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 right knee. Weinzweig N, Gonzalez M (2002) Surgical … Thorn injuries may be associated with differing kinds of cutaneous microorganisms, most commonly Staphylococcus species or environmental microorganisms like Nocardia or P. agglomerans (Dutkiewicz et al., … 1984 Mar; 4 (2):175–179. Phoenix canariensis – Canary Date Palm. Taskiran E, Toros T (2002) Chronic synovitis caused by a date It is also possible that the thorn is not retained pro- palm thorn: an unusual clinical picture. Difficulties in diagnosis and treatment. … Publication Date: March 1984 Print. Taskiran E, Toros T (2002) Chronic synovitis caused by a date palm thorn: an unusual clinical picture. Semin Arthritis Rheum 1991;21:40-46. fragment of a tea … Figure 2. Kei Apple Plant Thorn Synovitis Nyamohanga P, Oburu E. School of Medicine, University of Nairobi. C. P. J. LUIZ, E. B. S. RAMANATHAN, L. BUHL, D. MUIRHEAD; A Case of Date Palm Thorn-induced Extra Articular Synovitis with Rice Grain Bodies, Rheumatology, Vol Be Careful Around Canary Island Date Palms. Blackthorn synovitis 343 Figure 3. Date palm thorn injury- … J Rheumatol. With permission, photos of joint lining tissue (yellowish synovium) resected from author's right third metacarpophalangeal joint after thorn puncture with 1 mm thorn tip (dark dot on thorn covered with joint lining tissue) from the common palm tree Phoenix roebelenii. Taskiran, E. and Toros, T. Chronic synovitis caused by a date palm thorn: An unusual clinical picture. Date palm thorn synovitis. Although it is associated with serious injuries, this type of injury is often underdiagnosed and is not sufficiently reported in the literature. Palm thorn injury to tendons and joints is characterized in most patients by an acute inflammatory stage followed by a relatively asymptomatic period and finally by chronic synovitis or tenosynovitis. But they can present as a serious problem in cases of late diagnosis and/or late treatment. Treat Bent Fingers; Top Transitional Care ; Tools to Improve Health; Living With Psoriasis? 1. Arthroscopy 2002;18(2):E7. [Google Scholar] Cracchiolo A, 3rd, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. We present an unusual case of palm thorn tenosynovitis of the … In October 2018, a 55-year-old healthy male presented to our emergency department with a swollen and painful left knee. If you are working around these, be careful. Shortly after the puncture, he received antibiotics that temporarily relieved his pain and swelling. There is actually a name for this condition: Palm Thorn Synovitis. 11. Palm thorn synovitis. Digital Media; Events; palm thorn synovitis The history goes back 600 years to Eridu in lower Mesopotamia where the first evidence of date cultivation has been found. Followers 0. Ultrasound has higher sensitivity for detection of thorn … The Canary Island date palm (Phoenix canariensis) originated in the Canary Islands. Weinzweig N, Gonzalez M (2002) Surgical infections of the hand and upper extremity: a county hospital experience. 2. Date Palm Synovitis Date Palms The date palm is common in the Sultanate of Oman and neighboring Gulf countries. Thorn fragment (4.5 mm) removed during arthrotomy from the suprapatellar pouch. Well-organized granuloma with a portion of the palm thorn in the center. Palm Thorn Synovitis. I plan to use again tonight and for the next several nights before I opt for the surgery for plant thorn synovitis. By the next morning, it was 80 percent back to normal. Fifteen days before he had struck his knee … For this reason it is very 12. The thorn after extraction (mm-scale). DATE PALM THORN SYNOVITIS 513 VOL.72-B,No.3.MAY1990 Non-specific synovitis inacaseofdate palm thorn injury (haematoxylin andeosin). plant,blackthorn,cactus.and rose thorn.1–9 The thorn of the date palm (Phoenix dactylifera; fig 2) is par-ticularly dangerous as the tip (distal 0.5–1.5 cm; fig 3) dries out much faster than the remaining parts of the thorn, and therefore is prone to break off within the joint, disintegrating into very small particles. J Pediatr Orthop. wound wasclosed. And wear eye protection! Skip to content. Synovitis secondary to penetrating plant thorn injuries is not frequently reported. Penis Curved When Erect; Could I have CAD? J Pediatr Orthop vitis, such as plant thorns,2-11 fragments of wood,12 1984;4:175-179. sea urchin spines,13 needlefish,14 silicone,15 starch,16 9. dbc mission & vision; hr policy; selection process Date palm thorn (date thorn) injuries are common in areas such as the Sultanate of Oman where date palms are grown for their edible fruits or for ornamental purposes .A date thorn is the modified leaf of the date palm tree (Phoenix anarensis) that ends in a spine.In most cases the thorn is removed by the patient, but if retained, the thorn can cause a foreign body … Patients treated by primary extensive synovectomy obtained complete relief of symptoms; patients who … Plant thorn synovitis: fiberglass,17 teeth,18 glass, brick, stone,19 and even a An uncommon cause of monoarthritis. Home; About Us; Services We Offer. The knee is … The Phoenix date palm barbs may cause a severe tissue reaction with sterile granulomatous synovitis and bony pseudotumour formation. Palm thorn injuries to the hand are frequent lesions in our area. 1994 Dec;33(12):1190-1. Oleginski TP, Bush DC, Harrington TM. We now know that blackthorn may cause ~ synovitis in Scandinavian countries also; our Figure 2 Severe synovitis noted at synovectorny Piece of blackthorn in the synovium lateral to the tibia1 insertion of the … The pain was minimum, still a little swelling, but much more tolerable. This is some real stuff to be aware of, my friend has it