Closed Internal Degloving of the Flank | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 11، دوره 5، شماره 4، مهر 2017، صفحه 260-263 اصل مقاله (2.79 M) | ||
| نوع مقاله: CASE REPORT | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2016.7943 | ||
| نویسندگان | ||
| Lindsay F. Remy* ؛ Jacob Azurdia؛ Ashraf Fansa؛ Nabil A. Ebraheim | ||
| Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, Ohio, USA | ||
| چکیده | ||
| Originally described in 1853 by Dr. Morel-Lavellee, closed internal degloving injuries represent an important, although uncommon, source of morbidity in trauma patients. These injuries are typically the result of a shearing or crushing force that traumatically separates the skin and subcutaneous tissue from the underlying fat. This results in disruption of perforating blood vessels and lymphatics, leading to hematoma/seroma formation. We describe two cases in which industrial crush injuries resulted in lumbar transverse process fracture. Both patients developed closed degloving injuries of the flank. To the author’s knowledge, this is the first case series describing the occurrence of closed internal degloving injuries of the flank with transverse process fractures. We advise that a high level of suspicion for these lesions to occur with transverse spinal fractures should be maintained, as they may arise several years after initial injury. | ||
| کلیدواژهها | ||
| hematoma؛ lumbosacral region؛ spinal fractures؛ subcutaneous tissue؛ wounds and injuries | ||
| مراجع | ||
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1. Morel-Lavallée AF. Décollements traumatiques de la peau et des couches sous jacentes. Arch Gen Med. 1863; 9(1):20-38. 2. Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallee lesion. J Trauma. 1997; 42(6):1046-51. 3. Mellado JM, Perez del Palomar L, Diz L, Ramos A, Sauri A. Long-standing Morel-Lavallée lesions of the trochanteric region and proximal thigh: MRI features in five patients. AJR Am J Roentgenol. 2004; 182(5):1289-94. 4. Chokshi FH, Jose J, Clifford PD. Morel-Lavellee lesion. Am J Orthop. 2010; 39(5):252-3. 5. Nickerson TP, Zeilinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallee lesions: establishment of a practice management guideline. J Trauma Acute Care Surg. 2014; 76(2):493-7. | ||
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