Soft tissue foreign body: Difference between revisions
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==Indications for Removal== | ==Indications for Removal== | ||
*Potential for inflammation or infection | |||
**Vegetative or chemically reactive material | |||
**Heavy bacterial contamination (e.g. teeth, soil) | |||
**Proximity to fractured bone | |||
**Established infection | |||
**Allergic reaction | |||
*Toxicity | |||
**Spines with venom | |||
**Heavy metals | |||
*Functional and cosmetic problems | |||
**Impingement on nerves, vessels, tendons | |||
**Restriction of joint mobility | |||
**Proximity to tendons | |||
**Impairment of gait | |||
**Persistent pain | |||
**Cosmetic deformity (e.g., tattooing) | |||
**Psychological distress | |||
*Potential for later injury | |||
**Intra-articular location | |||
**Intravascular location | |||
**Migration toward important structures | |||
==Treatment== | ==Treatment== | ||
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==Dispo== | ==Dispo== | ||
* | *Ortho 1-2 days if not retrievable | ||
==Source== | ==Source== | ||
Revision as of 22:09, 19 April 2015
Indications for Removal
- Potential for inflammation or infection
- Vegetative or chemically reactive material
- Heavy bacterial contamination (e.g. teeth, soil)
- Proximity to fractured bone
- Established infection
- Allergic reaction
- Toxicity
- Spines with venom
- Heavy metals
- Functional and cosmetic problems
- Impingement on nerves, vessels, tendons
- Restriction of joint mobility
- Proximity to tendons
- Impairment of gait
- Persistent pain
- Cosmetic deformity (e.g., tattooing)
- Psychological distress
- Potential for later injury
- Intra-articular location
- Intravascular location
- Migration toward important structures
Treatment
- antibiotics indicated for organic matter
- do not extend hand wounds in ED
Dispo
- Ortho 1-2 days if not retrievable
Source
- Tintinalli