Plant thorn synovitis treatment. and to avoid delay in treatment.

Plant thorn synovitis treatment A healthcare provider will prescribe treatments based on which joint is affected, how severe your symptoms are and what caused the synovitis. This is a case of plant thorn synovitis of the hand in an adult We read with interest the article titled “Plant thorn synovitis of elbow in children” 1 and based on our clinical experiences 2 would like to share some important aspects of these thorn injuries, which have not been highlighted in this paper. Symptoms and signs include swelling, reddish discoloration, loss of range of motion, pain, tenderness, and stiffness. com/=====Plant Thorn Arthritis (Plant A rose thorn can easily puncture the skin, bringing with it bacteria and fungi that can lead to diseases such as sporotrichosis and plant-thorn synovitis. DiseasesAndTreatment. Plant thorn arthritis is a rare form of arthritis in which a plant thorn punctures a joint, causing infl Plant thorn arthritis may occur if people come into contact with thorns, such as through gardening, and a thorn punctures a joint. J Bone Joint Surg Microbiology and histochemistry (periodic acid–Schiff diastase) were negative for microorganisms. References (10) JJ Kelly Blackthorn inflammation. 11 Plant-thorn synovitis is an uncommon cause of arthritis and has not been reported in Asian countries. The diagnosis was confirmed by retrieval of black plant material from or close to the affected synovial This website requires cookies, and the limited processing of your personal data in order to function. We report on a patient with septic arthritis of the knee with Pantoea agglomerans after a penetrating black locust thorn injury. }, author={Philippe Goupille and Bernard Fouquet Synovitis related to plant thorns is a rare pathology. 5. We report on a case of thorn induced synovitis, not confirmed by histopathology, but strongly suspected by magnetic resonance imaging Plant thorn synovitis, also known as plant thorn arthritis, is a rare and commonly overlooked cause of arthritic disease. Synovitis is swelling in the synovial membrane that lines some of your joints. Histologically, PTS can mimic sarcoidosis, tuberculosis, or fungal infection. Synovitis related to plant thorns is a rare pathology. Plant thorn synovitis; EVALUATION. Acacia We report a case of plant thorn injury-induced tenosynovitis of the index finger of the left hand that was cured after surgical removal of the foreign body and partial synovectomy. We present two cases of palm thorn injuries to the hand that termed 'plant thorn synovitis'. PMID: 34270678. The affected area may become red and tender to the touch. Clinical presentation of cases may simulate juvenile rheumatoid arthritis with monoarticular involvement and septic arthritis. 20, 1125. Key Words: Arthroscope-Intraarticular-Monoarthritis-Plant thorn. Plant thorn synovitis. We report a 57-year-old healthy man who was admitted 2 weeks after being injured by a r treatment subsequently including repeated arthrotomies [5]. Discussion. Facts you should know about plant thorn arthritis Pathology photo showing multinucleated giant cell granulomatous reaction (triangle point), synovial hyperplasia, fibrosis, and adjacent foreign vegetable matter (arrow with thorn fragments) with hematoxylin and eosin stain (H&E stain). | Tenosynovitis, Rosa and Synovitis | ResearchGate, the professional network for scientists. Recent literature indicates that this is the first time an arthroscope has proven to be effective in the diagnosis and treatment of monoarthritis due to an intraarticular penetration by a plant thorn. Arfhrifis Rkeum. Search life-sciences literature (Over 39 million articles, preprints and more) Plant-thorn synovitis, a severe foreign-body granulomatous inflammation induced by plant material, is an uncommon cause of arthritis [1]. We report on a case of thorn induced synovitis, Four rare cases of plant thorn synovitis of left elbow were admitted at our institution, which were initially misdiagnosed as partially treated septic arthritis of elbow or Juvenile inflammatory arthritis. Contrary to former teaching, effusions from joints violated by thorns should not be presumed sterile. On examination synovitis was present in all patients Request PDF | Plant thorn synovitis – case-report of a synovial biopsy both diagnostic and therapeutic PEMF treatment at 10 Hz was more effective in ameliorating arthritis than at 75 Hz. [ PMC free article ] [ PubMed ] [ Google Scholar ] PLANT THORN SYNOVITIS MICHAEL SUGARMAN, DENNIS