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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

129
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
129
Pneumothorax-I01:26

Pneumothorax-I

186
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
186
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

224
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
224
Flail Chest-II01:26

Flail Chest-II

160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
160
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

182
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
182
Flail Chest-I01:24

Flail Chest-I

156
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
156

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Pneumothorax after Shoulder Arthroscopy: A Case Report.

Fbn Tan1, Gwk Ho1, E L Liow2

  • 1Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Malaysian Orthopaedic Journal
|August 12, 2024
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Summary

Pneumothorax is a rare complication following shoulder arthroscopy. This study highlights a case and reviews literature, suggesting a multifactorial cause for this rare event.

Keywords:
complicationdecompressionpressurerotator cuff repair

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Area of Science:

  • Orthopedic Surgery
  • Thoracic Surgery
  • Medical Complications

Background:

  • Shoulder arthroscopy is a common orthopedic procedure.
  • Pneumothorax is a rare but serious complication.
  • Understanding risk factors is crucial for patient safety.

Observation:

  • A case of pneumothorax occurred post-shoulder arthroscopy in a 75-year-old male.
  • The patient was positioned laterally and did not receive regional anesthesia.
  • A literature review identified 32 relevant articles.

Findings:

  • The exact mechanism of pneumothorax post-shoulder arthroscopy remains unknown.
  • 75% of reviewed articles proposing a mechanism suggest it is multifactorial.
  • No single risk factor was definitively identified.

Implications:

  • Increased awareness of this rare complication is necessary for surgeons.
  • Timely recognition and diagnosis of pneumothorax are vital.
  • Radiographic evaluation should be considered with clinical suspicion.