Soft Tissue Foreign Body Removal Technique Using Portable Ultrasonography Karolina Paziana, MD, J. Matthew Fields, MD, Masashi Rotte, MD, Arthur Au, MD,

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Presentation transcript:

Soft Tissue Foreign Body Removal Technique Using Portable Ultrasonography Karolina Paziana, MD, J. Matthew Fields, MD, Masashi Rotte, MD, Arthur Au, MD, Bon Ku, MD, MPP Wilderness & Environmental Medicine Volume 23, Issue 4, Pages 343-348 (December 2012) DOI: 10.1016/j.wem.2012.04.006 Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 1 (A) Plain radiograph of left knee, negative for foreign body. (B) Ultrasonographic image of foreign body (arrow). Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 2 Successful removal of thorns. Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 3 (A) Plain radiograph of left hand, negative for foreign body. (B) Ultrasound image of foreign body (arrow). Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 4 Successful removal of splinter. Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 5 (A, B) Detection of foreign body with ultrasonography. Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 6 Alligator forceps held in the long axis to the ultrasound probe and introduced through the incision to bluntly dissect a path to the foreign body. Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 7 Sonographic appearance of forceps tip, with ring-down artifact, approaching foreign body, as also seen in Figure 5. Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions

Figure 8 Successful foreign body removal with retraction to the skin surface. Wilderness & Environmental Medicine 2012 23, 343-348DOI: (10.1016/j.wem.2012.04.006) Copyright © 2012 Wilderness Medical Society Terms and Conditions