用即时超声诊断和治疗运动相关的莫雷尔-拉瓦尔-海姆病:一例病例研究。

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Ellis Bronstein, Savannah Kounelis-Wuillaume, Colby MaGill, Jeffrey C Leggit
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引用次数: 0

摘要

morel - lavallsamade病变(mls)是一种闭合性脱手套损伤,可导致血淋巴淤积。这些病变是深筋膜平面剪切力的结果,经常出现在显著的高速创伤的背景下。然而,他们往往诊断不足,特别是在非典型的情况下,如运动或低冲击损伤。在这里,我们报告了一例低速从自行车上摔下导致大面积软组织淤斑和肿胀的MLL病例,保守治疗后仍无法解决。采用即时超声(POCUS)诊断并引导介入治疗,通过超声引导引流收集的液体。这个病例是信息丰富的,因为它提醒提供者在软组织损伤的鉴别诊断中要始终考虑MLL。它还演示了POCUS如何在初级保健环境中帮助识别和协助mls的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnosis and Treatment of a Sports-Related Morel Lavallée Lesion With Point-of-Care Ultrasound: A Case Study.

Morel-Lavallée lesions (MLLs) are closed degloving injuries that result in inter-fascial hemolymphatic collections. These lesions develop as a result of shearing forces in the deep fascial planes and often arise in the context of significant high-velocity traumas. However, they are often underdiagnosed, especially in the case of atypical presentations such as sports or low-impact injuries. Here we present a case of MLL following a fall from a bike at low speed that resulted in a large area of soft-tissue ecchymosis and swelling that would not resolve following conservative treatment. Point-of-care ultrasound (POCUS) was used to diagnose and guide interventional treatment via ultrasound-guided drainage of the fluid collection. This case is informative as it serves as a reminder for providers to always consider MLL in the differential diagnosis of soft tissue injuries. It additionally demonstrates how POCUS can help identify and assist in management of MLLs in the primary care setting.

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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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