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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Retained foreign objects in casts in children.

Gloria Hui Min Cheng1,2, Claris Jia-Yi Shi1,2, Beatrice Jia Ying Lee1

  • 1Department of Orthopedic Surgery, KK Women's and Children's Hospital.

Journal of Pediatric Orthopedics. Part B
|February 16, 2019
PubMed
Summary
This summary is machine-generated.

Foreign objects retained in pediatric casts, often to relieve itching, can cause skin complications. Prompt removal is crucial to prevent worsening skin issues in children undergoing cast immobilization for fractures.

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Area of Science:

  • Orthopedics
  • Pediatric Care
  • Wound Management

Background:

  • Cast immobilization is a common, noninvasive treatment for pediatric fractures.
  • Potential complications include skin issues, thermal injuries, and joint stiffness.
  • Retained foreign objects within casts are a recognized clinical concern.

Purpose of the Study:

  • To investigate the reasons behind foreign object retention in pediatric casts.
  • To evaluate the effects of retained foreign objects on pediatric skin.
  • To identify common foreign objects and associated complications.

Main Methods:

  • Retrospective analysis of 18 pediatric patients with retained foreign objects in casts.
  • Data collection included patient demographics, fracture type, cast details, foreign body nature, and complications.
  • Interviews with patients to ascertain reasons for object retention.

Main Results:

  • Common retained objects included coins, stationery, toy parts, cutlery, and hygiene items.
  • Primary reasons for retention were itch relief, accidental insertion, and play.
  • Skin complications, such as infected ulcers, occurred in a minority of cases, necessitating oral antibiotics.

Conclusions:

  • While complications are primarily dermatological, delayed treatment can exacerbate them.
  • Clear communication regarding cast care and itch management is essential for patients and caregivers.
  • Emergent removal of foreign objects from casts is recommended to mitigate risks.