Presentation
Laceration right posterior calf, exclude foreign body.
Patient Data
Age: 55 years
Gender: Male
From the case:
Foreign body (chronic)
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There is a nail through the midshaft of the tibia with surrounding sclerotic appearing bone. Surrounding bony osteophytosis and remodeling 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 relative contraindication for MRI and something that would need to be considered before an examination.
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