Neither wound exploration nor radiologic studies are sensitive enough alone to rule out a WFB so the two should be used in complement. WFBs that are radiopaque and should be visible on plain film x rays with soft tissue technique are: • Metal • Glass • Teeth • Pencil tips • Gravel
Be aware that these WFBs may still be missed radiographically if in bony areas such as the foot or hand or if very small. WFBs that are non-radiopaque will not typically be visible on plain films regardless of size. These include: • Wood • Plastic • Vegetative matter • Clothing
If an imaging study is needed in these scenarios, ultrasound is usually the best initial choice and should detect all WFB materials.
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