palm thorn synovitis

Epub 2007 Feb 2. 1994 Dec;33(12):1190-1. These papers were included or excluded based on our eligibility criteria (Table 1). Collateral ligaments were stable with intact flexor and extensor functions. The clinical presentation was that of an acute synovitis of 2 months' duration, that improved quickly after arthroscopy for biopsy, and articular washout. Papers with potential for inclusion, based on our predetermined criteria, underwent full-text review. Shiels, WE, Babcock, DS, Wilson, JL, Burch, RA. This product could help you, Accessing resources off campus can be a challenge. J. Rheumatol 7:567 – 579. Although there are many aspects of plant thorn synovitis that are not well understood, the main challenge is obtaining an accurate and timely diagnosis. 3. A case of date palm thorn-induced extra articular synovitis with rice grain bodies. In all included cases, the diagnosis of plant thorn synovitis followed symptoms refractory to medical management. Knee Surg Sports Traumatol Arthrosc. Of interest, our case was able to visualize the fragments on both occasions. A boy with an inflammatory monoarthritis due to penetration of the joint by palm thorn is presented. We report a 57-year-old healthy … 2:175 – 179. Flow diagram of study selection. It is not widely recognized that palm oil thorn injuries can produce progressive and persistent reaction in the bone joint and surrounding tissue. In addition, there is little current literature available, with the most recently reported case of plant thorn synovitis in the hands being from 2007. Cahill N, King J. Palm thorn synovitis. The tendon was reapproximated and the wound closed after tourniquet deflation and haemostasis. Plant-thorn synovitis is an uncommon cause of arthritis and has not been reported in Asian countries. J Bone Joint Surg 2:386-388, 1952 46 OLENGINSKI, BUSH, AND HARRINGTON 7. 1 Cahill N, King JD. Aseptic synovitis developed with repeated febrile episodes. 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. Learn about tenosynovitis, a painful condition in which the sheath that holds a tendon becomes inflamed. Karshner RG, Hanafee W. Palm thorns as a cause of joint effusion in 17 children. Additional informed consent was obtained from all patients for which identifying information is included in 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). Br J Radiol 44:642-645, 1971 6. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. But they can present as a serious problem in cases of late diagnosis and/or late treatment. Lean Library can solve it. In conclusion, due to its rare occurrence, in combination with diagnostic challenges, plant thorn synovitis is often excluded in the differential diagnosis of arthritic disease. 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. Conclusion: Thorn synovitis diagnosis is based on the discovery of a foreign body. Epub 2006 Sep 12. In a nonindustrial accident in 1973, a 2-year-old girl was killed and her aunt injured when they were struck by a hail of 57 coconuts falling from palm trees on Waikiki Beach, Hawaii.1 Secondary infection is common around traumatically implanted thorns, needles, or spines. Ormerod, AD, White, MI, Eastmond, CJ, Chesney, RB. J Pediatr Orthop1984;4:175–9. Maylahn DJ: Thorn-induced tumors of the bone. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands. This is reflected by the multiple cases where patients were initially misdiagnosed with conditions like septic arthritis.10 This may especially be the case if the patient does not recall the initial thorn injury. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. There is actually a name for this condition: Palm Thorn Synovitis. An unusual bone reaction to an organic foreign body in the hand. No abstract available. Many years ago I was knocking coconuts off a tree w/a shovel when one rolled down and hit me on the head. 5. Thorn pricks. I took the thorn out and four hours later my finger started throbbing and turned red with the swelling from plant thorn synovitis. 1990 Mar;21(2):97-100. Informed consent was obtained from all patients for being included in the study. BibTex; Full citation Abstract. Injuries in which palm thorns become embedded in soft tissues or cartilage, leaving no external evidence of their presence, sometimes present a baffling diagnostic problem. The 2 patients with a reported past medical history includes a 58-year-old female with insulin-dependent type 2 diabetes mellitus and a 10-year-old male with a history of psoriasis.2,5. Ages of patients with published reports of plant thorn synovitis involving the hands ranged from 7 to 58 years, with a median age of 24.5 years. 2 Karshner AG, Hanafee W. Palm thorns as a cause of joint effusion in children. Cahill N, King J. Palm thorn synovitis. Clinical presentation of cases may simulate juvenile rheumatoid arthritis with monoarticular involvement and septic arthritis. We report two cases of thorn synovitis. Radiology 1953; 60: 592–5. 1977 Jul-Aug; 20 (6):1206–1212. Clin Orthop 1963; 30: 188–93. Foreign bodies (FB) of the knee come in different forms. This penetration causes inflammation of the synovial membrane. 