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Latent foreign body synovitis.

Kenneth S Bode1, Charles J Haggerty, John Krause

  • 1Department of Orthopaedics, Wilford Hall Medical Center, San Antonio, TX, USA. Kenneth.bode@lackland.af.mil

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|June 26, 2007
PubMed
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A rare case of chronic joint pain was diagnosed as a wooden foreign body synovitis. Open biopsy confirmed the diagnosis, highlighting its importance in identifying unusual causes of monoarticular arthritis.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Pathology

Background:

  • Monoarticular arthritis presents a broad diagnostic challenge.
  • Patient history omissions can complicate the diagnostic process.
  • Foreign body synovitis is an uncommon cause of joint pain.

Observation:

  • A 32-year-old female presented with eight months of right first metatarsophalangeal joint (MTPJ) pain.
  • Previous diagnostic evaluations were exhaustive but non-specific.
  • An open biopsy was performed for definitive diagnosis.

Findings:

  • A 3.5 cm wooden foreign body was excised from the first MTPJ.
  • The foreign body was attributed to an injury sustained 18 years prior.
  • Histopathology confirmed foreign body synovitis.

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Implications:

  • Open biopsy is a crucial diagnostic tool for suspected foreign body synovitis.
  • This case underscores the importance of considering long-standing, overlooked injuries.
  • Accurate diagnosis of foreign body synovitis can lead to effective treatment and pain relief.