PDF(Pubmed)
Abstract：
A 29-year-old right-handed woman presented to an outside emergency department with right small finger pain, swelling, and concern for a retained wooden splinter. Diagnosis and treatment were delayed for 2 weeks due to the inability to identify the foreign body clinically or radiographically. Ultimately, ultrasonography by a fellowship-trained specialist was used to localize the wooden splinter. It was embedded within the flexor tendon sheath but had migrated away from its initial point of entry. The patient underwent subsequent surgical extraction, irrigation, and debridement. Two weeks following surgery, she had regained full range of motion through her digit without signs of infection. This case highlights the use of diagnostic ultrasound to identify a radiolucent foreign body, such as a wooden splinter, and to guide subsequent surgical extraction.
摘要：
一名29岁的右撇子妇女因右手小指疼痛而出现在急诊室外，肿胀,以及对保留的木碎片的关注。由于无法在临床或影像学上识别异物，诊断和治疗被推迟了2周。最终,由受过研究金训练的专家进行的超声检查用于定位木制碎片。它嵌入在屈肌腱鞘内，但已从其初始进入点迁移。患者接受了随后的手术拔除，灌溉,和清创术。手术后两周,她通过手指恢复了全方位的活动，没有感染的迹象。这个案例突出了使用诊断超声来识别放射性异物，比如木头碎片，并指导随后的手术摘除。