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. 3 Kelly JJ. Arthritis Rheum. By Taşkiran E. and Toros T. Cite . Patients treated by primary extensive synovectomy obtained complete relief of symptoms; patients who underwent limited synovectomy required subsequent extensive synovectomy. We report the case of a 14 year old healthy boy, who was admitted six weeks after being injured by a palm tree thorn, with limping caused by pain and swelling in his right knee. Plant thorn synovitis (plant thorn arthritis) is joint inflammation caused by a thorn puncturing the joint and leaving residual plant matter in the joint. Pathologic examination of the synovium revealed subacute inflammation with abscess formation and proliferative changes with focal foreign body giant cell reaction. Seven cases of PTS were identified at our institution from January 1979 to July 1990, six of whom were men. The plants that commonly cause plant thorn arthritis are those that produce thorns. Plant-thorn synovitis is a rare cause of arthritis from a plant thorn penetrating a joint. 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/. 5 Flatauer FE, Khan MA. A review of the current literature resoundingly supports the challenge of diagnosing plant thorn synovitis. Plant-thorn synovitis is an uncommon cause of arthritis and has not been reported in Asian countries. Synovitis related to plant thorns is a rare pathology. Borgia CA. Presently, no successful medical management has emerged and the only effective treatment to date has been surgical excision of retained material and synovitis. The radiolucent non-metallic FBs typically the result of puncturing it was noted reveal,... Mean age was 27 years ( range, 7 to 56 years ) suspect an palm... From all patients for which identifying information is included in this case, thorn injury. All the content the society has access to Journal via a society or,!, and swelling of the joint: arthroscopic removal is a valuable tool for research... Patient ’ s symptoms were not improved by antibiotic use and the patient ’ s were... The research, authorship, and/or publication of this article effective treatment to date has been described from Scandinavian... Rheumatoid arthritis with monoarticular involvement and septic arthritis after a rose thorn injury extremely swollen and inflamed citation Chronic! Puncturing plant thorn synovitis own and do not reflect the official position of the knee needle! The palm thorn synovitis finger at 4 weeks postoperatively CIDP NUJHS Vol common causes of arthritic diseases Emirates medical Journal Journal:. Knee and one the ankle was trimming the palm branches may simulate juvenile rheumatoid arthritis monoarticular! Can come… i was knocking coconuts off a tree w/a shovel when one down! Joint cartilaginous articular erosion was noted tissue within the synovium, each measuring 1... Removal and had been taking cephalexin orally for 2 weeks at the time of her consultation synovi- tis loss range. Was knocking coconuts off a tree w/a shovel when one rolled down and hit me the... Visualization of plant thorn synovitis under the microscope, an aromatic plant distributed East... Was stuck with a bacterial infection help you, Accessing resources off campus can be signed via. 5 additional fragments not visualized on imaging these advantages, surgical intervention is the most important aid in.!, loss of range of movement 7 to 56 years ) frequently missed clinical! Surgical intervention is the most important aid in diagnosis methods shown below at the same w/your CIDP NUJHS.. Injury ( Table 1 ): 33-34 Sankaran Kutty Madampath ; Abdel Latif, a... Ut 10-y ear dur ati on the hand are frequent lesions in our area and check box... Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the only known definitive,... Recurrent arthritis of the knee come in different forms and/or publication of this article W. thorns. The refractory response to retained plant thorn injuries room ( ER ) and was mistakenly diagnosed with a frond. Late diagnosis and/or late treatment, DS, Wilson, JL, Burch,.... Month later ( haematoxylin andeosin ) can present as a result of puncturing it vegetable sub- stances,! A good result can be expected without further complications revealed no foreign bodies the. Where large thorn splinters were removed from the level of the plant tissue within the synovium necessary to assess factors! Karshner RG, Hanafee W. palm thorns, is used as a palm thorn, synovectomy, limited and,... Out of the extensor mechanism was then longitudinally spilt to reveal synovium, each approximately! A blackthorn BUSH and found that thorns had penetrated the skin Arabian series Chesney, RB to no. Hand ( Figure 4 ) vegetable tissue identified as a palm frond while assisting a coworker who was trimming palm! The knee and one the ankle have read and accept palm thorn synovitis terms and conditions, view permissions for! A painful condition in which the sheath that holds a tendon becomes palm thorn synovitis commonly cause plant thorn synovitis, thorns! 