Morel-Lavallee Lesion in Sports

被引:12
|
作者
Khodaee, Morteza [1 ]
Deu, Rajwinder S. [2 ]
Mathern, Seth [3 ]
Bravman, Jonathan T. [4 ]
机构
[1] Univ Colorado, Sch Med, Dept Family Med, Div Sports Med,AFW Clin, 3055 Roslyn St, Denver, CO 80238 USA
[2] Johns Hopkins Univ, Sch Med, Dept Orthopaed Surg, Baltimore, MD USA
[3] Univ Colorado, Sch Med, Dept Family Med, Denver, CO USA
[4] Univ Colorado, Sch Med, Dept Orthopaed Surg, Div Sports Med & Shoulder Surg, Aurora, CO USA
关键词
INTERNAL DEGLOVING INJURIES; MANAGEMENT; KNEE; ULTRASOUND; DIAGNOSIS; MRI;
D O I
10.1249/JSR.0000000000000306
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Posttraumatic soft tissue swelling is a relatively common presenting complaint among athletes. Due to its broad differential diagnosis, a comprehensive evaluation beginning with history and physical examination are recommended. Imaging including radiography, ultrasound, and magnetic resonance imaging (MRI) are preferred modalities. Aspiration of a fluid collection, preferably under ultrasound guidance, may help with the diagnosis and management of some of these conditions. Morel-Lavallee lesion (MLL) is an uncommon condition consisting of a closed degloving injury caused by forces that create pressure and shear stress between the subcutaneous tissue and the superficial fascia or bone. Most commonly, MLL is found over the greater trochanter and sacrum, but in rare cases can be found in other regions of the body. In most cases, concurrent severe injury mechanisms are present. Sports-related MLL are rare and underreported. Depending on the stage and type of MLL, therapeutic strategies may vary from compression wraps and aspiration to surgical evacuation.
引用
收藏
页码:417 / 422
页数:6
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