Background: Morel-Lavallée lesion is a rare clinical presentation which involves detachment of skin and subcutaneous fat from underlying fixed fascia which mainly occurs after traumatic injury. Morel-Lavallée lesions require immediate attention because it may lead to superinfection and poor patient outcomes, if treatment is delayed.
Materials and methods: A detailed case study was done of three patients who were diagnosed with Morel-Lavallée lesion at the outpatient surgery department of tertiary care center at Amritsar.
Results and conclusion: Patients were treated either surgically or conservatively and they responded to treatment. It can be concluded that the initial treatment is critical to shortening the clinical course and preventing the recurrence. Early diagnosis and management are essential. The Morel-Lavallée lesion is usually missed during the initial assessment, so a thorough clinical examination of roadside accident should be done to rule out such lesions. Neglected lesions can become infected and progression of lesion may lead to extensive skin necrosis.
Letournel E, Judet R. Fractures of the acetabulum. 2nd ed., Berlin, Germany: Springer-Verlag; 1993.
McNally E. Practical musculosketal ultrasound. 2nd ed., Oxford: Elsevier; 2014.
Jowett C, May J, Myers S, et al. Open fractures and associated soft tissue injuries. In: Sebastian DB, Pramod A, Timothy B, et al. Orthopedic Trauma: The Stanmore and Royal London Guide. New York: Taylor Francis; 2015. pp. 3–26.
Boe J. Morel lavallee lesions. In: Daldrup-link HE, Newman B. Pearls and Pitfalls in Pediatric Imaging: Variants and Other Difficult Diagnosis. UK: Cambridge University Press; 2014. pp. 380–383.
Myrick KM, Davis S. Morel Lavallee injury a case study. Clin case rep[Internet] 2018;6(6):1033–1039. DOI: 10.1002%2Fccr3.1518.
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 [Internet] 1997;42(6):1046–1051. DOI: 10.1097/00005373-199706000-00010.
Parra JA, Fernandez MA, Encinas B, et al. Morel-lavallée effusions in the thigh. Skeletal Radiol [Internet] 1997;26(4):239–241. Available from: 10.1007/s002560050228.
Latifi R. The diagnostic and therapeutic challenges of degloving soft-tissue injuries. SOJ Surgery [Internet] 2013;1(3):01. DOI: 10.4103/0974-2700.136870.
Hakim S, Ahmed K, El-Menyar A, et al. Patterns and management of degloving injuries: a single national level 1 trauma center experience. World J Emerg Surg [Internet] 2016;11(1):1. Available from: 10.1186/s13017-016-0093-2.
Nair A, Nazar P, Sekhar R, et al. Morel-Lavallée lesion: a closed degloving injury that requires real attention. Indian J Radiol Imaging [Internet] 2014;24(3):288. DOI: 10.4103/0971-3026.137053.Available from: http://www.ijri.org/text.asp?2014/24/3/288/137053.