Kupp said Wednesday that he suffered a
“de-gloving injury,” with a French name that he could not recall. Kupp suffered a
Morel-Lavalle’e lesion, in which skin and tissue separate from underlying tissue.
Morel-Lavallée lesion is a
closed degloving soft tissue injury, as a result of abrupt separation of skin and subcutaneous tissue from the underlying fascia. This condition was first decribed by French physician Maurice Morel-Lavallée in the year 1853.
Methods: Twenty-seven knees in 24 players were identified from 1 National Football League team's annual injury database as having sustained a Morel-Lavallee lesion between 1993 and 2006. Their charts were retrospectively reviewed.
Results: The most common mechanism of injury was a shearing blow on the playing surface (81%). The most common motion deficit was active flexion (41%). The mean time for resolution of the fluid collection and achievement of full active flexion was 16.3 days.
The mean number of practices missed was 1.5. The mean number of games missed was 0.1. Fourteen knees (52%) were treated successfully with compression wrap, cryotherapy, and motion exercises.
Thirteen knees (48%) were treated with at least 1 aspiration, and
6 knees (22%) were treated with multiple aspirations for recurrent serosanguineous fluid collections. In 3 cases (11%), the Morel-Lavallee lesion was successfully treated with doxycycline sclerodesis after 3 aspirations failed to resolve the recurrent fluid collections; return to play was immediate thereafter in each case.
Conclusion: In football, Morel-Lavallee lesion of the knee usually occurs from a shearing blow from the playing field. Diagnosis is confirmed when examination reveals a large suprapatellar area of palpable fluctuance.
Elite athletes are typically able to return to practice and game play long before complete resolution of the lesion. Recurrent fluid collections can occur, necessitating aspiration in approximately half the cases for successful treatment.
Recalcitrant fluid collections can be safely and expeditiously treated with doxycycline sclerodesis.
In football, Morel-Lavallee lesion of the knee usually occurs from a shearing blow from the playing field. Diagnosis is confirmed when examination reveals a large suprapatellar area of palpable fluctuance. Elite athletes are typically able to return to practice and game play long before complete...
pubmed.ncbi.nlm.nih.gov