J Hand Microsurg 2023; 15(03): 227-229
DOI: 10.1055/s-0041-1737002
Case Report

Arthroscopic Removal of a Missed Wooden Foreign Body in the Metacarpophalangeal Joint

1   Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Shimogo, Ogori, Yamaguchi, Japan
,
Kazuteru Doi
1   Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Shimogo, Ogori, Yamaguchi, Japan
,
Yasunori Hattori
1   Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Shimogo, Ogori, Yamaguchi, Japan
,
Sam Supreeth
1   Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Shimogo, Ogori, Yamaguchi, Japan
,
Shichoh Sonezaki
1   Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Shimogo, Ogori, Yamaguchi, Japan
,
Yuji Saeki
1   Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Shimogo, Ogori, Yamaguchi, Japan
› Author Affiliations

Abstract

We report a case of a missed wooden foreign body in the metacarpophalangeal (MP) joint of the right little finger following a workplace injury. The patient presented to our institution with a persisted pain and limited range of motion of the MP joint 1 week following the injury. Plain radiographs detected no foreign body or fractures. However, detailed examination as ultrasonography (USG) and computed tomography revealed the presence of a foreign body of 10 × 1.5 mm size in the MP joint capsule. The excision of the radiolucent foreign body was performed arthroscopically and was confirmed successful removal using intraoperative USG. The foreign body was recognized as a wooden piece. The patient was immediately pain free postoperatively and regained full range of motion. Arthroscopy can be a practical, reliable method to remove a radiolucent foreign body located in a small joint in a minimally invasive manner, and USG can help surgeons confirm no remnants left.



Publication History

Article published online:
01 October 2021

© 2021. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

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