Case Reports   |    
Concealed Degloving Injury (the Morel-Lavallée Lesion) in Childhood SportsA Case Report
Oke A. Anakwenze, MD1; Vikas Trivedi, MD, DNB(Ortho), MNAMS(Ortho)2; Arlene M. Goodman, MD2; Theodore J. Ganley, MD2
1 Department of Orthopaedic Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104. E-mail address: oanakwenze@gmail.com
2 Division of Orthopaedic Surgery (V.T., A.M.G., and T.J.G.), Department of Pediatrics (A.M.G.), The Children's Hospital of Philadelphia, Philadelphia, PA 19104. E-mail address for T.J. Ganley: GANLEY@email.chop.edu
View Disclosures and Other Information
Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

  • Disclosure statement for author(s): PDF

Investigation performed at the Division of Orthopaedic Surgery, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Dec 21;93(24):e148 1-4. doi: 10.2106/JBJS.K.00219
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Morel-Lavallée lesions (MLLs), described in 1853 by Maurice Morel-Lavallée, are uncommon closed internal degloving injuries in which the subcutaneous tissues are stripped off the fascia with a hematoma and, in some cases, necrotic fat1-4. These lesions are most commonly noted with high-energy pelvic trauma1,3 and can require weeks to resolve. Accurate diagnosis is delayed in up to one-third of patients because of inconsistent clinical presentation and because initial skin bruising can mask the importance of the underlying soft-tissue injury5. These lesions occur less frequently in the knee region; knee MLLs have been reported in professional football players6.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    New York - Icahn School of Medicine at Mount Sinai
    W. Virginia - Charleston Area Medical Center
    District of Columbia (DC) - Children's National Medical Center