Pitfalls in diagnosis and problems in extraction of retained wooden foreign bodies in the foot

Sidharthan, Sujith; Mbako, Aloysius

doi:10.1016/j.fas.2009.04.006

Cited by 17 publications

(17 citation statements)

References 18 publications

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“…The most frequently reported FB in patients who underwent surgery include needle, metal piece, glass, and wood (1,5,(7)(8)(9)(10). In our study, the most common FB type in all patients was found as needle by 51.9%, followed by metal piece by 30.4%.…”

Section: Discussionmentioning

confidence: 48%

“…Therefore, the risk of infection is high especially in the presence of residual wood pieces. Possible complications associated with residual pieces include; infection, persistent pain, swelling, migration, osteomyelitis, delayed healing, and pseudotumor (10,(16)(17)(18)(19)(20)(21)(22). Previous studies have reported higher risk of complication with glass and wood FB (23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Deep-Seated Soft Tissue Foreign Bodies According to Gender and Age Groups

Özer¹,

Türker²,

Başbuğ³

et al. 2019

std

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Amaç: Çalışmadaki amacımız, derin yerleşimli yumuşak doku yabancı cisimlerinin tipinin ve yerleşim yerlerinin belirlenerek, cinsiyet ve yaş grupları arasındaki farklılıkların değerlendirilmesidir. Hastalar ve Yöntem: Ocak 2011 ile Ocak 2018 yılları arasında derin yerleşimli yabancı cisim penetrasyonu nedeniyle cerrahi uygulanan 310 hasta çalışmaya dahil edildi. Hastalar 18 yaş altı, 18-45 yaş arası ve 45 yaş üzeri olmak üzere 3 gruba ayrıldı. Yabancı cisimler 5 gruba ayrıldı. Yabancı cisim yerleşim yeri olarak üst ekstremite 5 bölgeye, alt ekstremite ise 6 bölgeye ayrıldı. Yabancı cisim tipi ve yerleşim yeri, yaş gupları ve cinsiyete göre karşılaştırılarak analiz edildi. Bulgular: Erkeklerde en sık karşılaşılan yabancı cisim %48,4 metal parçasıyken, kadınlarda %77,3 iğneydi (P<,0001). 18 yaş altı erkeklerde en sık karşılaşılan yabancı cisim %67,4 iğneyken, kadınlarda %94,2 iğneydi (P=,12). 18-45 yaş arası erkeklerde en sık karşılaşılan yabancı cisim %54,7 metal parçasıyken, kadınlarda %71,4 iğneydi (P=,0007). 45 yaş üzeri erkeklerde en sık karşılaşılan yabancı cisim %61,3 metal parçasıyken, kadınlarda %70 iğneydi (P=,0023). Erkeklerde en sık yabancı cisim yerleşim yeri %35,2 elken, kadınlarda %61 ayaktı (P<,0001). 18 yaş altı erkeklerde en sık yabancı cisim yerleşim yeri %65,1 ayakken, kadınlarda %62,9 ayaktı (P=,04). 18-45 yaş arası erkeklerde en sık yabancı cisim yerleşim yeri %38,9 elken, kadınlarda %60,3 ayaktı (P<,0001). 45 yaş üzeri erkeklerde en sık yabancı cisim yerleşim yeri %65,5 elken, kadınlarda %60 ayaktı (P<,0001). Sonuç: Çalışmamız derin yerleşimli yabancı cisimlerin tipi ve bulunduğu anatomik bölgenin yaş grupları ve cinsiyete göre değerlendirildiği literatürdeki ilk çalışmadır. Kadınlarda tüm yaş gruplarında ve 18 yaş altı erkeklerde; en sık tesbit edilen yabancı cisim yerleşim yeri ve tipi sırasıyla ayak ve iğne olarak bulundu. Bu sonuç, evde sıklıkla dikiş için kullanılan iğnenin bireylerin dikkatsizliği veya ihmali sonucu yere düşürülmesi ve bu grupların evde daha fazla vakit geçirmesi ile ilişkili olabilir. 18 yaş üstü erkeklerde ise en sık tesbit edilen yabancı cisim yerleşim yeri ve tipi sırasıyla el ve metal parçası olarak bulundu. Bu sonuç da, penetran el yaralanmaları için risk altında olan ağır iş yapan işçi sınıfının çoğunlukla 18 yaş üstü erkek cinsiyette olması ile ilişkili olabilir.Anahtar Kelimeler: Yabancı cisim, derin yerleşimli, el, ayak, iğne, metal parçası Aim: We aimed to determine types and locations of deep-seated soft tissue foreign bodies (FB) and to evaluate the differences between gender and age groups. Patients and Methods: A total of 310 patients operated due to deep-seated FB penetration between January 2011 and January 2018 were included in the study. Patients were divided into three groups as under 18 years, 18-45 years, and over 45 years. FB were divided into five groups. Locations of the FB were divided into five region in the upper extremities and into six region in the lower extremities. FB type and location were analyzed according to the gender and age groups....

