Missed massive morel-lavallee lesion.

Area of Science:

• Traumatology
• Orthopedic Surgery
• Radiology

Background:

• Morel-Lavallee lesions (MLL) are posttraumatic fluid collections typically occurring around the greater trochanter.
• Diagnosis of MLL is frequently delayed or missed during initial patient evaluations.
• Established treatment protocols for MLL are lacking.

Purpose of the Study:

• To highlight the diagnostic challenges and treatment complexities of Morel-Lavallee lesions.
• To present case studies illustrating missed MLL diagnoses and subsequent complications.
• To emphasize the importance of early and thorough intervention for MLL.

Main Methods:

• Case report analysis of two patients with Morel-Lavallee lesions.
• Review of initial trauma evaluations and diagnostic timelines.
• Description of treatment interventions including percutaneous drainage and surgical fixation.

Main Results:

• Both cases involved Morel-Lavallee lesions that were not identified during the initial trauma assessment.
• Percutaneous drainage was performed in both cases, but complications such as infection occurred.
• Both patients experienced prolonged healing periods following delayed diagnosis and treatment.

Conclusions:

• Morel-Lavallee lesions require a high index of suspicion, especially following significant trauma.
• Early and complete debridement of MLL is recommended to prevent complications.
• Prompt diagnosis and management are essential for optimal patient outcomes in MLL cases.