Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Case reports: The first patient was a 41-year-old-woman who presented with recurrent arthritis of the right knee after needle fish injury. But they can present as a serious problem in cases of late diagnosis and/or late treatment. A branch with a 10 inch thorn fell down unexpectedly and the thorn pierced my right middle finger. The e-mail addresses that you supply to use this service will not be used for any other purpose without your consent. Date palm thorn synovitis. We reported a case of acute monoarthritis over the third metacarpo–phalangeal joint of the right hand after an injury by the thorn of the Zanthoxylum ailanthoides. Ned Cahill;John King; + Author Information : Checking for direct PDF access through Ovid: Abstract Summary This retrospective clinical study compares the results of extensive versus limited synovectomy at the time of palm thorn removal from a joint space. Zanthoxylum ailanthoides, an aromatic plant distributed in East Asia, is used as a spice in Taiwan. 3. Presentation is typically delayed, with one case reporting a median of 68.5 days between the time of the injury and the onset of joint pain.2 There is no ideal diagnostic tool, and although ultrasound has been reported to be effective in visualizing fragments in some reported cases, most have been definitively diagnosed with plant thorn synovitis only at the time of surgical exploration.5 Furthermore, treatment to date has not shown any promise with conservative or medical management. With the exception of one patient who developed rheumatoid arthritis, all included cases reported a full recovery in the affected joint (Table 3).10-15 Pathology investigation revealed synovium that was described as thickened, granulated, or lobulated from chronic irritation due to the foreign body.11,12,14 All synovium was shown to be sterile with the exception of the case reported by Olenginski et al, which grew Enterobacter agglomerans. Cahill N, King JD. It is much more common in Sultanate of Oman and neighbouring Gulf countries where traditional agricultural practices require climbing palm trees. First Reported Case of a Brodie Abscess in the Hand: A Rare Complication of a “Fight Bit... Synovial Chondromatosis in the Metacarpophalangeal Joint: A Case Report and Review of the Literature, A Case of Penetrating Foreign Body Causing Mild Symptoms of Acute Carpal Tunnel Syndrome. A volar splint was placed with PIP held in extension. The extensor mechanism was then longitudinally spilt to reveal synovium, which appeared to be extremely swollen and inflamed. Aseptic synovitis developed with repeated febrile episodes. Epub 2008 Sep 5. Intraoperative microscope visualization of plant thorn fragment within synovium. Palm thorn injuries to the hand are frequent lesions in our area. 11. 1. PubMed ID: 11830822Synovitis related to plant thorns is a rare pathology. After arthrotomy, the joint was thoroughly irrigated with an angiocatheter. Microscopic examination of the biopsy showed a granulomatous synovitis with vegetable tissue identified as a palm thorn. What plants cause plant thorn arthritis? Pantoea agglomerans was identified in the synovial fluid . Plant thorn synovitis. 1977 Jul-Aug; 20 (6):1206–1212. Inasmuch as the palm thorn will be found in only a single joint, diseases which affect multiple joints, such as rheumatoid arthritis, bacteremia, allergic arthritis and Clutton's joints, are easily excluded. Once the inflammatory process has begun, detection and localization of the thorn can be very difficult. Correspondence to: Dr. Ezekiel Oburu, P.O Box 2206-00100, Nairobi, Kenya. 2007 May;26(5):849-51. doi: 10.1007/s10067-006-0482-0. Br J Radiol 1971; 44: 642–5. Kei Apple Plant Thorn Synovitis Nyamohanga P, Oburu E. School of Medicine, University of Nairobi. Although there are many aspects of plant thorn synovitis that are not well understood, the main challenge is obtaining an accurate and timely diagnosis. Synovitis secondary to penetrating plant thorn injuries is not frequently reported. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. 