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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2014; 04(04): 099-101
DOI: 10.1055/s-0040-1703843
Case Report

MONOARTICULAR SYNOVITIS OF KNEE DUE TO UNRECOGNISED INTRA-ARTICULAR PLANT SPLINTER

Siddharth M Shetty
1   Associate Professors, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India.
,
Vikram Shetty
2   Associate Professors, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India.
,
Arjun Ballal
3   Post Graduate, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India.
,
Jayaprakash Shetty
4   Professor, Department of Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India.
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Abstract

Synovitis of a knee secondary to penetrating splinter injuries of plant origin aren't frequently reported. Historically, it is considered aseptic and treated with removal of the intraarticular foreign body and affected synovial lining.

We report a case of a 59-year-old healthy man whose left knee was injured while at work at a bamboo plantation site. He presented to us with pain and swelling of the knee for one month. He underwent diagnostic arthroscopy of the knee wherein a foreign body was identified, located and removed and near total synovectomy was done.

We present this patient's case and its management with a review of the relevant literature.

Keywords

Synovitis - plant splinter - knee swelling - arthroscopy - foreign body


Publication History

Article published online:
26 April 2020

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  • References

  • 1 Cahill N, King JD. Palm thorn synovitis. J Pediatr Orthop. 1984;4:175–179.
  • 2 Cracchiolo A, Goldberg L. Local and systemic reactions to puncture injuries by the sea urchin spine and the date palm thorn. Arthritis Rheum. 1977;20:1206–1212.
  • 3 Karshner RG, Hanafee W. Palm thorns as a cause of joint effusion in 17 children. Radiology. 1953;60:592–595.
  • 4 Kelly JJ. Blackthorn inflammation. J Bone Joint Surg Br. 1966;48:474–477.
  • 5 Sugarman M, Stobie DG, Quismorio FP, Terry R, Hanson V. Plant thorn synovitis. Arthritis Rheum. 1977;20:1125–1128.
  • 6 Said HG, Masoud MA, Yousef HA, Imam HM. Multidetector CT for thorn (wooden) foreign bodies of the knee. KneeSurg Sports Traumatol Arthrosc. 2011 May;19(5):823-5. Muschol M
  • 7 , Drescher W, Petersen W, Hassenpflug J. Monarthritis of the pediatric knee joint: differential diagnosis after a thorn injury. Arthroscopy. 2004 Oct;20(8):865-8.
  • 8 Kratz A, Greenberg D. Pantoeaagglomerans as a cause of septic arthritis after palm tree thorn injury: case report and literature review. Arch Dis Child. 2003;88:542–544.
  • 9 Miller EB, Gilad A, Schattner A. Cactus thorn arthritis: case report and review of the literature. ClinRheumatol. 2000;19:490–491.
  • 10 Olenginski TP, Bush DC, Harrington TM. Plant thorn synovitis: an uncommon cause on monoarthritis. Semin Arthritis Rheum. 1991;21:40–46.
  • 11 Zoltan JD. Cactus thorn synovitis.Arthroscopy. 1991;7:244–245.
  • 12 Blake DR, Bacon PA, Scott CA, Potter AR. Monoarthritis from blackthorn injury: a novel means of diagnosis. Br Med J (Clin Res Ed). 1981;282:361–362.
  • 13 Freiberg AA, Herzenberg JE, Sangeorzan JA. Thorn synovitis of the knee joint with Nocardiapyarthrosis. ClinOrthopRelat Res. 1993;287:233–236.
  • 14 Karshner RG, Hanafee W. Palm thorns as a cause of joint effusion in 17 children. Radiology. 1953;60:592–595.
  • 15 Kelly JJ. Blackthorn inflammation. J Bone Joint Surg Br. 1966;48:474–477.
  • 16 Sugarman M, Stobie DG, Quismorio FP, Terry R, Hanson V. Plant thorn synovitis. Arthritis Rheum. 1977;20:1125–1128.
  • 17 Flatauer FE, Khan MA. Septic arthritis caused by Enterobacteragglomerans. Arch Intern Med. 1978;138:788.
  • 18 Carandell M, Roig D, Benasco C. Plant thorn synovitis. J Rheumatol. 1980;7:567–569.
  • 19 Doig SG, Cole WG. Plant thorn synovitis, resolution following total synovectomy. J Bone Joint Surg Br. 1990;72:514–515.
  • 20 O'Connell RL, Fageir MM, Addison A. Be aware of wood in the knee. BMJ Case Rep. 2011 Dec 13;2011.
  • 21 Díaz-Martín AA, Guerrero-Moyano N, Salinas-Sánchez P, Guerado- Parra E. [Arthroscopic removal of an intraarticular projectile from the knee]. ActaOrtop Mex. 2011 Jul-Aug;25(4):223-6.