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Unusual Morel-Lavallee lesion of the knee region in an elderly patient.

Abstract The Morel-Lavallee lesion (MLL) of the knee region has been described in the Orthopaedic literature, and all of those were fit and healthy young participants sustaining sports-related trauma to the knee. We describe a case of an elderly woman, on aspirin and prophylactic clexane, who sustained a low-energy injury to the right knee and developed an MLL of the knee region. A delayed recognition, led to the persistence of the MLL as a diffuse haematoma, which subsequently became colonised with methicillin-resistant Staphylococcus aureus We discuss the management of a case and highlight the importance of early identification and management of MLL of the knee region. Further evidence needs to be collected about MLL lesions in elderly, frail patients who are anticoagulated, and have increased risk of falls. This cohort of patients is more vulnerable to bleeding and infection than a fit, young adult population.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28249884
OWN - NLM
STAT- MEDLINE
DA  - 20170302
DCOM- 20170314
LR  - 20170314
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 01
TI  - Unusual Morel-Lavallee lesion of the knee region in an elderly patient.
LID - bcr2016218577 [pii]
LID - 10.1136/bcr-2016-218577 [doi]
AB  - The Morel-Lavallee lesion (MLL) of the knee region has been described in the
      Orthopaedic literature, and all of those were fit and healthy young participants 
      sustaining sports-related trauma to the knee. We describe a case of an elderly
      woman, on aspirin and prophylactic clexane, who sustained a low-energy injury to 
      the right knee and developed an MLL of the knee region. A delayed recognition,
      led to the persistence of the MLL as a diffuse haematoma, which subsequently
      became colonised with methicillin-resistant Staphylococcus aureus We discuss the 
      management of a case and highlight the importance of early identification and
      management of MLL of the knee region. Further evidence needs to be collected
      about MLL lesions in elderly, frail patients who are anticoagulated, and have
      increased risk of falls. This cohort of patients is more vulnerable to bleeding
      and infection than a fit, young adult population.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - El Kininy, Walid
AU  - El Kininy W
AD  - Health Services Executive Midland Area, Portlaoise, Ireland.
FAU - Davy, Shane
AU  - Davy S
AD  - Health Services Executive Midland Area, Portlaoise, Ireland.
AD  - University of Dublin Trinity College, Dublin, Ireland.
FAU - Sayana, Murali
AU  - Sayana M
AD  - Royal College of Surgeons, Dublin, Ireland.
AD  - Department of Orthopaedics, Our Lady's Hospital, Navan, Ireland.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170301
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Aged
MH  - Anti-Bacterial Agents/therapeutic use
MH  - Debridement
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Knee Injuries/*diagnostic imaging/microbiology
MH  - Methicillin-Resistant Staphylococcus aureus/*isolation & purification
MH  - Soft Tissue Injuries/*diagnostic imaging/microbiology
MH  - Staphylococcal Infections/microbiology/*therapy
MH  - Treatment Outcome
EDAT- 2017/03/03 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/03 06:00
AID - bcr-2016-218577 [pii]
AID - 10.1136/bcr-2016-218577 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 1;2017. pii: bcr2016218577. doi: 10.1136/bcr-2016-218577.

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