Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 8:2022:5105078.
doi: 10.1155/2022/5105078. eCollection 2022.

A Child with a Painful Foot: How to Get a Definitive Diagnosis

Affiliations
Case Reports

A Child with a Painful Foot: How to Get a Definitive Diagnosis

R J L L van de Kimmenade et al. Case Rep Orthop. .

Abstract

This case report describes an 8-year-old healthy boy with a retained wooden foreign body in his 4th metatarsal bone of his right foot. He was presented several months after the initial trauma, stepping into a toothpick, had occurred. He was operated in our hospital, and the wooden toothpick was removed. The operation and recovery were both uncomplicated. History and physical examination are essential in these types of cases with a history of penetrating trauma but can be inconclusive due to the delay in presentation. Aggressive treatment on the other hand is necessary to prevent bigger problems such as the development of inflammatory problems and persisting complaints. A thorough, systematic, and complete work-up from the history to treatment is therefore necessary and will be described in this case report.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
Transversal computed tomography key image with a linear hyperintense configuration, suggesting the presence of a foreign body.
Figure 2
Figure 2
Peroperative taken clinical picture, with the completely removed wooden foreign body.

References

    1. Albay C., Adanır O., Çağlar S., Beytemür O. Migration of a toothpick along the flexor tendon sheath in a lower extremity. Acta Orthopaedica et Traumatologica Turcica . 2016;50(2):245–247. doi: 10.3944/AOTT.2015.14.0146. - DOI - PubMed
    1. Naranje S., Kelly D. M., Sawyer J. R. A systematic approach to the evaluation of a limping child. American Family Physician . 2015;92(10):908–916. - PubMed
    1. Peterson J. J., Bancroft L. W., Kransdorf M. J. Wooden foreign bodies: imaging appearance. AJR. American Journal of Roentgenology . 2002;178(3):557–562. - PubMed
    1. Anderson M. A., Newmeyer W. L., Kilgore E. S. Diagnosis and treatment of retained foreign bodies in the hand. The American Journal of Surgery . 1982;144(1):63–67. doi: 10.1016/0002-9610(82)90603-1. - DOI - PubMed
    1. Haverstock B. D. Puncture wounds of the foot. Clinics in Podiatric Medicine and Surgery . 2012;29(2) doi: 10.1016/j.cpm.2012.02.002. - DOI - PubMed

Publication types

LinkOut - more resources