Foot foreign body

Case contributed by Dr Bahman Rasuli

Presentation

Patient with penetrating injury to foot by wood two weeks ago, presents with localised hindfoot pain, swelling and skin ulcer.

Patient Data

Age: 35 years
Gender: Male
X-ray

Soft tissue swelling in the hind foot on the plantar aspect.

No bony abnormality.

MRI

There is a low signal foreign body located at the plantar surface lateral side and superficial to the plantar fascia due to wood material.

Abnormal bone marrow signal (high on PD/T2 fat suppression sequences) involving the lateral side of calcaneal tuberosity is related to osteitis.

A sinus tract is seen from the lateral side of calcaneus bone into the skin in the lateral aspect of the hindfoot.

Edema and fluid signal intensity also are seen within the hindfoot subcutaneous tissues.

Mortise joint effusion is noted.

Abnormal intrasubstance increased signal and thickening is seen along the course of the anterior talofibular ligament related to ATFL sprain.

Case Discussion

The foreign body was surgically removed.

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Case information

rID: 69177
Published: 1st Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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