{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:35:30Z","timestamp":1789662930032,"version":"4.0.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"5-6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,18]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Soft tissue injuries are common in the military, generally producing simple hematomas without the need for intensive evaluation and management. In certain situations, a shearing effect between fascial planes whereby a disruption of the vasculature and lymphatic systems creates a \u201cclosed degloving injury\u201d is more generally referred to as a Morel-Lavall\u00e9e Lesion (MLL). With a consistent pool of blood, lymph, and pieces of soft tissue, an M7LL can cause significant poor cosmesis, chronic pain, and risk secondary infection if left undetected and untreated. Proper diagnosis can be made through the effective use of ultrasound and, if detected early enough, through conservative measures to include needle aspiration and compression sleeves. Prior cases describe chronic MLLs existing for extended periods of time, in some cases years, requiring operative intervention, and in some cases poor outcomes. We present two cases of active duty soldiers presenting with seemingly innocuous injuries found on closer evaluation to have MLL, treated in one case with needle aspiration and compression, in the other with operative management.<\/jats:p>","DOI":"10.1093\/milmed\/usad423","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T09:22:24Z","timestamp":1697534544000},"page":"e932-e936","source":"Crossref","is-referenced-by-count":4,"title":["More Than a Bruise: Two Cases of\u00a0Morel-Lavall\u00e9e Lesions in\u00a0Active Duty Soldiers"],"prefix":"10.1093","volume":"189","author":[{"given":"David K","family":"Rodgers","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord , WA 98453,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Casta\u00f1eda","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord , WA 98453,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecil\u00a0J","family":"Simmons","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord , WA 98453,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon M","family":"Carius","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis-McChord , WA 98453,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"issue":"2","key":"2025012315140745900_R1","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/ta.0000000000000111","article-title":"The Mayo Clinic experience with Morel-Lavall\u00e9e lesions: establishment of\u00a0a practice management 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