Morel-Lavallée lesions are traumatic abnormalities characterized by the accumulation of hemolymphatic fluid collection following disruption of subcutaneous fat tissue from the underlying deep fascia. Here, we present the case of a 63-year-old woman with a prepatellar Morel-Lavallée lesion, an unusual location for this pathology initially misdiagnosed as prepatellar bursitis. An MRI was performed allowing the correction of the diagnosis, highlighting the essential role of imaging in confirming the diagnosis and ruling out differentials such as prepatellar bursitis or neoplastic origins. In our case, conservative treatment with compression alone was employed, since surgery is reserved for chronic or complicated cases. Our experience underscores the utility of MRI in accurately delineating the anatomical extent and characteristics of prepatellar Morel-Lavallée effusion (PMLE). This imaging modality serves as a critical tool in guiding appropriate management strategies, ensuring timely and effective treatment for patients presenting with this lesion.
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http://dx.doi.org/10.7759/cureus.59129 | DOI Listing |
Cureus
November 2024
Department of Sports Medicine, Barts Health NHS Trust, London, GBR.
Prepatellar bursitis is a common cause of anterior knee pain. We present an unusual case of massive bilateral traumatic haemorrhagic prepatellar bursitis managed with surgical excision and describe our operative findings. The patient presented with large bilateral knee swellings which had been present for six years following a fall onto both knees.
View Article and Find Full Text PDFMedicine (Baltimore)
November 2024
Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, China.
Background: Patellar fracture is a common injury caused by overstrain of the extensor mechanism or a direct trauma to the knee. The most common complications after patellar fracture are nonunion, infection, post-traumatic arthritis, joint fibrosis, symptomatic hardware, and extensor mechanism failure. These are attributed to the post-fracture flexion and extension movements, the primary damage to the articular cartilage, and the thin soft tissue coverage over the knee.
View Article and Find Full Text PDFJ Orthop
May 2025
Corewell Health, 10000 Telegraph Road, Suite 100, Taylor, MI, 48180, USA.
Curr Rev Musculoskelet Med
December 2024
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.
Medicina (Kaunas)
September 2024
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia.
: Anterior knee pain (AKP) refers to chronic prepatellar pain and is one of the most common knee complaints in physically active women. This condition can significantly affect daily activities and overall quality of life. This study aims to assess the impact of pain, risk factors, and functional ability on different levels of physical activity (comparing low versus moderate activity) in women with AKP.
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