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Related Experiment Videos

A case of blackthorn synovitis.

B Strömqvist, E Edlund, L Lidgren

    Acta Orthopaedica Scandinavica
    |August 1, 1985
    PubMed
    Summary

    A retained thorn caused persistent knee inflammation and fever in a child. Surgical removal of the intra-articular thorn led to complete recovery, highlighting the importance of considering foreign body retention.

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    Area of Science:

    • Orthopedic Surgery
    • Pediatric Rheumatology
    • Trauma Management

    Background:

    • Foreign body penetration into joints can mimic septic arthritis, leading to diagnostic challenges.
    • Blackthorn injuries are common in children and can result in deep tissue penetration.
    • Persistent joint inflammation and febrile episodes necessitate thorough investigation.

    Observation:

    • A seven-year-old boy presented with aseptic synovitis and recurrent fevers after a blackthorn injury to the knee.
    • Initial treatments for suspected septic arthritis, including antibiotics and joint aspiration, were ineffective.
    • A knee joint exploration revealed no initial cause for the persistent symptoms.

    Findings:

    • A second arthrotomy, performed three months post-injury, successfully identified and removed an intra-articular blackthorn fragment.
    • Synovectomy was performed concurrently with thorn removal.
    • Histopathological examination confirmed the presence of plant material within the joint.

    Implications:

    • This case underscores the importance of considering retained foreign bodies in the differential diagnosis of pediatric joint inflammation, even after negative initial investigations.
    • Prompt and accurate diagnosis of retained intra-articular foreign bodies is crucial to prevent chronic inflammation and potential long-term joint damage.
    • Effective management involves surgical exploration and complete removal of the foreign material, followed by appropriate post-operative care.

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