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    Subcutaneous emphysema of the upper extremity following penetrating blackthorn injury to the wrist.

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    Authors
    Tiong, W H C
    Butt, F S
    Affiliation
    Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland. willhct@yahoo.com
    Issue Date
    2009-02
    MeSH
    Adolescent
    Foreign Bodies
    Gardening
    Humans
    Male
    Neck
    Prunus
    Subcutaneous Emphysema
    Upper Extremity
    Wounds, Penetrating
    Wrist
    Wrist Injuries
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    Citation
    Subcutaneous emphysema of the upper extremity following penetrating blackthorn injury to the wrist. 2009, 62 (2):e29-32 J Plast Reconstr Aesthet Surg
    Journal
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS
    URI
    http://hdl.handle.net/10147/201226
    PubMed ID
    19177641
    Abstract
    SUMMARY: Noninfective subcutaneous emphysema of the upper extremity, albeit rare, has to be borne in mind when treating patients with subcutaneous emphysema. The misdiagnosis of this condition as its serious infective counterpart often leads to unnecessary aggressive treatment. Noninfective subcutaneous emphysema often accompanies a patient who has no systemic symptoms of illness. Unfortunately, the distinction is not always easy especially when history of injury suggests involvement of an infective or reactive element. Penetrating blackthorn injury is common, especially in rural communities, and often occurs from farming or gardening activities. Blackthorn penetration can cause numerous tissue reactions once embedded under the skin and they are often contaminated with soil. Here we present, for the first time, a case where penetrating blackthorn injury to the wrist resulted in noninfective subcutaneous emphysema involving the whole upper limb and neck, and its subsequent management.
    Item Type
    Article
    Language
    en
    ISSN
    1878-0539
    Collections
    Cork University Hospital

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