Eur J Plast Surg (2015) 38:341–344 DOI 10.1007/s00238-014-1055-0 LETTER TO THE EDITOR Non-infective bilateral upper limb subcutaneous emphysema following elbow trauma Ian C. C. King & Tom H. McKinnell & Ian A. Forrest & Sahan V. Rannan-Eliya Received: 20 October 2014 /Accepted: 14 December 2014 /Published online: 13 January 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, was a keen knitter during which she routinely rested her Subcutaneous emphysema of a limb typically raises the sus- elbows on her armchair. picion of gas gangrene or necrotising fasciitis. Its presence Examination revealed symmetrical forearms with two without an infective origin in one extremity is rare [1–9]; small skin openings overlying both olecranons (Fig. 1). presentation in both upper limbs has never been reported. With elbow flexion, these holes discharged a frothy fluid A 70-year-old lady presented with a one-week history of (Fig. 1). There was no evidence of pus or infection. painless bilateral forearm swelling. The patient had fallen Palpation showed normothermic limbs with non-tender 3 weeks previously grazing both elbows on her carpet. Due crepitus and soft forearm compartments. Movements to no functional impairment, nor obvious bony injury, she throughout the upper limb were entirely normal and managed the small abrasions
European Journal of Plastic Surgery – Springer Journals
Published: Jan 13, 2015
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