Foreign body - foot

Case contributed by Dr Maulik S Patel

Presentation

Thorn injury to the right forefoot plantar region about 3 weeks back. Complaining of mild local pain.

Patient Data

Age: 25 years
Gender: Male
Ultrasound

There is mild effusion in the 2nd toe flexor tendon. There is a linear echogenic focus (about 2.3 mm) in the tendon sheath. The tendon shows a normal echopattern. There is no joint effusion involving the 2nd toe. There is no thickening of the overlying subcutaneous fat.

Photo

Surgical exploration reveals a thorn fragment in the 2nd toe flexor tendon sheath. It was removed.

Case Discussion

A young male presented with a history of forefoot plantar region thorn injury. The ultrasound revealed a thorn fragment in the 2nd toe flexor tendon sheath with mild tenosynovitis. The thorn fragment was surgically retrieved.

Intraoperative photos courtesy of operative surgeon Dr. Ajay I. Patel and anesthetist Dr. Shailesh Thoria.

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