Identification and triage of a Morel-Lavallée lesion using point of care ultrasound

Author:

Annison David R1ORCID,Smith Mike2

Affiliation:

1. Advanced Practice Physiotherapist, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK

2. School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK

Abstract

Introduction A Morel-Lavallée lesion is a relatively rare, closed, degloving injury. Polytrauma and severe injuries through to seemingly innocuous trauma can distract the clinician from thorough assessment of the affected site. Missed or misdiagnosis of the closed lesion is reported from both a clinical and imaging perspective. Case report A 46-year-old male is discharged from accident and emergency with a shoulder injury following a cycling accident. Ten days post trauma, an advanced practice physiotherapist suspects a lateral thigh Morel-Lavallée lesion during a telephone assessment (Covid-19 restrictions). A face to face appointment with imaging the following day confirmed the suspicion. Discussion The aetiology, imaging and clinical management of a Morel-Lavallée lesion is discussed. The addition of diagnostic ultrasound skills to clinical assessment in this case report may have improved patient care and experience by offering a ‘one stop shop’ to care. Formal training in musculoskeletal ultrasound imaging is emphasised. Conclusion Thorough history taking, clinical reasoning and subsequent application of robust imaging led to the identification of a Morel-Lavellée lesion and, in this case, highlights the value of a point of care ultrasound model in a triage setting.

Publisher

SAGE Publications

Subject

Radiology Nuclear Medicine and imaging,Radiological and Ultrasound Technology

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Morel-Lavallée lesion diagnosed with point-of-care ultrasound;Ultrasound;2024-03-10

2. Morel-Lavallée Lesion: A Case Report;Journal of Diagnostic Medical Sonography;2024-01-28

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