Foreign body granuloma due to unsuspected wooden splinter (original) (raw)
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Undetected piece of wood causing osteomyelitis of the metacarpal bone: A case report
Eastern Journal of Medicine
Abstract. The patients with soft tissue injuries by foreign bodies are encountered frequently by the emergency physicians. In the emergency services, the advanced radiological imaging techniques should be requested in the patients who have a history of foreign body injury, if it was not detected by plain radiographs. Though the plain radiography is very useful for detection of metal foreign bodies, ultrasonography, magnetic resonance imaging and the computed tomography are superior for the detection of wood, glass and plastic foreign bodies. The foreign bodies that were not removed with the surgery can cause allergic, inflammatory or infectious process. Old foreign body injuries should be investigated in the patients with non-healing infection, or osteomyelitis history. The surgical exploration should not be avoided for diagnostic aim. In this case, we are presenting a pediatric patient developed metacarpal bone osteomyelitis due to foreign body which was diagnosed lately.
Foreign Body Induced Osteomyelitis in the Hand – Commonly Missed Clinical and Radiological Diagnosis
JOURNAL OF ORTHOPAEDIC CASE REPORTS, 2021
Introduction: Thorn prick is commonly seen in people that are involved in gardening. In some cases, they are unaware of the precedent thorn prick or present for medical attention quite late and forget about the history of thorn prick. In such cases, it is challenging for the clinicians and the radiologist to rule out the cause of the osteomyelitis caused by an unrecognized foreign body. Case Report: A 14-year-old girl presented with a swelling of the hand and discharging sinuses with a radiographic picture of osteomyelitis of the 5th metacarpal. The CT and MRI showed features consistent with osteomyelitis as well, possibly tuberculous in etiology. Even after the completion of AKT (anti-tubercular treatment), the patient continued to have discharging sinuses out of which a plant thorn spontaneously egressed, and subsequently, the patient was completely relieved of her symptoms. Retrospective evaluation of the MRI showed the presence of a foreign body that was hyperdense on CT and was...
Foreign Body (Bamboo Splinter of Broom Stick) in Soft Tissue
TAJ: Journal of Teachers Association, 2009
Patients with foreign bodies inside soft tissues are common in a surgeon's daily practice,. Radio-opaque foreign bodies can easily be located with radiography but radio-lucent foreign bodies cannot be located with X-ray, where Ultrasonography especially, high resolution ultrasonography can be used to locate it. Ultrasonography, being easily available, cost-effective and radiation-hazard free, can be done repeatedly for foreign bodies which move inside tissues. The presenting article describes a patient with a radio-lucent foreign body, deep inside muscle in his fore-arm and having one sharp end, was advancing inside tissues, was located with the help of Ultrasonography and was removed. doi: 10.3329/taj.v20i1.3095 TAJ 2007; 20(1): 67-70
Arthritis & …, 1990
Foreign body synovitis has been neglected in the rheumatology literature. We describe 26 patients in whom arthritis, bursitis, or tenosynovitis appeared within 1 day to 7 years after an initial injury by a penetrating foreign body. Twenty-two patients presented with acute synovitis, which was followed by chronic or recurrent inflammation mimicking septic arthritis, osteomyelitis, monarticular juvenile rheumatoid arthritis, bone tumor, or apatite deposition disease. Foreign bodies were not seen in 5 inflammatory synovial fluids studied, but were seen in the synovium or periarticular tissues of 17 patients. Excisional biopsy was required in most patients for precise diagnosis and treatment.