Wooden foreign body impalement through the right shoulder region – an unusual penetrating injury: A case report

Figure 1 Chronological figures showing impaled foreign body with its outcome. A: Emergency presentation of the injured right side with the wooden foreign body in situ; B: X-ray showing a rectangular cast with a metallic shadow (iron nail) embedded within the FB and tissues; C: Post intubation, folded sheets were kept underneath the scapula for better access and vision; D: After proper positioning and draping, lateral entry and exit points were connected; E: A medial based flap was raised to expose the FB. The iron nail was directed inferiorly, which was carefully dissected out; F: Condition of wound post FB removal showing crushing of edges with minimal skin loss; G and H: 30 cm × 5 cm × 1.5 cm dimension wooden FB with jagged edges at both ends and an embedded bent nail within itself; I-K: Healed flap without any evidence of secondary infection or necrosis; L: Near normal shoulder function seen 2 mo after surgery.