Intra-articular foreign body in proximal interphalangeal joint

Case contributed by Dr Maulik S Patel

Presentation

Swelling of middle finger - 2 -3 weeks. Could not recollect penetrating or blunt injury. Farmer. O/E - Proximal interphalangeal joint effusion. USG - to rule out or localize foreign body.

Patient Data

Age: about 55 - 60 yrs
Gender: Male

Effusion palmer recess of proximal interphalangeal joint of middle finger. 

A linear echogenic focus ( 1.4 mm size ) in joint.

Case Discussion

Clinically suspected foreign body was present in proximal interphalangeal joint. It was the cause of joint effusion. 

The patient could not recollect any local penetrating trauma. However, farmers are prone to wood splinter injury. It may be trivial and the patient may not confim it.

Local skin marking was done at site of foreign body. It was not mobile with finger movement or with traction of the finger.

Surgically, it was removed.  There was no pus in joint.

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Case Information

rID: 27669
Case created: 13th Feb 2014
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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