Powers Matthew L, Hatem Stephen F, Sundaram Murali
Department of Radiology, Cleveland Clinic, Cleveland, OH 44195, USA.
Orthopedics. 2007 Apr;30(4):250, 322-3. doi: 10.3928/01477447-20070401-10.
Morel-Lavallee lesions, or closed internal degloving injuries, are most common in the subcutaneous tissues of the proximal thigh and trochanter. Bilateral lesions are rare. These post-traumatic fluid collections can be isolated or associated with concomitant pelvic fractures. Morel-Lavallee lesions may present as a pseudotumor when not recognized in the early post-traumatic period. Magnetic resonance imaging is the modality of choice in the evaluation of Morel-Lavallee lesions. The identification of a capsule on MRI can have important management implications.
莫雷尔-拉瓦利损伤,即闭合性内部脱套伤,最常见于大腿近端和转子的皮下组织。双侧损伤罕见。这些创伤后积液可以是孤立的,也可能与骨盆骨折同时存在。莫雷尔-拉瓦利损伤在创伤后早期未被识别时可能表现为假肿瘤。磁共振成像(MRI)是评估莫雷尔-拉瓦利损伤的首选检查方法。MRI上发现包膜可能对治疗有重要意义。