palm thorn synovitis

FundingThe author(s) received no financial support for the research, authorship, and/or publication of this article. The patient did well postoperatively, only to have the joint effusion recur 1 month later. Additional symptoms included one patient who developed additional nail and skin changes similar to psoriatic arthritis and another patient who developed fever. 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). 1990 Feb;17(2):252-4. PubMed ID: 11830822Synovitis related to plant thorns is a rare pathology. The patient developed cellulitis following the removal and had been taking cephalexin orally for 2 weeks at the time of her consultation. 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. Epub 2006 Sep 12. Initial screening of titles and abstracts were independently carried out by 2 authors.  |  1984 Mar; 4 (2):175–179. Cahill N, King JD. 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. 1994 Dec;33(12):1190-1. J Bone Joint Surg1966;48-B:474–7. Figure 2. J Pediatr Orthop1984;4:175–9. Thorn induced pseudotumours of bone. Cracchiolo A, 3rd, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. 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. 1,2 However, the mechanism by which retained plant thorn material triggers this inflammatory response remains unclear. These plants include palm trees, roses, black-thorn shrubs, cacti, bougainvillea, yucca, pyracantha, plum trees, and … I took the thorn out and four hours later my finger started throbbing and turned red with the swelling from plant thorn synovitis. [Google Scholar] Cracchiolo A, 3rd, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. A week later I went to the emergency room (ER) and was mistakenly diagnosed with a bacterial infection. Case reports: The first patient was a 41-year-old-woman who presented with recurrent arthritis of the right knee after needle fish injury. Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture. Based on past reported cases, any individuals with retained plant thorn fragments within the synovial tissue seem to be susceptible to developing plant thorn synovitis. Comment from: Mac M, 65-74 Male (Patient) Published: July 22 I was planting a sago palm today and wore gloves but think the top of my left hand got pricked by the plant. X-ray of the left hand on postoperative day 10 of synovectomy revealing decreased joint space. Palm thorn synovitis. Table 2. Injury. BibTex; Full citation Abstract. Palm thorn injuries to the hand are frequent lesions in our area. Clinical presentation of cases may simulate juvenile rheumatoid arthritis with monoarticular involvement and septic arthritis. DATE PALM THORN SYNOVITIS 513 VOL.72-B,No.3.MAY1990 Non-specific synovitis inacaseofdate palm thorn injury (haematoxylin andeosin). 1977 Jul-Aug; 20 (6):1206–1212. We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. Radiology1953;60:592–5. Polarized light microscopy facilitated identification of the plant tissue within the synovium. It’s common to get pricked by a thorn while working in the garden, plucking flowers, fruits or vegetables. J Rheumatol 4:567-569,1980 5. An unusual bone reaction to an organic foreign body in the hand. Synonyms Date Palm Knee Incidence Uncommon in the northern hemisphere and in developed countries. Figure 5. Clin Orthop Relat Res. Statement of Informed ConsentInformed consent was obtained by the patient outlined in this manuscript. Palm thorn synovitis. While under the microscope, an area of 2 mm × 2 mm of the PIP joint cartilaginous articular erosion was noted. Conclusion: Thorn synovitis diagnosis is based on the discovery of a foreign body. 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. Plant thorn synovitis (plant thorn arthritis) is joint inflammation caused by a thorn puncturing the joint and leaving residual plant matter in the joint. Cahill N, King J. Palm thorn synovitis. 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. Palm thorn synovitis. Synovectomy on postoperative day 10. We report a 57-year-old healthy … Under general anaesthesia, with tourniquet control, a large Chevron incision was used to expose the full area over the dorsal aspect of the left middle finger PIP joint.  |  Inallcases thejoint aspirate wassent forbacteriology. These included swelling, erythema, decreased range of motion, and pain with range of motion at the affected joint (Table 2). Initial radiography and sonography imaging following the removal revealed no foreign bodies. This site needs JavaScript to work properly. Another interesting question this review raises is why plant thorn synovitis is so uncommonly seen. Treatment is based on their removal. We report two cases of thorn synovitis. RESULTS Inallseven cases theWBC andESR were within normal limits, and noorganism was grown from any joint aspirate. Please enable it to take advantage of the complete set of features! Sugarman, M, Stobie, DG, Quismorio, FP, Terry, R, Hanson, V. Stevens, KJ, Theologis, T, McNally, EG, Stevens, K. Tung, CH, Chen, YH, Lan, HH, Hsieh, TY, Chen, DY, Lan, JL. Blackthorn synovitis 343 Figure 3. 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. KARSHNER RG, HANAFEE W. Palm thorns as a cause of joint effusion in children. The involved plant thorns species included Zanthoxylum ailanthoides, prickler bush, locust thorn, rose thorn, blackthorn, and cockspurn thorn1-6 (Table 3). A synovectomy was performed and the patient recovered with full function. As it stands with current imaging technology, there remains no consistently reliable imaging technique to include or exclude the diagnosis of plant 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. the palm of abo ut 10-y ear dur ati on. 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. [Google Scholar] KARSHNER RG, HANAFEE W. Palm thorns as a cause of joint effusion in children. If you remove the thorn yourself, fragments may remain under your skin. Plant thorn synovitis (plant thorn arthritis) is joint inflammation caused by a thorn puncturing the joint and leaving residual plant matter in the joint. Simply select your manager software from the list below and click on download. When they are promptly identified and treated, a good result can be expected without further complications. 1994;23(3):154-5. 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/. the site you are agreeing to our use of cookies. By continuing to browse 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. 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). Arthritis Rheum. But they can present as a serious problem in cases of late diagnosis and/or late treatment. 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 (. J Bone Joint Surg [Br]. All 6 relevant studies were case reports. 3. Zanthoxylum ailanthoides, an aromatic plant distributed in East Asia, is used as a spice in Taiwan. J Pediatr Orthop. Contact us if you experience any difficulty logging in. [Google Scholar] Cracchiolo A, 3rd, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. J Pediatr Orthop. J. 2 Karshner AG, Hanafee W. Palm thorns as a cause of joint effusion in children. 3 Kelly JJ. Create a link to share a read only version of this article with your colleagues and friends. We believe the severity of symptoms may be attributed to the type of thorn and the amount of thorn material in the periarticular tissues. Tendon sheath synovitis is referred to as tenosynovitis. This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. Arthritis Rheum. Interestingly, including our patient, 2 (25%) of 8 reported cases of plant thorn arthritis in the hands involved a patient with a history of psoriasis. 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. J Pediatr Orthop. Introduction: Thorn synovitis is related to plant or animal thorn punctures. By 2 authors w/your CIDP NUJHS Vol, authorship, and/or publication of this article arthritis following! East Asia, is … thorn pricks has emerged and the wound closed after tourniquet and. Weston WJ: thorn and the amount of thorn material in the hand are frequent lesions our..., is frequently missed in clinical history was significant improvement in pain,,... 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