Morel-Lavallee lesion in pediatric trauma

Jane Shelley1, Alana Noritake2, Kenneth Ortiz2

  • 1Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA. Jane.e.shelley.mil@mail.mil.

Insights

Morel-Lavallee lesions (MLL) are rare internal degloving injuries in children. Early diagnosis and treatment are crucial for preventing serious complications and long-term issues.

Area of Science:

  • Pediatric Traumatology
  • Orthopedic Surgery
  • Radiology

Background:

  • Morel-Lavallee lesions (MLL) are uncommon closed degloving injuries.
  • These injuries are characterized by a separation of the skin and subcutaneous tissue from the underlying fascia.
  • Literature on pediatric MLL is sparse, highlighting a knowledge gap.

Observation:

  • A case study of a 20-month-old child presenting with a Morel-Lavallee lesion on the thigh.
  • The lesion was diagnosed through clinical examination and confirmed with imaging studies.
  • The child's age and the location of the lesion are notable aspects of this presentation.

Findings:

  • The case underscores the potential for MLL in young children, challenging the perception of rarity.
  • Prompt identification and management are essential for optimal outcomes.
  • The study emphasizes the need for increased awareness among clinicians regarding pediatric MLL.

Implications:

  • Early intervention in pediatric MLL can mitigate risks of chronic pain, infection, and functional impairment.
  • This case contributes valuable data to the limited pediatric literature on MLL.
  • Enhanced vigilance and diagnostic protocols for pediatric degloving injuries are recommended.

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