无潜在骨折的双侧大腿Morel-Lavallée损伤一例报告

Journal of Trauma and Injury Pub Date : 2023-09-01 Epub Date: 2023-01-11 DOI:10.20408/jti.2022.0060
Sarah Razaq, James Geffner, Asma Khan, Harry Mee, Cynthia Udensi, Fahim Anwar
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引用次数: 0

摘要

莫雷尔-拉瓦雷病变是由肌肉筋膜和皮下层之间的脱落损伤引起的。这种病最常见于转子部位,但也可能发生在其他部位。治疗方法因病情、大小和慢性程度而异。本文介绍了一例双侧大面积(18×6 和 10×5 厘米)创伤后莫雷尔-拉瓦雷病变,且无潜在骨折的病例;该病例发生在一名 49 岁的男性患者身上,创伤后 4 周。超声扫描显示双侧有大量无回声液体积聚,在超声引导下进行了抽吸,并通过加压包扎进行了进一步处理。没有进一步的并发症。本病例报告旨在介绍这一独特的教育性病例,并概述莫雷尔-拉瓦雷病变的病理生理学、诊断和处理方法。最后,我们讨论了高度怀疑的重要性,以确保早期发现和及时治疗此类病变,避免并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report.

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.

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