Soft tissue foreign body
Revision as of 11:15, 25 July 2016 by Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==")
Background
Clinical Features
Differential Diagnosis
Evaluation
Management
- antibiotics indicated for organic matter
- do not extend hand wounds in ED
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
Dispoition
- Ortho 1-2 days if not retrievable