The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review
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 banda...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/593193 |
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| author | Ivor S. Vanhegan B. Dala-Ali L. Verhelst P. Mallucci Fares S. Haddad |
| author_facet | Ivor S. Vanhegan B. Dala-Ali L. Verhelst P. Mallucci Fares S. Haddad |
| author_sort | Ivor S. Vanhegan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-87761abd67ef4ab4a82a628aa3d19368 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-87761abd67ef4ab4a82a628aa3d193682025-02-03T01:27:32ZengWileyCase Reports in Orthopedics2090-67492090-67572012-01-01201210.1155/2012/593193593193The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature ReviewIvor S. Vanhegan0B. Dala-Ali1L. Verhelst2P. Mallucci3Fares S. Haddad4Department of Orthopaedics, University College Hospital, 235 Euston Road, London NW1 2BU, UKDepartment of Orthopaedics, University College Hospital, 235 Euston Road, London NW1 2BU, UKDepartment of Orthopaedics, University College Hospital, 235 Euston Road, London NW1 2BU, UKDepartment of Plastic Surgery, Royal Free Hospital, Pond Street, London NW3 2QG, UKDepartment of Orthopaedics, University College Hospital, 235 Euston Road, London NW1 2BU, UKA 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.http://dx.doi.org/10.1155/2012/593193 |
| spellingShingle | Ivor S. Vanhegan B. Dala-Ali L. Verhelst P. Mallucci Fares S. Haddad The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review Case Reports in Orthopedics |
| title | The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review |
| title_full | The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review |
| title_fullStr | The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review |
| title_full_unstemmed | The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review |
| title_short | The Morel-Lavallée Lesion as a Rare Differential Diagnosis for Recalcitrant Bursitis of the Knee: Case Report and Literature Review |
| title_sort | morel lavallee lesion as a rare differential diagnosis for recalcitrant bursitis of the knee case report and literature review |
| url | http://dx.doi.org/10.1155/2012/593193 |
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