This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by BOLANOS, A. A.
Right arrow Articles by BRYK, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by BOLANOS, A. A.
Right arrow Articles by BRYK, E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 78:422-6 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Lead Poisoning from an Intra-Articular Shotgun Pellet in the Knee Treated with Arthroscopic Extraction and Chelation Therapy. A Case Report*

ALBERTO A. BOLANOS, M.D.{dagger}, JOSEPH P. DEMIZIO, JR., M.S.{dagger}, VINCENT J. VIGORITA, M.D.{ddagger} and ELI BRYK, M.D.{dagger}, BROOKLYN, NEW YORK

Investigation performed at the Department of Orthopedics, Kingsbrook Jewish Medical Center, Brooklyn


   Introduction
 
The signs and symptoms of lead poisoning are subtle, and recognition of this entity may be difficult2. Plumbism is most commonly caused by ingestion of lead-based paint by children2-4,9; by occupational exposure, such as with painters, lead miners, and workers in battery factories20; and by the consumption of contaminated beverages, such as moonshine3,16. Lead intoxication is a rare yet well documented complication of gunshot injuries1,13,17,20-22, especially when the lead is exposed to synovial fluid3,7,11,17,22. The dissolution rate of lead is higher in synovial fluid than in either serum or water1-3,7,10,14,21, which explains the association of plumbism with lead in an intra-articular space. The rarity of plumbism as a sequela to gunshot injuries to non-articular sites has been attributed to the usual encapsulation of metallic foreign bodies by dense, avascular fibrous tissue, which inhibits degradation of the material17,21. Plumbism from this mode often . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
S. T. Mahan, M. M. Murray, A. D. Woolf, and J. R. Kasser
Increased Blood Lead Levels in an Adolescent Girl from a Retained Bullet. A Case Report
J. Bone Joint Surg. Am., December 1, 2006; 88(12): 2726 - 2729.
[Full Text] [PDF]

Home page
 PediatricsHome page
T. Coon, M. Miller, F. Shirazi, and J. Sullivan
Lead Toxicity in a 14-Year-Old Female With Retained Bullet Fragments
Pediatrics, January 1, 2006; 117(1): 227 - 230.
[Abstract] [Full Text] [PDF]

Home page
 Am J EpidemiolHome page
J. L. McQuirter, S. J. Rothenberg, G. A. Dinkins, V. Kondrashov, M. Manalo, and A. C. Todd
Change in Blood Lead Concentration up to 1 Year after a Gunshot Wound with a Retained Bullet
Am. J. Epidemiol., April 1, 2004; 159(7): 683 - 692.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
N. L. Tindel, A. E. Marcillo, B. K.-B. Tay, R. P. Bunge, and F. J. Eismont
The Effect of Surgically Implanted Bullet Fragments on the Spinal Cord in a Rabbit Model
J. Bone Joint Surg. Am., June 1, 2001; 83(6): 884 - 890.
[Abstract] [Full Text]

Home page
 JBJSHome page
S. TOKSVIG-LARSEN, L. RYD, and A. LINDSTRAND
Early Inducible Displacement of Tibial Components in Total Knee Prostheses Inserted with and without Cement. A Randomized Study with Roentgen Stereophotogrammetric Analysis
J. Bone Joint Surg. Am., January 1, 1998; 80(1): 83 - 9.
[Abstract] [Full Text] [PDF]