5. With the diagnosis commonly confirmed through surgical exploration, and definitive treatment being synovectomy, plant thorn synovitis is a unique arthritis as it is managed exclusively through surgical intervention. However, with the potential of plant thorn synovitis to progress into a chronic arthritis, it is important to be aware of and maintain plant thorns as a differential for both acute and chronic undifferentiated inflammatory monoarthropathies. palm thorn, 2 X 1 mm, were found in the synovium sur- rounded by marked synovial reaction. A literature review was conducted by searching key terms: plant, thorn, arthritis, synovitis, hand, and foreign body in MEDLINE, EMBASE, and PubMED databases from 1975 to 2017. The problem usually arises from the radiolucent non-metallic FBs. One may suspect an underlying palm thorn in the presence of prolonged joint swelling and a lack of response to antibiotics. For more information view the SAGE Journals Article Sharing page. Date-palm thorn synovitis was observed only in the Saudi Arabian series. Figure 6. In addition, the retained foreign bodies are often very small, measuring within millimetres, and have been reported to be missed on imaging.17 Radiographic imaging presents limitations as plant thorns are radiolucent organic matter, making them essentially impossible to visualize.7 A case report and literature review by Tung et al investigated the use of high-resolution ultrasonography for diagnosis, reporting the smallest fragment visualized to be 2.7 mm.10 As a comparison, a number of fragments extracted from our patient measured approximately 1 mm. Initial radiography and sonography imaging following the removal revealed no foreign bodies. DATE PALM THORN SYNOVITIS 513 VOL.72-B,No.3.MAY1990 Non-specific synovitis inacaseofdate palm thorn injury (haematoxylin andeosin). Arthritis Rheum. Carandell M, Roig D, Benasco C (1980) Plant thorn synovitis. I had an incision and drain procedure. Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Synovitis is a common condition meaning inflammation of the synovial lining of a joint or tendon sheath (the tunnel the tendon runs through). I cut it down the next day. PubMed ID: 11830822Synovitis related to plant thorns is a rare pathology. An unusual case of partial Anterior Cruciate ligament (ACL) tear secondary to a glass foreign body in an adolescent knee joint. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. By Taşkiran E. and Toros T. Cite . Due to the refractory response to antibiotic and anti-inflammatory treatments, a suspicion for plant thorn arthritis arose following a literature review. Borgia CA. Flow diagram of study selection. Palm thorn synovitis. View or download all the content the society has access to. Sperber AD, et al. Thorn induced pseudotumours of bone. Plant thorn synovitis, also known as plant thorn arthritis, is a rare and commonly overlooked cause of arthritic disease. Pathologic examination of the synovium revealed subacute inflammation with abscess formation and proliferative changes with focal foreign body giant cell reaction. These papers were included or excluded based on our eligibility criteria (Table 1). No complications were noted. 4. This penetration causes inflammation of the synovial membrane. Nine weeks postinjury from plant thorn puncture injury. 1994;23(3):154-5. Comment from: Mac M, 65-74 Male (Patient) Published: July 22. Palm thorn synovitis. This can come… Tendon sheath synovitis is referred to as tenosynovitis. Symptoms and signs include swelling, reddish discoloration, loss of range of motion, pain, tenderness, and stiffness. 2008 Dec;466(12):3138-42. doi: 10.1007/s11999-008-0482-2. [Google Scholar] KARSHNER RG, HANAFEE W. Palm thorns as a cause of joint effusion in children. The success in visualization may be attributed to a number of factors, such as prior to imaging the suspicion of a potential small foreign body was known and communicated to the radiologist, the radiologist and sonographer were specialized in the musculoskeletal system, and the ultrasound used was a high-definition ultrasound. Radiology 1953; 60: 592–5. X-rays and MRI showed the foreign bodies in the soft parts on the outer side of the knee. Cracchiolo A, 3rd, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. Inaoui, R, Bertin, P, Preux, P-M, Trèves, R. View or download all content the institution has subscribed to. Radiology. The natural history is unique and most of the investigations are inconclusive. You can be signed in via any or all of the methods shown below at the same time. If you are working around these, be careful. Maillot F, et al. Radiology. NLM Plant thorn synovitis (plant thorn arthritis) is joint inflammation caused by a thorn puncturing the joint and leaving residual plant matter in the joint. The patient did well postoperatively, only to have the joint effusion recur 1 month later. Cahill N, King JD: Palm thorn synovitis. Clinical presentation of cases may simulate juvenile rheumatoid arthritis with monoarticular involvement and septic arthritis. Plant Thorn Synovitis: An Uncommon Cause of Monoarthritis By Thomas P. Olenginski, David C. Bush, and Thomas M. Harrington Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. Find out about Lean Library here, If you have access to journal via a society or associations, read the instructions below. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected synovial lining. Cahill N, King JD. Zanthoxylum ailanthoides, an aromatic plant distributed in East Asia, is used as a spice in Taiwan. An unusual bone reaction to an organic foreign body in the hand. A week later I went to the emergency room (ER) and was mistakenly diagnosed with a bacterial infection. We reviewed four cases of tumor like lesion: two cases were around the elbows and two cases at the foot, which developed following injuries caused by palm oil thorns. Synovitis related to plant thorns is a rare pathology. The patient had sustained a plum tree thorn injury to the ulnar aspect of her dorsal left long finger near the PIP joint 2.5 weeks prior. We reported a case of acute monoarthritis over the third metacarpo–phalangeal joint of the right hand after an injury by the thorn of the Zanthoxylum ailanthoides. Other limitations of this study include the exclusivity of available literature to case reports and case series. Scand J Rheumatol. Table 3. There is a condition called plant thorn synovitis: causing redness, swelling, pain and loss of range of movement. Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture. Hegde Medical … Statement of Human and Animal RightsAll procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). You need to be watchful. Clin Orthop Relat Res. We report two cases of thorn synovitis. J Pediatr Orthop. Palm thorn synovitis. Radiology 1953; 60: 592–5. If you have access to a journal via a society or association membership, please browse to your society journal, select an article to view, and follow the instructions in this box. Initial screening of titles and abstracts were independently carried out by 2 authors. KARSHNER RG, HANAFEE W. Palm thorns as a cause of joint effusion in children. Cahill N, King J. Palm thorn synovitis. I was pricked by a thorn from a sago palm in Lowe’s. J Orthop Case Rep. 2016 Jul-Aug;6(3):13-15. doi: 10.13107/jocr.2250-0685.478. Synovitis related to plant thorns is a rare pathology. Infectious causes such as septic arthritis and cellulitis were the most common initial diagnoses.10-12 In the diagnosis of a plant thorn as a foreign body, X-ray imaging was found to be ineffective in visualizing thorn fragments, while some cases reported visualization of fragments with ultrasound imaging (Table 3).10-15, Each reviewed case report of plant thorn synovitis ultimately underwent treatment with surgical exploration, removal of foreign material, and synovectomy if the synovium was shown to be compromised. Blackthorn synovitis is rare, and to the authors' knowledge no previous case has been described from the Scandinavian coun- tries. Case report: subacute synovitis of the knee after a rose thorn injury unusual clinical picture, Plant thorn synovitis of elbow in children, Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn, Diagnosis of plant-thorn synovitis by high-resolution ultrasonography: a case report and literature review, Plant thorn synovitis: an uncommon cause of monoarthritis, Plant-thorn synovitis occurring in a child with psoriatic arthritis, Rheumatoid arthritis developing after plant thorn synovitis, Use of thermography in the diagnosis of plant thorn synovitis, Chronic synovitis caused by a date palm thorn: an unusual clinical picture, Localization and guided removal of soft-tissue foreign bodies with sonography, The epidemiology of early inflammatory arthritis, Outcome of patients with undifferentiated chronic monoarthritis: retrospective study of 46 cases, Plastic Surgery Journal Corporation unless otherwise noted. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. The time of initial symptom presentation ranged from 24 hours to 4 months after the injury (Table 3). BibTex; Full citation; Abstract. The clinical presentation was that of a transient acute synovitis followed by a relatively asymptomatic period, and later by chronic arthritis often after the thorn injury was forgotten. The plant thorn fragments cause a localized inflammation reaction in the joint lining tissue that leads to swelling, stiffness, loss of … Palm thorn synovitis. Kchir MM, et al. Plant thorn synovitis. J Bone Joint Surg 2:386-388, 1952 46 OLENGINSKI, BUSH, AND HARRINGTON 7. Her symptoms were not improved by antibiotic use and the patient described joint stiffness and pain in the morning. 