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Intramuscular Air as a Complication of Pulse-Lavage IrrigationA Case Report
Selina R. Silva, MD1; Patrick Bosch, MD2
1 Department of Orthopaedics, University of New Mexico Hospital, MSC10 5600, 1 University of New Mexico Boulevard, Albuquerque, NM 87131. E-mail address: ssilva@salud.unm.edu
2 University of New Mexico, Carrie Tingley Hospital, 1127 University Boulevard N.E., Albuquerque, NM 87102. E-mail address: pbosch@salud.unm.edu
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Children's Hospital, University of New Mexico, Albuquerque, New Mexico

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Dec 01;91(12):2937-2940. doi: 10.2106/JBJS.H.01431
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Extract

Intramuscular air in the setting of infection can be an indicator of a rapidly escalating and potentially life-threatening infection, such as gas gangrene or necrotizing fasciitis. For a patient with diffuse pain in an extremity and air in the tissue planes as seen on imaging studies, surgical exploration has been strongly recommended1-6. Iatrogenic causes of air in fascial planes are underreported.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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