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膝关节疼痛:Morel-Lavallée 损伤,病例系列。

Pain at the knee: the Morel-Lavallée lesion, a case series.

机构信息

Department of Orthopaedic Surgery, St Maartenskliniek, Nijmegen, the Netherlands.

出版信息

Clin J Sport Med. 2012 Mar;22(2):163-6. doi: 10.1097/JSM.0b013e318246ee33.

Abstract

Post-traumatic pain at the knee is a common clinical presentation with a wide and varied differential diagnosis. The Morel-Lavallée lesion (MLL) is a rare cause of pain at the knee, caused by post-traumatic shearing of the hypodermis from the underlying fascia. The space created can fill with blood, lymph and necrotic fat giving specific findings on ultrasound and magnetic resonance (MR) evaluation. Three different cases of patients diagnosed with the MLL surrounding the knee are presented, with clinical and radiological findings. The different treatment options will be evaluated. The MLL is a rare but important cause of post-traumatic pain at the knee. Clinical exam and history are mandatory in diagnosing an MLL. Ultrasound and MR examination are very helpful in assessing the diagnosis. Various treatment options, nonsurgical as well as surgical, seem to be effective and should be considered depending on presentation and duration.

摘要

膝关节创伤后疼痛是一种常见的临床症状,其鉴别诊断广泛且多样。莫尔-拉瓦列氏损伤(MLL)是一种罕见的膝关节疼痛原因,是由皮下组织从下面的筋膜发生创伤性剪切引起的。所形成的空间可充满血液、淋巴和坏死脂肪,在超声和磁共振(MR)评估中给出特定的发现。本文介绍了 3 例膝关节周围 MLL 的患者,包括临床和影像学发现。将评估不同的治疗选择。MLL 是一种罕见但重要的膝关节创伤后疼痛原因。诊断 MLL 时,临床检查和病史是必需的。超声和 MR 检查对于评估诊断非常有帮助。各种治疗选择,包括非手术和手术治疗,似乎都有效,应根据表现和持续时间来考虑。

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