Citation

Smail SJ, Arthur C, Hylands K, Stewart CJ. J. R. Army Med. Corps 2019; 165(3): 204-205.

Affiliation

Defence Primary Health Care, Medical Reception Station Redford Barracks, Edinburgh, UK.

Copyright

(Copyright © 2019, UK Royal Army Medical Corps)

DOI

10.1136/jramc-2018-000978

PMID

30206102

Abstract

This case report outlines the presentation and management of a young soldier who sustained a lower limb acacia thorn injury while on exercise in Kenya. The injury failed to heal with a subsequent ultrasound scan revealing a large retained thorn requiring surgical removal and wash out. From this case, lessons can be learnt regarding the management of thorn injuries, which are common in exercising troops in Kenya and indeed around the world. The key take-home messages are always consider a retained thorn if wounds fail to settle, use ultrasound as the imaging modality of choice, always remove identified retained thorns and if antibiotics are required use broad-spectrum antibiotics pending culture results.

© Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ.

Language: en

Keywords

accident & emergency medicine; adult orthopaedics; orthopaedic & trauma surgery; primary care