Journal of Foot and Ankle Surgery
Volume 49, Issue 2 , Pages 161-165 , March 2010

Retained Hawthorn Fragment in a Child's Foot Complicated by Infection: Diagnosis and Excision Aided by Localization with Ultrasound

  • Edwin J. Harris, DPM, FACFAS

      Affiliations

    • Clinical Associate Professor of Orthopaedics and Rehabilitation, Section of Podiatry, Loyola University Medical Center, Maywood, IL
    • Corresponding Author InformationAddress correspondence to: Edwin J. Harris, DPM, 10540 W. Cermak Road, Westchester, IL 60154.

References 

  1. Nyska M, Sperber AD, Howard CB, Nyska A, Dekel S. Ankle extensor tendon synovitis due to a date palm thorn. Foot Ankle. 1989;10:180–183
  2. Olsen BS. [Plant thorn synovitis in a child.]. Ugeskr Laeger. 1992;154:347–348
  3. Sugarman M, Stobie DG, Quismorio FP, Terry R, Hanson V. Plant thorn synovitis. Arthritis Rheum. 1977;20:1125–1128
  4. Basker S, Mann JS, Thomas AP, Newton P. Plant thorn tenosynovitis. J Clin Rheumatol. 2006;12:137–138
  5. Taskiran E, Toros T. Chronic synovitis caused by a date palm thorn: an unusual clinical picture. Arthroscopy. 2002;18:E7
  6. Bu J, Overgaard KA, Viegas SF. Distal migration of a foreign body (sago palm thorn fragment) within the long-finger flexor tendon sheath. Am J Orthop. 2008;37:208–209
  7. Balasubramaniam P, Prathap K. Pseudotumours due to oil palm thorn injury. Aust N Z J Surg. 1977;47:223–225
  8. Butler WP. Plant thorn granuloma. J Mil Med. 1995;160:39
  9. Hughes SF, Maffulli N, Fixsen JA. Thorn-induced granuloma of the medial cuneiform. J Foot Surg. 1992;31:247–249
  10. Vega Curiel A, Villaverde Romon M, Carrillo Lucia F, Ruiz del Portal Bermudo M, Carranza Bencano A. Injuries from palm tree thorn simulating tumoral or pseudotumoral bone lesions. Acta Orthop Belg. 2001;67:279–282
  11. Miller EB, Gilad A, Schattner A. Cactus thorn arthritis: case report and review of the literature. Clin Rheumatol. 2000;19:490–491
  12. Muschol M, Drescher W, Peterson W, Hassenpflug J. Monarthritis of the pediatric knee joint: differential diagnosis after a thorn injury. Arthroscopy. 2004;20:865–868
  13. Bermudez-de Rocha MV, Lozano-Melendez FE, Tamez-Rodriguez VA, Diaz-Cuello G, Pineyro-Lopez A. [The incidence of poisoning by Karwinskia humboldtiana in Mexico.]. Salud Publica Mex. 1995;37:57–62
  14. Heath JW, Ueda S, Bornstein MB, Daves GD, Raine CS. Buckthorn neuropathy in vitro: evidence for a primary neuronal effect. J Neuropathol Exp Neurol. 1982;41:204–220
  15. Nava ME, Castellanos JL, Castaneda ME. [Geographical factors in the epidemiology of intoxication with Karwinskia (tullidora) in Mexico.]. Cad Saude Publica. 2000;16:255–260
  16. Ocampo-Roosens LV, Ontiveros-Nevares PG, Fernandez-Lucio O. Intoxication with buckthorn (Karwinskia humboldtiana): report of three siblings. Pediatr Dev Pathol. 2007;10:66–68
  17. Duerinckx JF. Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture. Clin Orthop Relat Res. 2008;466:3138–3142
  18. Flournoy DJ, Mullins JB, McNeal RJ. Isolation of fungi from rose bush thorns. J Okla State Med Assoc. 2000;93:271–274
  19. Turkal NW, Baumgardner DJ. Candida parapsilosis infection in a rose thorn wound. J Am Board Fam Pract. 1995;8:484–485
  20. De Champs C, Le Seaux S, Dubost JJ, Boisgard S, Sauvezie B, Sirot J. Isolation of Pantoea agglomerans in two cases of septic monoarthritis after plant thorn and wood sliver injuries. J Clin Microbiol. 2000;38:460–461
  21. Kratz A, Greenberg D, Barki Y, Cohen E, Lifshitz M. Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury: case report and literature review. Arch Dis Child. 2003;88:542–544
  22. Olenginski TP, Bush DC, Harrington TM. Plant thorn synovitis: an uncommon cause of monoarthritis. Semin Arthritis Rheum. 1991;21:40–46
  23. Rosenfeld R, Spigelblatt L, Chicoine R, Laverdiere M. Thorn-induced periostitis associated with Enterobacter agglomerans infection. Can Med Assoc J. 1978;119:925–928
  24. Cengiz AB, Kanra G, Celik T, Comert B, Devrim J, Ozen M, et al. Prolonged cellulitis due to plant thorn. Turk J Pediatr. 2005;47:393–396
  25. Klein B, McGahan JP. Thorn synovitis: CT diagnosis. J Comput Assist Tomogr. 1985;9:1135–1136
  26. Kornreich L, Katz K, Horev G, Zeharia A, Mukamel M. Preoperative localization of a foreign body by magnetic resonance imaging. Eur J Radiol. 1998;26:309–311
  27. Maillot F, Goupille P, Valat JP. Plant thorn synovitis diagnosed by magnetic resonance imaging. Scand J Rheumatol. 1994;23:154–155
  28. Failla JM, van Holsbeeck M, Vanderschueren G. Detection of a 0.5-mm-thick thorn using ultrasound: a case report. J Hand Surg Am. 1995;20:456–457
  29. Tung CH, Chen YH, Lan HH, Hsieh TY, Lan JL. Diagnosis of plant-thorn synovitis by a high-resolution ultrasonography: a case report and literature review. Clin Rheumatol. 2007;26:849–851
  30. Shrestha D, Sharma UK, Mohammad R, Dhoju D. The role of ultrasonography in detection and localization of radiolucent foreign body in soft tissues of extremities. JNMA J Nepal Med Assoc. 2009;48:5–9
  31. Stevens KJ, Theologis T, McNally EG. Imaging of plant-thorn synovitis. Skeletal Radiol. 2000;29:605–608
  32. Cahill N, King JD. Palm thorn synovitis. J Pediatr Orthop. 1984;4:175–179
  33. Doig SG, Cole WG. Plant thorn synovitis. Resolution following total synovectomy. J Bone Joint Surg Br. 1990;72:514–515
  34. Ramanathan EB, Luiz CP. Date palm thorn synovitis. J Bone Joint Surg Br. 1990;72:512–513

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00382-2

doi: 10.1053/j.jfas.2009.08.012

Journal of Foot and Ankle Surgery
Volume 49, Issue 2 , Pages 161-165 , March 2010

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