Foreign body in ankle

Case contributed by Dr Maulik S Patel

Presentation

Thorn injury - 5 days back to anterior - lateral aspect of ankle. Complaints of ankle - foot swelling.

Patient Data

Age: 50
Gender: Male
Ultrasound

Linear echogenic focus is noted in  region of interest  - Foreign body.

Length - 21 mm.

Plane

- Distal tip is superficial in subcutenous plane. - 9 ,mm from skin

- Proximal tip is more deep to digitorum muscle.  It abutts distal tibial antero-lateral cortex - 12 mm from skin.

- FB is anterior and cranial to distal tibio-fibular joint.

- Directed to medially and cranially.

 

Tenosynovitis of flexure digitorum tendon is noted.

Ankle effusion is noted.

Photo

Photograph - 2 cm FB with a sheet like structure adjacent to it. The other  1 cm long Foreign body was not reported on US. It was superficial to the larger FB.

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Case information

rID: 21560
Case created: 31st Jan 2013
Last edited: 7th Feb 2016
Inclusion in quiz mode: Included

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