and is in terrible pain but got his from a Sago. J Bone Joint Surg [Br]. J Bone Joint Surg (Br) 72-B:512–513. Ramathan EBS, Luiz CPJ (1990) Date palm thorn synovitis. Human synovial tissue is probably also prone to react against these vegetable sub- stances. Injury. CONTINUE SCROLLING FOR RELATED SLIDESHOW. We present two cases of palm thorn injuries to the hand that developed late complications because of a missed diagnosis or … Goupille P, et al. Christopher D. Adams, Fiona J. Timms, Michael Hanlon, PHOENIX DATE PALM INJURIES: A REVIEW OF INJURIES FROM THE PHOENIX DATE PALM TREATED AT THE STARSHIP CHILDREN’S HOSPITAL, Australian and New Zealand Journal of Surgery, 10.1046/j.1440-1622.2000.01823.x, 70, 5, (355-357), (2001). Ramanathan EB, et al. Caused by Date Palm thorns. Vaishya R. A thorny problem: the diagnosis and treatment of acacia thorn injuries. home; dilshad brothers contractors. First … 1977 Jul-Aug; 20 (6):1206–1212. [Google Scholar] KARSHNER RG, HANAFEE W. Palm thorns as a cause of joint effusion in children. The long leaves range from 8 to 20 feet in length and bear viciously sharp spines at the bases. Embedded fragments can create a noninfectious problem called thorn synovitis… | Synovitis related to plant thorns is a rare pathology. Google Scholar; 11. Luiz CP, Ramanathan EB, Buhl L, Muirhead D. Sagittal MRI slice (T1 fat suppression) of the left knee showed massive synovitis where the thorn fragment was located. A case of date palm thorn-induced extra articular synovitis with rice grain bodies. Ned Cahill;John King; + Author Information ... Summary This retrospective clinical study compares the results of extensive versus limited synovectomy at the time of palm thorn removal from a joint space. View abstract. Once the inflammatory process has begun, detection and localization of the thorn can be very difficult. We describe a case report of … Arthrocentesis -- using a needle to withdraw fluid from a swollen joint -- eventually led to identification of Pantoea agglomerans, a common soil bacteria, causing septic arthritis. 1990 Mar;21(2):97-100. The thorn of the date palm (Phoenix dactylifera; fig 2) is particularly dangerous as the tip (distal 0.5–1.5 cm; fig 3) dries out much faster than the remaining parts of the thorn, and therefore is prone to break off within the joint, disintegrating into very small particles. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected synovial lining. Inallcases thejoint aspirate wassent forbacteriology. Palm thorn synovitis. By 10 pm, it was already noticeably working. Date palm thorn synovitis. Many years ago I was knocking coconuts off a tree w/a shovel when one rolled down and hit me on the … Arthroscopy 18(2):1–3 voking the same symptoms. 1990 Feb;17(2):252-4. Be Careful Around Canary Island Date Palms Sign in to follow this . Palm thorn injury to tendons and joints is characterized in most patients by an acute inflammatory stage followed by a relatively asymptomatic period and finally by chronic synovitis … Although Blackthorn or date palm thorns cause most reported cases of plant-thorn synovitis, the thorns of numerous other plants can cause it too. Total synovectomy for delayed joint or tendon sheath involvement may be required when fragmentation has occurred. 1953 Apr; 60 … Palm thorn injury to tendons and joints is characterized in most patients by an acute inflammatory stage followed by a relatively asymptomatic period and finally by chronic synovitis or tenosynovitis. Request PDF | Chronic synovitis caused by a date palm thorn: An unusual clinical picture. date palm thorn puncture six weeks before treatment. Arthritis Rheum. Palm thorn and date palm thorn are typically found in central and South America and the Middle East, while blackthorn bush is native to Europe and western Asia. Br J Rheumatol. Date palm thorn injuries require a high level of clinical suspicion and careful management as they can lead to severe complications, such as tissue inflammation, synovitis, and extensive haematoma. Two cases of plant thorn synovitis. RESULTS Inallseven cases theWBC andESR were within normal limits, and noorganism was grown from any joint aspirate. Closer to this oasis, the Hilli settlements of Al-Ain in the Arabian Peninsula seems to be cultivated dates some 5000 years back. 1990 May;72(3):512-3. A high level of suspicion on history taking and surgical exploration is needed. Google Scholar; 12. Ann … Correspondence to: Dr. Ezekiel Oburu, P.O Box 2206-00100, Nairobi, Kenya. 1967). Health Solutions From Our Sponsors. (PMID:2341459) Abstract Citations; Related Articles; Data; BioEntities; External Links ' ' Ramanathan EB, ' ' Luiz CP The Journal of Bone and Joint Surgery. Ramathan EBS, Luiz CPJ (1990) Date palm thorn synovitis. menu. PLANT THORN SYNOVITIS 1127 operative course was uneventful, and completely normal joint function returned. Histopathobogical examination … When pruned, the bottom of the crown, also called the nut, appears to have a pineapple shape. Radiology. When they are promptly identified and treated, a good result can be expected without further complications. Once the inflammatory process has begun, detection and localization of the thorn can be very diffic … Ankle extensor tendon synovitis due to a date palm thorn Foot Ankle. Sperber AD, et al. J Bone Joint Surg (Br) 72-B:512–513 tions. In Bidiyah, … She had an acute, Date thorn palm may contain some toxic substance, probably an alkaloid substance, which causes osteo- lytic reactions in the bone 3, 9, 12, 17, 20 Kelly, in 1966, 20 Arthroscopy 18(2):1–3. Fig 3. Case 3 A 4-year-old girl had fallen on a palm frond 1 month before coming to the emergency room.

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