Foreign body - thumb

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Right thumb pulp injury by a ballpen tip - 5 years ago.

Patient Data

Age: 15 years
Gender: Male
ultrasound

A well-defined linear echogenic focus (3.7 mm length) in the volar thumb region.  It is superficial to the flexor tendon insertion. A hypoechoic thin rim around it favors granulation. No underlying cortex erosion. No interphalangeal joint effusion.

Case Discussion

A boy presented with a 5-year-old history of ballpen tip injury to the thumb volar region. He complained of palpable nodule locally without pain. The ultrasound shows a foreign body that was surgically retrieved.

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