Torus Palatinus is a common, benign, anomaly in Caucasian populations. Rarely, in dentate patients, does it produce problems which justify removal. Such a case is described, including a literature review, surgical management and discussion of the entity.

Case: A 10-year-old boy presented with vague symptoms, a few days after a nondescript injury to his left knee. History, examination and blood tests, and imaging were unremarkable. Because of his severe pain, we proceeded to arthroscopy. On proceeding to arthroscopy, a wooden toothpick was found inside the knee joint. The wooden toothpick was removed arthroscopically. Conclusion: The physicians/surgeons have to be vigilant and should approach holistically toward history and examination of a child presenting with vague signs and symptoms.

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