Vol. 4, Issue 2 (2018)

An unusual bone reaction to a retained organic foreign body in the hand

Author(s):

Sofien Benzarti, Hamdi Kaziz, Mohamed Amine Triki, Thabet Mouelhi, Mohamed Laaziz Ben Ayeche and Nader Naouar

Abstract:
Penetrating wounds of the hand with an embedded foreign body are common in active children and manual workers. Organic material, particularly thorns, can cause an inflammatory tissue reaction, ranging from a localized foreign body granuloma to a severe soft tissue and osseous reaction.
We report the case of a 57-year-old man presented to our emergency department with a painful swelling of his fourth right finger. He had fallen into bushes 4 month prior to his presentation. Plain radiographs showed a solid periosteal new-bone formation along the second phalanx, interrupted by a rounded well-limited radiolucent area at the mid-phalangeal level that we described like a “crab claw periosteal reaction”.
The osteoblastic reaction to an organic foreign body is very rare, we report an exceptional case of an unusual osteoblastic reaction to a retained organic foreign body in the hand that has been to our knowledge only once reported in the literature.

Pages: 948-950  |  1309 Views  224 Downloads

How to cite this article:
Sofien Benzarti, Hamdi Kaziz, Mohamed Amine Triki, Thabet Mouelhi, Mohamed Laaziz Ben Ayeche and Nader Naouar. An unusual bone reaction to a retained organic foreign body in the hand. Int. J. Orthop. Sci. 2018;4(2):948-950. DOI: 10.22271/ortho.2018.v4.i2n.135