Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review

Case: An 81 year old male with four failed aspirations presented with recurrent knee swelling following irrigation and debridement, which suggested the presence of a Morel-Lavallée lesion (MLL). This diagnosis was intraoperatively confirmed by separation of the tissue layers forming a space with acc...

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Main Authors: John J. Heifner, Tyler M. Small, Yitzak M. Fox, Robert Ogg, Arturo Corces
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644023000900
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author John J. Heifner
Tyler M. Small
Yitzak M. Fox
Robert Ogg
Arturo Corces
author_facet John J. Heifner
Tyler M. Small
Yitzak M. Fox
Robert Ogg
Arturo Corces
author_sort John J. Heifner
collection DOAJ
description Case: An 81 year old male with four failed aspirations presented with recurrent knee swelling following irrigation and debridement, which suggested the presence of a Morel-Lavallée lesion (MLL). This diagnosis was intraoperatively confirmed by separation of the tissue layers forming a space with accumulated fluid. Treatment consisted of doxycycline sclerodesis and tight closure of the tissue layers. The patient had a satisfactory outcome at 4 months. Conclusion: Resolution of Morel-Lavallée lesions requires prompt recognition and appropriate treatment. In the presence of a different diagnosis, recurrence of symptoms following treatment may indicate an MLL. Surgical treatment with doxycycline sclerodesis resulted in resolution of symptoms.
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spelling doaj.art-5558487ddc6944729d60f2f2b9bdb29a2023-06-16T05:10:07ZengElsevierTrauma Case Reports2352-64402023-08-0146100842Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature reviewJohn J. Heifner0Tyler M. Small1Yitzak M. Fox2Robert Ogg3Arturo Corces4Miami Orthopaedic Research Foundation, Miami, FL, USA; Corresponding author at: 11801 SW 90th Street, Miami, FL 33186, USA.Liberty University College of Osteopathic Medicine, Lynchburg, VA, USALarkin Hospital Department of Orthopedic Surgery, Miami, FL, USALarkin Hospital Department of Orthopedic Surgery, Miami, FL, USALarkin Hospital Department of Orthopedic Surgery, Miami, FL, USACase: An 81 year old male with four failed aspirations presented with recurrent knee swelling following irrigation and debridement, which suggested the presence of a Morel-Lavallée lesion (MLL). This diagnosis was intraoperatively confirmed by separation of the tissue layers forming a space with accumulated fluid. Treatment consisted of doxycycline sclerodesis and tight closure of the tissue layers. The patient had a satisfactory outcome at 4 months. Conclusion: Resolution of Morel-Lavallée lesions requires prompt recognition and appropriate treatment. In the presence of a different diagnosis, recurrence of symptoms following treatment may indicate an MLL. Surgical treatment with doxycycline sclerodesis resulted in resolution of symptoms.http://www.sciencedirect.com/science/article/pii/S2352644023000900HematomaDoxycyclineImpact injuryMorel-Lavallée lesionSclerodesisSclerotherapy
spellingShingle John J. Heifner
Tyler M. Small
Yitzak M. Fox
Robert Ogg
Arturo Corces
Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review
Trauma Case Reports
Hematoma
Doxycycline
Impact injury
Morel-Lavallée lesion
Sclerodesis
Sclerotherapy
title Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review
title_full Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review
title_fullStr Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review
title_full_unstemmed Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review
title_short Recurrence of symptoms may indicate the presence of a Morel-Lavallée lesion of the knee: A case report and literature review
title_sort recurrence of symptoms may indicate the presence of a morel lavallee lesion of the knee a case report and literature review
topic Hematoma
Doxycycline
Impact injury
Morel-Lavallée lesion
Sclerodesis
Sclerotherapy
url http://www.sciencedirect.com/science/article/pii/S2352644023000900
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