Foreign Body (Palm Thorn) in Knee Joint

Kahn, Bernard S.

doi:10.1097/00003086-197809000-00024

Cited by 10 publications

(9 citation statements)

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“… 5,15 The nature of presentation can lead to misdiagnosis as traumatic arthritis, septic arthritis or juvenile rheumatoid arthritis. Microscopically the synovium becomes hyperplastic and exudative, 4 granulomatous inflammation occurs, epithelioid cells with both foreign body type and Langhan type giant cells develop. Caseous necrosis has been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Once a thorn has penetrated the skin it tends to migrate. 4,5 Diagnosis of residual foreign body as a cause of ongoing symptoms can be notoriously difficult. Typically, plain X-rays fail to show a foreign body 4 and thorns remain radiolucent.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Diagnosis of residual foreign body as a cause of ongoing symptoms can be notoriously difficult. Typically, plain X-rays fail to show a foreign body 4 and thorns remain radiolucent. When thorns lie adjacent to bones marked periosteal inflammation can lead to underlying osteolysis with the formation of pseudotumours (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Plant thorn injuries in joints and tendon sheaths produce a severe, protracted sterile granulomatous inflammation termed ‘plant thorn synovitis’ by Sugarman et al 1 When the injury is adjacent to bone, the inflammatory response can lead to a ‘pseudotumour’ formation. Phoenix date palm injuries have been previously described in the world literature, 2–5 however, these have been mainly limited case reviews – the largest being a series of only 11 patients from Cozen and Fonda in 1953. 3…”

Section: Introductionmentioning

confidence: 99%

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Phoenix Date Palm Injuries: A Review of Injuries From the Phoenix Date Palm Treated at the Starship Children’s Hospital

Adams

Timms

Hanlon

2000

Aust. N.Z. J. Surg.

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Phoenix date palm injuries often have a protracted course. The initial diagnosis and treatment of such injuries is often delayed. Fracturing and fragmentation of the barbs may occur and multiple surgical procedures may be required to remove all of the foreign material. The Phoenix date palm barbs may cause a severe tissue reaction with sterile granulomatous synovitis and bony pseudotumour formation. A high level of suspicion on history taking and surgical exploration is needed. Total synovectomy for delayed joint or tendon sheath involvement may be required when fragmentation has occurred. Ultrasound has higher sensitivity for detection of thorn foreign bodies than magnetic resonance imaging.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Phoenix Date Palm Injuries: A Review of Injuries From the Phoenix Date Palm Treated at the Starship Children’s Hospital

Adams

Timms

Hanlon

2000

Aust. N.Z. J. Surg.

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“…Es handelt sich dabei um die Stecknadelverletzung des Kniegelenkes. An diese Verletzung muß man denken, wenn ein Kind, welches im Krabbelalter ist, über sonst nicht erklärbare Schmerzen im Kniegelenk klagt (11). Eine Röntgenaufnahme ist bei aller sonst gebotenen Zurückhaltung, Röntgenaufnahmen im Kindesalter gegenüber, indiziert.…”

Section: Diskussionunclassified

Frakturen und Knorpelverletzungen des kindlichen Kniegelenkes

Benz¹,

Roth²,

Zachariou³

1986

Eur J Pediatr Surg

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In the last decade we treated and followed up 48 children in the Department of Paediatric Surgery in Heidelberg with fractures and cartilaginous injuries of the knee joint. In 13 cases we could see severe osseous injuries localised at the epiphyseal plate. With decreasing frequency, the following conditions occurred: avulsion fractures of the intercondylar eminence, fracture of the tibia head in children, fractures of the patella and avulsions of the tuberositas tibiae. Furthermore, we report about the special problems of foreign bodies incorporated in the knee joints of children, particularly if sewing needles are involved.

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Foreign body in the knee joint—an unusual injury in children

Schüz

Mockwitz

1987

Unfallchirurgie

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Cause of uncertain knee-complaints in children can be foreign bodies which penetrated unnoticed the joint cavity. Here we report an unusual injury of this kind. A glass-foreign body intruded the knee joint in childhood. Complaints occurred for the first time in adult age. The diagnostic and therapeutic measures in such injuries are shown. At removal of the foreign body tetanus immunisation is necessary.

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Foreign Body (Palm Thorn) in Knee Joint

Cited by 10 publications

References 0 publications

Phoenix Date Palm Injuries: A Review of Injuries From the Phoenix Date Palm Treated at the Starship Children’s Hospital

Phoenix Date Palm Injuries: A Review of Injuries From the Phoenix Date Palm Treated at the Starship Children’s Hospital

Frakturen und Knorpelverletzungen des kindlichen Kniegelenkes

Foreign body in the knee joint—an unusual injury in children

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