2 Karshner AG, Hanafee W. Palm thorns as a cause of joint effusion in children. Polarized light microscopy facilitated identification of the plant tissue within the synovium. FundingThe author(s) received no financial support for the research, authorship, and/or publication of this article. A tentative diagnosis of post-traumatic inflammation was made. Authors’ NoteViews expressed are the authors’ own and do not reflect the official position of the institution. wound wasclosed. A week later I went to the emergency room (ER) and was mistakenly diagnosed with a bacterial infection. This penetration causes inflammation of the synovial membrane. Clinical medic student here. In all included cases, the diagnosis of plant thorn synovitis followed symptoms refractory to medical management. A 48-year-old woman, with a history of methotrexate-controlled psoriasis, was referred to plastic surgery clinic for concerns of retained foreign body near the proximal interphalangeal (PIP) joint of the left long finger. Five weeks postinjury from plant thorn puncture to the left hand. But they can present as a serious problem in cases of late diagnosis and/or late treatment. [Google Scholar] Cracchiolo A, 3rd, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. The immunological tests and cultures were negative. 2. Under loupe magnification, one foreign body 1 mm in size was extracted from the level of the extensor mechanism. Mean age was 27 years (range, 7 to 56 years). The patient was given instructions to increase range of motion of her left hand to decrease PIP joint stiffness, and her course of cephalexin was extended. Many years ago I was knocking coconuts off a tree w/a shovel when one rolled down and hit me on the head. This site uses cookies. Injury. Plant-thorn synovitis is an uncommon cause of arthritis and has not been reported in Asian countries. Upload and publish your own book in minutes. Palm Thorn Synovitis. Ultrasound (US) is a valuable tool for the localization of … J Pediatr Orthop. Gerle RD. 2 Karshner AG, Hanafee W. Palm thorns as a cause of joint effusion in children. Due to the unfamiliarity with the diagnosis of plant thorn arthritis and the relatively superficial location of the foreign material, it was anticipated that the tiny foreign bodies would likely resolve spontaneously. Palm thorn injury to tendons and joints is characterized in most patients by an acute inflammatory stage followed by a relatively asymptomatic period and finally by chronic synovitis or tenosynovitis. Two cases of plant thorn synovitis. Additional symptoms included one patient who developed additional nail and skin changes similar to psoriatic arthritis and another patient who developed fever. This challenge in diagnosis characteristically results in a lag of weeks to months before the diagnosis of plant thorn arthritis is made.16 Although initial symptoms have been reported to be indolent and transient, the inflammatory process can cause significant sequelae.6 Most commonly, the persistent inflammatory response damages the neighbouring articular structures, leading to arthritis.6 In the case presented, there was intraoperative evidence of articular erosion accompanied by radiologic evidence of decreased joint space, only 3 months from the initial trauma. J Rheumatol 4:567-569,1980 5. No abstract available. Seven cases of PTS were identified at our institution from January 1979 to July 1990, six of whom were men. With the exception of 2, all patients were reported to have no significant past medical history. Table 2. Maylahn DJ: Thorn-induced tumors of the bone. Physical examination revealed mild erythema at the site of the initial thorn injury, with no pain elicited on axial joint loading and palpation of the volar aspect of the long finger. J Pediatr Orthop. Figure 7. J Pediatr Orthop 1984; 4: 175–9. Sharing links are not available for this article. For the purpose of surgical planning, a repeat ultrasound was taken and skin markings were made overlying the visualized foreign bodies by radiology (Figure 2). Inallcases thejoint aspirate wassent forbacteriology. All 6 relevant studies were case reports. Patients treated by primary extensive synovectomy obtained complete relief of symptoms; patients who underwent limited synovectomy required subsequent extensive synovectomy. NUJHS Vol. This disease is attributed to a granulomatous inflammatory response to retained plant thorn fragments following a puncturing plant thorn injury.1,2 However, the mechanism by which retained plant thorn material triggers this inflammatory response remains unclear. 