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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 on theme: "Soft Tissue Foreign Body Removal Technique Using Portable Ultrasonography  Karolina Paziana, MD, J. Matthew Fields, MD, Masashi Rotte, MD, Arthur Au, MD,"— Presentation transcript:

1 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 (December 2012) DOI: /j.wem Copyright © 2012 Wilderness Medical Society Terms and Conditions

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

3 Figure 2 Successful removal of thorns.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2012 Wilderness Medical Society Terms and Conditions

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

5 Figure 4 Successful removal of splinter.
Wilderness & Environmental Medicine  , DOI: ( /j.wem ) Copyright © 2012 Wilderness Medical Society Terms and Conditions

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

7 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  , DOI: ( /j.wem ) Copyright © 2012 Wilderness Medical Society Terms and Conditions

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

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

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