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Plant thorn tenosynovitis.

Sangeetha Baskar1, Jonathan S Mann, Andrew P Thomas

  • 1Department of Medicine, New Cross Hospital, Wolverhampton, UK. baskar@doctors.org.uk

Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases
|June 7, 2006
PubMed
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Plant thorn injuries can cause aseptic tenosynovitis, a condition often diagnosed late due to forgotten injury history. Surgical removal of the thorn and partial synovectomy effectively treated this case.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Pathology

Background:

  • Plant thorn synovitis is an uncommon condition resulting from a foreign body reaction to retained plant material.
  • It is typically aseptic and presents with delayed symptoms, often after the initial injury is forgotten.

Observation:

  • A case of plant thorn-induced tenosynovitis in the index finger of the left hand is presented.
  • Diagnosis relied on careful history taking, as the preceding injury was not immediately recalled.

Findings:

  • Surgical removal of the foreign body (plant thorn) and partial synovectomy led to complete remission of the tenosynovitis.
  • Literature review indicates that foreign material removal is key, though synovectomy may be necessary.

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Implications:

  • This case highlights the importance of considering plant thorn synovitis in delayed presentations of hand inflammation.
  • Prompt diagnosis and surgical intervention are crucial for favorable outcomes in thorn-induced tenosynovitis.
  • Further research into this infrequently reported condition could improve diagnostic and treatment strategies.