Crepitus

From Wikipedia, the free encyclopedia
Jump to: navigation, search
Crepitus
Classification and external resources
ICD-9 719.60, 756.0

Crepitus /ˈkrɛpɪtəs/ is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue.

Various types of crepitus that can be heard in joint pathologies are:

  • Bone crepitus: This can be heard when two fragments of a fracture are moved against each other.
  • Joint crepitus: This can be obtained when the affected joint is passively moved with one hand, while the other hand is placed on the joint to feel the crepitus.
  • Crepitus of bursitis: This is heard when the fluid in the bursa contains small, loose fibrinous particles.
  • Crepitus of tenosynovitis

Causes[edit]

The sound can be created when two rough surfaces in an organism's body come into contact—for example, in osteoarthritis or rheumatoid arthritis when the cartilage around joints has eroded away and the surfaces in the joint start to grind against one another, or when the fracture surfaces of two broken bones rub together. Crepitus is a common sign of bone fracture.

In soft tissues, crepitus can be produced when gas is introduced into an area where it normally is not present.

The term can also be used when describing the sounds produced by lung conditions such as interstitial lung disease—these are also referred to as "rales". Crepitus is often loud enough to be heard by the human ear, although a stethoscope may be needed to detect instances caused by respiratory diseases.

In times of poor surgical practice, post-surgical complications involved anaerobic infection by Clostridium perfringens strains, which can cause gas gangrene in tissues, also giving rise to crepitus.

Subcutaneous crepitus (or surgical emphysema) is a crackling sound resulting from subcutaneous emphysema, or air trapped in the subcutaneous tissues.

See also[edit]