G. Polarized light microscopy facilitated identification of the plant tissue within the synovium. (1978) Organic foreign body reaction. Plant thorn synovitis is an overlooked cause of monoarthritis, with difficulties in diagnosis and treatment (1). Treatment was surgi- cal with prompt resolution of symptoms after foreign body removal. Medical College Hospital, Gwalior, India Immediate Surgam M. Study design. Diagnosis of plant-thorn synovitis by high-resolution ultrasonography: A case report and literature review. Swelling of the 2nd digit of the right hand following a rose thorn injury to the pulp of the finger tip. Blackthorn synovitis is a rare cause of mono-arthritis in people, and is difficult to diagnose (Goupille et al. 1,2 Elbow is an uncommon site for thorn induced synovitis and only few Five children with an inflammatory monarthritis due to penetration of the joint by plant thorns are presented. Skeletal Radial. Arthritis Rheum 1991;21:40-46. Plant thorn arthritis (plant thorn synovitis) is joint inflammation caused when a thorn punctures a joint and leaves plant matter behind. Goupille P, Fouquet B, Forward L, Burdin P, Valat JP. Discussion The treatment of fire thorn synovitis/inflammation, as with any other thorn synovitis, is often delayed, as the diagnosis is easily We suspect the initial trauma may have introduced bacteria into the joint, perhaps as a result of a small penetrating injury that was not clinically apparent, akin to plant thorn synovitis [10]. These injuries can lead to tissue inflammation, synovitis, and extensive haematoma, and even Plant Thorn Arthritis. to our case of up to 5 months could be attributed to In all cases presented with blackthorn injury and synovitis, surgical treatment was performed within 24 h, We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. So your antibiotic treatment should assist with that possibility. Histopathology demonstrated a granulomatous synovitis. (1977) Plant thorn synovitis. 3,6 Although there are many aspects of We recommend removal of foreign bodies if present, arthroscopic total synovectomy, and beginning empiric antibiotic treatment with coverage against gram-negative enteric pathogens in all cases Optimal treatment of PTS is arthrotomy, foreign body removal, and extensive synovectomy. R. apparently one of the anti-herbivory evolutions of thorns was to harbor various kinds of pathogenic bacteria, one of which causes septic joint arthritis. Pantoea agglomerans was identified in the synovial fluid. We report a 57-year-old healthy man who Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. Nowadays, the advantages of arthroscopic treatment outweigh arthrotomy by simultaneously allowing complete articular inspection and foreign body removal. In Europe, black thorn was the leading cause of thorn synovitis. Kratz A, Greenberg D, Barki Y, Cohen E, Lifshitz M. Its optimal treatment is arthrotomy, foreign body removal and total/subtotal synovectomy. The management of plant thorn synovitis raises a number of diagnostic and treatment challenges. LIKE | COMMENT | SHARE | SUBSCRIBEFor more info visit http://www. A thorny problem: the diagnosis and treatment of acacia thorn injuries Raju Vaishya G. Plant thorn induced synovitis of elbow is a rare entity and it may present as chronic relapsing type of synovitis and up to 9 months 4 symptoms may persist until thorn fragments are removed surgically even total synovectomy may be done to get rid of small remnants of thorn. Recommended articles. Two cases of plant thorn synovitis: difficulties in diagnosis and treatment. Types of brambles include: Synovectomy is the surgical procedure that is used to cure plant thorn arthritis. 1990;17:252–254. Synovitis secondary to penetrating foreign bodies is an infrequent cause of monoarthritis and treatment requires joint washout and, in refractory cases, surgical synovectomy [1, 2]. Kindly provided by Xiaohui (Sheila) Zhao, MD, PhD, of the Department of Four rare cases of plant thorn synovitis of left elbow were admitted at our institution, of monoarthritis of elbow and a high index of suspicion is needed for retained thorn fragments in elbow joint causing synovitis. There may not be proper history of thorn prick 6,7 as in one of our case did plant thorn synovitis. Polarized light But they can present as a serious problem in cases of late diagnosis and/or late treatment. A review of previous articles describing plant thorn synovitis is given. Acacia thorn injuries are common in Northern and Central India, where the Acacia Arabica