{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,8]],"date-time":"2025-03-08T05:26:09Z","timestamp":1741411569409,"version":"3.38.0"},"reference-count":5,"publisher":"American Veterinary Medical Association (AVMA)","issue":"8","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe the clinical presentation, diagnosis, and treatment of a fragmented, migrating acupuncture needle near the palmar proximal interphalangeal joint (PIPJ) of a horse.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMAL<\/jats:title>\n<jats:p>A 9-year-old Warmblood cross mare.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES<\/jats:title>\n<jats:p>The mare presented for evaluation of a linear metallic foreign body on the palmar lateral aspect of the PIPJ following acupuncture treatment. The mare had a pinpoint puncture wound and sensitivity to palpation over the lateral aspect of the PIPJ region. The referring veterinarian performed radiographs and found a linear metallic foreign body near the lateral palmar PIPJ. Ultrasonographic examination demonstrated a hyperechoic lesion consistent with a metallic object in the soft tissues of the palmar lateral aspect of the PIPJ.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>The horse was anesthetized, and the linear metallic foreign body was removed. The use of intraoperative ultrasound and digital radiographs assisted in determining the location of and surgical approach to remove the foreign body. The linear metallic foreign body was the fragmented segment (body) of an acupuncture needle. The mare recovered from surgery uneventfully and returned to the previous level of activity.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>This report demonstrates the potential risks of prolonged retention and or delayed removal of acupuncture needles in the form of needle fragmentation and migration. It also demonstrates the use of imaging in determining the location and position of small, thin metallic foreign bodies to aid in surgical approach and removal.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.24.03.0205","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T16:50:33Z","timestamp":1715187033000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Fragmented acupuncture needle as a linear metallic foreign body near the proximal interphalangeal joint of a horse"],"prefix":"10.2460","volume":"262","author":[{"given":"Steven S.","family":"Trostle","sequence":"first","affiliation":[{"name":"Blue Ridge Equine Clinic, Earlysville, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth M.","family":"Kearney","sequence":"additional","affiliation":[{"name":"Blue Ridge Equine Clinic, Earlysville, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Medoff","sequence":"additional","affiliation":[{"name":"Blue Ridge Equine Clinic, Earlysville, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn","family":"Devaney","sequence":"additional","affiliation":[{"name":"Virginia Equine Clinic PLLC, Manakin-Sabot, VA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"1","key":"ref1","series-title":"Acupunct Med","first-page":"78","article-title":"Needle breakage in acupuncture: a biomechanical study","volume":"35","author":"Leow MQ","year":"2017","unstructured":"Leow MQ, Cao T, Wong YR, Tay SC. Needle breakage in acupuncture: a biomechanical study. Acupunct Med. 2017;35(1):78-79. doi:10.1136\/acupmed-2016-011259"},{"key":"ref2","series-title":"Evid Based Complement Alternat Med","first-page":"432467","article-title":"Systematic review of adverse effects: a further step towards modernization of acupuncture in China","volume":"2015","author":"Wu J","year":"2015","unstructured":"Wu J, Hu Y, Zhu Y, Yin P, Litscher G, Xu S. Systematic review of adverse effects: a further step towards modernization of acupuncture in China. Evid Based Complement Alternat Med. 2015;2015:432467. doi:10.1155\/2015\/432467"},{"issue":"2","key":"ref3","series-title":"Am J Tradit Chin Vet Med","first-page":"47","article-title":"Occurrence and treatment of acupuncture needle breakage in a Quarter Horse mare","volume":"7","author":"Fish E","year":"2012","unstructured":"Fish E. Occurrence and treatment of acupuncture needle breakage in a Quarter Horse mare. Am J Tradit Chin Vet Med. 2012;7(2):47-49."},{"issue":"1","key":"ref4","series-title":"Am J Roentgenol","first-page":"W92","article-title":"Multimodality imaging of foreign bodies of the musculoskeletal system","volume":"203","author":"Jarraya M","year":"2014","unstructured":"Jarraya M, Hayashi D, de Villiers RV,  Multimodality imaging of foreign bodies of the musculoskeletal system. Am J Roentgenol. 2014;203(1):W92-W102. doi:10.2214\/AJR.13.11743"},{"issue":"6","key":"ref5","series-title":"Hand Surg Rehabil","first-page":"363","article-title":"Relevance of intraoperative ultrasound imaging for detecting foreign bodies in the hand: a series of 19 cases","volume":"37","author":"Huttin C","year":"2018","unstructured":"Huttin C, Diaz JJH, Vernet P, Facca S, Igeta Y, Liverneaux P. Relevance of intraoperative ultrasound imaging for detecting foreign bodies in the hand: a series of 19 cases. Hand Surg Rehabil. 2018;37(6):363-367. doi:10.1016\/j.hansur.2018.05.008"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/8\/javma.24.03.0205.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/8\/javma.24.03.0205.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/8\/javma.24.03.0205.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T14:12:51Z","timestamp":1741356771000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/8\/javma.24.03.0205.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":5,"journal-issue":{"issue":"8"},"URL":"https:\/\/doi.org\/10.2460\/javma.24.03.0205","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2024,8,1]]}}}