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通过床旁超声诊断的莫雷尔-拉瓦利埃损伤。

Morel-Lavallée lesion diagnosed with point-of-care ultrasound.

作者信息

Koroshetz Lydia, Berzins Dainis, Lynch Frederick, Allen Robert

机构信息

Department of Emergency Medicine, Keck School of Medicine of USC, Los Angeles, CA, USA.

Los Angeles General Medical Center, Los Angeles, CA, USA.

出版信息

Ultrasound. 2024 Aug;32(3):169-171. doi: 10.1177/1742271X231225070. Epub 2024 Mar 10.

DOI:10.1177/1742271X231225070
PMID:39100791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11292933/
Abstract

The Morel-Lavallée lesion is an internal degloving injury seen after a traumatic force. These lesions are frequently missed on initial presentation, leading to a delay in diagnosis and increased morbidity. We present a case of a 52-year-old male who suffered an injury to his right thigh and was ultimately diagnosed with a Morel-Lavallée lesion after the third emergency department visit. Point-of-care ultrasound (POCUS) assisted with making the diagnosis and expediting proper care.

摘要

莫雷尔-拉瓦利损伤是一种外力作用后出现的内部脱套伤。这些损伤在初次就诊时常常被漏诊,导致诊断延迟和发病率增加。我们报告一例52岁男性,其右大腿受伤,在第三次急诊就诊后最终被诊断为莫雷尔-拉瓦利损伤。床旁超声(POCUS)有助于做出诊断并加快适当治疗。

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本文引用的文献

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Identification and triage of a Morel-Lavallée lesion using point of care ultrasound.使用即时超声识别和分诊莫雷尔-拉瓦利埃损伤。
Ultrasound. 2022 Feb;30(1):85-89. doi: 10.1177/1742271X211001901. Epub 2021 Mar 16.
2
Imaging Features of Morel-Lavallée Lesions.莫雷尔-拉瓦利埃损伤的影像学特征。
J Belg Soc Radiol. 2017 Dec 16;101(Suppl 2):15. doi: 10.5334/jbr-btr.1401.
3
The Morel-Lavallée lesion and its management: A review of the literature.莫雷尔-拉瓦利损伤及其治疗:文献综述
J Orthop. 2018 Aug 28;15(4):917-921. doi: 10.1016/j.jor.2018.08.032. eCollection 2018 Dec.
4
Morel-Lavallée lesion: A closed degloving injury that requires real attention.莫雷尔-拉瓦利埃损伤:一种需要引起高度重视的闭合性脱套伤。
Indian J Radiol Imaging. 2014 Jul;24(3):288-90. doi: 10.4103/0971-3026.137053.
5
The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline.梅奥诊所治疗莫莱尔-拉瓦利埃(Morel-Lavallée)损伤的经验:制定实践管理指南。
J Trauma Acute Care Surg. 2014 Feb;76(2):493-7. doi: 10.1097/TA.0000000000000111.
6
The Morel-Lavallée lesion: pathophysiology, clinical presentation, imaging features, and treatment options.莫雷尔-拉瓦利埃损伤:病理生理学、临床表现、影像学特征及治疗选择。
Emerg Radiol. 2014 Feb;21(1):35-43. doi: 10.1007/s10140-013-1151-7. Epub 2013 Aug 16.
7
Doxycycline sclerodesis as a treatment option for persistent Morel-Lavallée lesions.多西环素硬化治疗作为治疗持续性Morel-Lavallée 病变的一种选择。
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