Foot foreign bodies

Case contributed by Dr Bruno Di Muzio

Presentation

Pain on left foot for weeks. Previous history of skin-penetrating trauma by glass a few weeks ago.

Patient Data

Age: 30
Gender: Male
CT

CT Left foot

There are two pieces of flat and dense foreign bodies within the muscular planes in the anterior plantar region of the left foot. The biggest one is partially involved by irregular calcification in keeping with a granulation process, which shows a bone spicule in continuation with the cortical of the second metatarsus bone. 

MRI

MRI Left foot

MRI depicting again the foreign bodies within the plantar muscles (flexor hallucis brevis, lumbricals and flexor digitorum brevis) and causing lesion to the flexor hallucis longus tendon and flexor digitorum longus tendon (second toe). 

Case Discussion

This case illustrates a self management after a skin-penetrating trauma, where the patient didn't look for medical assistance and treated the wounds by himself. After some weeks with persistent foot pain he came for evaluation and both CT and MRI images showed relative big pieces of glass (foreign bodies) within the muscles in the plantar region as well as affecting some of the flexor longus tendons. 

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Case information

rID: 39764
Case created: 18th Sep 2015
Last edited: 21st Sep 2015
Inclusion in quiz mode: Included

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