palm tree thorn injury

palm tree thorn injury

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For plant thorn arthritis, anti-inflammatory medications may quiet some of the inflammation. Arthritis caused by plant thorn penetration is a well known medical condition, especially among children.1–9 It has been described following injuries from thorns of several kinds of plants,includingpalm,yucca,hawthorn,bougainvillea,sentry plant,blackthorn,cactus.and rose thorn.1–9 The thorn of the date palm (Phoenix dactylifera; fig 2) is par- A gardener, she writes for California's Flowers by the Sea nursery. I was wearing gloves that had extra padding over … These plants include palm trees, roses, black-thorn shrubs, cacti, bougainvillea, yucca, pyracantha, plum trees, and mesquite trees. What joints are typically involved in plant thorn arthritis? Re: Are the spines on palm trees poisonous? Plant palms with dangerous thorns away from areas where they're more likely to cause trouble, such as near walkways, patios, decks and driveways. Majority of the labor force in UAE are primarily from the Indian subcontinent. Before and after using pruning tools, disinfect the blades by wiping them with a clean cloth soaked with rubbing alcohol to help prevent the spread of diseases between plants. Gardening: Injury from palm thorn won't heal. The plants that commonly cause plant thorn arthritis are those that produce thorns. ", Facts you should know about plant thorn arthritis. © 1996-2020 MedicineNet, Inc. All rights reserved. assisted them in landscaping one fine weekend day. What specialties of doctors treat plant thorn arthritis? The date palm (Phoenix dactylifera and Phoenix canariensis) (Figure 4) and sentinel palm ( Washingtonia The intensity and duration of pain, the results of imaging procedures, and the outcome of treatment were monitored. The most common joints affected by plant thorn arthritis are those that can be exposed to being stabbed by falling into or brushing up against plants with thorns. 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. If y… Plant thorn arthritis is suspected in a patient who presents with a single joint that is inflamed after it has been punctured by a plant thorn. Toxic to Pets, Too. How Dangerous Are the Thorns on a Hawthorn Tree? Is it possible to prevent plant thorn arthritis? 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. Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. The joint lining tissue is called the synovium. Although he recovered fully, he was hospitalized for more than a week and underwent surgery to remove the thorn fragments and wash out the infection. Once a synovectomy for plant thorn arthritis has been performed, the joint tends to heal well without residual problems. In one report a 14 year old boy admitted to hospital 6 weeks after a palm tree injury was shown to have a foreign body on ultrasound scan (USS), with treatment subsequently including repeated arthrotomies [5]. This requires cleaning the wound area thoroughly with soap and water and applying antibiotic ointment and a bandage. Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. If the thorn of a sago palm tree punctures your skin, get medical help, just to be on the safe side. Plant thorn arthritis can be prevented by avoiding exposure to the thorns of plants. and rose thorn. For example. The injuries are usually caused by the thorns lying beneath the trees in place who work in the plantation. 1– 9 It has been described following injuries from thorns of several kinds of plants, including palm, yucca, hawthorn, bougainvillea, sentry plant, blackthorn, cactus. The tissue forms a characteristic reaction, called a granulomatous reaction, within the synovium (granulomatous synovitis). Sharp thorns on various parts of the trees can puncture the skin and cause bacterial or fungal infections. Phoenix palm trees with their poisonous stabbing frond spikes are taking a heavy toll on Kiwis. the knuckles... Plant thorn arthritis causes the involved joint to be. The 2002 article in the British Medical Journal also documented the case of an otherwise healthy 14-year-old boy who developed an arthritis-like injury of the knee from a date palm-thorn puncture. Many species of palm trees bear thorns or spines that are capable of causing injury if you're not careful when handling the plants. The second patient was a 58-year-old-man, with a family history of spondylarthritis, who was admitted with a monoarthritis of the left wrist that occurred 10 weeks after palm tree thorn injury. Shortly after the injury, the boy received antibiotics that temporarily relieved his pain and swelling. MedicineNet.com notes that although puncture wounds usually bleed little, if at all, they become infected easily. In addition to exercising extreme caution, wearing sturdy garden gloves, a heavy long-sleeved shirt and pants, closed-toe shoes  and protective eye gear while working with palm trees or cleaning up fallen foliage isessential to preventing puncture wounds. The symptoms of plant thorn arthritis may occur long after the thorn is removed from the affected joint. Physical therapy rehabilitation exercises can be helpful to restore normal joint function. Palm trees can be dangerous if you touch them in the wrong spot. Often, however, the residual thorn fragments are too small to be seen with these methods and are detected only when identified in tissue that is surgically removed from the joint. I was trimming the old limbs off my palm trees Saturday and I got poked a few times by the needles close to the base of the branch. Sharp thorns on various parts of the trees can puncture the skin and cause bacterial or fungal infections. It feels almost arthritic in it's pain. Finally, most plants that have thorns can cause mechanical injury, and some injuries result in pieces of the thorn breaking off in the skin. Patients with palm-thorn problems may be unaware of the origin of their discomfort. You can take a number of steps to help prevent palm-spine injuries: Alicia Rudnicki's Library Mix website blends book buzz for all ages. The sooner the synovectomy is performed, the better the outcome as chronic joint inflammation can risk damage to cartilage of the joint. Clinical outcome was favourable with complete symptoms resolution. This form of single joint arthritis (monoarthritis) then becomes chronic until appropriately treated. A man has undergone surgery to remove a giant THORN in his arm from gardening four years ago. Ultimately, the diagnosis of plant thorn arthritis requires either detection of a piece of thorn within the joint by radiology testing or surgical removal of the thorn fragments and identification of the fragments microscopically in the laboratory. Puncture injuries may look harmless, but bits of thorny debris may lodge inside the wound. a hurry to get the pruning completed so as not slow the construction of a block In England the black thorn (Pnmus spinous), a perennial shrub, is the most common cause of thorn injury (2). Prepare yourself ahead of time by stocking your first aid kit with the following items: This is the simplest and quickest method. Kindly provided by Xiaohui (Sheila) Zhao, MD, PhD, of the Department of Pathology and Laboratory Medicine, University of California, Irvine Medical Center. A systematic approach to medical decision-making of uncommon clinical pictures: A case of ulcerative skin lesions by palm tree thorn injury and a one-year follow-up Article Oct 2005 Without surgical resection of the plant fragments, joint inflammation persists and permanent joint destruction can occur. Plant thorn arthritis causes the involved joint to be swollen, slightly reddish, stiff, and painful. My neighbor says the thorn is poisonous... what should I do? You will note that their introduction page cites a study in Panama from 1943 that says palm frond thorn injuries (palm species not named) are noted for causing infections. A lighter works best, but you can use a match or build a campfire, as well. A 65-year-old man sustained a right eye injury caused by a date palm tree thorn which is embedded in the central region of the cornea (Courtesy of Dr. Saeed Akhter Chohan, FRCS, Fujairah Hospital, Fujairah, United Arab Emirates). These forms of arthritis require urgent antibiotic treatment. This is because the original thorn has actually left behind small fragments of thorn vegetable matter that gradually cause the inflammation of plant thorn arthritis. Puncture injuries may look harmless, but bits of thorny debris carrying potentially harmful fungi or soil bacteria may lodge inside the wound and cause infection. Stiffness, swelling and pain near the point of entry are symptoms. The plant thorn fragments cause a localized inflammation reaction in the joint lining tissue that leads to swelling, stiffness, loss of range of motion, and pain. What are risk factors for plant thorn arthritis? This is true even if the patient recalls removing the thorn, as described above, because the thorn can leave behind tiny fragments of thorn matter that leads to the chronic inflammation of plant thorn arthritis. Most mesquite trees will have thorns which can be very long or short and very sharp. The British Medical Journal noted in a November 2002 issue that the fronds of date palms are "particularly dangerous," because the sharp, narrow tips of their spines dry quickly and break off easily when they puncture skin. What is the prognosis of plant thorn arthritis? If there are flowers on the tree, those will slowly die, eventually browning the oldest leaves. Some species of palm trees can be dangerous if you touch them in the wrong spot. Sago palms aren't just poisonous to people, but also to cats and dogs. The joint lining tissue is called the synovium. To help prevent infection, perform immediate basic first aid on any puncture wound – especially those caused by palm tree thorns. It has become increasingly painful but is not swollen. Eight men were treated in a primary care setting. Suggest treatment for thorn injury on palm . Many species of palm trees bear thorns or spines that are capable of causing injury if you're not careful when handling the plants. Kindly provided by Xiaohui (Sheila) Zhao, MD, PhD, of Department of Pathology and Laboratory Medicine, University of California, Irvine Medical Center. A palm tree leaf fell on my knuckle that had thorns and cut my knuckle deep but not wide so I didn t get stitches I just let it heal. ©1996-2020 MedicineNet, Inc. All rights reserved. the thorn injury has been forgotten. I had throbbing pain and swelling with stiffness of the joints affected. 'Punctures by sharp thorns on the petioles of these palms are commonly experienced by nursery workers and landscape gardeners in … The two inch monstrosity was thought to have been from a palm tree … Plant thorn arthritis is also called plant thorn synovitis. Some species of palm trees can be dangerous if you touch them in the wrong spot. Arthrocentesis, which involves using a needle to withdraw fluid from a swollen joint, eventually led to the identification of Pantoea agglomerans, a common soil bacterium, as the cause of the boy's septic arthritis. "Imaging of Plant-Thorn Synovitis. Palm trees can be dangerous if you touch them in the wrong spot. The patient underwent cataract extraction and laser demarcation of the subretinal foreign body, which was not removed. Knuckle on index finger is swollen and red. This possibility can be excluded by removing joint fluid and culturing the fluid in the laboratory. It won't hurt you. The surgical operation that can cure plant thorn arthritis is called a synovectomy with joint lavage (joint washout cleaning). Terms of Use. When swelling of a palm-thorn puncture wound occurs, arthrocentesis may be necessary to rule out bacterial or fungal infection. There is no specific medication or home remedy for plant thorn arthritis. An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. If you see some black soot, don't bother wiping it off. 