Koc Baris B, Somorjai Nicolaas, P M Kiesouw Egid, Vanderdood Kurt, Meesters-Caberg Marleen, Draijer Frits W, Jansen Edwin J P
Dept of Orthopedic Sur., Dr. H. van der Hoffplein 1, 6162 BG Sittard-Geleen, The Netherlands.
Department of Orthopedic Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, 6162 BG, Sittard -Geleen, The Netherlands.
Knee. 2017 Jan;24(1):144-148. doi: 10.1016/j.knee.2016.10.017. Epub 2016 Nov 23.
A Morel-Lavallée lesion is a post-traumatic closed degloving injury of soft tissue. The lesion is due to a shearing trauma with separation of subcutaneous tissue from underlying fascia. When conservative treatment fails, surgical treatment is imperative. Commonly, open drainage and debridement is performed. This case report describes a Morel-Lavallée lesion of the knee in a professional soccer player who was successfully treated with endoscopic debridement and fibrin glue injection after failure of conservative management. This method achieves the goal of an open surgical debridement without exposing patients to an increased morbidity.
莫雷尔-拉瓦利埃损伤是一种创伤后软组织闭合性脱套伤。该损伤是由于剪切力导致皮下组织与深层筋膜分离。当保守治疗失败时,手术治疗势在必行。通常进行切开引流和清创术。本病例报告描述了一名职业足球运动员膝部的莫雷尔-拉瓦利埃损伤,在保守治疗失败后,通过内镜清创和纤维蛋白胶注射成功治愈。该方法实现了切开手术清创的目标,同时又不会增加患者的发病率。