Migrating shrapnel: a rare cause of knee synovitis

Shrapnel injuries in soft tissues often do not require surgical excision. Metals that remain embedded in the surrounding tissue are not thought to cause significant damage and the patients are generally asymptomatic. This case presentation describes a patient who sustained a penetrating shrapnel inj...

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Published in:Military medicine 2010-11, Vol.175 (11), p.929-930
Main Authors: Schroeder, Josh E, Lowe, Joseph, Chaimsky, Gershon, Liebergall, Meir, Mosheiff, Rami
Format: Article
Language:English
Subjects:
Adult
Blast Injuries - complications
Foreign-Body Migration - complications
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - surgery
Humans
Knee Joint
Male
Military Personnel
Radiography
Synovitis - diagnostic imaging
Synovitis - etiology
Synovitis - surgery
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container_end_page 930
container_issue 11
container_start_page 929
container_title Military medicine
container_volume 175
creator Schroeder, Josh E
Lowe, Joseph
Chaimsky, Gershon
Liebergall, Meir
Mosheiff, Rami
description Shrapnel injuries in soft tissues often do not require surgical excision. Metals that remain embedded in the surrounding tissue are not thought to cause significant damage and the patients are generally asymptomatic. This case presentation describes a patient who sustained a penetrating shrapnel injury to his thigh, where the metal fragment was not removed. However, more than 20 years later, the patient developed knee synovitis. On X-ray the shrapnel was seen in the suprapatellar pouch. An arthroscopy was preformed and the shrapnel was removed with full healing of the patient. although nonsurgical treatment of shrapnel in soft tissues is the treatment of choice in many cases, late migration is possible, causing distal symptoms and may require surgical excision.
doi_str_mv 10.7205/MILMED-D-09-00254
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source Oxford Journals Online
subjects Adult
Blast Injuries - complications
Foreign-Body Migration - complications
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - surgery
Humans
Knee Joint
Male
Military Personnel
Radiography
Synovitis - diagnostic imaging
Synovitis - etiology
Synovitis - surgery
title Migrating shrapnel: a rare cause of knee synovitis
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