Case Reports   |    
Foreign Body Migration Along a Tendon Sheath in the Lower ExtremityA Case Report and Literature Review
Gregory B. Firth, MD, FCS(Orth)(SA), MMed(Orth)(Rand)1; Anvesh Roy, MD1; Paul J. Moroz, MD, MSc, FRCS(C)1
1 Department of Orthopaedic Surgery, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada. E-mail address for P.J. Moroz: pmoroz@cheo.on.ca
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Apr 20;93(8):e38 1-5. doi: 10.2106/JBJS.J.00902
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Retained foreign bodies unintentionally migrating within the body can result in substantial morbidity1,2 and even mortality; for example, Kirschner-wire migration via blood vessels can cause cardiac damage and death3. More commonly, a penetrating foreign body in the foot, particularly a wooden object, can lead to cellulitis, osteomyelitis, or an apparent "pseudotumor."4-9 However, foreign bodies in the foot do not appear to migrate far, in contrast to those in the upper extremity, which can migrate along some distance10-12. We report a case of a toothpick penetrating a child's foot and migrating a sufficient distance to be undetectable with conventional imaging techniques. While appropriate imaging technology is available, technology alone may fail to locate foreign bodies, as we describe in the following case report. Thus, one must consider the local anatomy to identify potential migration routes of the retained foreign body.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    New York - Icahn School of Medicine at Mount Sinai
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina