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dc.contributor.authorTiong, W H C
dc.contributor.authorButt, F S
dc.date.accessioned2012-01-10T12:41:29Z
dc.date.available2012-01-10T12:41:29Z
dc.date.issued2009-02
dc.identifier.citationSubcutaneous emphysema of the upper extremity following penetrating blackthorn injury to the wrist. 2009, 62 (2):e29-32 J Plast Reconstr Aesthet Surgen
dc.identifier.issn1878-0539
dc.identifier.pmid19177641
dc.identifier.urihttp://hdl.handle.net/10147/201226
dc.descriptionSUMMARY: 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.en
dc.description.abstractSUMMARY: 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.
dc.language.isoenen
dc.subject.meshAdolescent
dc.subject.meshForeign Bodies
dc.subject.meshGardening
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshNeck
dc.subject.meshPrunus
dc.subject.meshSubcutaneous Emphysema
dc.subject.meshUpper Extremity
dc.subject.meshWounds, Penetrating
dc.subject.meshWrist
dc.subject.meshWrist Injuries
dc.titleSubcutaneous emphysema of the upper extremity following penetrating blackthorn injury to the wrist.en
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland. willhct@yahoo.comen
dc.identifier.journalJournal of plastic, reconstructive & aesthetic surgery : JPRASen
dc.description.provinceMunster
html.description.abstractSUMMARY: 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.


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