Plant Thorn Tenosynovitis

Abstract

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 review current literature on this infrequently reported topic. Pathologically, thorn synovitis represents a foreign body reaction to retained plant material and is mostly aseptic. The presentation is delayed with the history of preceding injury often forgotten, and the diagnosis thus relies on careful elicitation of history. Imaging may be helpful to localize the plant material when the history is not clear. When possible, removal of the foreign material leads to complete remission, although some patients need partial or total synovectomy.

Septic arthritis of the knee due to <i>Pantoea</i> <i>agglomerans</i>: look for the thorn

“…Studies of thorn injures in general showed an average of 4.2 weeks from injury to first medical consultation, with a time lag of up to 9 months until correct diagnosis of a thornassociated septic arthritis (Kratz et al, 2003;Kelly, 1966;Baskar et al, 2006). Delay in diagnosis and initiation of treatment is common in thorn-associated arthritis (Simmons et al, 2017).…”

Foreign Body in the Extensor Tendon Sheath

“…Therefore, complete medical history should be obtained. Imaging may be helpful to localize the metallic implant material when the history is not clear (1,2,4,5,6). The size of the foreign body, moreover its anatomic location might determine clinical manifestations.…”

“…Sharp, localized pain with palpation over a puncture wound or limited passive range of motion of a joint near a wound may indicate a retained foreign body (2,5,6). Tenosynovitis secondary to penetrating plant thorn injury is rarely reported in the literature (1). A foreign body located in an extensor tendon of the thumb might cause symptoms that mimic De Quervain's disease is not reported in the literature.…”

Die Beugesehnenscheideninfektion: Eine Übersicht

“…Die genaue Toxizit ä t dieser Phytoalexine ist nicht bekannt, doch konnten bisher einige sehr toxische Substanzklassen wie Biphenyle oder Dibezofurane gefunden werden [89] . Zu den bekannten Pfl anzen, die eine solche Reaktion ausl ö sen k ö nnen, geh ö rt der Feuerdorn (Pyracantha coccinea), Phoenix dactylifera, Phoenix canariensis, Prunus spinosa (Schwarzdorn, Schlehe), Yucca-Palmen, Bougainvillea und Rosen [13,60,82] . In diesen F ä llen ist eine Therapie mit Antibiotika nutzlos.…”