{"pk":932,"title":"Case Report and Literature Review: Post-Arthroscopy Pneumothorax with Anterior Decompression","subtitle":null,"abstract":"Introduction:\n Emergency providers should recognize that pneumothorax is a rare but serious complication of shoulder arthroscopy that may require a unique approach to decompression.\nCase Report:\n We present a case of a 60-year-old female who presented to the emergency department with right-sided facial swelling, voice change, and shortness of breath three hours after an elective arthroscopic right rotator-cuff repair and was noted to have a right-sided pneumothorax. We also describe a potential novel approach to chest tube decompression that maintains shoulder adduction in patients with recently repaired rotator cuffs.\nConclusion:\n Although most cases of post-arthroscopy pneumothoraces are reported in patients who received regional anesthesia or have underlying lung pathology, it can occur in lower-risk patients as was demonstrated in our case. We also suggest considering an alternative anterior approach between the midclavicular and anterior axillary lines for chest decompression in select patients when a traditional approach is less ideal due to the need to maintain shoulder immobilization postoperatively.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Shoulder surgery complication"},{"word":"subcutaneous emphysema"},{"word":"chest tube"},{"word":"thoracostomy"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/90k089sz","frozenauthors":[{"first_name":"Marc","middle_name":"A.","last_name":"Cassone","name_suffix":"","institution":"Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania","department":"None"},{"first_name":"Kristin","middle_name":"L.","last_name":"Kish","name_suffix":"","institution":"Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania","department":"None"},{"first_name":"Jordan","middle_name":"R.","last_name":"Nester","name_suffix":"","institution":"Geisinger Medical Center, Department of Orthopedic Surgery, Danville, Pennsylvania","department":"None"},{"first_name":"Lisa","middle_name":"M.","last_name":"Hoffman","name_suffix":"","institution":"Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania","department":"None"}],"date_submitted":"2020-10-10T02:08:01Z","date_accepted":"2020-10-10T02:08:01Z","date_published":"2020-10-10T02:09:49Z","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/932/galley/680/download/"}]}