{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:52:39Z","timestamp":1786755159998,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,7]]},"abstract":"<jats:p>The Morel-Lavall\u00e9e lesion is a closed degloving injury that usually occurs following high-energy trauma. We present a case demonstrating endoscopic management of this lesion. A 44-year-old man fell from scaffolding. Initial assessment demonstrated no significant injury. An ultrasound scan 2\u2009days post injury revealed a large fluid collection along the lateral right thigh. This subsequently became infected and did not respond to antibiotic therapy.<\/jats:p>\n               <jats:p>Due to the extent of the lesion, we were reluctant to perform a traditional open drainage. An endoscopic probe was inserted at the proximal and distal poles of the lesion and the wound debrided.<\/jats:p>\n               <jats:p>This resulted in a rapid improvement in symptoms and a complete resolution of the lesion at 1\u2009year postsurgery, with no wound-associated morbidity.<\/jats:p>\n               <jats:p>This is only the second description of endoscopic debridement of a large, acute Morel-Lavall\u00e9e lesion, with an excellent outcome.<\/jats:p>","DOI":"10.1136\/bcr-2017-221343","type":"journal-article","created":{"date-parts":[[2017,9,23]],"date-time":"2017-09-23T05:05:24Z","timestamp":1506143124000},"page":"bcr-2017-221343","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Endoscopic surgical management of a large Morel-Lavall\u00e9e lesion"],"prefix":"10.1136","volume":"2017","author":[{"given":"Andrew","family":"Walls","sequence":"first","affiliation":[{"name":"Trauma and Orthopaedics, Southern Health and Social Care Trust, Portadown, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel E","family":"McMahon","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Western Health and Social Care Trust, Londonderry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5135-5907","authenticated-orcid":false,"given":"Jonathan","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Western Health and Social Care Trust, Londonderry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Bunn","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Southern Health and Social Care Trust, Portadown, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,9,23]]},"reference":[{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.1","first-page":"691Y731","article-title":"[Epanchements traumatique de derosite]","volume":"31","author":"Morel-Lavalle \u0301e","year":"1853","journal-title":"Arch Gen Med"},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.2","unstructured":"Nickerson TP , Zielinski Martin D , Donald H , et al . The Mayo Clinic experience with Morel-Lavalle\u2019e lesions:Establishment of a practice management guideline."},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.3","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1097\/00006534-199608000-00020","article-title":"Missed closed degloving injuries: late presentation as a contour deformity","volume":"98","author":"Hudson","year":"1996","journal-title":"Plast Reconstr Surg"},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.4","doi-asserted-by":"crossref","first-page":"594Y597","DOI":"10.1111\/j.1440-1673.2006.01640.x","article-title":"Longstanding Morel-Lavall\u00e9e lesion in the proximal thigh: ultrasound and MR findings with surgical and histopathological correlation","volume":"50","author":"Puig","year":"2006","journal-title":"Australas Radiol"},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00021"},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.6","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.ocl.2015.08.012","article-title":"Management of the Morel-Lavall\u00e9e lesion","volume":"47","author":"Greenhill","year":"2016","journal-title":"Orthop Clin North Am"},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.7","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1016\/j.injury.2016.01.029","article-title":"Endoscopic treatment of Morel-Lavallee lesion","volume":"47","author":"Kim","year":"2016","journal-title":"Injury"},{"key":"2025082803530150000_2017.sep21_1.bcr-2017-221343.8","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199706000-00010"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:53:10Z","timestamp":1756378390000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,23]]},"references-count":8,"alternative-id":["10.1136\/bcr-2017-221343"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221343","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,23]]}}}