Detection of a 0.5-mm-thick thorn using ultrasound: A case report*

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    Ultrasound studies are relatively inexpensive, and they can be repeated without the worry of exposure to ionizing radiation. Imaging time is also short, and does not require sedation and is readily available in the community (1, 21, 28–31). Once the retention of plant material is verified, treatment depends on its location.

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    Ultrasound has shown sensitivity and specificity of 90% to100% for detection of foreign bodies in multiple cadaveric and clinical studies.60–63 The smallest reported foreign body detected by US is 0.5 mm.64 False negatives are unusual but can potentially occur if the foreign body is very small, located adjacent to a bone or ligament, or is obscured by soft tissue gas.

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    Ultrasound has shown sensitivity and specificity of 90% to100% for detection of foreign bodies in multiple cadaveric and clinical studies.60–63 The smallest reported foreign body detected by US is 0.5 mm.64 False negatives are unusual but can potentially occur if the foreign body is very small, located adjacent to a bone or ligament, or is obscured by soft tissue gas.

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1

From the Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, MI.

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