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We describe a case of plant-thorn synovitis of the elbow resulting from a thorn injury. This caused recurrent pain and swelling of the elbow over a 3-month period. A magnetic resonance imaging examination was initially requested to exclude septic arthritis, and demonstrated a joint effusion, synovitis, and a 2-cm linear opacity embedded in the synovium. Ultrasound was performed prior to surgery to confirm these findings and provide accurate localization of the thorn fragment, later removed at surgery. To our knowledge this is the first example of this condition that has been confirmed by radiological imaging prior to surgery.

Original publication

DOI

10.1007/s002560000244

Type

Journal article

Journal

Skeletal radiology

Publication Date

10/2000

Volume

29

Pages

605 - 608

Addresses

Department of Radiology, Nuffield Orthopaedic Centre, Headington, Oxford, UK.

Keywords

Elbow Joint, Humans, Plants, Plant Components, Synovitis, Foreign-Body Reaction, Magnetic Resonance Imaging, Child, Male