Glass foreign bodies - hand

Case contributed by Maulik S Patel , 10 May 2017
Diagnosis certain
Changed by Ayla Al Kabbani, 14 Nov 2019

Updates to Case Attributes

Title was changed:
Glass foreign bodies (hand)- hand
Presentation was changed:
History of glass particle injury to ulnar aspect of palm around 18 months back. Complaining of mildMild local pain which increased during the last few days. History of glass particle injury to the ulnar aspect of palm around 18 months back.
Body was changed:

The patient presented with a history of glass particle injury to hand about 18 months back. Ultrasound shows multiple linear echogenic structures in the soft tissue of palm at the site of pain consistent with foreign bodies. Radiographs of hand show similar findings.

Glass foreign bodies were removed at surgery.

  • -<p>The patient presented with a history of glass particle injury to hand about 18 months back. Ultrasound shows multiple linear echogenic structures in the soft tissue of palm at the site of pain consistent with foreign bodies. Radiographs of hand show similar findings.</p><p>Glass foreign bodies were removed at surgery.</p>
  • +<p>Glass foreign bodies were removed at surgery.</p>

Updates to Link Attributes

Title was removed:
Glass foreign bodies (hand)
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:

There are multipleMultiple linear echogenic foci in the soft tissue of palm at the site of pain pointed by the patient; all consistent with foreign bodies. There is

The first images demonstrate an echogenic linear structure in the subcutaneous plane at the site of pain that shows reverberation artifact by larger foci. One elongated focus Length is in subcutaneous plane. Another oneabout 8 mm; width is reachingup to 3 mm.

The second images demonstrate another echogenic linear structure radial to the above mentioned foreign body. It reaches deep to intact flexure tendon of 5th digit. A smaller

The third image demonstrates another echogenic linear focus is seen betweenbetween the two large fociabove mentioned foreign bodies.

A fourth echogenic linear structure was indicated also on ultrasound (not shown).

Images Changes:

Image Ultrasound ( update )

Description was removed:
There is an echogenic linear structure in the subcutaneous plane at the site of pain. It is a foreign body. It shows reverberation artifact. Length is about 8 mm. Width is up to 3 mm.

Image Ultrasound ( update )

Description was removed:
There is another echogenic linear structure radial to the above mentioned foreign body. It is a foreign body. It reaches deep to intact flexure tendon of 5th digit.

Image Ultrasound ( update )

Description was removed:
There is another echogenic linear focus between two above mentioned foreign bodies. Image shows only one of two foci.

Updates to Study Attributes

Findings was changed:

There are fourFour radiopacities in the soft tissuetissues of palm on the ulnar side. There are with no signs of osteomyelitis in the adjacent bones.

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