Imaging Findings of the Morel-Lavellée Lesion
Yıl: 2020 Cilt: 60 Sayı: 4 Sayfa Aralığı: 405 - 411 Metin Dili: İngilizce DOI: 10.14744/hnhj.2018.48403 İndeks Tarihi: 14-05-2021
Imaging Findings of the Morel-Lavellée Lesion
Öz: Introduction: This study aims to evaluate the magnetic resonance imaging (MRI) findings of the Morel-Lavellée lesion (MLL),which described as degloving injury of the subcutaneous fatty tissue.Methods: MRI features of fifteen patients in whom the diagnosis of MLL was established by clinically or surgery retrospec-tively analyzed.Results: All the lesions were located in the lower extremities, and 86.6% (n=13) were located at the knee level or above. Alllesions had an anatomic relationship with deep fascia. The majority of the lesions were in either fusiform or crescentic form.60% (n=9) of the lesions showed a well-defined smooth contour. Pseudocapsules were observed in nine patients (60%).46.6% (n=7) of the lesions had a homogeneous signal property. The intralesional hemorrhagic signal was observed in 26.6%(n=4) of the lesions and intra-lesional fat signal in 46.6% (n=7). One patient had fluid-fluid leveling. In two cases, muscleinjury were accompanied by the MLL. In all cases, no associated bone lesion was noted.Discussion and Conclusion: MLL should be considered if a well-circumscribed, crescentic or fusiform subcutaneous masslesion in association with the deep fascia is present, especially in the presence of a history of previous trauma.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Vanhegan IS, Dala-Ali B, Verhelst L, Mallucci P, Haddad FS. The morel-lavallée lesion as a rare differential diagnosis for recal- citrant bursitis of the knee: case report and literature review. Case Rep Orthop 2012;2012:593193.
- 2. Nair AV, Nazar P, Sekhar R, Ramachandran P, Moorthy S. Morel- Lavallée lesion: A closed degloving injury that requires real attention. Indian J Radiol Imaging 2014;24:288–90.
- 3. Gilbert BC, Bui-Mansfield LT, Dejong S. MRI of a Morel-Lavellée lesion. AJR Am J Roentgenol 2004;182:1347–8.
- 4. Mellado JM, Pérez del Palomar L, Díaz L, Ramos A, Saurí A. Long-standing Morel-Lavallée lesions of the trochanteric re- gion and proximal thigh: MRI features in five patients. AJR Am J Roentgenol 2004;182:1289–94.
- 5. Neal C, Jacobson JA, Brandon C, Kalume-Brigido M, Morag Y, Girish G. Sonography of Morel-Lavallee lesions. J Ultrasound Med 2008;27:1077–81.
- 6. McKenzie GA, Niederhauser BD, Collins MS, Howe BM. CT characteristics of Morel-Lavallée lesions: an under-recognized but significant finding in acute trauma imaging. Skeletal Ra- diol 2016;45:1053–60.
- 7. Parra JA, Fernandez MA, Encinas B, Rico M. Morel-Lavallée ef- fusions in the thigh. Skeletal Radiol 1997;26:239–41.
- 8. Tseng S, Tornetta P 3rd. Percutaneous management of Morel- Lavallee lesions. J Bone Joint Surg Am 2006;88:92–6.
- 9. Mukherjee K, Perrin SM, Hughes PM. Morel-Lavallee lesion in an adolescent with ultrasound and MRI correlation. Skeletal Radiol 2007;36:S43–5.
- 10. Collinge C, Tornetta P 3rd. Soft tissue injuries associated with pelvic fractures. Orthop Clin North Am 2004;35:451–6.
- 11. Veronica L, Alexandra E, Camelia C. Posttraumatic Morel- Lavallée seroma, clinic and forensic implications. Rom J Leg Med 2010;1:31–6.
- 12. Pitrez EH, Pellanda RC, Silva ME, Holz GG, Hertz FT, Filho JRH. Morel-Lavallée lesion in the knee: a case report. Radiol Bras 2010;43:336–8.
- 13. Krieg JC, Mohr M, Mirza AJ, Bottlang M. Pelvic circumferential compression in the presence of soft-tissue injuries: a case re- port. J Trauma 2005;59:470–2.
- 14. Mellado JM, Bencardino JT. Morel-Lavallée lesion: review with emphasis on MR imaging. Magn Reson Imaging Clin N Am 2005;13:775–82.
- 15. Dkgupta SG. Morel Lavalle lesion - A case series. University Journal of Surgery and Surgical Specialities 2016;2:2455–860.
- 16. Bomela LN, Basson H, Motsitsi NS. Morel-Lavallée lesion: A re- view. SA Orthopaedic Journal 2008;7:34–41.
- 17. Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallée lesion. J Trauma 1997;42:1046–51.
- 18. Tejwani SG, Cohen SB, Bradley JP. Management of Morel- Lavallee lesion of the knee: twenty-seven cases in the national football league. Am J Sports Med 2007;35:1162–7.
- 19. Hudson DA, Knottenbelt JD, Krige JE. Closed degloving in- juries: results following conservative surgery. Plast Reconstr Surg 1992;89:853–5.
