flank, buttock, lumbar spine, scapula
and the knee. Separation of the tissue planes result in a complex serosanguinous
fluid collection with areas of fat within it. The imaging appearance is variable
and non specific, potentially mimicking simple soft tissue haematoma, superficial
bursitis or necrotic soft tissue neoplasms. If not treated in the acute or early
sub acute settings, these collections are at risk for superinfection, overlying
tissue necrosis and continued expansion. In this review article, we discuss the
clinical presentation, pathophysiology, imaging features and differential
diagnostic considerations of Morel-Lavallee lesions. Role of imaging in guiding
prompt and appropriate treatment has also been discussed.