Unusual cause of unilateral calf swelling
Keywords:
Closed degloving injury,Morel-Lavallée lesionsAbstract
Unusual cause of unilateral calf swelling
Abstract :
Morel-Lavallée lesions are closed degloving injuries in which the skin and subcutaneous tissues separate from the underlying fascia secondary to a shearing force. These injuries are uncommon and can be misdiagnosed in acute settings ,therefore, it is important to discuss the clinical presentation and imaging characteristics in order to improve their diagnosis and management.
Morel-Lavallée injuries can lead to chronic symptoms, such as pain and swelling, affecting the patient’s quality of life, if diagnosed late, a fibrotic capsule can form, which may require surgical excision. We review the current literature regarding MLL and diagnostic tools in order to accurately and rapidly diagnose this often-missed entity.
It is important for caregivers to know the diagnostic steps and pitfalls of this elusive diagnosis in order to diagnose MLL quickly, before it turns into a life-threatening state for the patient.
References
Mellado JM, Bencardino JT. Morel-Lavallee Lesion: review with emphasis on MR imaging.Magn Reson Imaging Clin N Am. 13 2005: 775-782.
Bonilla-Yoon I, Masih S, Patel DB, White EA, Levine BD, Chow K, Gottsegen CJ, Matcuk GR., Jr The Morel Lavallée lesion: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol. 2013 Aug;21(1):35–43.
Mooney M, Gillette M, Kostiuk D, Hanna M, Ebraheim N. Surgical treatment of a chronic Morel-Lavallée lesion: a case report. Journal of orthopaedic case reports. 2020;9(6):15.
Hudson D.A., Knottenbelt J.D., Krige J.E.: Closed degloving injuries: results following conservative surgery. Plast. Reconstr. Surg. 1992; 89: pp. 853-855.
Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline. Journal of Trauma and Acute Care Surgery. 2014 Feb 1;76(2):493-7.
Vander Doelen T., Manis A.: Conservative management of Morel-Lavallée lesion: a case study. J. Can. Chiropr. Assoc. 2019; 63: pp. 178.
Greenhill D., Haydel C., Rehman S.: Management of the Morel-Lavallée lesion. Orthop. Clin. North Am. 2016; 47: pp. 115-125.
Howell L., Christian D., Leland H.A., et. al.: Delayed presentation of a chronic Morel-Lavallée lesion. J. Radiol. Case Rep. 2016; 10: pp. 30-39.
Mellado JM, Del Palomar LP, Diaz L, Ramos A, Saurí A. Long-standing Morel-Lavallée lesions of the trochanteric region and proximal thigh: MRI features in five patients. American Journal of Roentgenology. 2004 May;182(5):1289-94.)
Diviti S, Gupta N, Hooda K, Sharma K, Lo L. Morel-Lavallee lesions-review of pathophysiology, clinical findings, imaging findings and management. Journal of clinical and diagnostic research: JCDR. 2017 Apr;11(4):TE01.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Bombay Hospital Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