plants are found in abundance 3. More inforamation here: Pathology showed plant material with characteristics of a fire thorn embedded in a profound histiocytic foreign body giant-cell reaction. We report a 57-year-old healthy man who was admitted 2 weeks after being injured by a rose (Rosacea) thorn with subacute and mild synovitis with effusion of his Abstract. What is plant thorn arthritis? Plant thorn arthritis is a noninfectious inflammation of a joint as a At present, surgical inter-vention is the only known definitive treatment, involving the open excision of plant thorn fragments and synovectomy. This disease is attributed to a granulomatous inflammatory response to retained plant thorn fragments Synovitis related to plant thorns is a rare pathology. K. This caused recurrent pain and swelling of the elbow over a 3-month period. cases presented with blackthorn injury and synovitis, surgical treatment was performed within 24 h, using a two-stage In the author’s hospital, plant thorn synovitis caused by Four rare cases of plant thorn synovitis of left elbow were admitted at our institution, which were initially misdiagnosed as partially treated septic arthritis of elbow or Juvenile inflammatory arthritis. Methods. This is in contrast to sea urchin stings where surgical The removal of thorn by synovectomy is the only curative treatment for plant-thorn synovitis. No intraarticular foreign body was retained. Clin Orthop Relat Res. These findings were considered diagnostic of foreign body synovitis. 1780200513. Optimal treatment of PTS is arthrotomy, foreign body removal, and extensive synovectomy. 3. Synovitis secondary to penetrating plant thorn injuries is an infrequently reported event. Freiberg AA, Herzenberg JE, Sangeorzan JA. Thorn synovitis of the knee joint with Nocardia pyarthrosis. STOBIE, FRANCISCO P. All cases in this prospective study presented with acute onset synovitis within 24 h of thorn penetration, had a standardised clinical assessment, surgical treatment and aftercare. 1093/rheumatology/keab568. 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, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. Clinical presentation of cases may simulate juvenile rheumatoid arthritis with Plant thorn synovitis: case report of a synovial biopsy both diagnostic and therapeutic. 1002/art. 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 Plant thorn synovitis (plant thorn arthritis) is joint inflammation caused by a thorn puncturing the joint and leaving residual plant matter in the joint. J Rheumatol. Symptoms included pain, swelling, and decreased range of motion of affected joint. 1990; Tiwari and Beriha 2015), but plant thorn synovitis has not been reported in the horse, although synovitis from other sources is common. To describe the presentation, diagnosis, treatment and outcome of blackthorn plant thorn synovitis in the horse. Plant thorn arthritis can affect joints that come into contact with a plant thorn, such as the finger Plants that can cause plant thorn arthritis include plum trees, palm trees, and brambles. The removal of thorn by synovectomy is the only curative treatment for plant-thorn synovitis. Plant thorn arthritis: a type of joint inflammation that results from plant matter within the joint from a thorn puncture. 1991;21:40-46. In only one case reported by Kelly was there associated infection (positive operative wound culture without evidence of osteomyelitis). a rose (Rosacea) thorn with subacute and mild synovitis with effusion of his right knee. 1993;287:233–236. We present the case of a 35-year-old otherwise healthy male with a bramble thorn 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. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. Tenazinha C, Barros R, Polido-Pereira J, Saraiva F Rheumatology (Oxford) 2022 May 5;61(5):e137-e138. 1 More indolent cases of tenosynovitis may follow penetration of tendons and joints by plant thorns. Many plants have been reported to cause thorn synovitis [2, 3]. As in this case, thorn prick injury, which is particularly caused by thin palm thorns, is frequently missed in clinical history. 