1/10. Injuries from palm tree thorn simulating tumoral or pseudotumoral bone lesions.Three cases of bone changes caused by foreign bodies that appeared to be tumoral lesions or pseudotumors, were observed in young male patients who presented with pain, localized inflammation, and radiographic and bone scan findings suggestive of tumoral or pseudotumoral lesions. Accurate diagnosis was made at surgery when the foreign body was retrieved. Following removal of the foreign body, postoperative recovery was satisfactory. The common causative agent in all these cases was a palm tree thorn.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
2/10. pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature review.We report the case of a 14 year old healthy boy, who was admitted six weeks after being injured by a palm tree thorn, with limping caused by pain and swelling in his right knee. An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. pantoea agglomerans was identified in the synovial fluid. The patient underwent two arthrotomies and was treated with amoxicillin-clavulanate intravenously for three weeks. The postoperative course was uneventful, and joint function returned to normal. A review of the literature between 1953 and 2002 revealed that bacterial growth after plant thorn injuries is reported infrequently. Yet when reported, pantoea agglomearns is the most common organism found. Therefore, it must be considered and suspected in "aseptic" cases of arthritis, when there is a history of a plant thorn injury. We also emphasise the efficacy of ultrasound examination in these cases to identify the presence and location of a plant thorn.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
3/10. Palm needle induced pseudo-tumours of bone.Two children presented with recurrent swelling and pain, one in the forearm the other in the leg, without a history of a penetrating injury. It was difficult to arrive at a precise clinical diagnosis. X-ray films showed periosteal thickening in the diaphysis of the adjacent long bone with some unusual features but were suggestive of infection or tumour. Other extensive investigations did not contribute to a diagnosis. This was only achieved after surgical exploration. Both children had a 3 cm length of brittle palm needle within a soft tissue cavity adjacent to the long bone. The needles were from a commonly grown palm, Phoenix canariensis. Palm needle induced pseudo-tumour should always be considered in the differential diagnosis of bone neoplasm, particularly in childhood.- - - - - - - - - - ranking = 0.4keywords = palm (Clic here for more details about this article) |
4/10. ankle extensor tendon synovitis due to a date palm thorn.Palm thorn injury to tendons and joints is characterized in most patients by an acute inflammatory stage followed by a relatively asymptomatic period and finally by chronic synovitis or tenosynovitis. Once the inflammatory process has begun, detection and localization of the thorn can be very difficult. We present an unusual case of palm thorn tenosynovitis of the ankle extensor tendon which was detected and localized preoperatively by ultrasound. Removal of the thorn and synovectomy were curative.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
5/10. Management of sea urchin spines in the hand.The left palm of a 43-year-old woman was penetrated by sea urchin spines. Localization of the spines by soft tissue technique x-ray films proved to be the key to their easy removal. A review of the literature shows this to be an uncommon problem and that spine removal may be important to avoid long-term sequelae of pain and loss of function.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
6/10. Palm thorn synovitis.This retrospective study compares the results of extensive versus limited synovectomy at the time of palm thorn removal from a joint space. patients treated by primary extensive synovectomy obtained complete relief of symptoms; patients who underwent limited synovectomy required subsequent extensive synovectomy.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
7/10. Foreign body (palm thorn) in knee joint.A child who lives in a semitropical or tropical zone and has monarticular symptoms involving the knee joint and a history of playing in the vicinity of plams should be examined for the possibility of a palm thorn within the joint. The diagnosis, made after careful elimination of more common entities, can only be confirmed by surgical exploration.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
8/10. Plant thorn synovitis.A boy with an inflammatory monoarthritis due to penetration of the joint by palm thorn is presented. The clinical presentation was that of an acute synovitis of 2 months' duration, that improved quickly after arthroscopy for biopsy, and articular washout. Microscopic examination of the biopsy showed a granulomatous synovitis with vegetable tissue identified as a palm thorn.- - - - - - - - - - ranking = 0.4keywords = palm (Clic here for more details about this article) |
9/10. Preoperative localization of a foreign body by magnetic resonance imaging.Nonradioopaque foreign bodies are very difficult to detect and localize. A case is presented in which a retained palm tree thorn was visualized and extracted with the help of magnetic resonance imaging.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
10/10. Penetrating pencil injury: an unusual case of child abuse.OBJECTIVE: We report an unusual case of penetrating pencil injury in a young child that turned out to be a case of physical abuse. METHOD: This is a case report with review of the literature. RESULTS: A 4-year-old boy was brought by his mother to the accident and emergency department for a penetrating wound of the right hand. He was said to have injured himself during a fall at home while holding a sharpened lead pencil. The pencil broke after penetrating the hypothenar eminence, leaving the graphite tip embedded in the palm. On surgical exploration, a piece of graphite measuring 1.3 cm was removed. The injury was actually inflicted by his mother because he failed to complete his homework properly. Deep penetrating injuries associated with the lead pencil are uncommon events in the medical literature. They are often reported as accidental and usually involve the oropharynx and the orbit. CONCLUSION: Deep penetrating injury with a pencil is unusual in childhood and the public should be made aware of the possibility of nonaccidental injury.- - - - - - - - - - ranking = 0.2keywords = palm (Clic here for more details about this article) |
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