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英国一例无潜在骨折的创伤后双侧大腿莫雷尔-拉瓦利损伤:病例报告

Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report.

作者信息

Razaq Sarah, Geffner James, Khan Asma, Mee Harry, Udensi Cynthia, Anwar Fahim

机构信息

Department of Rehabilitation Medicine, Combined Military Hospital (CMH), Quetta, Pakistan.

Department of Rehabilitation Medicine, Addenbrooke's Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK.

出版信息

J Trauma Inj. 2023 Sep;36(3):269-275. doi: 10.20408/jti.2022.0060. Epub 2023 Jan 11.

Abstract

A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.

摘要

莫雷尔-拉瓦利埃损伤是由肌肉筋膜和皮下层之间的脱套伤引起的。它最常见于转子区,但也可能发生在其他部位。该病症的治疗方法因医疗情况以及病症的大小和病程而异。本文介绍了一例双侧创伤后莫雷尔-拉瓦利埃损伤(大小为18×6厘米和10×5厘米)且无潜在骨折的病例;该病例发生在一名49岁男性患者身上,创伤后4周。超声扫描显示双侧有大量无回声液体积聚,在超声引导下进行抽吸,并通过加压绷带进一步处理。未出现进一步并发症。本病例报告的目的是呈现这一独特且具有教育意义的病例,并概述莫雷尔-拉瓦利埃损伤的病理生理学、诊断和治疗。我们通过讨论保持高度怀疑指数以确保早期发现并及时治疗此类损伤以避免并发症的重要性来得出结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbd7/11309286/b13a2ea4f66e/jti-2022-0060f1.jpg

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