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Human Vastus Lateralis Skeletal Muscle Biopsy Using the Weil-Blakesley Conchotome
Published on: March 4, 2016
Rare presentation of a wooden foreign body in the thigh
Krishna Kumar1, Abdulsalam Hegazy2
1Department of Orthopaedic Surgery, Hamad General Hospital, P.O.Box 3050, Doha, Qatar. kkortho@yahoo.co.uk.
Insights
Children
Area of Science:
- Pediatric Radiology
- Trauma Care
- Diagnostic Imaging
Background:
- Children's active nature increases foreign body injury risk.
- Inaccurate histories can delay diagnosis and treatment of foreign bodies.
- Periosteal reactions to neglected foreign bodies can mimic bone neoplasms.
Purpose of the Study:
- To highlight the diagnostic challenges of foreign bodies in children.
- To inform radiologists about potential misdiagnoses, especially with wooden foreign bodies.
- To review radiographic methods for foreign body detection.
Main Methods:
- Analysis of radiographic techniques for foreign body detection.
- Review of cases involving neglected foreign bodies near bone.
- Discussion of diagnostic errors associated with foreign bodies.
Main Results:
- Metallic foreign bodies are easily detected on radiographs.
- Wooden foreign bodies present significant detection challenges.
- Neglected foreign bodies can cause substantial periosteal reactions.
Conclusions:
- Vigilance in history taking is crucial for primary caregivers.
- Radiologists must be aware of foreign bodies mimicking bone neoplasms.
- Accurate radiographic interpretation is vital for timely diagnosis and treatment.
Abstract:
Children are prone to injury with foreign bodies, partly due to their ebullient nature. They may not always give an accurate history, which can lead to delay in diagnosis and treatment. Primary care givers need to be vigilant in eliciting a history of foreign body injury in children. Radiologists should be aware that a neglected foreign body lying close to the bone in the distal femur can evoke a massive periosteal reaction, which can mimic a bone neoplasm. Although metallic foreign bodies are detected with ease on radiographs, detection of wooden foreign bodies remains a challenging task for both the radiologist and the care-giving physician. Wood foreign bodies may induce errors in diagnosis. The paper includes an analysis of the different radiographic methods currently available and their main features. This report would be of relevance to primary care physicians, those concerned with trauma care, and for radiologists who screen for these injuries.
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