Thumbs up: Needle marker technique for preoperative localisation of radiolucent foreign bodies with ultrasonography

International Journal of Surgery Case Reports
Valliappan MuthukumarRavindra Badge

Abstract

A 26-year-old man presented with pain and swelling after pricking his right thumb pulp with a thorn, gardening three-weeks previously. After a thumb digital ring block with local anesthetic, a linear array ultrasound (US) transducer (frequency XX) identified a foreign body (FB) in both longitudinal and transverse planes. This was a hyperechoic FB, 5mm in length with surrounding hypoechoic shadow, denoting granulation tissue and fluid collection. Two 20G needles were passed orthogonally, in-line with the US transducer, from the fingertip and ulnar aspect. The needle tips were placed touching, just deep to the FB, preventing displacement. A longitudinal incision was made over the intersection, revealing the FB. Here, we describe peri-operative localization of radiolucent FBs with ultrasonography needle placement in superficial or deep planes as an adjunct to necessary surgical exploration. This method has a small learning curve, reduces the required incision and helps prevent pushing the FB deeper during dissection.

Methods Mentioned

BETA
dissection

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
Sandeep NijhawanRamesh Roop Rai
The Journal of Craniofacial Surgery
Emin KaramanNazim Korkut
Pediatric Surgery International
Sule YalçinNebil Büyükpamukçu
European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Dae Woo KimSeung-Heon Shin
© 2021 Meta ULC. All rights reserved