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Twisted Minds, Tangled Fingers: Surgical Rescue from Impacted Bolts
Monika Gureh1, Ritesh Panda2, Ankur Gogai1
1Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Journal of Orthopaedic Case Reports
|November 24, 2025
Summary
Deeply embedded foreign body injuries, like bolts in fingers, are rare in psychiatric patients. Prompt surgical removal, debridement, and reconstruction are crucial to prevent severe complications and restore function.
Area of Science:
- Orthopedic Surgery
- Psychiatric Care
- Trauma Management
Background:
- Self-inflicted injuries are common in psychiatric patients.
- Deep foreign body impaction, such as bolts in fingers, is exceptionally rare.
- These injuries risk significant soft tissue damage, infection, and bone exposure.

