Khan Khizar K, Dhaniwala Nareshkumar S, Gupta Sarthak, Kekatpure Aditya L
Orthopedic Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 May 1;14(5):e24639. doi: 10.7759/cureus.24639. eCollection 2022 May.
The Morel-Lavallée lesion (MLL) is a closed soft-tissue injury that is frequently associated with high-intensity trauma. The thigh, hip, and pelvic regions are the most typically affected regions. It is critical to recognize and treat an MLL as soon as possible because it is often neglected or its identification is delayed because of other distracting injuries in a polytrauma patient. Bacterial colonization of these closed soft-tissue wounds can result in an increased risk of perioperative and postoperative infection. Magnetic resonance imaging has recently been used to define and grade these lesions. To reduce the dangers of these situations, clinical suspicion and on-the-spot identification of these lesions are essential. Here, we report an operated case of fracture shaft femur associated with MLLs and discuss the diagnostic and surgical approaches.
莫雷尔-拉瓦利埃损伤(MLL)是一种闭合性软组织损伤,常与高强度创伤相关。大腿、髋部和骨盆区域是最常受影响的部位。尽快识别和治疗MLL至关重要,因为在多发伤患者中,它常常被忽视,或者由于其他令人分心的损伤而导致其识别延迟。这些闭合性软组织伤口的细菌定植会增加围手术期和术后感染的风险。最近,磁共振成像已被用于定义和分级这些损伤。为降低这些情况的风险,临床怀疑和现场识别这些损伤至关重要。在此,我们报告一例股骨干骨折合并MLL的手术病例,并讨论其诊断和手术方法。