The Morel-Lavallée lesion: a conservative approach to closed degloving injuries

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dc.authorscopusid55907740100
dc.authorscopusid56249743200
dc.authorscopusid6602559812
dc.contributor.authorHarma A.
dc.contributor.authorInan M.
dc.contributor.authorErtem K.
dc.date.accessioned2024-08-04T20:00:37Z
dc.date.available2024-08-04T20:00:37Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVES: We evaluated the results of conservative treatment for closed degloving injuries (Morel-Lavallée lesion) of the pelvic girdle and lower extremities. METHODS: The Morel-Lavallée lesion developed in five male patients (mean age 25.6 years; range 6 to 40 years) due to crush under a vehicle (n=3) and traffic accidents (n=2). The lesions were localized in the pelvic girdle in three cases (2 lumbosacral, 1 lateral lumbar) and gluteal and trochanteric regions in two cases. Treatment was performed with compressive elastic bandages or corsets in all the patients, three of whom also underwent surgery due to accompanying pelvic fractures. Healing was defined as the loss of fluctuation and elicitation of the normal mobility of the injured skin on manual examination. The mean follow-up period was 23.6 months (range 10 to 41 months). RESULTS: Sacral decubitus ulcer developed in a patient in whom the detection of the lesion was obscured because of an associated femoral fracture and a perianal deep soft tissue lesion. Another patient with a wide fluctuating lesion in the gluteal-trochanteric region required aspiration, which yielded a negative culture. However, the lesion recurred early. Except for the patient with a sacral decubitus ulcer, all the lesions healed within a mean of six weeks (range 4 to 12 weeks) without any infections or necrosis. No recurrences were detected during the follow-up period. CONCLUSION: Closed degloving lesions in the pelvic and gluteal regions can be managed conservatively when the overlying skin is intact and the fluid accumulation is not excessive.en_US
dc.identifier.endpage273en_US
dc.identifier.issn1017-995X
dc.identifier.issue4en_US
dc.identifier.pmid15618769en_US
dc.identifier.scopus2-s2.0-16644365077en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage270en_US
dc.identifier.urihttps://hdl.handle.net/11616/90866
dc.identifier.volume38en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofActa orthopaedica et traumatologica turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadolescenten_US
dc.subjectadulten_US
dc.subjectarticleen_US
dc.subjectbacken_US
dc.subjectbandageen_US
dc.subjectchilden_US
dc.subjectdebridementen_US
dc.subjectevaluationen_US
dc.subjecthumanen_US
dc.subjectinjuryen_US
dc.subjectmaleen_US
dc.subjectpathologyen_US
dc.subjectpelvic girdleen_US
dc.subjectsoft tissue injuryen_US
dc.subjecttraffic accidenten_US
dc.subjectTurkey (republic)en_US
dc.subjectwound healingen_US
dc.subjectAccidents, Trafficen_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectBandagesen_US
dc.subjectChilden_US
dc.subjectDebridementen_US
dc.subjectHumansen_US
dc.subjectLumbosacral Regionen_US
dc.subjectMaleen_US
dc.subjectPelvic Bonesen_US
dc.subjectSoft Tissue Injuriesen_US
dc.subjectTurkeyen_US
dc.subjectWound Healingen_US
dc.titleThe Morel-Lavallée lesion: a conservative approach to closed degloving injuriesen_US
dc.title.alternativeMorel-Lavallée lezyonu: Kapali soyulma yaralanmalarinda konservatif yaklaşim.en_US
dc.typeArticleen_US

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