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Radiolucent foreign bodies in the hand: case report
1Royal Hobart Hospital, Tasmania, Australia.
The Journal of Trauma
|March 1, 1989
Summary
This case report details the successful removal of retained wooden foreign bodies in the hand, emphasizing diagnostic challenges and surgical management. Prompt intervention and imaging are crucial for optimal patient outcomes.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Radiology
Background:
- Foreign bodies in the hand can present diagnostic challenges, particularly radiolucent materials like wood.
- Timely diagnosis and intervention are essential for preventing complications such as infection and impaired function.
Observation:
- An unusual case involving retained radiolucent wooden foreign bodies in the hand.
- Diagnosis was based on clinical suspicion and injury mechanism, supported by imaging.
- Initial exploration and subsequent re-exploration were necessary for complete removal.
Findings:
- A large piece of wood was identified and removed during re-exploration 12 days post-initial surgery.
- The patient underwent split-skin grafting and achieved a full range of motion.
- The patient remained asymptomatic 5 weeks after the final procedure.
Implications:
- Highlights the importance of considering radiolucent foreign bodies in hand trauma.
- Underscores the role of advanced imaging (CT scan) and surgical exploration in diagnosis and management.
- Demonstrates successful treatment outcomes with delayed diagnosis and management.