Foreign body - distal leg
Updates to Case Attributes
Findings of multiple subscutaneoussubcutaneous tissue foreign bodies in the anterior aspect of distal leg region due to fragmentation of the foreign body. There is associated tibialis anteriortenosynovitis and local subcutaneous small collection without periosteal reaction in the adjacent tibial cortex.
Migration and fragmentation should be kept in mind while looking for a wood splinter like foreign bodies.
-<p>Findings of multiple subscutaneous tissue foreign bodies in anterior aspect of distal leg region due to fragmentation of foreign body. There is associated tibialis anterior tenosynovitis and local subcutaneous small collection without periosteal reaction in adjacent tibial cortex.</p>- +<p>Findings of multiple subcutaneous tissue foreign bodies in the anterior aspect of distal leg region due to fragmentation of the foreign body. There is associated <a title="Tibialis anterior muscle" href="/articles/tibialis-anterior-muscle">tibialis anterior</a> <a title="Tenosynovitis" href="/articles/tenosynovitis">tenosynovitis</a> and local subcutaneous small collection without periosteal reaction in the adjacent tibial cortex.</p><p>Migration and fragmentation should be kept in mind while looking for a wood splinter like foreign bodies.</p>
Updates to Study Attributes
There is softSoft tissue swelling on the anterior aspect of the distal leg and ankle region. There is no No radiopaque soft tissue foreign body.
There is presencePresence of Sever's phenomena (sclerosis of calcaneal apophysis). There is no bony abnormality No fracture/dislocation/periosteal reaction.
Image X-ray (Lateral) ( update )
Image X-ray (Frontal) ( update )
Image 1 X-ray (Frontal) ( create )
Image 2 X-ray (Lateral) ( create )
Updates to Study Attributes
There isAn effusion in intact tibialis anterior tendon sheath. Tendon shows normal Normal tendon echopattern.
There are multipleMultiple linear echogenic foci with or without posterior acoustic shadowingshadow; in subcutaneous plane of the distal third of the anterior leg - clinically area of swelling. They are - foreign bodies.
LargestThe largest foreign body is about about 40 mm long; lying superficial and parallel to the tibialis anterior tendon in the distal leg.
There is aA smaller linear foreign body (10 mm long lying deep and lateral to largest foreign body).
There areA few smaller (1-3 mm) foreign bodies are seen inin the local subcutaneous collection. They are superficial to tendon. Collection is measuring about 40 x 20 x 5 mm.
All foreign bodies arelocated cranial to skin entry wound.
There is noNo foreign body in the tendon sheath. There is noNo ankle effusion. There is no No erosion of the adjacent tibial cortex.