The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review
Open Access
- 20 December 2012
- journal article
- case report
- Published by Hindawi Limited in Case Reports in Orthopedics
- Vol. 2012, 1-5
- https://doi.org/10.1155/2012/593193
Abstract
A 72 year-old-male was referred to our institution with recalcitrant prepatellar bursitis. The injury was sustained after striking his right knee against a post whilst horse riding 9 months ago. Previous treatments included repeated aspiration and excision of the bursa with elastic compression bandaging. A diagnosis of a Morel-Lavallée internal degloving injury was made, and the lesion was satisfactorily managed by an internal quilting procedure to eliminate the potential dead space. A review of the literature reveals 29 published reports of Morel-Lavallée lesions with sufficient information for inclusion. These came from 14 separate countries with a total of 204 lesions in 195 patients. The most common anatomical location was the greater trochanter/hip (36%), followed by the thigh (24%) and the pelvis (19%). Most were managed surgically with evacuation of the haematoma and necrotic tissue followed by debridement, which was often repeated (36%). Conservative treatment with percutaneous aspiration and compression bandaging was the next most common treatment (23%). The knee was the fourth most common region affected (16%), and only 3 other lesions in the literature have been managed with a quilting procedure.Keywords
This publication has 34 references indexed in Scilit:
- Épanchement de Morel-Lavallée en chirurgie orthopédique (À propos de 19 cas)Annales de Chirurgie Plastique Esthétique, 2011
- Morel-lavallée lesion in a professional american football player.2010
- A rare cause of calf swelling: the Morel–Lavallee lesionIrish Journal of Medical Science, 2009
- Postsurgical Bleeding Following the Treatment of a Chronic Morel-Lavallée LesionOrthopedics, 2008
- Sonography of Morel-Lavallée LesionsJournal of Ultrasound in Medicine, 2008
- MRI findings of prepatellar Morel-Lavallée effusionsSkeletal Radiology, 2008
- The use of vacuum assisted closure (VAC™) in soft tissue injuries after high energy pelvic traumaLangenbecks Archiv für Chirurgie, 2006
- Die Morel-Lavallée-LäsionDer Unfallchirurg, 2006
- Morel-Lavallée effusions in the thighSkeletal Radiology, 1997
- Surgical Management of Soft Tissue Lesions Associated With Pelvic Ring InjuryClinical Orthopaedics and Related Research, 1996