Surgical Emphysema or Subcutaneous
| means presence of air in the subcutaneous plane. |
 |
| Right Sided Multiple Rib Fractures with Subcutaneous Emphysema |
Characteristic clinical finding is crackling feel or creps.
The blown out appearance is sometimes described as
Michelin Man (Tyre Man) appearance.
Causes
1. Multiple Rib Fractures- Pleural Tear
2. Penetrating Chest Injury (Stab /Gunshot)
3. Rupture of Emphysamatic Bullae
on to the mediastinum.
4. Rupture Esophagus
5. Tracheal Injury
6. Facial Bone Fractures ( as sinuses contain air )
7. Infection with Gas forming organisms
Other Conditions producing Creps on palpation
1. Face, Neck, Chest - Surgical
Emphysema
2. Bone – Definitive Sign of fracture
3. Joint- Osteo Arthritis
4. Tendon – Teno Synovitis,inflammation of tendon sheath.
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