Penetrating Trauma/Foreign Bodies:
1% of emergency rooms visits by children are for penetrating trauma to foot.
X-ray’s show foreign body
Needle, wood, glass, plastic, hair
Cleansing of wound; tetanus prophylaxis; grossly contaminated wounds debrided and left open; non-weightbearing; close observation for infection.
Prophylactic antibiotics have been shown to be of little value use discretion
If get osteomyelitis if medical management fails surgical debridement of involved bone and parental antibiotics for two weeks