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JDRS · Open access journal

Case Report · Open access

To perform or not to perform fasciotomy? A rare case report

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Ahmet Y. Sarıaslan

Department of Orthopedics and Traumatology, Kayseri City Training and Research Hospital, Kayseri, Türkiye

ORCID: 0009-0004-3007-2635

Murat Kahraman

Department of Orthopedics and Traumatology, Kayseri City Training and Research Hospital, Kayseri, Türkiye

ORCID: 0000-0002-3821-9767

Tuba Y. Uçarkuş

Department of Orthopedics and Traumatology, Kayseri City Training and Research Hospital, Kayseri, Türkiye

ORCID: 0009-0006-2475-8838

Kaan Gürbüz

Department of Orthopedics and Traumatology, Kayseri City Training and Research Hospital, Kayseri, Türkiye

ORCID: 0000-0002-0144-5517

Abstract

Subcutaneous emphysema, caused by the presence of air or gas in subcutaneous tissues, can be infectious or noninfectious. A thorough clinical evaluation, including both physical examination and radiological imaging, is required to distinguish benign subcutaneous emphysema from necrotizing soft tissue infections. In this article, we report a 12-year-old female patient with benign subcutaneous emphysema of the upper extremity and highlight the importance of an accurate diagnosis to avoid unnecessary surgical intervention. The rarity of benign subcutaneous emphysema in non-traumatic and non-infectious cases underscores the need for clinicians to differentiate it from more severe conditions, such as life-threatening infections. Conservative treatment is typically sufficient for benign subcutaneous emphysema, with fasciotomies reserved for emergencies. Proper diagnosis and treatment are essential to avoid unnecessary surgical procedures.

Declarations

Author Contributions

Conceptualization and methodology, formal analysis: K.G., M.K.; Data collection: M.K., A.Y.S., T.Y.U.; Writing draft: K.G., A.Y.S.; Review & editing: K.G., M.K., T.Y.U.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.