• J Foot Ankle Surg · Jul 2017

    Case Reports

    Sponge Rubber Revealed Two Years After Penetrating Injury: A Case Report.

    • Sandor Roth, Maja Zaninovic, and Aron Roth.
    • Orthopaedic Surgeon, Department of Children Orthopaedics, University Hospital Center Rijeka, Rijeka, Croatia; Orthopaedic Surgeon, Department of Orthopaedics, Poliklinika Roth, Rijeka, Croatia; Assistant, School of Medicine, University of Rijeka, Rijeka, Croatia.
    • J Foot Ankle Surg. 2017 Jul 1; 56 (4): 885-888.

    AbstractThe present report illustrates a very rare case report of a foreign body granuloma of the foot associated with a 2-year period of a retained spongeous rubber foreign body after a penetrating injury. Because it appeared almost 2 years after the injury, the history of trauma was minimized, the foreign body had migrated from the plantar to the dorsal side of the foot, and the radiographic appearance resembled a malignant process, it was difficult to rule out the possibility of a malignant tumor. This case shows the weakness of magnetic resonance imaging in detecting spongeous rubber in the body. Also, a bone osteoblastic reaction to the foreign body has very rarely been noted. To the best of our knowledge, just 5 cases have been previously reported. Provided suspicion exists of previous trauma with an embedded foreign body, the differential diagnosis of a bone neoplasm should consider the possibility of a foreign body reaction. Biopsy proved to be the best diagnostic tool.Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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