Foreign body (chronic)

Case contributed by Mr Andrew Murphy

Presentation

Laceration right posterior calf, exclude foreign body.

Patient Data

Age: 55 years
Gender: Male
X-ray

There is a nail through the midshaft of the tibia with surrounding sclerotic appearing bone. Surrounding bony osteophytosis and remodelling is noted along the tibia and to a lesser extent the fibula, suggesting it is chronic in appearance.

The soft tissue laceration on the posterior calf is noted with no associated foreign body.

Case Discussion

Upon consulting the patient, there was no recollection in his 55 years that would account for a nail related injury, the nail was not removed however follow up imaging was recommended.

A metallic foreign body would, however, be a contraindication for MRI.

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Case information

rID: 55333
Case created: 30th Aug 2017
Last edited: 2nd Sep 2017
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

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