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Related Experiment Videos

Plant thorn synovitis

M Sugarman, D G Stobie, F P Quismorio

    Arthritis and Rheumatism
    |June 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Plant thorn penetration can cause inflammatory monarthritis in children, leading to chronic arthritis. Surgical removal of affected synovium restored normal joint function, highlighting the need for thorough history taking.

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    Area of Science:

    • Pediatric Rheumatology
    • Orthopedic Surgery
    • Plant Biology

    Background:

    • Monarthritis in children presents a diagnostic challenge.
    • Plant thorn injuries are an uncommon but significant cause of joint inflammation.
    • Prompt diagnosis and treatment are crucial for favorable outcomes.

    Observation:

    • Five pediatric cases of inflammatory monarthritis secondary to plant thorn joint penetration were analyzed.
    • Clinical course involved transient acute synovitis, an asymptomatic interval, and subsequent chronic arthritis.
    • Histopathology revealed granulomatous synovitis with identifiable plant material.

    Findings:

    • Plant tissue within the synovium was identified using polarized light microscopy.
    • Conservative medical management proved ineffective for these cases.

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  • Surgical excision of the affected synovium led to complete recovery and normal joint function.

    • Implications:

    • Awareness of plant thorn-induced synovitis is essential for pediatricians and orthopedic specialists.
    • A detailed patient history is critical for diagnosing this often-overlooked condition.
    • Surgical intervention offers a definitive treatment for chronic synovitis caused by retained plant material.