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Skeletal Radiology

, Volume 37, Issue 5, pp 451–455 | Cite as

MRI findings of prepatellar Morel-Lavallée effusions

  • Camilo G. BorreroEmail author
  • Norman Maxwell
  • Eoin Kavanagh
Scientific Article

Abstract

Objective

To describe MR imaging characteristics and treatment options for prepatellar closed degloving injuries or Morel-Lavallée effusions. Imaging features are discussed that may aid in the distinguishing of this entity from “housemaid's knee” or prepatellar bursitis.

Materials and methods

MR images of four young wrestlers were reviewed by two attending radiologists and one fellow, and correlative clinical data were collected using the electronic medical database.

Results

MR images in all cases showed a unilocular, T2 hyperintense prepatellar collection extending beyond the normal boundaries of the prepatellar bursa. No necrotic fat or blood products were identified in the collections. Surgical pathology proving the absence of synovial tissue was available for one case, and differentiation of the collection from the adjacent bursa was confirmed visually by the surgeon in a second case.

Conclusion

Although prepatellar hemorrhagic bursitis and Morel-Lavallée effusions share many imaging features, making a specific diagnosis in most cases is not necessary, as treatment is often similar for both entities.

Keywords

Knee Morel-Lavallée degloving injury MRI 

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Copyright information

© ISS 2008

Authors and Affiliations

  • Camilo G. Borrero
    • 1
    Email author
  • Norman Maxwell
    • 1
  • Eoin Kavanagh
    • 1
  1. 1.Department of RadiologyUniversity of Pittsburgh Medical CenterPittsburghUSA

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