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... 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