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Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Evaluation of Deep-Seated Soft Tissue Foreign Bodies According to Gender and Age Groups

Özer¹,

Türker²,

Başbuğ³

et al. 2019

std

View full text Add to dashboard Cite

show abstract

“…Retained foreign bodies pose a risk of infection in the scalp and brain parenchyma2 3 (in cases of head injuries) in addition to other body parts such as the foot 4. Delayed presentation of brain abscess has been reported in cases of penetrating brain injury with radiolucent materials.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical extraction may not always be complete, particularly in the case of radiolucent material such as wood or splinters. Ultrasonography has been suggested as one means by which retained radiolucent foreign bodies may be accurately and effectively detected following surgical exploration and extraction 4 5…”

Section: Discussionmentioning

confidence: 99%

Radiolucent wooden foreign body masquerading as a depressed skull fracture

Tasneem

Concannon²,

Abulkhir³

et al. 2011

Case Reports

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The following case describes a head injury in an older male patient in which a large wooden foreign body, forming a subcutaneous tract in the scalp, was mistaken for a depressed skull fracture on initial clinical assessment. This foreign body was not visualised on CT brain imaging until specialised views were used retrospectively, after surgical exploration of the scalp laceration. Appropriate radiological techniques for the detection of radiolucent foreign bodies are discussed.

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“…[4][5][6][7] It could also be used as a guide to remove foreign bodies and lower the costs by reducing the need for exploratory surgeries. 8 However, the detection of foreign bodies by using ultrasound is operator-dependent and needs additional training. In this study, we evaluate the improvement of ultrasound-guided soft tissue foreign body detection after a short training session among emergency medicine residents, who have not been trained for such a task before.…”

Section: Introductionmentioning

confidence: 99%

A simplified training method for soft tissue foreign body detection using ultrasound in emergency medicine residency program

et al. 2014

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Using ultrasound for detecting soft tissue foreign bodies seems to be the preferred choice with minimum invasion and easy availability at the bedside in emergency departments. In this study, a workshop (1 hour of lecture presentation and 3 hours of interactive hands-on) was designed to evaluate the efficacy of a short course of simple interactive training to improve the ability of emergency medicine residents to detect foreign bodies with ultrasound. Eight pieces of fresh full thickness (10 × 10 × 10 cm) lamb leg muscle were used in this study. Five different types of foreign bodies, including: a piece of glass (5 × 5 × 4 mm), wood (5 × 5 × 4 mm), gravel (5 mm diameter), plastic (5 × 5 × 2 mm) and a nail (25 mm in length) were placed deep inside each lamb leg. An ultrasound machine with a 7.5 MHz linear probe was used in this study. 35 emergency medicine residents (12 PGY1, 11 PGY2 and 12 PGY3) were enrolled in this study. Pretest and post-test results were compared and analyzed. Among all 35 participants in the training session, foreign body detection was significantly improved after the workshop (p < 0.001). Overall sensitivity and specificity for differentiating the presence and absence of a foreign body with 95% confidence were 60% (75% for PGY3) and 85.7% (91.7% for PGY3), respectively. The overall accuracy increased from 20.2% to 72.8% due to this session. This study supported the possibility of using ultrasound to detect foreign bodies by emergency physicians with a very short training course. This is highly beneficial for overcrowded emergency departments.

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Pitfalls in diagnosis and problems in extraction of retained wooden foreign bodies in the foot

Cited by 17 publications

References 18 publications

Evaluation of Deep-Seated Soft Tissue Foreign Bodies According to Gender and Age Groups

Evaluation of Deep-Seated Soft Tissue Foreign Bodies According to Gender and Age Groups

Radiolucent wooden foreign body masquerading as a depressed skull fracture

A simplified training method for soft tissue foreign body detection using ultrasound in emergency medicine residency program

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