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The morel-lavallée lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: case report and literature review.

Vanhegan IS, Dala-Ali B, Verhelst L, Mallucci P, Haddad FS - Case Rep Orthop (2012)

Bottom Line: The most common anatomical location was the greater trochanter/hip (36%), followed by the thigh (24%) and the pelvis (19%).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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, University College Hospital, 235 Euston Road, London NW1 2BU, UK.

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.

No MeSH data available.


Related in: MedlinePlus

Magnetic resonance images (T2-weighted) highlighting the prepatellar collection of fluid in sagittal (a) and axial (b) sections.
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fig1: Magnetic resonance images (T2-weighted) highlighting the prepatellar collection of fluid in sagittal (a) and axial (b) sections.

Mentions: A magnetic resonance image (MRI) was performed, which illustrated a large prepatellar swelling extending from the distal quadriceps expansion to the patellar tendon insertion over a craniocaudal dimension of 10 cm (Figures 1(a) and 1(b)). The rest of the MRI was normal except for an incidental finding of a free margin tear in the posterior horn of the medial meniscus.


The morel-lavallée lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: case report and literature review.

Vanhegan IS, Dala-Ali B, Verhelst L, Mallucci P, Haddad FS - Case Rep Orthop (2012)

Magnetic resonance images (T2-weighted) highlighting the prepatellar collection of fluid in sagittal (a) and axial (b) sections.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3539348&req=5

fig1: Magnetic resonance images (T2-weighted) highlighting the prepatellar collection of fluid in sagittal (a) and axial (b) sections.
Mentions: A magnetic resonance image (MRI) was performed, which illustrated a large prepatellar swelling extending from the distal quadriceps expansion to the patellar tendon insertion over a craniocaudal dimension of 10 cm (Figures 1(a) and 1(b)). The rest of the MRI was normal except for an incidental finding of a free margin tear in the posterior horn of the medial meniscus.

Bottom Line: The most common anatomical location was the greater trochanter/hip (36%), followed by the thigh (24%) and the pelvis (19%).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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, University College Hospital, 235 Euston Road, London NW1 2BU, UK.

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.

No MeSH data available.


Related in: MedlinePlus