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Nonsurgical Extraction of a Needle in the Foot with Use of a MagnetA Case Report
Jerrold Gorski, MD1; Matthew Gorski, MD
1 181 East Jericho Turnpike, Mineola, New York 11501. E-mail address: jgorskimd@hotmail.com
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Investigation performed at Winthrop-University Hospital, Mineola, New York



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Dec 11;3(4):e123 1-3. doi: 10.2106/JBJS.CC.M.00124
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Extract

Surgical extraction of a needle in an extremity can be difficult and humbling. If a needle is intra-articular, it should be treated like any other foreign body and be removed1. If it is extra-articular, the best option may be observation with serial radiographs, especially if the needle is stationary and asymptomatic. If the patient experiences pain from the needle, it can be surgically removed with intraoperative fluoroscopy on an elective basis. If a needle is not stationary, it may migrate to the skin surface, and then a needle holder can be used to pull it out. Magnet-assisted removal of ferrous foreign bodies previously has been described with various organ systems or the extremities, but, to the best of our knowledge, has not been used to remove an object from the foot2-10. Magnets are typically used to directly contact the ferrous-based object for immediate removal. We report the novel use of a magnet to attract and induce a needle to migrate over time through the soft tissues to the surface of the skin, where it was easily removed. The patient was informed that data concerning the case would be submitted for publication, and he provided consent.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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