Presentation
Right palm wood splinter injury - few months ago. Local bulge and mild pain. Normal finger movements and sensation.
Patient Data
The bulge is difficult to appriciate in the photo. However, it was easily visible during finger movements. No skin changes/ healed puncture wound as the injury was about nine months ago.
A linear echogenic structure aligned to index finger flexor tendons. It is ulnar to the index flexor tendon.
The first short-axis cine-loop runs from the proximal to the distal direction. The second cine-loop runs side to side and aligned to flexor tendon long axis.
The first photo shows a foreign body surrounded by granuloma. The second photo shows a retrieved foreign body (wood splinter).
Case Discussion
The case shows a foreign body granuloma in the palm.
Intraoperative photos courtesy: operating surgeon Dr. Pinkesh V. Patel
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