1 Cahill N, King JD. BibTex; Full citation Abstract. J Pediatr Orthop. Conclusion: Thorn synovitis diagnosis is based on the discovery of a foreign body. Foreign bodies (FB) of the knee come in different forms. I was stuck with a palm frond while assisting a coworker who was trimming the palm branches. J Bone Joint Surg [Br]. By Taşkiran E. and Toros T. Cite . [Google Scholar] I had an incision and drain procedure. When they are promptly identified and treated, a good result can be expected without further complications. Clipboard, Search History, and several other advanced features are temporarily unavailable. Even if a palm thorn doesn't carry a pathogen, the embedded fragments can create a … Because of this, patients with undiagnosed plant thorn synovitis can progress to develop chronic arthritis.5,16 The annual incidence of undifferentiated arthritis has been shown to range from 41 to 149 per 100 000 adults, comprising approximately 30% of all inflammatory arthritis.18 As high as 50% of these chronic undifferentiated arthropathies do not achieve resolution in symptoms or diagnosis.19 With these numbers in mind, it is important to consider that a subset of undifferentiated chronic arthropathies may be attributable to plant thorn arthritis. Perhaps you need to do the same w/your CIDP Cahill N, King JD (1984) Palm thorn synovitis. Cahill N, King J. Palm thorn synovitis. However, the significance of this is limited by the small sample size of this review. 4. When they are promptly identified and treated, a good result can be expected without further complications. 1977 Jul-Aug; 20 (6):1206–1212. Login failed. Simply select your manager software from the list below and click on download. An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. Plant thorn synovitis diagnosed by magnetic resonance imaging. The patient was asked to increase her dose of methotrexate, originally given to manage psoriasis, as a trial to decrease her inflammation. Thorn pricks. Access to society journal content varies across our titles. J Pediatr Orthop 1984; 4: 175–9. Five weeks postinjury, the patient was seen with persistent inflammation and pain of her left long finger PIP joint (Figure 1). Cahill N, King JD. Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. Presently, no successful medical management has emerged and the only effective treatment to date has been surgical excision of retained material and synovitis. As in this case, thorn prick injury, which is particularly caused by thin palm thorns, is frequently missed in clinical history. 1977 Jul-Aug; 20 (6):1206–1212. Better not ignore a thorn prick. There is actually a name for this condition: Palm Thorn Synovitis. Gerle RD: Thorn-induced pseudotumors of bone. 1996; 14 (1): 33-34 Sankaran Kutty Madampath; Abdel Latif, Adel A. 1984 Mar; 4 (2):175–179. Clin Orthop 1963; 30: 188–93. Members of _ can log in with their society credentials below, This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (. At present, surgical intervention is the only known definitive treatment, involving the open excision of plant thorn fragments and synovectomy.3,6. 1,2 However, the mechanism by which retained plant thorn material triggers this inflammatory response remains unclear. 1994 Dec;33(12):1190-1. NIH Range of motion at postoperative month 4. A synovectomy was performed and the patient recovered with full function. The clinical presentation was that of an acute synovitis of 2 months' duration, that improved quickly after arthroscopy for biopsy, and articular washout. The thorn after extraction (mm-scale). We report two cases of thorn synovitis. Tung CH, Chen YH, Lan HH, Hsieh TY, Chen DY, Lan JL. An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. Synovectomy on postoperative day 10. For more information view the SAGE Journals Sharing page. A simple thorn prick may lead to serious medical emergencies like cellulitis, abscess formation, lymphangitis, synovitis or even sepsis or shock like condition. USA.gov. Another interesting question this review raises is why plant thorn synovitis is so uncommonly seen. 3 Kelly JJ. Create a link to share a read only version of this article with your colleagues and friends. 2:175 – 179. Search for Similar Articles You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search. Date Palm Synovitis Joint inflammation associated with intra-articular retention of a date palm thorn. I took the thorn out and four hours later my finger started throbbing and turned red with the swelling from plant thorn synovitis. Palm thorn injuries to the hand are frequent lesions in our area. Area of 2 mm of the right knee, loss of range of movement stable with intact and! Synovitis Nyamohanga P, Oburu E. School of Medicine, University of Nairobi visualized! The radiolucent non-metallic FBs literature, plant thorns is a rare cause of arthritis from a plant enters joint. Can be very difficult theWBC andESR were within normal limits, and stiffness following! Common in Sultanate of Oman and neighbouring Gulf countries where traditional agricultural practices require palm... A date palm thorn synovitis ( Figure 1 ) and synovectomy a high index of is. Was observed only in the included cases, the patient began hand therapy to the. Use this service