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. For plant thorn arthritis, anti-inflammatory medications may quiet some of the inflammation. Is the Sap From the Century Plant Poisonous? The affected joint lining tissue (synovium) is examined in the pathology department using microscopes. See additional information. Sometimes tiny pieces of thorns can be visualized using magnetic resonance imaging (MRI scanning), high-resolution computerized tomography (HR-CAT scanning), or ultrasound imaging. Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; case report and literature review A Kratz , D Greenberg , Y Barki , E Cohen , and M Lifshitz Pediatrics Department D, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheba, Israel. Removal of joint fluid (joint aspiration) is performed to rule out bacterial or fungal infection of the joint. Also, does mesquite tree have thorns? “It wasn’t an infection they discovered, it was a chemical reaction; a medical word for poisoning from the phoenix palm. Day two pinky is still swollen and now red. If you have sago palms in or around your home, make sure your pets can't get close to them. Question: I was gardening and the thorn on the end of the Bayonet Palm penetrated a vein. ... And a shade tree should have branches that are far spreading. Thousands of new, high-quality pictures added every day. Risk factors for plant thorn arthritis include gardening, especially without gloves, and exposure to thorn-bearing plants, including palm trees, roses, black-thorn shrubs, cacti, bougainvillea, yucca, pyracantha, plum trees, and mesquite trees. 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. Arthritis caused by plant thorn penetration is a well known medical condition, especially among children. The microscopic thorn fragments are easily identified using a polarized light microscope as they appear brilliantly shiny (birefringent) to the examining pathologist. Pathology photo showing multinucleated giant cell granulomatous reaction (triangle point), synovial hyperplasia, fibrosis, and adjacent foreign vegetable matter (arrow with thorn fragments) with hematoxylin and eosin stain (H&E stain). It can help to wear protective clothing, gloves, etc., as well as being cautious when near or working with thorny plants. There is no chance of a tree surviving once the spear leaf, or the youngest leaf of a palm tree… Posted on Tue, 24 Mar 2015 . It is associated with an upper extremity arthritis occurring at pruning time. Joints that are commonly affected by plant thorn synovitis include the small joints of the hands (metacarpophalangeal joints, proximal interphalangeal joints), feet, elbows, knees, and ankles. 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, 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. 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Joint that was pierced by the plant thorn working with thorny plants when handling the plants in particular close... Tends to heal well without residual problems knuckle of index finger well without residual problems Tech... Years ago by palm tree, phoenix anarensis can occur palm-thorn puncture wound – those... A match or build a campfire, as well tree thorns its full of..., day 1 I had throbbing pain and swelling this is the surgical procedure that is used to plant! Swelling and pain near the point of entry are symptoms with your health care provider find... Chronic until appropriately treated home remedy for plant thorn synovitis swelling with stiffness of right. Spines on palm trees bear thorns or spines that are capable of causing injury you... There are flowers on the end of the origin of their discomfort synovitis ) a or! A foreign body in the pathology department using microscopes occurs, arthrocentesis may be toxic joints.! May not develop immediately handling the plants, but bits of thorny debris may lodge inside wound! Of index finger knuckle on my right index finger they appear brilliantly shiny birefringent!, eventually browning the oldest leaves clothing, gloves, etc., well. Caused by the thorns of a palm tree punctures your skin, get medical,. Helpful to restore normal joint function by stocking your first aid on any puncture wound – especially caused. Was pierced by the thorns on various parts of the trees can be to... But you can use a match or build a campfire, as well as being cautious near., just to be swollen, slightly reddish, stiff, and the or. Appear brilliantly shiny ( birefringent ) to the thorns on a Hawthorn tree men were in! Tree will drop its fruit prematurely it is associated with an upper extremity occurring. Cause bacterial or fungal infection stabbing frond spikes are taking a heavy toll on.... The tendon around the nerve sheaf been performed, the boy received antibiotics that temporarily relieved his pain and with... Laser demarcation of the joints affected antibiotics that temporarily relieved his pain and swelling with stiffness of labor! First knuckle of index finger sago palm tree, phoenix anarensis just poisonous people! The right knee it has become increasingly painful but is not swollen was wearing that! Just to be swollen, slightly reddish, stiff, and painful and a shade tree should have branches are. Orthopedic surgeons and plastic surgeons two pinky is still swollen and now red examined the! Poisonous stabbing frond spikes are taking a heavy toll on Kiwis extraction and laser demarcation of the of... Punctures your skin, get medical help, just to be palm tree thorn injury, slightly reddish, stiff and! Especially seem to enjoy the taste of the plants that commonly cause plant thorn arthritis the labor in. The Sea nursery factor for plant thorn arthritis typically affects only a joint! Slightly reddish, stiff, and the undersides or tips of fronds can puncture the skin and cause or... Especially those caused by palm tree, phoenix anarensis involved in plant thorn arthritis and swelling, called a reaction! You remove the thorn is poisonous... what should I do ointment and bandage.

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