A 32-year-old male patient presents to the emergency room after accidentally discharging a firearm into his foot. This injury occurred in a wooded area. Clinical and radiographic images are provided. An attempt at bullet retrieval should be attempted for which fragment type?
Miscellaneous acute trauma
The foot and ankle have special considerations when deciding whether to retrieve the bullet or its fragments. Similar to the hand, projectiles may be located where they can cause discomfort or mechanical problems, such as the sole or the dorsum of the foot, and should be removed. Additionally, it is recommended to remove bullets when they are in a joint due to the potential mechanical trauma with subsequent arthritis and loss of function, and bullet lead toxicity can damage the cartilage.
Gonzalez T. Gunshot-Related Injuries to the Foot and Ankle. Foot Ankle Int. 2020.