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Plant Thorn Synovitis (cont.)

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What is the treatment for plant thorn arthritis?

It is important to recognize that puncturing a joint with a foreign material, such as a plant thorn, can lead to bacterial infection (septic arthritis) or fungal infection (fungal arthritis) of the joint. This possibility can be excluded by removing joint fluid and culturing the fluid in the laboratory. While plant thorn arthritis is technically noninfectious, these two forms of infectious arthritis can occur from plant thorn puncture of a joint, with or without true plant thorn arthritis. These forms of arthritis require urgent antibiotic treatment.

For plant thorn arthritis, anti-inflammatory medications may quiet some of the inflammation. However, chronic arthritis eventually develops even long after the plant thorn injury because of the thorn fragments remaining in the joint. This arthritis persists until the fragments are removed with a surgical operation.

The surgical operation that can cure plant thorn arthritis is called a synovectomy with joint lavage (joint washout cleaning). During a synovectomy, the surgeon will remove the affected and surrounding joint lining tissue (synovium) to be certain that microscopic joint fragments within the joint and its lining are eliminated from the body.

Intraoperative photos of the author's right third metacarpophalangeal joint
With permission, these are intraoperative photos of the author's right third metacarpophalangeal joint exposing inflamed joint lining tissue (synovium) from which a 1 mm thorn tip from the common palm tree Phoenix roebelenii was surgically resected. Kindly provided by Gabriel Trainer, MD, and Neil Jones, MD, orthopedic hand surgery, University of California, Irvine Medical Center.
Photos of joint lining tissue resected from author's right third metacarpophalangeal joint
With permission, photos of joint lining tissue (yellowish synovium) resected from author's right third metacarpophalangeal joint after thorn puncture with 1 mm thorn tip (dark dot on thorn covered with joint lining tissue) from the common palm tree Phoenix roebelenii. Surgical resection of the inflamed tissue (synovitis), as well as all thorn fragments, is the key to curing plant thorn arthritis (plant thorn synovitis). Kindly provided by Gabriel Trainer, MD, and Neil Jones, MD, orthopedic hand surgery, University of California, Irvine Medical Center.
Medically Reviewed by a Doctor on 1/22/2014

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Plant Thorn Synovitis - Symptoms Question: What symptoms did you experience with plant thorn synovitis?
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Plant Thorn Arthritis - Types of Plants Question: If known, what is the name or type of plant that caused your plant thorn arthritis?
Source: MedicineNet.com
http://www.medicinenet.com/plant_thorn_synovitis/article.htm

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