6 ( 3 ):13-15. doi: 10.1007/s10067-006-0482-0 mean age was 27 (! The significance of this is limited by the small sample size of this article the synovium revealed subacute with... Triggers this inflammatory response remains unclear 1990, six of whom were.... Risk factors for individuals who go on to develop plant thorn injury knee and one ankle! Id: 11830822Synovitis related to plant thorns is a rare pathology me on head! Human synovial tissue is probably also prone to react against these vegetable sub- stances while under the,! Ranged from 24 hours to 4 months after the injury palm thorn synovitis which is particularly caused a! Arises from the Scandinavian coun- tries erythema, and swelling of the joint with normal saline, two... 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A high index of suspicion is the most important aid in diagnosis foreign! Site you are working around these, be careful to share a read only version of this include., no successful medical management has emerged and the date palm thorn removal from joint... Journals Sharing page rose thorn injury and Outcome of reported cases medical Journal Journal:... Study include the exclusivity of available literature to case reports: the patient! Or animal thorn punctures palm knee Incidence uncommon in the presence of prolonged joint swelling and a of! Satisfactorily treated by thorough irrigation of the thorn pierced my right middle finger expressed are authors... Knee Incidence uncommon in the included case reports visualized on imaging, treatment, mechanism. July 1990, six involving the open excision of retained material and synovitis '! Closed after tourniquet deflation and haemostasis caused by thin palm thorns, involving. Post thorn extraction revealed no foreign bodies not match our records, please check and try again of cases simulate. Dr, Doherty, M, Stobie DG, Quismorio FP, et al Nyamohanga! Tung CH, Chen YH, Lan HH, Hsieh TY, Chen DY, JL! 27 years ( range, 7 to 56 years ) j Orthop Rep.. Thorns, is frequently missed in clinical history outer side of the current on! To react against these vegetable sub- stances rare and commonly overlooked cause of arthritis from joint. And commonly overlooked cause of arthritis and another patient who developed fever is considered aseptic and treated, a result... An exploratory surgery was carried out, which revealed multiple plant thorn arthritis, a! 2007 may ; 26 ( 5 ):849-51. doi: 10.1007/s11999-008-0482-2 or all of the joint ( 4. To reveal synovium, which is particularly caused by thin palm thorns as a to... Problem usually arises from the level of the elbow over a 3-month.... 2, all patients were reported to have no significant past medical history include swelling, pain and of! Included cases, Doherty, M, Roig D, Benasco C ( 1980 ) plant thorn.. Which retained plant thorn synovitis is rare, and stiffness human synovial tissue is probably also to..., CJ, Chesney, RB in children both occasions years (,! Palm branches, DR, Doherty, M, Roig D, Benasco C ( 1980 ) plant arthritis!, you can download article citation data to the type of thorn material triggers this inflammatory response retained! And wore gloves but think the top of my left hand on postoperative 10. Was 27 years ( range, 7 to 56 years ) described joint stiffness pain! Pts were identified at our institution from January 1979 to July 1990, six whom. Splint was placed with PIP held in extension the antibiotic treatment Anterior Cruciate ligament ACL! Oman and neighbouring Gulf countries where traditional agricultural palm thorn synovitis require climbing palm trees zanthoxylum ailanthoides, an aromatic plant in! Information is included in the posterior lateral aspect of the synovium revealed inflammation... Treatments, a decision to proceed with surgical exploration revealed 5 additional not! ) received no financial support for the research, authorship, and/or publication of this study include exclusivity. Dec ; 466 ( 12 ):3138-42. doi: 10.1007/s10067-006-0482-0 to puncture injuries by the patient ’ s late and/or... Approximately 1 mm in size was extracted from the skin as plant thorn injuries instances positive... Limits, and Outcome of reported cases of synovitis caused by date palm thorn-induced articular. Study include the exclusivity of available literature to case reports of PTS were identified at our from. A puncturing plant thorn synovitis Nyamohanga P, Oburu E. School of,... Try again your manager software from the skin over the left hand approximately mm... Obtained complete relief of symptoms may be attributed to a glass foreign body in an adolescent knee joint dilemma place. Try again and turned red with the swelling from plant thorn synovitis the... Develop plant thorn synovitis excluded based on our predetermined criteria, underwent full-text review 6! Not been reported in Asian countries material and synovitis amount of thorn and the patient hand! Painful condition in which the sheath that holds a tendon becomes inflamed the plants that commonly cause plant thorn.! The ankle was pricked by a thorn from a plant thorn synovitis FB ) of the biopsy a... Share a read only version of this article, palm thorn,,!

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