Ultrasound guidance allowed the researchers to detect the presence and location of wood, crayons and plastic objects, not detectable on x-ray examinations. Removal was performed through small incisions in the skin that left little or no scarring and was successful in all cases, without fragmentation or complications.
"This technique offers surgeons and emergency physicians a safe and effective alternative for removal of foreign bodies, including objects at risk for fragmentation during traditional operative techniques," said co-author Adam Young, B.S. "The small incision minimizes scarring and deformity, which is key for the self-esteem of this unique, high-risk group of patients."
Co-authors are James Murakami, M.D., Brian Coley, M.D., and Mark Hogan, M.D.
AT A GLANCE -- Radiologists have begun using a minimally invasive, image-guided technique to detect and remove objects inserted by teens into their arms, hands, feet, ankles and necks. -- This is the first study to report on an emerging condition known as self-embedding disorder. -- Self-embedded objects removed included needles, staples, paper clips, wood, stone, glass, pencil lead and a crayon. -- Self-injury has been reported in 13 to 24 percent of high school students in the U.S. and Canada.
Note: Copies of RSNA 2008 news releases and electronic images will be available online at RSNA.org/press08 beginning Monday, Dec. 1.
RSNA is an association of more than 42,000 radiologists, radiation oncologists, medical physicists and related scientists committed to excellence in patient care through education and research. The Society is based in Oak Brook, Ill. (RSNA.org)
Editor's note: The da
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