Multidetector CT for thorn (wooden) foreign bodies of the knee

Multidetector CT for thorn (wooden) foreign bodies of the knee

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : Hatem G. Said • Mohammad A. Masoud • Hazem A. Yousef • Hesham M. Imam
  • چاپ و سال / کشور: 2010

Description

Purpose Thorn (wooden) foreign bodies of the knee present a challenge in their diagnosis. Partly because of inaccurate history and sometimes a long duration of symptoms, radiographs are negative and MRI may show synovitis without a specific pathology. Methods We report a case of a 16-year-old male patient with a date palm thorn foreign body, which caused septic arthritis. He underwent two open surgeries. Both failed to detect the loose body. An MRI of the knee showed a high signal in the posterolateral compartment; however, the pathology could not be confirmed except by 64 Multidetector CT (MDCT) that clearly identified the thorn and its location. Results Arthroscopic removal and synovectomy were done by a 4-portal technique. The patient went on to complete recovery. Conclusion Multidetector CT has proven very useful in identifying wooden foreign bodies, their size and location
Knee Surg Sports Traumatol Arthrosc (2011) 19:823–825 DOI 10.1007/s00167-010-1283-1 Received: 13 May 2010 / Accepted: 16 September 2010 / Published online: 16 October 2010
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