Foreign body injuries of the foot
present orthopaedician with several intriguing dilemmas, in formulating a sound
diagnostic and treatment plan. These injuries range from trivial trauma to
sever incapacitation of an individual.
The injuries should not be
considered trivial, since failure to remove all of the foreign body may lead to
joint destruction, infection, or even loss of part of limb.History of the
injury may be vague, but it is necessary
for the treating physician to elicit clear and informative history for
determining the diagnostic measures to be taken.
Physical examination of a plantar
puncture wound with surrounding edema, erythema, and tenderness is suggestive
of a retained foreign body. In trivial injuries and chronic cases such features
are usually lacking. These foreign bodies may implant deeply, and if not
quickly removed, can be a source of chronic frustration to both the patient and
treating doctor.
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