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Int J Angiol 2014; 23(01): 061-064
DOI: 10.1055/s-0033-1347909
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Poor Outcome of Bilateral Lower Extremity Morel-Lavallee Lesions: A Case Report

Sharon S. Stanley
1   Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, New York
,
Ernesto P. Molmenti
1   Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, New York
,
Eric Siskind
1   Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, New York
,
Armen K. Kasabian
1   Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, New York
,
Su-I D. Huang
1   Department of General Surgery, North Shore-Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, New York
› Author Affiliations
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Publication History

Publication Date:
17 February 2014 (online)

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Abstract

The Morel-Lavallee lesion is a closed, internal degloving injury that results when a strong, shearing force is applied parallel to the plane of injury, as is common in vehicular trauma. It is an underdiagnosed entity that is often missed during the initial trauma workup as symptoms can be subtle. There are few reports of lesions occurring below the knee. Most cases affect the proximal thigh and trochanter, as these tend to be dependent areas in high velocity trauma. To the best of our knowledge, this is the first literature report of bilateral lower extremity Morel-Lavallee lesions.

Keywords

Morel-Lavallee lesion - internal degloving injury - skin necrosis - skin graft - amputation - trauma
 

  • References

  • 1 Tejwani SG, Cohen SB, Bradley JP. Management of Morel-Lavallee lesion of the knee: Twenty-seven cases in the National Football League. Am J Sports Med 2007; 35 (7) 1162-1167
    CrossrefPubMedGoogle Scholar
  • 2 Dawre S, Lamba S, Sreekar H, Gupta S, Gupta AK. The Morel-Lavallee lesion: A review and a proposed algorithmic approach. Eur J Plast Surg 2012; 35 (7) 489-494
    CrossrefPubMedGoogle Scholar
  • 3 Vico PG. Morel-Lavallee syndrome. Eur J Plast Surg 2000; 23 (1) 45-48
    CrossrefPubMedGoogle Scholar
  • 4 Jones RM, Hart AM. Surgical treatment of a Morel-Lavallée lesion of the distal thigh with the use of lymphatic mapping and fibrin sealant. J Plast Reconstr Aesthet Surg 2012; 65 (11) 1589-1591
    CrossrefPubMedGoogle Scholar
  • 5 Jones RM, Hart AM. Surgical treatment of a Morel-Lavallée lesion of the distal thigh with the use of lymphatic mapping and fibrin sealant. J Plast Reconstr Aesthet Surg 2012; 65 (11) 1589-1591
    CrossrefPubMedGoogle Scholar
  • 6 Tseng S, Tornetta III P. Percutaneous management of Morel-Lavallee lesions. J Bone Joint Surg Am 2006; 88 (1) 92-96
    CrossrefPubMedGoogle Scholar
  • 7 Hudson DA, Knottenbelt JD, Krige JE. Closed degloving injuries: Results following conservative surgery. Plast Reconstr Surg 1992; 89 (5) 853-855
    CrossrefPubMedGoogle Scholar
  • 8 Kudsk KA, Sheldon GF, Walton RL. Degloving injuries of the extremities and torso. J Trauma 1981; 21 (10) 835-839
    CrossrefPubMedGoogle Scholar
  • 9 McCraw JB, Myers B, Shanklin KD. The value of fluorescein in predicting the viability of arterialized flaps. Plast Reconstr Surg 1977; 60 (5) 710-719
    PubMedGoogle Scholar