10. et al. The term “plant thorn synovitis” has been coined to describe the joint inflammation associated with retained foreign plant tissue. Plant thorn arthritis is a noninfectious cause of arthritis that is typically seen in just one joint (monoarthritis). [Google Scholar] Tung C-H, Chen Y-H, Lan H, Hsieh T-Y, Chen D-Y, Lan J-L. In some cases, individuals may notice difficulty moving their fingers or gripping objects due to the injury's impact on the hand's functionality. An exploratory surgery was carried out, Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. The diagnosis of plant thorn arthritis is made by detection of a piece of thorn within the joint by imaging tests or surgical removal and identification of Pantoea agglomerans is a facultative anaerobe and environmental bacterium that could be a cause of opportunistic human infections, especially in wound infection with plant material. . just went through a week of prescription strength This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. Fig 1 We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. Pathologically, thorn synovitis represents a foreign body reaction to retained plant material and is mostly aseptic. Keywords: Sugarman M, Stobie DG, Quismorio FP, Terry R, Hanson V. Another suggestion was allergic reaction to the plant sap. Historically, it is considered aseptic and treated with removal of the intra-articular foreign body Retained thorn leads to foreign body reaction leading to hypertrophic synovitis, histopathologically it is a chronic granulomatous synovitis with foreign body giant cells. And lastly one colleague suggested than an outside possibility might be plant thorn synovitis. However, several cases of febrile, apparently aseptic, synovitis after plant injury have been reported (8, 11, 12). Despite its wide geographic distribution, thorns from the prickly pear cactus (Optunia ficusindica) are a rare source of this type of inflammatory arthritis. PDF | Four rare cases of plant thorn synovitis of left elbow were admitted at our institution, Treatment should aim to restore normal triceps biomechanics with soft tissue or bony procedures. 3, 167. 11. We review current literature on this infrequently reported topic. Semin. Synovitis secondary to penetrating plant thorn injuries is not frequently reported. Case series. Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature Arthritis or synovitis secondary to penetrating plant thorn injuries is not frequently reported. To the best Synovitis secondary to penetrating plant thorn injuries is an infrequently reported event. All cases had a history of jumping hedges. doi: 10. Arthritis Rheum. Compared to CT and MRI, ultrasonography is inexpensive, nonradioactive, repeatable, and Initial conservative treatment with nonsteroidal antiinflammatory drugs (NSAIDs), antibiotics, or splinting was usually unsuccessful; surgery was necessary in six patients. All of them were of paediatric age group. Arthritis or synovitis secondary to penetrating plant thorn injuries is not frequently reported. QUISMORIO, ROGER TERRY, and VIRGIL HANSON and to avoid delay in treatment. Removal of all thorns with partial or total synovectomy is essential in However, a case report of plant thorn synovitis due to Zanthoxylum ailanthoides, an aromatic plant used as spice and found throughout East Asia, was reported in 2007. Semantic Scholar's {Goupille1990TwoCO, title={Two cases of plant thorn synovitis. 2 In many reported cases of chronic tenosynovitis after thorn punctures, no microorganisms were isolated. As plant fragments may be too small to be seen, excision of all inflamed synovium together with the thorn entry tract is recommended[7]. containing blackthorn, and plant material retrieved prior to. It’s very common in people who have arthritis. 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. We Rheumatoid arthritis developing after plant thorn synovitis. In the author’s hospital, plant thorn synovitis caused by In all cases presented with blackthorn injury and synovitis, surgical treatment was performed within 24 h, The patient underwent arthrotomy and a plant thorn was removed. Plant thorn synovitis: an uncommon cause of monoarthritis. Awareness of this cause of chronic monoarthritis will avoid delay in diagnosis and treatment. In all cases presented with blackthorn injury and synovitis, surgical treatment was performed within 24 h, using a two-stage procedure: 1-Perisynovial technique using ultrasound guided electrosurgical dissection; 2-Endoscopic technique. Compared to CT and MRI, ultrasonography is inexpensive, nonradioactive, repeatable, and easily accessible. having the same issues. High-resolution ultrasonography is a useful and inexpensive tool for detecting plant-thorn synovitis and could promote In plant thorn synovitis, ultrasound is therefore the diagnostic Treatment of plant thorn tenosynovitis requires surgical excision of the thorn fragment. Wound healing was uneventful, with no recurrence of the swelling. Download Table | Clinical presentation, surgical findings and results of 35 horses with confirmed plant thorn synovitis from publication: Prospective study of blackthorn injury and synovitis in 35 The treatment of thorn-induced synovitis is surgical. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected synovial lining. Treatment involves a surgical procedure called a synovectomy. Synovectomy was the definitive treatment. There are more references available in the full text version of this article. and Jackson J. Others listed experience with an external contaminant that caused an infection such as tetanus or staph. Publication types Among the rare cases addressed in the literature for plant thorn synovitis, some early reports pointed to a foreign body/toxin-related reaction with sterile synovial fluid [1, 2]. Plant-thorn synovitis is easily negligible. Many reports in the Synovitis: An Uncommon Cause of Monoarthritis. Plant thorn induced synovitis of elbow is rare, it must be included in the differential diagnosis of monoarthritis of elbow and a high index of suspicion is needed for retained thorn fragments in elbow joint causing synovitis. Br Med J (Clin Res Ed) 1982 Dec 4; 285 (6355):1620–1620. Read about symptoms, treatment, diagnosis, and prognosis. A thorough exploration should be considered in patients with a definite history of blackthorn injury. Antibiotics alone or in combination with an arthroscopy may be insufficient for achieving source In conclusion, to the best of our knowledge, this is the first case report of plant-thorn synovitis from Asian countries. An ultrasound imaging could help in localising a blackthorn in a case with doubtful history. Foreign body synovitis due to penetration of the joint by plant thorns may be a significant cause of mon- articular arthritis, Plant thorn synovitis is an overlooked cause of monoarthritis, with difficulties in diagnosis and treatment (1). Skip to search form Skip to main content Skip to account menu. There may not be proper history of thorn prick 6, 7 as in one of our case did 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. 1977;20:1125–1128. Zanthoxylum ailanthoides, an aromatic plant distributed in East Asia, is used as a spice in Taiwan. Case 1 Monoarticularplant-thorn synovitis 1004 3225 633 922 Healthy volunteer 1640-142-Case2 Rheumatoidarthritis 860 140 - - Case 3 Monoarticular plant-thorn synovitis 97 52 130 194 Case4 Monoarticularplant-thorn synovitis 215 - - 208 Healthy volunteer 163 225 79 111 Case 5 Rheumatoid arthritis 316 85-Cpm=counts per minute;-=negative diagnosis and treatment of plant thorn injury and synovitis in. 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. The removal of thorn by synovectomy is the only curative treatment for plant-thorn Plant thorn synovitis (PTS) is an uncommon cause of monoarthritis. Bacterial growth is reported infrequently, but when reported, Pantoea agglomerans is The patient recovered completely after synovectomy. Opinion differs on the role played by plants in the onset of long-lasting monoarthritis (4, 9). Conservative therapy failed to improve the thorn-induced synovitis in this series. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. Injuries of rose thorn or date palm were frequent in the USA [1]. literature point out that the delayed diagnosis similar Semin Arthritis Rheum. History - Symptoms suggestive of a musculoskeletal emergency - Joint symptoms - Systemic symptoms - Patient characteristics; It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. Difficulties in diagnosis and treatment. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected Synovitis secondary to penetrating plant thorn injuries is not frequently reported. Europe PMC is an archive of life sciences journal literature. H. This specific case was the first instance of plant thorn synovitis reported in Asia and was diagnosed by high-resolution ultrasound. the horse. A magnetic resonance imaging examination was initially requested to exclude septic arthritis, and demonstrated a joint effusion, synovitis, and a 2-cm linear opacity embedded in the synovium. Yousefzadeh D. We hereby present an unusual case of an individual who developed an acute monoarthritis of the knee shortly after sustaining In both of the two other documented cases infection was also due to plant material contamination (3, 8). Plant Thorn contributed to a negative culture. Early diagnosis is difficult and frequently delayed. nwhnop vcfoq qozte znvt cqhyfzfw owbag znu jqdzy dsyoxk xafurz