Case report and brief review of literature on sonographic detection of accidentally implanted wooden foreign body causing persistent sinus
Despite advances in imaging techniques, the detection of vegetative foreign bodies in soft tissues remains a difficult and sometimes even a challenging task. Clinical evaluation of such patient may present several months or even years after the initial injury and clinician may fail to elicit an antecedent skin puncture. X-ray examination will miss radiolucent foreign bodies. A 15-year-old boy presented with a draining non-healing sinus at the lateral aspect of his right thigh for 9 months. Musculoskeletal ultrasonography was ordered after ruling out chronic osteomyelitis to detect possible lesions around the thigh. High-frequency linear ultrasonic probe readily detected an elongated foreign body within the vastus lateralis muscle. A long piece of wood was confirmed at surgery. Non-healing sinus with normal finding in radiograph following old trauma should raise the suspicion of implanted radiolucent foreign body/bodies. The role of diagnostic ultrasound as a valuable screening tool for the detection of foreign body is briefly reviewed.
- Peterson JJ, Bancroft LW, Kransdorf MJ: Wooden foreign bodies imaging appearance. AJR 2002,178(3):557–562.
- Bray PW, Mahoney JL, Campbell JP: Sensitivity and specificity of ultrasound in the diagnosis of foreign bodies in the hand. J Hand Surg Am 1995,20(4):661–6. CrossRef
- Jacobson JA, Powell A, Craig JG, Bouffard JA, van Holsbeeck MT: Wooden foreign bodies in soft tissue: detection at US. Radiology 1998,206(1):45–8.
- Hung YT, Hung LK, Griffith JF, Wong CH, Ho PC: Ultrasound for the detection of vegetative foreign body in hand–a case report. Hand Surg 2004,9(1):83–7. CrossRef
- Ochiai H, Yamakawa Y, Fukushima T, Yamada H: Neuroimaging of a wooden foreign body retained for 5 months in the temporalis muscle following penetrating trauma with a chopstick. Neurol Med Chir 1998, 39:744–747. CrossRef
- Anderson MA, Newmeyer WL, Kilgore ES: Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg 1982, 144:63–67. CrossRef
- Ho VT, McGuckin JF, Smergel EM: Intraorbital wooden foreign body: CT and MR appearance. AJNR 1996, 17:134–136.
- Mizel MS, Steinmetz ND, Trepman E: Detection of wooden foreign bodies in muscle tissue: experimental comparison of computed tomography, magnetic resonance imaging and ultrasonography. Foot Ankle Int 1994, 15:437–443.
- Horton LK, Jacobson JA, Powell A, Fessell DP, Hayes CW: Sonography and radiography of soft-tissue foreign bodies. AJR 2001,176(5):1155–1159.
- Fornage BD, Schernberg FL: Sonographic diagnosis of foreign bodies of the distal extremities. AJR 1986, 147:567–569.
- Lee CK, Sara Ahmad T, Abdullah BJJ: Splinter removal with the aid of ultrasonography: a case report. Malaysian Orthopaedic Journal 2008,2(2):47–49. CrossRef
- Case report and brief review of literature on sonographic detection of accidentally implanted wooden foreign body causing persistent sinus
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Critical Ultrasound Journal
- Online Date
- May 2012
- Print ISSN
- Online ISSN
- Springer Milan
- Additional Links
- Implanted foreign body
- Author Affiliations
- 1. Department of Orthopaedics & Trauma, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, 793018, India
- 2. Department of Radiology and Imaging, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, 793018, India