Abstract
We present a case of wooden foreign bodies in the foot with delayed diagnosis. Unreliability of plain radiographs in these situations is emphasized. The comparative utility of computed tomography, magnetic resonance scans and ultrasonography is evaluated from a literature review. We utilized a sinogram which showed the splinters and also indicated their location and orientation in a region of complex anatomy, thus reducing surgical time and morbidity. Management of a suspected radiolucent foreign body is fraught with pitfalls and we provide a possible algorithm for management.
Résumé
Nous présentons un cas d’échardes en bois du pied avec diagnostic retardé. Le manque de fiabilité des radiographies standard dans ces situations est souligné. L’utilité comparative de la scanographie, de l’I.R.M. et de l’échographie est évalué à partir d’une revue de la littérature. Nous avons utilisé un sinogramme qui a montré les échardes et a également indiqué leur localisation exacte et orientation dans une région anatomique complexe, ce qui a permis de réduire la durée et la morbidité de l’acte chirurgical. La gestion d’un corps étranger radio-transparent suspecté est pleine de pièges et nous fournissons un algorithme utilisable dans ces cas.
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Kumar, A., Kumar, N. & Gadgil, A. Investigation of wooden splinters in foot: a case report and literature review. Eur J Orthop Surg Traumatol 16, 80–82 (2006). https://doi.org/10.1007/s00590-005-0022-7
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DOI: https://doi.org/10.1007/s00590-005-0022-7