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Wheeless' Textbook of Orthopaedics

Inspection of Patients w/ Pelvic Frx



- Destot's sign:
     - superficial hematoma above inguinal ligament or in scrotum or thigh;
     - may indicate a pelvic fracture, as may a limb-length discrepancy or obvious rotational deformity of the pelvis or lower extremity;

- Roux's sign:
     - a decrease in the distance from the greater trochanter to the pubic spine on the affected side in lateral compression frx;

- Earle's sign:
     - a bony prominence or large hematoma as well as tenderness on rectal examination;

- Morel Lavale lesion;
     - associated w/ high energy acetabular fracture;
     - closed internal degloving injury which commonly occurs over greater trochanter;
     - subQ tissue is torn from underlying fascia creating a cavity and hematoma, which places this tissue at risk  for infection and/or poor healing;
     - bruising is the most obvious sign of internal degloving but bruising may take several days to manifest;
     - treatment may include open debridement with closure over suction drains and open packing;
     - references:
              - Percutaneous management of Morel-Lavallee lesions. Tornetta P 3rd, Normand AN. Read at the Annual Meeting of the OTA; 2002 Oct 11-13. 
              - Doxycycline sclerodesis as a treatment option for persistent Morel-Lavallée lesions 


Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel Lavallee lesion 

Surgical management of soft tissue lesions associated with pelvic ring injury

Percutaneous Management of Morel-Lavallee Lesions

Morel-Lavallee effusions in the thigh

Morel-Lavalee lesions treated with debridement and meticulous dead space closure: surgical technique

Management of Morel-Lavallee lesion of the knee: twenty-seven cases in the national football league

Morel-Lavallée lesion in a professional American football player



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, January 19, 2012 11:52 am