ABSTRACT
INTRODUCTION: Subcutaneous emphysema (SE) and pneumomediastinum are rare complications after shoulder arthroscopy. CASE REPORT: A case is presented in which SE was seen after arthroscopic cuff repair. DISCUSSION: A review of current literature shows that SE after shoulder arthroscopy can be due to loco-regional anaesthesiology, endotracheal intubation, gas-forming infection, postoperative mobilisation or the arthroscopic procedure itself. During the procedure air can be sucked into the subacromial space due to suction and subsequently transferred into subcutaneous tissue by the positive pressure of the infusion pump. When the condition is recognised early and addressed properly spontaneous resolving is possible with good clinical outcome.
ABSTRACT
The supracondylar process is a bony spur at the anteromedial surface of the distal humerus. It is associated with the Struthers' ligament, running from its apex to the medial epicondyle. Symptoms may occur due to fracture and entrapment of nerves (most frequently the median nerve) and/or blood vessels underneath the structures. We report a case in which we used MRI and high-frequency ultrasound to investigate the supracondylar process, the Struthers' ligament, and its surrounding structures. Ultrasound is a useful alternative to MRI during the workup of potential entrapment syndromes.
