Endoscopic debridement and fibrin glue injection of a chronic Morel-Lavallée lesion of the knee in a professional soccer player: A case report and literature review

Knee. 2017 Jan;24(1):144-148. doi: 10.1016/j.knee.2016.10.017. Epub 2016 Nov 23.

Abstract

A Morel-Lavallée lesion is a post-traumatic closed degloving injury of soft tissue. The lesion is due to a shearing trauma with separation of subcutaneous tissue from underlying fascia. When conservative treatment fails, surgical treatment is imperative. Commonly, open drainage and debridement is performed. This case report describes a Morel-Lavallée lesion of the knee in a professional soccer player who was successfully treated with endoscopic debridement and fibrin glue injection after failure of conservative management. This method achieves the goal of an open surgical debridement without exposing patients to an increased morbidity.

Keywords: Closed degloving injury; Endoscopic debridement; Endoscopy; Fibrin glue; Knee; Morel-Lavallée lesion.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Chronic Disease
  • Debridement
  • Endoscopy*
  • Fibrin Tissue Adhesive / therapeutic use*
  • Humans
  • Knee Injuries / diagnostic imaging
  • Knee Injuries / etiology
  • Knee Injuries / surgery*
  • Male
  • Soccer / injuries*
  • Soft Tissue Injuries / diagnostic imaging
  • Soft Tissue Injuries / etiology
  • Soft Tissue Injuries / surgery*
  • Tissue Adhesives / therapeutic use*

Substances

  • Fibrin Tissue Adhesive
  • Tissue Adhesives