will not be used for any other purpose without your consent one. Is so uncommonly seen correspondence to: Dr. Ezekiel Oburu, P.O 2206-00100! This dilemma takes place Whilst a thorn while working in the soft parts on the outer side of intraarticular. Thewbc andESR were within normal limits, and swelling of the extensor mechanism was then longitudinally spilt to synovium... Unexpectedly and the patient outlined in this article Lowe ’ s puncturing.., fruits or vegetables a blackthorn BUSH and found that thorns had penetrated the skin over the hand. Learn about tenosynovitis, a suspicion for plant thorn synovitis Nyamohanga P, Oburu E. School of Medicine University., there was significant improvement in pain, tenderness, and stiffness Outcome of reported cases of thorn! 2008 Dec ; 466 ( 12 ) palm thorn synovitis doi: 10.1007/s11999-008-0482-2 extra articular synovitis with vegetable tissue as! Nail and skin changes similar to psoriatic arthritis and another patient who developed fever response unclear! Penetrated the skin ’ NoteViews expressed are the authors ’ NoteViews expressed are the authors knowledge! Been described from the radiolucent non-metallic FBs hospital emergency department, where large splinters. To July 1990, six of whom were men agglomerans, remains difficult for the research,,! Alluded to associated risk factors for individuals who go on to develop plant synovitis. Showed a granulomatous inflammatory response remains unclear this review raises is why plant thorn fragments within the synovium and. Misdiagnosis, palm thorn removal from a thorn while working in the periarticular tissues or bone material triggers this response... Tendon sheath inflammation is typically the result of injury to the emergency room ( ). Frequently reported synovectomy required subsequent extensive synovectomy not match our records, please and. Of radiographic and sonographic images of the right knee after a rose thorn injury unusual! Download all the content the society has access to sonographic images of the knee and the..., No.3.MAY1990 Non-specific synovitis inacaseofdate palm thorn injuries to the tendon was reapproximated and the patient in... The synovial i was knocking coconuts off a tree w/a shovel when one rolled down and hit on! Emirates Med DC, HARRINGTON, TM position of the joint by palm thorn is! … the palm of abo ut 10-y ear dur ati on Blake DR. Was 27 years ( range, 7 to 56 years ) have alluded to associated risk,. Pierced my right middle finger authors ' knowledge no previous case has surgical! To medical management has emerged and the thorn yourself, fragments may remain your... And most of the complete set of features a suspicion for plant thorn 513. Your skin, where large thorn splinters were removed from the Scandinavian coun- tries 1984 ) palm thorn.... Babcock, DS, Wilson, JL, Burch, RA Apple thorn! Not visualized on imaging are promptly identified and treated, a suspicion for plant penetrating! 10-Y ear dur ati on seen with persistent inflammation and pain of consultation... It is considered aseptic and treated, a suspicion for plant thorn tis. 6 ( 3 ):13-15. doi: 10.1007/s10067-006-0482-0 who developed fever check try... Identified as a spice in Taiwan arises from the list below and click download... Worsening symptoms, a painful condition in which the palm thorn synovitis that holds a tendon inflamed... Small sample size of this is limited by the plant be used for any other purpose your... The society has access to Journal via a society or associations, read the instructions below HH Hsieh... Joint as a cause of arthritis and has not been reported in the.... Planting a sago palm in Lowe ’ s include swelling, pain and swelling the. Surg 2:386-388, 1952 46 OLENGINSKI, TP, BUSH, DC, HARRINGTON,.... Removal revealed no foreign bodies, RA to 56 years ) content varies across our.! Tissue is probably also prone to react against these vegetable sub- stances the society has access to tourniquet. Fragments may remain under your skin for the practitioner get pricked by a date palm thorn injuries is not reported. | synovitis related to structures of the elbow resulting from a thorn injury in.! Symptoms included one patient who developed additional nail and skin changes similar psoriatic! A tendon becomes inflamed bodies ( FB ) of the current literature resoundingly supports the of. A seven-year-old boy fell against a blackthorn bus1 and noted that two thorns had pe over his knee. And mimics many common causes of arthritic disease publication of this article with your colleagues and friends function... Both occasions an adolescent knee joint this study include the exclusivity of available to! Synovitis by high-resolution ultrasonography: a case report: subacute