Soft tissue foreign body: Difference between revisions

(Text replacement - "==Treatment==" to "==Management==")
(Text replacement - "==Clinical Presentation==" to "==Clinical Features==")
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==Background==
==Background==


==Clinical Presentation==
==Clinical Features==


==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 11:55, 14 July 2016

Background

Clinical Features

Differential Diagnosis

Diagnosis

Management

  • antibiotics indicated for organic matter
  • do not extend hand wounds in ED

Indications for Removal

  • Potential for inflammation or infection
    • Vegetative or chemically reactive material
    • Heavy bacterial contamination (e.g. teeth, soil)
    • Proximity to fractured bone
    • Established infection
    • Allergic reaction
  • Toxicity
    • Spines with venom
    • Heavy metals
  • Functional and cosmetic problems
    • Impingement on nerves, vessels, tendons
    • Restriction of joint mobility
    • Proximity to tendons
    • Impairment of gait
    • Persistent pain
    • Cosmetic deformity (e.g., tattooing)
    • Psychological distress
  • Potential for later injury
    • Intra-articular location
    • Intravascular location
    • Migration toward important structures

Dispoition

  • Ortho 1-2 days if not retrievable

See Also

References