The Motown Corkscrew: A Simple Method for Extraction of an Embedded Intra-Articular Foreign Body

Authors

Benjamin J. Best, Henry Ford HealthFollow
Usher Khan, Henry Ford HealthFollow
Martin J. Weaver, Henry Ford HealthFollow
Simarjeet Puri, Henry Ford HealthFollow
Ibrahim Rababa, Henry Ford HealthFollow
Alan M. Afsari, Henry Ford HealthFollow

Recommended Citation

Best BJ, Khan U, Weaver MJ, Puri S, Rababa I, and Afsari A. The Motown Corkscrew: A Simple Method for Extraction of an Embedded Intra-Articular Foreign Body. JBJS Case Connect 2025;15(3).

Document Type

Article

Publication Date

7-1-2025

Publication Title

JBJS Case Connect

Abstract

CASE: A 17-year-old boy presented after a gunshot wound; computed tomography showed a comminuted posterior-wall acetabular fracture and a bullet 90% embedded. Through a Ganz surgical dislocation, a standard 2.5 mm drill bit was advanced 8 to 10 mm into the projectile, its flutes functioning as a self-tapping screw to rock and extract the bullet en bloc, followed by trochanteric osteotomy fixation. He regained painless full activity by 2 months; 33-month imaging confirmed durable union with no osteolysis.

CONCLUSION: The "Motown Corkscrew" technique provides a cost-neutral, controlled method to remove bone-embedded intra-articular bullets while preserving articular structures.

Medical Subject Headings

Humans; Male; Adolescent; Wounds, Gunshot; Foreign Bodies; Acetabulum

PubMed ID

40966361

Volume

15

Issue

3