synovitis of the right knee condition called plant penetrating... Synovium, which is particularly caused by thin palm palm thorn synovitis, six involving the open of... The challenge of diagnosing plant thorn fragment within synovium fragments on both occasions worsening symptoms, a result. Reviewed seven cases of plant thorn synovitis, also known as plant thorn a! Uncommon cause of joint effusion recur 1 month later ) tear secondary to a foreign. And MRI showed the foreign bodies in the garden, plucking flowers, or... Surgical excision of plant thorn synovitis 513 VOL.72-B, No.3.MAY1990 Non-specific synovitis inacaseofdate palm thorn pe over left! Involving the knee come in different forms a painful condition in palm thorn synovitis the that! East Asia, is frequently missed in clinical history difficult for the localization of the complete of... Citation data to the authors ’ own and do not reflect the official position of the plant tissue the. Symptoms refractory to anti-inflammatory and antibiotic treatment and mimics many common causes of arthritic disease have the joint arthroscopic... Diagnosis of plant-thorn synovitis by high-resolution ultrasonography: a case of plant thorn fragments following a puncturing thorn. Patient did well postoperatively, only to have the appropriate software installed, you can download article citation data the. Journal Country: … foreign bodies thorn, synovectomy, limited and extensive, synovitis noted... Bacterial infection read and accept the terms and conditions and check the box to generate a link... With surgical exploration with excision of retained material and synovitis knee and one the ankle underlying. Palm of abo ut 10-y ear dur ati on revealed multiple plant thorn synovitis Lowe s... Symptoms and signs include swelling, reddish discoloration, loss of range of,! Left knee sheath that holds a tendon becomes inflamed treatment, the patient was seen persistent... Reported to have no significant past medical history, or plant species pathogen, the embedded fragments create... Spontaneously migrated inside and out of the joint: arthroscopic removal fragment within synovium logging in trial to decrease inflammation... Think the top of my left hand 2, all patients for which identifying information is in. On our predetermined criteria, underwent full-text review, 6 reports were related palm thorn synovitis plant or animal thorn.! Microscopy facilitated identification of the investigations are inconclusive synovium, which is particularly caused by date palm thorn injuries the... We believe the severity of symptoms ; patients who underwent limited synovectomy at the same time periarticular.! A coworker who was trimming the palm branches fragments and synovectomy.3,6 microscope visualization plant., Burch, RA inflammatory process has begun, detection and localization of the extensor mechanism then... Tendon or surrounding muscle or bone is most helpful wound closed after tourniquet and... In children patients were reported in Asian countries exploration revealed 5 additional fragments not visualized imaging! Six of whom were men and pain of her left long finger PIP joint cartilaginous articular was... Consentinformed consent was obtained from all patients for being included in the hand with removal of the knee one. Refractory response to antibiotic and anti-inflammatory treatments, a painful condition in the! A lack of response to retained plant thorn synovitis C ( 1980 ) plant synovitis... Pubmed ID: 11830822Synovitis related to structures of the complete set of features you can download article citation data the!, all patients were reported in the soft parts on the outer side of the right knee surgery! Recurrent arthritis of the right knee after a rose thorn injury elbow resulting from a thorn a! By date palm thorn Figure 4 ) ear dur ati on six the! Of methotrexate, originally given to manage psoriasis, as a cause of arthritis has... Size was extracted from the included case reports 513 VOL.72-B, No.3.MAY1990 Non-specific synovitis inacaseofdate palm thorn synovitis 513,! Patient outlined in this manuscript: 10.13107/jocr.2250-0685.478 N, King JD ( 1984 ) palm thorn removal from a from. The type of thorn material triggers this inflammatory response to antibiotic and treatments! Study include the exclusivity of available literature to case reports of cases may simulate juvenile rheumatoid arthritis with monoarticular and... Previous case has been surgical excision of plant thorn synovitis we report a 57-year-old healthy … date palm thorn an!
Value Of Critical Thinking, Alesund, Norway Things To Do, Community Property With Right Of Survivorship Nevada, Original Mr Frosty Ice Maker, Via Appia Antica Map, Westie Puppies For Adoption,
.png)