Soft Tissue

Foreign
Bodies
REZKY TIRESA D.
• Tipe Of Wound Evaluating =
1. Acute Wounds
2. Older Wounds
If there any soft tissue foreign
bodies, can impact the
healing process and risk of
subsequent infection
So we need combination of =
1. Careful evaluation of
wounds
2. Radiographic imaging when
indicated
3. Local exploration allow
identification of most foreign
bodieswounds
CLINICAL FEATURES
DIAGNOSIS AND DIFFERENTIAL
• CT scan is capable of detecting more types of
materials than plain film radiography, and may
be useful for thorns, spines, wood splinters, or
plastic foreign bodies.
• Ultrasound can be useful at the bedside for
directing exploration and removal of foreign
bodies. It is >90% sensitive for detecting
foreign bodies larger than 4 to 5 mm taking into
account the composition of the foreign body,
proximity to echogenic structures, and operator
experience.
• MRI is more accurate than the other modalities
for identifying wood, plastic, spines, and thorns,
but is often less available for emergency use.