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Extensive subcutaneous emphysema complicating a percutaneous Mumford procedure
Shanmugasundaram Saseendar1, Si Heng Sharon Tan2, Sandeep Vijayan3
1Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 5 Lower Kent Ridge Road, Singapore, 119074, Singapore. ssaseendar@yahoo.co.in.
Summary
A percutaneous Mumford procedure can cause extensive subcutaneous emphysema, even without pneumomediastinum or pneumothorax. This rare complication highlights the need to understand its mechanism to prevent it.
Area of Science:
- Orthopedics
- Surgical Complications
Background:
- Subcutaneous emphysema is typically associated with life-threatening conditions like pneumomediastinum or pneumothorax.
- It rarely occurs as an isolated finding.
Observation:
- A 75-year-old female developed extensive subcutaneous emphysema following a percutaneous Mumford procedure for acromioclavicular osteoarthrosis.
- The emphysema affected the neck, chest, bilateral shoulders, and upper arms.
- Crucially, pneumomediastinum and pneumothorax were absent.
Findings:
- This case represents the first reported instance of isolated subcutaneous emphysema as a complication of a percutaneous Mumford procedure in the English literature.
- The development of extensive emphysema without mediastinal or pleural air suggests a unique pathway.
Implications:
- Understanding the specific mechanism of this complication is crucial for its prevention.
- This case expands the known spectrum of complications associated with percutaneous orthopedic procedures.
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