Presentation
Thorn injury to great toe - 1 mth. C/o local swelling. Referred for Ultrasound to rule out / localize foreign body.
Patient Data
Age: about 20 yrs
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/26420/annotated_viewer_json?lang=us"}
4 - 5 mm sized linear echogenic focus ( foreign body - thorn ) is seen embedded in thickened synovium of 1st metatarso-phalangeal joint. It is on dorsal aspect. Synovial hypervascularity is noted.
No tenosynovitis / tendon tear.
Case Discussion
Findings favor foreign body ( thorn ) induced synovitis of joint.
Surgery - Foreign body at site mentioned by ultrasound - embedded in thickened synovium. Fluid in joint contained pus flakes.