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[Thorn synovitis: Report of 2 cases].
E Fianyo1, S Guignard1, A Economu1
1Service de rhumatologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94100 Créteil, France.
La Revue De Medecine Interne
|July 1, 2014
Summary
Thorn synovitis, an inflammatory joint condition from thorn punctures, requires foreign body identification for diagnosis and surgical removal for treatment. Early detection and intervention are key for favorable outcomes.
Area of Science:
- Orthopedics
- Rheumatology
- Infectious Diseases
Background:
- Thorn synovitis is an inflammatory joint condition resulting from penetrating injuries by plant or animal thorns.
- Diagnosis can be challenging due to negative immunological tests and cultures, often mimicking other forms of arthritis.
Observation:
- Two cases of thorn synovitis are presented: one in a 41-year-old woman after needle fish injury and another in a 58-year-old man after palm tree thorn injury.
- Imaging studies like X-ray, MRI, and ultrasound were crucial in identifying foreign bodies and erosive synovitis.
Findings:
- Arthroscopic removal of intra-articular foreign bodies led to complete symptom resolution in both patients.
- Treatment success relies on the definitive removal of the foreign body, with medical management proving insufficient in one case.
Implications:
- This highlights the importance of considering thorn synovitis in patients with unexplained arthritis, especially after potential exposure.
- Prompt surgical intervention is critical for managing thorn synovitis and achieving favorable clinical outcomes.
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