title: Extensive subcutaneous emphysema complicating a percutaneous Mumford procedure.
abstract: Subcutaneous emphysema may be a part of a life-threatening pneumomediastinum or pneumothorax and usually does not occur alone. A case of a 75-year-old lady who underwent a percutaneous Mumford procedure for acromioclavicular osteoarthrosis has been reported. She developed extensive subcutaneous emphysema of the neck, chest, bilateral shoulders, and upper arms, in the absence of pneumomediastinum or pneumothorax, during the procedure. Isolated subcutaneous emphysema as a complication of a percutaneous Mumford procedure has not been reported so far in the English literature. The possible mechanism of this complication is discussed. Understanding the mechanism is essential in avoiding this preventable complication.
authors: Department 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.
authors: Shanmugasundaram
authors: S
authors: Saseendar
authors: Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
authors: Si Heng Sharon
authors: SH
authors: Tan
authors: Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
authors: Sandeep
authors: S
authors: Vijayan
authors: Department of Orthopaedic Surgery, University Orthopaedic, Hand and Reconstructive Microsurgery Cluster, National University Health System (NUHS), 5 Lower Kent Ridge Road, Singapore, 119074, Singapore.
authors: Aditya
authors: A
authors: Pawaskar
authors: Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
authors: Veerasingam Prem
authors: VP
authors: Kumar
mesh_terms: D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D002968:Clavicle / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D019637:Orthopedic Procedures / Q000009:adverse effects*; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*
keywords: Mumford procedure; Shoulder surgery; Subcutaneous emphysema