Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of closed degloving injury following high-energy blunt trauma. Reports localized swelling, persistent pain, and fluctuance over the [Location, e.g., greater trochanter]. Denies systemic symptoms of infection. Time since injury: [Number] days.
Clinical Examination Findings
Physical exam reveals a soft, fluctuant, and mobile subcutaneous mass consistent with a Morel-Lavallée lesion. Skin overlying the lesion is [intact/ecchymotic/hyper-pigmented]. No signs of overlying skin necrosis or active cellulitis. Palpation elicits tenderness and a positive fluid wave. Neurovascular status distal to the lesion is intact.
Treatment Protocol
Management plan includes [conservative: compression garments/serial aspiration] OR [surgical: formal debridement and evacuation of hematoma/seroma]. If indicated, placement of closed-suction drain. Prophylactic antibiotics initiated per protocol. Follow-up scheduled for [Timeframe] to monitor for recurrence or skin compromise.