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年轻运动员膝关节Morel-Lavallée 损伤:运动创伤后约 2 例。

Morel-Lavallée Lesion of the Knee in the Young Athlete: About 2 Cases After Sports Trauma.

机构信息

From the Division of Surgery of the Child and the Adolescent, Department Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.

出版信息

Pediatr Emerg Care. 2021 Jun 1;37(6):e354-e355. doi: 10.1097/PEC.0000000000001704.

Abstract

BACKGROUND

Differential diagnosis of soft tissue swelling on exposed body parts in the young athlete is large and mostly includes benign self-limiting conditions, once underlying lesion to the bone, the cartilage, and the ligaments is excluded. Morel-Lavallée lesion represents a rare soft tissue injury requiring prompt intervention to ensure favorable outcome.

CASES

A 10-year-old boy presented with 2-week-old swelling of the medial side of the knee without recent traumatic event. Unawareness of Morel-Lavallée lesion in the differential diagnosis led to delayed diagnosis and treatment. A 16-year-old boy came to our pediatric tertiary care center with a similar presentation and history. Timely intervention allowed for favorable outcome and early return to play.

CONCLUSIONS

Morel-Lavallée lesion is a rare entity in the pediatric population, although underreporting due to unfamiliarity with the diagnosis is highly probable. Raising awareness among professionals in charge of young athletes should allow for better reporting as well as for elaboration of a standardized treatment plan, including rapid intervention and early return to play.

摘要

背景

在年轻运动员暴露部位的软组织肿胀的鉴别诊断范围很广,主要包括良性自限性疾病,一旦排除了骨、软骨和韧带的潜在病变。Morel-Lavallée 损伤是一种罕见的软组织损伤,需要及时干预以确保良好的结果。

病例

一名 10 岁男孩出现 2 周前的膝关节内侧肿胀,无近期创伤事件。由于在鉴别诊断中对 Morel-Lavallée 损伤认识不足,导致诊断和治疗延迟。一名 16 岁男孩因类似的表现和病史来到我们的儿科三级护理中心。及时的干预措施使病情得到了良好的转归,并且能够及早恢复运动。

结论

Morel-Lavallée 损伤在儿科人群中较为罕见,但由于对该诊断不熟悉,可能存在漏报。提高负责年轻运动员的专业人员的认识,应能更好地报告此类病例,并制定出标准化的治疗方案,包括快速干预和及早恢复运动。

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