Presentation
Left index finger dorsal side thorn injury - two days ago. Complaining of local pain and swelling.
Patient Data
Subcutaneous soft tissue thickening with local hypervascularity on the dorsal side of the proximal interphalangeal joint which was the site of thorn injury. Two tiny (< 1 mm) echogenic foci within the thickened soft tissue. Intact extensor and flexor tendons. No joint effusion.
A simple drawing representing the foreign bodies' location was attached to the report.
Two small thorn fragments were surgically retrieved.
Case Discussion
The case shows ultrasound's usefulness in detecting soft tissue foreign bodies.
Intraoperative and 'gross specimen' photos courtesy: operating surgeon Dr. Piyush Patel.