Wooden foreign body in hand

Case contributed by Dr Bahman Rasuli

Presentation

Middle finger progressive swelling from two months ago after trauma.

Patient Data

Age: 40 years
Gender: Female
X-ray

On the x-rays, no radio-opaque foreign body is seen. 

Soft tissue swelling is noted at the level of the middle finger middle phalanx on the ulnar side.

MRI

Low signal linear T1 and T2 hypointense lesion measuring about 8 mm running obliquely within the dorsomedial aspect of middle finger middle phalanx subcutaneous region surrounded by soft tissue edematous changes.

Case Discussion

The negative radiographs can not rule out wooden foreign bodies but CT, MRI, and ultrasound can detect a wooden foreign body.

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