Infectious Complications and Soft Tissue Injury Contribute to Late Amputation After Severe Lower Extremity Trauma

2012 ◽  
Vol 2012 ◽  
pp. 132-133
Author(s):  
D.J. Dries
Microsurgery ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 259-263 ◽  
Author(s):  
Hyuma A. Leland ◽  
Alexis D. Rounds ◽  
Karen E. Burtt ◽  
Daniel J. Gould ◽  
Geoffrey S. Marecek ◽  
...  

2020 ◽  
Vol 4 (4) ◽  
pp. 642-643
Author(s):  
Daniel Porter ◽  
Jeff Conley ◽  
John Ashurst

Introduction: Soft tissue injuries are a common presenting complaint seen in the emergency department following trauma. However, internal degloving injuries are not commonly seen by the emergency provider. Case Report: A 57-year-old male presented with right lower extremity pain, bruising, and swelling after a low-speed bicycle accident five days prior. Physical examination revealed an edematous and ecchymotic right lower extremity extending from the mid-thigh distally. Computed tomography of the thigh demonstrated a hyperdense foci within the fluid collection suggesting internal hemorrhage and internal de-gloving suggestive of a Morel-Lavallée lesion. Discussion: The Morel-Lavallée lesion is a post-traumatic soft tissue injury that occurs as a result of shearing forces that create a potential space for the collection of blood, lymph, and fat. First described in 1853 by French physician Maurice Morel-Lavallée, this internal degloving injury can serve as a nidus of infection if not treated appropriately. Magnetic resonance imaging has become the diagnostic modality of choice due to its high resolution of soft tissue injuries. Treatment has been focused on either conservative management or surgical debridement after consultation with a surgeon. Conclusion: The emergency physician should consider Morel-Lavallée lesions in patients with a traumatic hematoma formation to avoid complications that come from delayed diagnosis.


2021 ◽  
Vol 27 (8) ◽  
pp. 804-806
Author(s):  
Zhilin Zhu ◽  
Yuanyuan Ma

ABSTRACT Introduction: the assessment and proper management of lower extremity soft tissue injury is very important. Because the mechanism and clinical manifestations of lower extremity soft tissue injury are varied, it is necessary to make an accurate assessment based on the specific situation of the patient. Objective: To explore the mechanism and rehabilitation methods of lower limb soft tissue sports injury. Methods: In clinical practice, external application of Chinese herbal medicine combined with cold compresses, massage, pot dipping, hot immersion irradiation and other methods were used. Results: The self-made Chinese herbal medicine external ointment, swelling and pain relieving Chinese herbal medicine wine combined with electromagnetic wave therapy instrument is one of the commonly used and effective methods to treat sports injury of lower extremity soft tissue in health care experimental centers. It has the most remarkable effect on local burning, stasis, swelling and pain caused by the soft tissue injury of various lower limbs in various parts of the human body. Conclusions: Timely functional rehabilitation training after sports injury can promote the functional healing and rehabilitation of the body after injury, maintaining the good functional state of each organ system of the body. Level of evidence II; Therapeutic studies - investigation of treatment results.


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