title: Extraction of an intra-articular bullet fragment from the subtalar joint: the "drill, tap, and extract" method.
abstract: The necessity of extracting intra-articular bullet fragments is well documented in the orthopedic literature. A case of the removal of a retained bullet fragment lodged within the subtalar joint and calcaneus is presented. The bullet fragment was drilled and tapped with small-fragment instruments and was readily removed. This technique is relatively easy to perform and may be used when bullet fragments are imbedded in osseous or intra-articular sites that are distant from the entrance wound.
authors.affiliation: Monfort Hospital, Ottawa, Ontario, Canada.
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Jelen
authors.forename: D Kevin
authors.initials: DK
authors.lastname: Scheid
authors.forename: Philip
authors.initials: P
authors.lastname: Fleuriau-Chateau
mesh_terms: D000328:Adult; D002111:Calcaneus / Q000293:injuries / Q000601:surgery*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013380:Subtalar Joint / Q000293:injuries / Q000601:surgery*; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*