Plant Thorn Synovftis Diagnosed by Magnetic Resonance Imaging

Maillot, F.; Goupille, P.; Valat, Jean‐Pierre

doi:10.3109/03009749409103051

Cited by 27 publications

(8 citation statements)

References 6 publications

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“…MRI has been used to demonstrate non-radio opaque thorns but there have been no surgically proven cases of plant thorn synovitis where the thorn fragment has been clearly seen on MRI. 4,8,11,12 …”

Section: S Nomentioning

confidence: 99%

Plant thorn synovitis of elbow in children

Bharti

Mohan

Kumar

et al. 2014

Journal of Clinical Orthopaedics and Trauma

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Section: S Nomentioning

confidence: 99%

Plant thorn synovitis of elbow in children

Bharti

Mohan

Kumar

et al. 2014

Journal of Clinical Orthopaedics and Trauma

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“…On MRI, the composition of the mass and reactive changes in the bone and adjacent soft tissues were nicely observed. Finally, the foreign body, given its mineralization, was well delineated with CT. Identifying a surrounding rim of fluid-rich granulation tissue or a fluid-filled cyst is an important feature of foreign-body reaction/pseudotumor [10,15]. CT-guided biopsy has an accuracy of 90% for musculoskeletal lesions when compared with results found on open biopsy [21] and was helpful in this case to ensure this was not a malignant lesion before definitive treatment.…”

Section: Discussion and Treatmentmentioning

confidence: 92%

Orthopaedic Case of the Month: Ankle Pain and Swelling in a 23-year-old Man

Bergquist

Goldsmith

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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A 23-year-old man referred by his primary care physician presented with a 1.5-year history of progressive left ankle pain and swelling. He recalled no history of trauma other than stepping on a horseshoe crab when he was 8 years old and having the tail removed in a local emergency department. He denied recent fevers, chills, night sweats, weight loss, or weight gain. Physical examination revealed substantial nonpitting edema around the hindfoot region extending up the distal 1 .3 of his leg. There was no skin discoloration. He had mild tenderness to palpation along the peroneal and posterior tibial tendons. There was normal strength and sensation in the foot and leg. No lymphadenopathy was noted. His laboratory values, including complete blood count, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), uric acid, rheumatoid factor, and Lyme titer were all within normal limits. Imaging studies, including MRI (Fig. 1), CT scan (Fig. 2), and bone scan (Fig. 3), were performed. Based on the history, physical examination, laboratory tests, and imaging studies, what is the differential diagnosis? Imaging InterpretationSagittal T1-weighted (Fig. 1A), sagittal T2-weighted fat-suppressed (Fig. 1B), and axial T1-weighted fatsuppressed contrast enhanced (Fig. 1C) MR images of the ankle showed a T1 hypointense and T2 hyperintense soft tissue mass remodeling the undersurface of the sustentaculum tali. There was a small irregular central area of low signal consistent with calcification.Coronal ( Fig. 2A) and sagittal (Fig. 2B) reformatted CT images of the ankle showed an area of smooth osseous remodeling at the inferior aspect of the sustentaculum tali. There was a 7-9 4-mm triangular calcification adjacent to the area of remodeling.Radionuclide bone scan (Fig. 3) of the bilateral feet and ankles showed radiotracer uptake in the left posterior calcaneus.Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

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“…Palm remnants are not radiopaque so they cannot be detected on routine X-rays. There has been sporadic case reports in which a retained palm tree thorn was visualized and extracted with the help of magnetic resonance imaging (7,8). In those cases ultrasonography did not identify the retained thorn.…”

Section: Discussionmentioning

confidence: 99%

Palm Tree Thorn Injuries–A Case Series of Ambulatory Patients

Peleg

Greenberg

2005

Journal of Musculoskeletal Pain

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Background: Palm tree thorn injury is characterized by a painful and protracted inflammation. Eight men were treated in a primary care setting. The intensity and duration of pain, the results of imaging procedures, and the outcome of treatment were monitored.Findings: The mean age was 39.8 ± 17.2 years. The mean duration of pain was 12.6 ± 5.9 weeks. The mean pain intensity level was 6.3 ± 1.4 of 10 on a visual analog scale from 1 to 10. There was local inflammation in all cases. Bacterial cultures were not done in any of the cases, but three patients were treated with empirical antibiotic therapy.Conclusions: It is often safe to treat the patient in an out-patient setting. Imaging is unnecessary and unhelpful. Empirical antibiotic therapy does not shorten the clinical courses. Pain is prolonged despite lack of evidence of a remnant thorn.

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Plant Thorn Synovftis Diagnosed by Magnetic Resonance Imaging

Cited by 27 publications

References 6 publications

Plant thorn synovitis of elbow in children

Plant thorn synovitis of elbow in children

Orthopaedic Case of the Month: Ankle Pain and Swelling in a 23-year-old Man

Palm Tree Thorn Injuries–A Case Series of Ambulatory Patients

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