Case Report of International Journal of Case Reports
Morel-Lavallee Lesions: A Non-Operative Case Series
Guy W. Nicolette1, Charlie Michaudet2, Bryan Pierce3
1Director, UF Primary Care Sports Medicine Fellowship Team Physician, UF Athletics 280 Fletcher Drive Gainesville, FL 32611-7500; 2Assistant Professor, Community Health and Family Medicine University of Florida College of Medicine Team Physician, UF Athletics; 3Christi Clinic Family Medicine 1121 S Clifton Ave Wichita KS 67218
In the late 1800’s, Morel-Lavallèe described a pattern of injury to the proximal thigh involving a fluid collection associated with a de-gloving type of injury. These injuries typically result from blunt trauma and falls. There is existing literature that suggests surgical management as primary treatment, although no rigorous controlled trials are found in English language medical literature. Non-surgical aspiration with sclerodesis is an option, however individual case reports suggest that using multiple aspirations without sclerodesis could be effective. This series illustrates that nonsurgical management (i.e. aspiration without sclerodesis) is a viable option for these injuries.
Keywords: Morel-Lavallèe, seroma, thigh injury, degloving, ultrasound, aspiration
How to cite this article:
Guy W. Nicolette, Charlie Michaudet, Bryan Pierce. Morel-Lavallee Lesions: A Non-Operative Case Series. International Journal of Case Reports, 2018 3:53. DOI:10.28933/ijcr-2018-11-3006
1 Bonilla-Yoon, I., Masih, S., Patel, D.B. et al. “The Morel-Lavallee lesion: pathophysiology, clinical presentation, imaging features, and treatment options,” Emerg Radiol (2014) 21: 35. doi:10.1007/s10140-013-1151-7
2 Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline. J Trauma Acute Care Surg 2014;76:493-7.
3 Vanhegan IS, Dala-Ali B, Verhelst L, Mallucci P, Haddad FS (2012) The Morel-Lavallee lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: case report and literature review. Case Rep Orthop 2012:593193
4 Parra JA, FernandezMA, Encinas B, RicoM(1997) Morel-Lavallee effusions in the thigh. Skelet Radiol 26(4):239–241
5 Mellado JM, Bencardino JT. Morel-Lavalle´e lesion: review with emphasison MR imaging. Magn Reson Imaging Clin N Am. 2005;13(4):775Y782.
6 Hudson DA. Missed closed degloving injuries: late presentation as acontour deformity. Plast Reconstr Surg. 1996;98(2):334Y337.
7 Scott LaTulip, Rameshwar R. Rao, Alan Sielaff, Nik Theyyunni, and John Burkhardt, “Ultrasound Utility in the Diagnosis of a Morel-Lavallée Lesion,” Case Reports in Emergency Medicine, vol. 2017, Article ID 3967587, 3 pages, 2017. doi:10.1155/2017/3967587
8 Diken AI, Yalçinkaya A, Ipek D. An extensive Morel-Lavallèe lesion micmicking deep vein thrombosis. Cardiovasc Surf Int 2015;2(3):69-71
9 Bomela LN, Basson H, Motsitsi NS. Morel-Lavallée lesion: A review. SA Orthopaedic Journal 2008;7(2):34-41.
10 Mellado JM, Perez Del Palomar L, Diaz L, Ramos A, Sauri A. Long-standing Morel-Lavallee lesion of the trochanteric region and proximal thigh;MRI features in 5 patients. American Journal of Roentgenology 2004;182:1289-94.
11 Singh R, Rymer B, Youssef B, Lim J. The Morel-Lavallée lesion and its management: a review of the literature. Journal of Orthopaedics. 2018;15(4):917-921.
This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.