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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Man with hand pain.

Paul S Jansson1,2,3, Stella J Lee4, Margaret E Samuels-Kalow2,3

  • 1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Emergency Medicine Journal : EMJ
|April 30, 2018
PubMed
Summary
This summary is machine-generated.

A man sustained a hand injury from sliding plywood, presenting with swelling and an open wound. Imaging revealed a retained foreign body, necessitating further evaluation and management.

Keywords:
X-rayhand injuryultrasound

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Area of Science:

  • Orthopedic Surgery
  • Emergency Medicine
  • Radiology

Background:

  • A patient presented with a hand injury after a traumatic incident involving plywood.
  • Initial assessment at an outside hospital did not identify any foreign bodies.
  • The patient reported mild pain, with physical examination showing erythema and swelling of the thenar eminence.

Observation:

  • Radiographs and ultrasonography were performed to evaluate the hand injury.
  • Ultrasonography visualized a foreign body within the thenar eminence.
  • The imaging findings were crucial in diagnosing the underlying cause of the patient's symptoms.

Findings:

  • The diagnostic imaging confirmed the presence of a retained foreign body in the hand.
  • This finding was not identified during the initial external wound exploration.
  • The imaging modalities played a key role in identifying the occult injury.

Implications:

  • Accurate diagnosis of retained foreign bodies is critical for appropriate treatment and preventing complications.
  • Ultrasonography is a valuable tool for detecting radiolucent foreign bodies in soft tissue injuries.
  • This case highlights the importance of comprehensive diagnostic workup in traumatic hand injuries.