morel lavalle

INTRODUCTION: Morel-Lavalleé lesion is an uncommon closed degloving injury usually affecting the lower extremity. Although these lesions have been documented in literature, yet there is no standard treatment algorithm for the same. A case of Morel-Lavallée lesion following blunt injury to the thigh is therefore presented to highlight the diagnostic and therapeutic challenges in managing such lesions. The aim of presenting the case is to create awareness of clinical presentation, diagnosis, and management of Morel-Lavallée lesions, especially in the setting of polytrauma patients...

Delayed presentation of closed APC type III pelvic ring injury with a healing wound on the medial thigh, in a twenty-six-year-old male, at four weeks. We planned Symphyseal plating and sacroiliac screw fixation surgery. After percutaneous screw fixation, subsequent pelvic exposure revealed whitish cheesy pus in the retropubic space. Hence, we changed surgery from internal fixation to a supra-acetabular external fixator. Subsequent molecular testing documented tuberculosis and regimen of antitubercular medications was started...

BACKGROUND: Lumbopelvic distraction stabilization with (triangular osteosynthesis) or without additional iliosacral screw allows anatomic reduction of the posterior pelvic ring after severely displaced sacral fractures, correction or resection osteotomies of malunions, respectively, septic sacroiliitis and permits early weight bearing. However, this technique is complicated by wound necrosis or infection in up to 20% to 30%. We describe our experience with a less invasive technique. METHODS: The presented technique was performed in a consecutive series (December 2006 to October 2009) of 10 patients (mean age: 47 years, 23-85 years; 5 men)...

Although the Morel-Lavallé lesion was originally described over 150 years ago and is a well known entity about the pelvis and femora, its occurrence in the prepatellar region has only recently been reported. While Tejwani et al asserted that prepatellar MLL and prepatellar bursitis can be readily distinguished clinically, the absence of prepatellar MLL from the literature until recently suggests that it may be under-diagnosed. Magnetic resonance imaging can be a helpful adjunct to the clinical examination in diagnosing MLL, primarily by confirming the precise extent of the fluid beyond the expected anatomic margins of the prepatellar bursa...

The authors report a case of post-traumatic jugal lymphatical effusions associated to a fistula of Stensen's Duct. The lesions have healed by placing a suction drainage without modelling catheterism.