Abstract
Penetrating injury to radius or any other bone by fish bone is a rare kind of injury. Commonly metallic sharp objects, bullets, sharpnels, glass particles, hard wooden pieces are the causes of penetrating injury to bones. Radio-opaque objects are easy to detect and thus retrieval is relatively simpler than the radiolucent objects. Non-biological foreign bodies do not incite any reaction in the host bone whereas biological foreign bodies of either plant or animal origin cause hypersensitivity reaction. Osteitis along with excessive formation of new bones may be presented as a part of host reaction to the foreign body. We are presenting here an interesting case of a fisherman boy who sustained penetrating injury to radius by fish bone resulting in osteitis and a chronic non-healing sinus with watery discharge.
Highlights
Foreign body retained in the soft tissues of extremities causing sinus formation is not uncommon
Penetrating injury to radius or any other bone by fish bone is a rare kind of injury
We are presenting here an interesting case of a fisherman boy who sustained penetrating injury to radius by fish bone resulting in osteitis and a chronic non-healing sinus with watery discharge
Summary
Foreign body retained in the soft tissues of extremities causing sinus formation is not uncommon. Wooden foreign body, blackthorn injury, glass particle, metallic pieces are the major causes of granuloma formation along with sinus [1,2,3]. A case of fisherman penetrating injury by fish bone along with granuloma formation is reported [4]. Fish bone penetrating the bone causing osteitis and granuloma formation is very rare. We are reporting a very unusual case of fish bone injury to forearm where the fish bone penetrated the radius and there were osteitis and granuloma formations along with a sinus. Perhaps this is the first case of this kind. The purpose of this paper is to highlight the uniqueness and the rarity of this case and to bring to the fore the necessary discussion in management of medical and surgical oddities
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