{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:35:31Z","timestamp":1789662931507,"version":"4.0.1"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Morel\u2010Lavall\u00e9e lesion is defined as an internal degloving injury. A trauma involving shearing forces causes separation of the superficial fascia from the overlying subcutaneous tissue and skin, creating a potential space for hemolymphatic fluid to accumulate. This leads to the development of a self\u2010resolving or potentially chronic collection. Classically, lesions arise in the lateral thigh. Imaging features depend on the duration of the lesion. Acutely, ultrasound and MR imaging will demonstrate a hematoma\u2010like mass that is parallel to the underlying fascia. As the lesion evolves over time, calcifications with a dense capsule can form. Patients typically present with a persistent, localized swelling and pain that may radiate throughout the thigh. Initially, conservative therapy can be efficient; however, once a capsule forms, surgical management is the current gold standard therapy. Tenex (Tenex Health, Lake Forest, CA) is a device that uses high\u2010frequency ultrasonic waves to perform percutaneous debridement to disrupt and remove calcifications in the setting of various chronic musculoskeletal conditions. This case describes the successful use of this technology in a 68\u2010year\u2010old female with a 10\u2010year history of a Morel\u2010Lavall\u00e9e lesion. Treatment of Morel\u2010Lavall\u00e9e lesions using the Tenex device is a feasible, minimally invasive alternative to conventional surgery.<\/jats:p>","DOI":"10.1002\/jcu.70082","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T09:34:32Z","timestamp":1758015272000},"page":"499-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Chronic Morel\u2010Lavall\u00e9e Lesion Treated With Percutaneous Ultrasonic Debridement"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0823-0957","authenticated-orcid":false,"given":"John D.","family":"Karp","sequence":"first","affiliation":[{"name":"Department of Radiology Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel O.","family":"Oduwole","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levon N.","family":"Nazarian","sequence":"additional","affiliation":[{"name":"Department of Radiology Hospital of the University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.oto.2013.05.006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140\u2010013\u20101151\u20107"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150132720964665"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"82","article-title":"The Safety of Ultrasound Guided Tenotomy and Debridement for Upper and Lower Extremity Tendinopathies: A Retrospective Study","volume":"41","author":"Fick B.","year":"2021","journal-title":"Iowa Orthopaedic Journal"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-52429-0_3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/19417381241275659"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010016\u20102374\u2010y"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141\u2010018\u20100186\u20109"},{"key":"e_1_2_9_10_1","first-page":"20","article-title":"D\u00e9collements traumatiques de la peau et des couches sous\u2010jacentes","volume":"1","author":"Morel\u2010Lavall\u00e9e M.","year":"1863","journal-title":"Archives of General Internal 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