Acta Chir Orthop Traumatol Cech. 2014; 81(2):152-154 | DOI: 10.55095/achot2014/017

Tumour-Like Lesion of the Forefoot due to a Retained Toothpick Fragment. Case ReportCase report

V. BARTÁK1,2,*, Z. KRÁTKÝ2, S. POPELKA ml.1
1 I. ortopedická klinika, 1. LF UK Praha a FN Motol
2 Ortopedicko-traumatologické oddělení, nemocnice Prachatice

The case of a 17-year-old patient with a pseudotumour of the forefoot caused by a retained toothpick fragment is reported. The patient had several examinations in a two-year period and was treated for synovialitis of the first and third metatarsophalangeal joints. However, radiography of the plantar surface was the only examination done during these two years. Therapy was unsuccessful. After admission to our department, ultrasonography was performed and a foreign body in granulation tissue was detected. Computed tomography and MRI confirmed the finding. The foreign body granuloma was removed by surgery and the patient healed successfully. Options for visualising wooden foreign bodies not detected on X-ray images are discussed.

Keywords: pseudotumour, forefoot, toothpick, retained

Published: April 1, 2014  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
BARTÁK V, KRÁTKÝ Z, POPELKA S. Tumour-Like Lesion of the Forefoot due to a Retained Toothpick Fragment. Case Report. Acta Chir Orthop Traumatol Cech. 2014;81(2):152-154. doi: 10.55095/achot2014/017. PubMed PMID: 25105790.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. BORGIA, C. A.: An unusual bone reaction to an organic foreign body in the hand. Clin. Orthop., 30: 188-193, 1963. Go to original source...
    2. DURR, H. D., STABLER, A., MULLER, P. E., REFIOR, H. J.: Thorn induced pseudotumor of the metatarsal. J. Bone Jt Surg., 83-A: 580-584, 2001. Go to original source... Go to PubMed...
    3. HASSAN ABU, F. O.: Retained tootpick causing pseudotumor of the first metatarsal: A case report and literature review. Foot Ankle Surg., 14: 32-35, 2008. Go to original source... Go to PubMed...
    4. MIDDHA, V. P., VAISHYA, R.: Lesions produced by splinters of wood in soft tissues and bone. Int. Orthop., 14: 47-48, 1990. Go to original source... Go to PubMed...
    5. MIZEL, M. S., STEINMETZ., N. D., TREPMAN, E.: Detection of wooden foreign bodies in musscle tissue: experimental comparsion of CT, MRI and ultrasonography. Foot Ankle Int., 15: 437-443, 1994. Go to original source... Go to PubMed...
    6. REGINATO, A. J., FERREIRO, J. L., O'CONNOR, C. R., BARBASAN, C., ARASA, J., BEDNAR, J., et al.: Clinical and pathologic studies of twenty six patients with penetratingforeign body injury to the joints, bursae and tendon sheats. Arthritis Rheum., 33: 1753-1762, 1990. Go to original source... Go to PubMed...
    7. SIEGEL, I. M.: Identification of non-metallic foreign bodies in soft tissue: Eikinella corrodens metatarsal osteomyelitis due to a retained toothpick. A case report. J. Bone Jt Surg., 74-A: 1408-1410, 1992. Go to original source...
    8. SWISCHUK, L. E., JORGENSON, F., JORGENSON, A., CAPEN., D.: Wooden splinter induced "pseudotumors" and "osteomyelitis-like lesions" of bone and soft tissue.: Am. J. Roentgenol. Radium. Ther. Nucl. Med., 122: 176-179, 1974. Go to original source... Go to PubMed...
    9. VENTER, N. G., JAMEL, N., MARQUES, R. G., DJAHJAH, F., MENDONCA, LDE S.: Evaluation of radiological methods for detection of wood foreign body in animal model. Acta Cir. Bras., 20 (suppl.): 34-41, 2005. Go to original source...
    10. WESTON, W. J.: Thorn and twig - induced pseudotumors of bone and soft tissues. Br. J. Radiol., 36: 323-326, 1963. Go to original source... Go to PubMed...

    Return to the content