Zusammenfassung
Hochdruckinjektionsverletzungen sind die häufigste Ursache eines nicht infektionsbedingten subkutanen Emphysems der Hand. Durch chirurgische Maßnahmen verursacht ist es sehr selten. Wir berichten über einen Fall eines Handrückenemphysems, das nach einer Ganglionexzision auftrat, als die Saugdrainage nicht funktionierte und der Arm durch das Körpergewicht des Patienten komprimiert wurde. Konservative Therapie brachte das Emphysem nach einigen Tagen zum Abklingen.
Abstract
Subcutaneous emphysema of the hand can be related to non-infectious causes and most commonly high-pressure injection injuries. Surgical emphysema of the hand is rare. We report a case of surgical emphysema of the dorsum of the hand following the excision of a dorsal wrist ganglion when the inserted suction drain did not work properly, accompanied by the inadvertent compression of the patient's body. Conservative management was adequate; oedema and emphysema subsided in several days.
Schlüsselwörter
Emphysem der Hand - Saugdrainage - Handgelenkganglion
Key words
Hand emphysema - vacuum drain - wrist ganglion
References
-
1
Butt M, Hird G F.
Surgical emphysema of the dorsum of the hand.
J Hand Surg [Br].
1990;
15
379-380
-
2
Canter H I, Vargel I, Gucer T.
Subcutaneous emphysema of hand and forearm after high-pressure injection of air during scuba diving.
Ann Plast Surg.
2000;
45
37-36
-
3
Eyres K S, Morley T.
Subcutaneous emphysema of the upper limb: An air-gun injury.
J Hand Surg [Br].
1993;
18
251-253
-
4
Filler R M, Griscom N T, Pappas A.
Post-traumatic crepitation falsely suggesting gas gangrene.
N Engl J Med.
1968;
278
758-761
-
5
Markal N, Celebioglu S.
Compression neuropathy of the hand after high-pressure air injection.
Ann Plast Surg.
2000;
44
680-681
-
6
Steinberg B D, Kleinman W B.
Occult scapholunate ganglion: A cause of dorsal radial wrist pain.
J Hand Surg [Am].
1999;
24
225-231
-
7
Temple C LF, Richards R S, Dawson W B.
Pneumomediastinum after injection injury to the hand.
Ann Plast Surg.
2000;
45
64-66
-
8
van der Molen A BM, Birndorf M, Dzwierzynski W W, Sanger J R.
Subcutaneous tissue emphysema of the hand secondary to noninfectious etiology: A report of two cases.
J Hand Surg [Am].
1999;
24
638-641
Assistant Professor M.D. Aydin Saray
Konutkent-2, A1 Blok, No. 57, Goynuk Sk
06810 Cayyolu, Ankara
Turkey
Email: asaray68@hotmail.com
