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Glass Sliver in Foot

Discussion in 'Foot Surgery' started by Canada Foot Guy, Mar 5, 2011.

  1. Canada Foot Guy

    Canada Foot Guy Active Member


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    X-ray of patient showed sliver of crystal in posterior plantar aspect .7mm long and very thin (hair like) . Debridement of outer hyperkeratotitc lesion and exploration did not uncover any sort of channel...sliver is in the subQ fat ...did not have pressure cuff, nor Fluoroscopy unit for more invasive look...what procedure is recommended for this ...?
     
  2. drsarbes

    drsarbes Well-Known Member

    CANFtGuy

    If you can determine a 3 dimensional location from the radiograph then you may get lucky and find this ( I'm assuming it's deeper than perhaps you initially thought)

    If you cannot find it via "plain eyesight" or loupes, then I would suggest using a fluoroscan.
    You can do more harm looking around blind trying to find this, like a needle in a haystack unless you get lucky.

    If you do not have access to fluoroscopy (or US) then do your patient a favor and refer them to someone who does.

    Steve
     
  3. Canada Foot Guy

    Canada Foot Guy Active Member

    Thanks for your reply ...this is exactly what we have done..referred patient to someone with fluroscan
     
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