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Foreign bodies in tendons.

L Jozsa1, A Reffy, S Demel

  • 1Department of Morphology, National Institute of Traumatology, Budapest, Hungary.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1989
PubMed
Summary
This summary is machine-generated.

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Foreign bodies in tendons, including organic, metal, and plastic materials, were identified in surgical and autopsy samples. These foreign bodies, particularly in upper limbs, can lead to complications like tendonitis and necrosis.

Area of Science:

  • Orthopedic Surgery
  • Pathology
  • Materials Science

Background:

  • Foreign bodies in tendons are a recognized clinical concern.
  • Understanding the types and locations of these foreign bodies is crucial for diagnosis and treatment.

Purpose of the Study:

  • To investigate the prevalence, types, and locations of foreign bodies within tendons.
  • To analyze the clinical implications and complications associated with tendon foreign bodies.

Main Methods:

  • Retrospective analysis of 931 surgically removed and 950 autopsy tendon samples over 15 years.
  • Identification and categorization of foreign body materials (organic, metal, plastic, etc.).
  • Documentation of foreign body location (upper vs. lower extremities) and associated pathologies.

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Main Results:

  • A total of 98 foreign bodies were identified.
  • Common materials included organic (29), metal (20), and plastic (6); 33 were unidentified.
  • Foreign bodies were found in 51 upper extremities and 47 lower extremities.
  • Complications such as purulent tendonitis, necrosis, granuloma, fibrosis, and calcification were more frequent in the upper limbs.

Conclusions:

  • Foreign bodies in tendons are a significant finding in both operative and post-mortem examinations.
  • The type and location of foreign bodies influence the likelihood and nature of associated tendon pathology.
  • Prompt identification and management are essential, especially for foreign bodies in the upper extremities, to prevent severe complications.