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" Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention "
Weiss, Nicholas A.; Johnson, Jeremiah J.; Anderson, Shane B.
Document Type
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AL
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Record Number
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933574
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Doc. No
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LA3191m336
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Language of Document
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English
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Main Entry
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Weiss, Nicholas A.; Johnson, Jeremiah J.; Anderson, Shane B.
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Title & Author
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Morel-Lavallee Lesion Initially Diagnosed as Quadriceps Contusion: Ultrasound, MRI, and Importance of Early Intervention [Article]\ Weiss, Nicholas A.; Johnson, Jeremiah J.; Anderson, Shane B.
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Title of Periodical
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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Volume/ Issue Number
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16/3
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Date
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2015
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Abstract
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Morel-Lavallee lesions (MLL) are rare, closed degloving injuries caused by trauma that delivers a shearing force to the soft tissue most commonly of the hip. If not treated in the acute and subacute setting these lesions are often complicated by re- accumulation of fluid, infection, or chronic pain. We present a unique case of a recurrent, massive medial knee/thigh MLL in which proper treatment was delayed due to initial diagnosis of a quadriceps contusion. We describe the ultrasound and magnetic resonance imaging findings of this patient and based on a review of recent literature propose that the initial management should have included early drainage/debridement, which likely could have prevented recurrence and significantly shortened the clinical course. [West J Emerg Med. 2015;16(3):438–441.]
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