Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention
- Author(s): Weiss, Nicholas A.
- Johnson, Jeremiah J.
- Anderson, Shane B.
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2015.3.25148
Morel-Lavallee lesions (MLL) are rare, closed degloving injuries caused by trauma that delivers a shearing force to the soft tissue most commonly of the hip. If not treated in the acute and subacute setting these lesions are often complicated by re- accumulation of fluid, infection, or chronic pain. We present a unique case of a recurrent, massive medial knee/thigh MLL in which proper treatment was delayed due to initial diagnosis of a quadriceps contusion. We describe the ultrasound and magnetic resonance imaging findings of this patient and based on a review of recent literature propose that the initial management should have included early drainage/debridement, which likely could have prevented recurrence and significantly shortened the clinical course. [West J Emerg Med. 2015;16(3):438–441.]