Morel-Lavallee lesion in pediatric trauma
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Published on: November 8, 2024
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.
Abstract:
Morel-Lavallee lesions (MLL) are closed degloving injuries that have been rarely described in the pediatric literature. These internal degloving injuries can have serious complications and long-term morbidity. Early diagnosis and intervention is imperative. We present the case of a 20-month-old with MLL of the thigh.

