- 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;
Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel Lavallee lesion. DJ Hak et al. J Trauma. Vol 42. 1997. 1046-1051.
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.
..................... ........................... .............................. ................................ ...................... ............
