Morel-Lavallée lesion - Revision history

Rossdonaldson1: /* Evaluation */

2020-08-05T22:50:55Z

Evaluation

← Older revision		Revision as of 22:50, 5 August 2020
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	==Evaluation==		==Evaluation==
			[[File:CT of Morel-Lavallee lesion.jpg\|thumb\| Morel-Lavallee lesion is a closed traumatic soft-tissue degloving injury, caused by separation of the hypodermis from the underlying fascia. It most frequently occurs in the peritrochanteric region along the proximal lateral thigh, such as in this CT scan.]]
	*Evaluate for tenderness, fluctuance		*Evaluate for tenderness, fluctuance
	*Labs		*Labs

Zipdoc at 06:12, 6 April 2018

2018-04-06T06:12:39Z

← Older revision		Revision as of 06:12, 6 April 2018
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	==References==		==References==
	<references/>		<references/>

			[[Category:Trauma]]

Rossdonaldson1: /* Background */

2018-03-29T18:18:35Z

Background

← Older revision		Revision as of 18:18, 29 March 2018
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	==Background==		==Background==
	*Posttraumatic, closed degloving injury<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>		*Posttraumatic, closed [[degloving injury]]<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>
	*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>		*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>
	**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat		**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat

Rossdonaldson1 at 16:56, 27 March 2018

2018-03-27T16:56:00Z

← Older revision		Revision as of 16:56, 27 March 2018
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	==Background==		==Background==
	*Posttraumatic, closed degloving injury<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>		*Posttraumatic, closed degloving injury<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>
	*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia		*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>
	**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat		**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat
	*Most commonly seen in proximal thigh or overlying hip		*Most commonly seen in proximal thigh or overlying hip
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	==See Also==		==See Also==


	==External Links==		==External Links==


	==References==		==References==
	~~<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>~~
	<references/>		<references/>

Rossdonaldson1: /* Clinical Features */

2018-03-27T16:49:26Z

Clinical Features

← Older revision		Revision as of 16:49, 27 March 2018
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	*Enlarging, painful area of swelling		*Enlarging, painful area of swelling
	*Soft tissue fluctuance		*Soft tissue fluctuance
	*Associated with blunt trauma with or without associated fracture		*Associated with high-energy, blunt trauma with or without associated fracture

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1 at 16:47, 27 March 2018

2018-03-27T16:47:02Z

← Older revision		Revision as of 16:47, 27 March 2018
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	==Background==		==Background==
	*Posttraumatic, closed degloving injury		*Posttraumatic, closed degloving injury<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>
	*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia		*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia
	**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat		**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat
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	==References==		==References==
	<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>		<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>
	<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>
	<references/>		<references/>

Rossdonaldson1: Rossdonaldson1 moved page Morel-Lavallée Lesion to Morel-Lavallée lesion

2018-03-27T16:46:10Z

Rossdonaldson1 moved page Morel-Lavallée Lesion to Morel-Lavallée lesion

← Older revision	Revision as of 16:46, 27 March 2018
(No difference)

Jglee3 at 19:20, 14 March 2018

2018-03-14T19:20:15Z

← Older revision		Revision as of 19:20, 14 March 2018
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Hematoma		*Hematoma
			*Hemangioma/Vascular malformation
	*Tumor		*Tumor
			*Cyst
	*[[Abscess]]		*[[Abscess]]
	*[[Deep venous thrombosis]]		*[[Deep venous thrombosis]]
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	*[[Necrotizing fasciitis]]		*[[Necrotizing fasciitis]]
	{{Extremity trauma DDX}}		{{Extremity trauma DDX}}
			{{SSTI DDX}}

	==Evaluation==		==Evaluation==

Jglee3 at 19:14, 14 March 2018

2018-03-14T19:14:29Z

← Older revision		Revision as of 19:14, 14 March 2018
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	*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia		*Results in subcutaneous fluid collection after abrupt separation of skin and subcutaneous tissues from underlying fascia
	**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat		**Disrupts capillaries and lymphatics resulting in leakage of lymph, blood, and necrotic fat
	*Most commonly seen in proximal thigh		*Most commonly seen in proximal thigh or overlying hip
	**Also reported in trunk, prepatellar region, lumbar region, or scapular regions		**Also reported in trunk, prepatellar region, lumbar region, or scapular regions
	*If not diagnosed early, can become infected		*If not diagnosed early, can become infected
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[~~Hematoma~~]]		*Hematoma
			*Tumor
			*[[Abscess]]
	*[[Deep venous thrombosis]]		*[[Deep venous thrombosis]]
	*[[Compartment syndrome]]		*[[Compartment syndrome]]
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	==Evaluation==		==Evaluation==
			*Evaluate for tenderness, fluctuance
			*Labs
			**CBC- can have significant bleeding into the lesion, watch Hb
			*Imaging
			**MRI is modality of choice for evaluation, but these lesions are also visible on CT
			**Ultrasound can show a fluid collection, but can't be used to rule out

	==Management==		==Management==

Jglee3 at 19:07, 14 March 2018

2018-03-14T19:07:42Z

← Older revision		Revision as of 19:07, 14 March 2018
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	*Enlarging, painful area of swelling		*Enlarging, painful area of swelling
	*Soft tissue fluctuance		*Soft tissue fluctuance
			*Associated with blunt trauma with or without associated fracture

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
			*Will require surgical consultation and drainage

	==Disposition==		==Disposition==
			*Admit

	==See Also==		==See Also==
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	==References==		==References==
			<ref>J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.</ref>
			<ref>Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel-Lavallée lesion: A closed degloving injury that requires real attention. The Indian Journal of Radiology & Imaging. 2014;24(3):288-290. doi:10.4103/0971-3026.137053.</ref>
	<references/>		<references/>