Cervico-thoracic Morel-Lavallée lesion.

Morel-Lavallée lesions (MLLs) result from high-energy trauma causing separation of subcutaneous tissue from the underlying tissue, most commonly in the gluteal region or thigh.We report the case of a woman in her 40s with a fluctuant collection of the cervico-thoracic region following trauma. Further imaging identified an MLL. An orthoplastic approach resulted in non-operative management with a spinal brace. Three months from initial injury, the lesion completely resolved. She was symptom free at final follow-up and discharged.We present the only recorded case of MLL developing in the cervico-thoracic region. Management posed difficultly as no literature currently exists. We demonstrated conservative management for cervico-thoracic MLL can be effective.We have described the first documented case of cervico-thoracic MLL. MLL is not exclusive to pelvic injuries and can develop in the cervico-thoracic region. We have shown conservative management is a viable treatment of atypical MLL.

Coronary ligament rupture as a cause of medial knee pain.

Three cases of a meniscal injury variant are presented, the signs and symptoms of which imitate meniscal tear, but that required no definitive intervention and resolved with conservative management. We include a review of the literature on these injuries. Three patients attended clinic giving a history and exhibiting symptoms suggestive of medial meniscal injury. Symptoms were severe and of long enough duration to warrant arthroscopic examination of the knees. These patients were found to have coronary ligament ruptures. All the patients were treated conservatively. The pain resolved in all cases over a few months. No patient required a second arthroscopy. The patients were followed up for 9 months in 2 cases and 2 years in 1 case. By final follow-up examination, all patients were symptom free. Meniscal cartilage tear is the most common injury to the knee requiring surgery. Standard practice is to diagnose meniscal tear based on history and clinical evaluation, and to proceed to arthroscopy if severity of symptoms warrants intervention. Although coronary ligament rupture is reported in the literature, these reports have been, in the main, arthrographic diagnoses. Three case reports with arthroscopic illustration are presented.