{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T19:19:57Z","timestamp":1787685597986,"version":"build-2784847793"},"reference-count":12,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,2,8]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>A Morel-Lavall\u00e9e lesion (MLL) is a rare injury caused by blunt force trauma causing separation of subcutaneous tissue from the deep fascia. It is frequently seen in orthopaedic cases involving fractures of the hip or pelvis but is rare in the lower leg. The rarity of this condition often leads to misdiagnosis. A 66-year-old man presented to the emergency department after a 300-pound safe sheered across his left anterolateral leg causing skin avulsion, tenderness, swelling, ecchymosis, and erythema. The patient was treated for suspected cellulitis with oral antibiotics, but the lesion evolved into a necrotic eschar necessitating surgical intervention. In hindsight, MLL is a more appropriate diagnosis based on injury mechanism, disease progression and intraoperative findings. A history of shearing trauma with diffuse ecchymosis and erythema should prompt consideration of MLL. Due to rampant misdiagnosis, this case aims to increase awareness, as early diagnosis of MLL will improve patient outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2019-233295","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T04:25:14Z","timestamp":1582691114000},"page":"e233295","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Morel-Lavall\u00e9e lesion of the anterior leg: a rare anatomical presentation"],"prefix":"10.1136","volume":"13","author":[{"given":"Karthik","family":"Ramaseshan","sequence":"first","affiliation":[{"name":"Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6508-1938","authenticated-orcid":false,"given":"Laura D","family":"Bauler","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Mastenbrook","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,25]]},"reference":[{"key":"2025082722344910000_13.2.e233295.1","doi-asserted-by":"publisher","DOI":"10.1007\/s002560050228"},{"key":"2025082722344910000_13.2.e233295.2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199706000-00010"},{"key":"2025082722344910000_13.2.e233295.3","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00007"},{"key":"2025082722344910000_13.2.e233295.4","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199205000-00013"},{"key":"2025082722344910000_13.2.e233295.5","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1007\/s10140-016-1430-1","article-title":"Ct incidence of Morel-Lavallee lesions in patients with pelvic fractures: a 4-year experience at a level 1 trauma center","volume":"23","author":"Beckmann","year":"2016","journal-title":"Emerg Radiol"},{"key":"2025082722344910000_13.2.e233295.6","first-page":"1","article-title":"The Morel-Lavall\u00e9e lesion as a rare differential diagnosis for recalcitrant bursitis of the knee: case report and literature review","volume":"2012","author":"Vanhegan","year":"2012","journal-title":"Case Rep Orthop"},{"key":"2025082722344910000_13.2.e233295.7","doi-asserted-by":"crossref","first-page":"667","DOI":"10.5435\/JAAOS-D-15-00181","article-title":"The Morel-Lavall\u00e9e lesion: diagnosis and management","volume":"24","author":"Scolaro","year":"2016","journal-title":"J Am Acad Orthop Surg"},{"key":"2025082722344910000_13.2.e233295.8","first-page":"TE01","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":"2025082722344910000_13.2.e233295.9","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-013-1151-7"},{"key":"2025082722344910000_13.2.e233295.10","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-009-0386-5"},{"key":"2025082722344910000_13.2.e233295.11","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.7863\/jum.2008.27.7.1077","article-title":"Sonography of Morel-Lavallee lesions","volume":"27","author":"Neal","year":"2008","journal-title":"J Ultrasound Med"},{"key":"2025082722344910000_13.2.e233295.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.11.024"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233295","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:35:00Z","timestamp":1756359300000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,2,25]]},"published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1136\/bcr-2019-233295"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233295","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}