- 20. Harma A, Inan M, Ertem K. The Morel- Lavallee lesion: a con- servative approach to closed degloving injuries. Acta Orthop Traumatol Turc 2004;38:270–3.
- 21. Bansal A, Bhatia N, Singh A, Singh AK. Doxycycline sclerodesis as a treatment option for persistent Morel-Lavallée lesions. In- jury 2013;44:66–9.
| APA | ULUSOY O, SASANİ H, ALİS D, USTABAŞIOĞLU F, BARLAS B, ONAT L, ÇOLAKOĞLU B (2020). Imaging Findings of the Morel-Lavellée Lesion. , 405 - 411. 10.14744/hnhj.2018.48403 |
| Chicago | ULUSOY Onur Levent,SASANİ Hadi,ALİS Deniz,USTABAŞIOĞLU Fethi Emre,BARLAS Burçin SEZGİ,ONAT Levent,ÇOLAKOĞLU Bülent Imaging Findings of the Morel-Lavellée Lesion. (2020): 405 - 411. 10.14744/hnhj.2018.48403 |
| MLA | ULUSOY Onur Levent,SASANİ Hadi,ALİS Deniz,USTABAŞIOĞLU Fethi Emre,BARLAS Burçin SEZGİ,ONAT Levent,ÇOLAKOĞLU Bülent Imaging Findings of the Morel-Lavellée Lesion. , 2020, ss.405 - 411. 10.14744/hnhj.2018.48403 |
| AMA | ULUSOY O,SASANİ H,ALİS D,USTABAŞIOĞLU F,BARLAS B,ONAT L,ÇOLAKOĞLU B Imaging Findings of the Morel-Lavellée Lesion. . 2020; 405 - 411. 10.14744/hnhj.2018.48403 |
| Vancouver | ULUSOY O,SASANİ H,ALİS D,USTABAŞIOĞLU F,BARLAS B,ONAT L,ÇOLAKOĞLU B Imaging Findings of the Morel-Lavellée Lesion. . 2020; 405 - 411. 10.14744/hnhj.2018.48403 |
| IEEE | ULUSOY O,SASANİ H,ALİS D,USTABAŞIOĞLU F,BARLAS B,ONAT L,ÇOLAKOĞLU B "Imaging Findings of the Morel-Lavellée Lesion." , ss.405 - 411, 2020. 10.14744/hnhj.2018.48403 |
| ISNAD | ULUSOY, Onur Levent vd. "Imaging Findings of the Morel-Lavellée Lesion". (2020), 405-411. https://doi.org/10.14744/hnhj.2018.48403 |
| APA | ULUSOY O, SASANİ H, ALİS D, USTABAŞIOĞLU F, BARLAS B, ONAT L, ÇOLAKOĞLU B (2020). Imaging Findings of the Morel-Lavellée Lesion. Haydarpaşa Numune Medical Journal, 60(4), 405 - 411. 10.14744/hnhj.2018.48403 |
| Chicago | ULUSOY Onur Levent,SASANİ Hadi,ALİS Deniz,USTABAŞIOĞLU Fethi Emre,BARLAS Burçin SEZGİ,ONAT Levent,ÇOLAKOĞLU Bülent Imaging Findings of the Morel-Lavellée Lesion. Haydarpaşa Numune Medical Journal 60, no.4 (2020): 405 - 411. 10.14744/hnhj.2018.48403 |
| MLA | ULUSOY Onur Levent,SASANİ Hadi,ALİS Deniz,USTABAŞIOĞLU Fethi Emre,BARLAS Burçin SEZGİ,ONAT Levent,ÇOLAKOĞLU Bülent Imaging Findings of the Morel-Lavellée Lesion. Haydarpaşa Numune Medical Journal, vol.60, no.4, 2020, ss.405 - 411. 10.14744/hnhj.2018.48403 |
| AMA | ULUSOY O,SASANİ H,ALİS D,USTABAŞIOĞLU F,BARLAS B,ONAT L,ÇOLAKOĞLU B Imaging Findings of the Morel-Lavellée Lesion. Haydarpaşa Numune Medical Journal. 2020; 60(4): 405 - 411. 10.14744/hnhj.2018.48403 |
| Vancouver | ULUSOY O,SASANİ H,ALİS D,USTABAŞIOĞLU F,BARLAS B,ONAT L,ÇOLAKOĞLU B Imaging Findings of the Morel-Lavellée Lesion. Haydarpaşa Numune Medical Journal. 2020; 60(4): 405 - 411. 10.14744/hnhj.2018.48403 |
| IEEE | ULUSOY O,SASANİ H,ALİS D,USTABAŞIOĞLU F,BARLAS B,ONAT L,ÇOLAKOĞLU B "Imaging Findings of the Morel-Lavellée Lesion." Haydarpaşa Numune Medical Journal, 60, ss.405 - 411, 2020. 10.14744/hnhj.2018.48403 |
| ISNAD | ULUSOY, Onur Levent vd. "Imaging Findings of the Morel-Lavellée Lesion". Haydarpaşa Numune Medical Journal 60/4 (2020), 405-411. https://doi.org/10.14744/hnhj.2018.48403 |
