{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:18:01Z","timestamp":1792621081598,"version":"4.5.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Morel-Lavall\u00e9e lesions (MLLs) are rare soft tissue injuries that, when missed or mismanaged, can lead to serious complications. This retrospective case series analyzed seven male patients (aged 26\u201364) who sustained MLLs from high-velocity trauma. Initial management, often limited to aspiration, failed in most cases, leading to delayed surgical intervention (mean 25.7\u00a0days post-injury) and an average of 2.6 surgeries per patient. Complications included skin necrosis (n\u2009=\u20095), grafting (n\u2009=\u20094), and infection in all cases, most commonly Staphylococcus aureus. One patient died from cardiogenic and septic shock. These findings highlight that delayed recognition and conservative treatment often result in prolonged morbidity, whereas early surgical debridement and proper closure may significantly improve outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf731","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T19:29:36Z","timestamp":1758310176000},"source":"Crossref","is-referenced-by-count":3,"title":["Missed and mismanaged: severe consequences of Morel Lavallee lesions\u2014a case series"],"prefix":"10.1093","volume":"2025","author":[{"given":"Hamad","family":"AlJuwied","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, AlRazi Orthopedic Hospital , Kuwait City,","place":["Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalal","family":"AlNajadah","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Jaber Al Ahmed Hospital , Kuwait City,","place":["Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahraa","family":"Mostafa","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons Ireland , Dublin 2 ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jaber Al Ahmed Hospital , Kuwait City,","place":["Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Jarragh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kuwait University , Kuwait City,","place":["Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Lari","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, AlRazi Orthopedic Hospital , Kuwait City,","place":["Kuwait"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,9,14]]},"reference":[{"key":"2025091915293381500_ref1","doi-asserted-by":"publisher","first-page":"288","DOI":"10.4103\/0971-3026.137053","article-title":"Morel-Lavall\u00e9e lesion: a closed degloving injury that requires real attention","volume":"24","author":"Nair","year":"2014","journal-title":"Indian J Radiol Imaging"},{"key":"2025091915293381500_ref2","doi-asserted-by":"publisher","first-page":"e3850","DOI":"10.1097\/GOX.0000000000003850","article-title":"Practical review of the comprehensive management of Morel-Lavall\u00e9e lesions","volume":"9","author":"Molina","year":"2021","journal-title":"Plastic Reconstruct Surg Global Open"},{"key":"2025091915293381500_ref3","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.jemermed.2014.12.084","article-title":"Diagnosis and management of closed internal degloving injuries: the Morel-Lavall\u00e9e lesion","volume":"49","author":"Jalota","year":"2015","journal-title":"J Emerg Med"},{"key":"2025091915293381500_ref4","doi-asserted-by":"publisher","first-page":"1071421","DOI":"10.3389\/fsurg.2022.1071421","article-title":"The treatment of a Morel-Lavall\u00e9e lesion of the thigh with incision and drainage along with tissue debridement and a surgically placed drain: a case report and literature review","volume":"9","author":"Hu","year":"2023","journal-title":"Front Surg"},{"key":"2025091915293381500_ref5","doi-asserted-by":"publisher","first-page":"TE01","DOI":"10.7860\/JCDR\/2017\/25479.9689","article-title":"Morel-Lavallee lesions-review of pathophysiology, clinical findings, imaging findings and management","volume":"11","author":"Diviti","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"2025091915293381500_ref6","doi-asserted-by":"publisher","first-page":"342","DOI":"10.29271\/jcpsp.2021.03.342","article-title":"Morel-Lavall\u00e9e lesion in a 35-year female","volume":"31","author":"Sohail","year":"2021","journal-title":"J Coll Physicians Surg Pak"},{"key":"2025091915293381500_ref7","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1097\/00003086-199608000-00007","article-title":"Surgical management of soft tissue lesions associated with pelvic ring injury","volume":"329","author":"Kottmeier","year":"1996","journal-title":"Clin Orthop Relat Res"},{"key":"2025091915293381500_ref8","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.injury.2022.10.023","article-title":"Morel-Lavallee lesions. 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