title: Spontaneous migration of bullet from arm to forearm and its ultrasound guided removal.
abstract: Spontaneous migration of a retained bullet is rare. We are presenting here a case of a 24-year-old male with spontaneous migration of bullet from arm to forearm. At the time of initial injury, bullet was left inside the arm as it was deep and patient had no complaints. Three months after injury, he started complaining of pain over forearm and tingling sensations in the forearm and hand over median nerve distribution. Radiographs showed bullet in the proximal forearm. The bullet was than precisely localized and removed under ultrasound guidance. This case report emphasizes the fact that spontaneous migration of bullet in extremities may occur and have the potential to cause neurovascular damage. Removal under ultrasound guidance is a viable option in such locations.
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Meena
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Amit
authors.initials: A
authors.lastname: Singla
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Pramod
authors.initials: P
authors.lastname: Saini
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Samarth
authors.initials: S
authors.lastname: Mittal
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Buddhadev
authors.initials: B
authors.lastname: Chowdhary
keywords: Arm; Bullet; Spontaneous migration