Foreign body - finger
Updates to Case Attributes
A young male had thorn injury to the palmar aspect of the left middle finger. The patient presented with finger swelling. The patient was able to palpate a tiny nodule in the finger which turned out to be a thorn fragment in the subcutaneous plane. It was associated with flexureflexor tendon tenosynovitis.
Surgical exploration revealed a thorn fragment at the expected location. Thorn removal and synovectomy were done. There was no foreign body in the tendon sheath. When a thorn pierces the tendon sheath, dirt enters into the sheath which causes synovitis. Flexure tenosynovitis of a finger is always 'bumpy' due to the presence of pulleys.
-<p>A young male had thorn injury to the palmar aspect of the left middle finger. The patient presented with finger swelling. The patient was able to palpate a tiny nodule in the finger which turned out to be a thorn fragment in the subcutaneous plane. It was associated with flexure tenosynovitis. Surgical exploration revealed a thorn fragment at the expected location. Thorn removal and synovectomy were done. There was no foreign body in the tendon sheath. When a thorn pierces the tendon sheath, dirt enters into the sheath which causes synovitis. Flexure tenosynovitis of a finger is always 'bumpy' due to the presence of pulleys.</p>- +<p>A young male had thorn injury to the palmar aspect of the left middle finger. The patient presented with finger swelling. The patient was able to palpate a tiny nodule in the finger which turned out to be a thorn fragment in the subcutaneous plane. It was associated with <a title="Tenosynovitis" href="/articles/tenosynovitis">flexor tendon tenosynovitis</a>.</p><p>Surgical exploration revealed a thorn fragment at the expected location. Thorn removal and synovectomy were done. There was no foreign body in the tendon sheath. When a thorn pierces the tendon sheath, dirt enters into the sheath which causes synovitis. Flexure tenosynovitis of a finger is always 'bumpy' due to the presence of pulleys.</p>
Updates to Study Attributes
There is a linear echogenic focus ( 2(2.4 mm) in the subcutaneous plane of the mid part-part of the proximal phalanx. It is ulnar to the midline. There is surrounding tiny anechoic fluid rim. It is a foreign body - thorn fragment.
Local hypervascularity is present. There is effusion in flexureflexor tendon sheath suggestive of tenosynovitis. FlexureFlexor tendons show normal echopattern. There is no joint effusion.
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