Abstract

Penetrating or piercing injuries are not uncommon in paediatric age with considerable disability if neglected or manged in a suboptimal way. Both metallic or non metallic objects have been associated with various types of penetrating injuries. Many a times certain broken piece of the object is retained and later becomes painful and equally difficult to remove. Very minute pieces or splinters of metallic objects can be successfuly retrived with the help of magnet to assist in the process. We describe our successful experience with the same idea implemented while removing a small splinters of needle from a slender digits of a toddler.

Highlights

  • Acute Penetrating trauma can be labeled as an elaborate group that is part of human injuries since ages

  • A two and half year old child was brought by his mother to us with complaints of pain and tiny bump over volar aspect of his distal phalynx of left ring finger

  • The bleeding and wound were managed by a local practitioner with uncomplicated healing and the child returning to his activities of daily living

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Summary

1.Introduction

Acute Penetrating trauma can be labeled as an elaborate group that is part of human injuries since ages. Both non metallic or metallic foreign bodies cause immediate and remote damages with treatment depending on the clinical features at the time of its presentations. Late complications of neglected musculoskeletal foreign bodies include bursitis, synovitis and arthritis.[1] Early identification and management is easier and cost effective method to deal with these foreign bodies. A high index of suspicion and clinical acumen is warranted to diagnose the embedded foreign bodies. Metallic foreign bodies usually are visible well on plain radiographs and biplanar view gives the idea of its location to some extent. [2] The confirmation is necessary in view of medicolegal formalities about retained ones. The meticulous retrieval of the object without jeopardising the vital adjacent anatomy in minimal invasive way is a recipe for good functional outcome and uncomplicated healing

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