A Rare Case of Fish Bone Penetrating Injury to Radius Causing Osteitis and Non-Healing Sinus

Paragjyoti Gogoi, Krishanu Kakati, Sunil Poonia, Aditi Das

Department of Orthopaedics & Trauma, Silchar Medical College, Silchar, India;.
Department of Radio-Diagnosis, Silchar Medical College, Silchar, India..

DOI: 10.4236/ojo.2013.35041                

Abstract

Penetrating injury to radius or any other bone by fish bone is a rare kind of injury. Commonly metallic sharp objects, bullets, sharpnels, glass particles, hard wooden pieces are the causes of penetrating injury to bones. Radio-opaque objects are easy to detect and thus retrieval is relatively simpler than the radiolucent objects. Non-biological foreign bodies do not incite any reaction in the host bone whereas biological foreign bodies of either plant or animal origin cause hypersensitivity reaction. Osteitis along with excessive formation of new bones may be presented as a part of host reaction to the foreign body. We are presenting here an interesting case of a fisherman boy who sustained penetrating injury to radius by fish bone resulting in osteitis and a chronic non-healing sinus with watery discharge.

Keywords

Fish Bone; Foreign Body; Granuloma; Penetrating Injury; Radio-Opaque

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	B. Borgohain, N. Borgohain, A. Handique and P. J. Gogoi, “Case Report and Brief Review of Literature on Sonographic Detection of Accidentally Implanted Wooden Foreign Body Causing Persistent Sinus,” Critical Ultrasound Journal, Vol. 4, No. 1, 2012, p. 10. doi:10.1186/2036-7902-4-10
[2]	H. Sharma and A. D. Meredith, “Blackthorn Injury: A Report of Three Interesting Cases,” Emergency Medicine Journal, Vol. 21, No. 3, 2004, p. 392. doi:10.1136/emj.2002.002782
[3]	C. K. Lee, T. Sara Ahmad and B. J. J. Abdullah, “Splinter Removal with the Aid of Ultrasonography: A Case Report,” Malaysian Orthopaedic Journal, Vol. 2, No. 2, 2008, pp. 47-49.
[4]	R. Imberg, I. Potasman, Y. Weissman and M. Grupper, “Hand Infections Following Penetrating Fish Fins or Bones Injuries (FFBI): A Large, Hospital Based, Retrospective Study,” Infection, Vol. 36, No. 6, 2008, pp. 565-569.
[5]	S. Saraf, “An Unusual Foreign Body in the Forearm: A Case Report,” The Internet Journal of Hand Surgery, Vol. 5, No. 1, 2013.
[6]	V. Haddad, R. A. de Souza and P. S. Auerbach, “Marine Catfish Sting Causing Fatal Heart Perforation in a Fisherman,” Wilderness, Vol. 19, No. 2, 2008, pp. 114-118.
[7]	J. Y. Lee, L. C. Teoh and S. P. Leo, “Stonefish Envenomations of the Hand—A Local Marine Hazard: A Series of 8 Cases and Review of the Literature,” Ann Acad Med Singapore, Vol. 33, No. 4, 2004, pp. 515-520.
[8]	A. Akira, H. Masahito, H .Yoshihiro, I. Shuji and I. Eiji, “Imaging Features of Foreign Body Granuloma in the Lower Extremities Mimicking a Soft Tissue Neoplasm,” Upsala Journal of Medical Sciences, Vol. 114, No. 1, 2009, pp. 46-51. doi:10.1080/03009730802602455
[9]	C. H. Chang-Chien, H. T. Ding, C. Liu and C. S. Yang, “Vibrio Infection Associated with Finning Injury of the Hand,” Injury, Vol. 38, No. 5, 2007, pp. 614-618.
[10]	D. A. Hudson and T. M. de Chalain, “Hand Infections Secondary to Fish Bone Injuries,” Annals of The Royal College of Surgeons of England, Vol. 76, No. 2, 1994, pp. 99-101.