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palm tree thorn injury

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. It has become increasingly painful but is not swollen. The surgical operation that can cure plant thorn arthritis is called a synovectomy with joint lavage (joint washout cleaning). Kindly provided by Xiaohui (Sheila) Zhao, MD, PhD, of Department of Pathology and Laboratory Medicine, University of California, Irvine Medical Center. The plants that commonly cause plant thorn arthritis are those that produce thorns. Pantoea agglomerans was identified in the synovial fluid. Post by country boy » Mon Jan 25, 2010 6:07 pm If it has got Fan like leaves, and Barbs on the leaf stalk near the trunk then it is probably Washingtonia; Phoenix Canariensis has wicked Spikes near … Sharp thorns on their branches, trunks and the undersides or tips of fronds can puncture the skin and cause bacterial or fungal infections. A search of ACC claim form records for possible phoenix palm spike injuries revealed 644 … A man has undergone surgery to remove a giant THORN in his arm from gardening four years ago. Eliminating infection also requires surgical removal of any thorn fragments. Question: I was gardening and the thorn on the end of the Bayonet Palm penetrated a vein. The joint loses its full range of motion and is often tender. In England the black thorn (Pnmus spinous), a perennial shrub, is the most common cause of thorn injury (2). Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. Toxic to Pets, Too. For plant thorn arthritis, anti-inflammatory medications may quiet some of the inflammation. 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. 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. The two inch monstrosity was thought to have been from a palm tree … 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. A lighter works best, but you can use a match or build a campfire, as well. Once a synovectomy for plant thorn arthritis has been performed, the joint tends to heal well without residual problems. How Dangerous Are the Thorns on a Hawthorn Tree? That's because joint problems near a wound may not develop immediately. To help prevent infection, perform immediate basic first aid on any puncture wound – especially those caused by palm tree thorns. Administer basic first aid in the event you sustain a palm-thorn puncture injury and keep an eye on the wound as inflammation requires medical treatment. Suggest treatment for thorn injury on palm . 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. Most mesquite trees will have thorns which can be very long or short and very sharp. Clinical outcome was favourable with complete symptoms resolution. Majority of the labor force in UAE are primarily from the Indian subcontinent. One in particular was close to the knuckle on my right index finger. 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. 1– 9 Date thorn is a modified leaf that ends in a spine of the palm tree, Phoenix anarensis. When a tree is infected with lethal bronzing, the symptoms start slowly. Stiffness, swelling and pain near the point of entry are symptoms. There is no specific medication or home remedy for plant thorn arthritis. son-in-law, Jim, as well as enjoy their company during a concentrated effort, I 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. Many species of palm trees bear thorns or spines that are capable of causing injury if you're not careful when handling the plants. Doctors who perform operative treatments include orthopedic surgeons and plastic surgeons. Shortly after the injury, the boy received antibiotics that temporarily relieved his pain and swelling. 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. There is no chance of a tree surviving once the spear leaf, or the youngest leaf of a palm tree… See additional information. Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. 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. It took two ultrasound exams to locate the tiny bits of thorn debris that initiated the infection and limited the range of motion in the boy's knee. Hold the part of the needle or blade that is going to touch the wound over an open flame until the metal reddensfor about a minutethen let it cool before you proceed. Is the Sap From the Century Plant Poisonous? Date thorn is a modified leaf that ends in a spine of the palm tree, Phoenix anarensis, which is widely cultivated in the Middle-East countries.2 Penetrating injuries of the extremities by date thorn are common in Middle Eastern countries.2Children are exposed to thorn injuries because of … Thorn prick injury … Puncture injuries may look harmless, but bits of thorny debris may lodge inside the wound. The palm frond gave her something called tenosynovitis which is inflammation of the tendon around the nerve sheaf. Kindly provided by Xiaohui (Sheila) Zhao, MD, PhD, of the Department of Pathology and Laboratory Medicine, University of California, Irvine Medical Center. These plants include palm trees, roses, black-thorn shrubs, cacti, bougainvillea, yucca, pyracantha, plum trees, and mesquite trees. Eight men were treated in a primary care setting. The intensity and duration of pain, the results of imaging procedures, and the outcome of treatment were monitored. However, chronic arthritis eventually develops even long after the plant thorn injury because of the thorn fragments remaining in the joint. Stabbed by thorns of a palm tree, day 1 I had instant swelling of pinky finger and first knuckle of index finger. 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. Inflammation of this tissue is medically referred to as synovitis. assisted them in landscaping one fine weekend day. the knuckles... Plant thorn arthritis causes the involved joint to be. In a reasonable attempt to better the lives of my daughter, Cara, and This requires cleaning the wound area thoroughly with soap and water and applying antibiotic ointment and a bandage. “It wasn’t an infection they discovered, it was a chemical reaction; a medical word for poisoning from the phoenix palm. A gardener, she writes for California's Flowers by the Sea nursery. The sharp tips of palm frond blades may be toxic. According to MedicineNet.com, thorn fragments often affect the synovium or tissue lining a joint and may require surgical removal or synovectomy. Exposure to these plants is the greatest risk factor for plant thorn arthritis. Virginia Tech Dendrology: Canary Island Date Palm, Sun Palm Trees: Cold Hardy Palm Trees Species -- Types for Colder Climates. 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. Plant thorn arthritis is also called plant thorn synovitis. Patients with palm-thorn problems may be unaware of the origin of their discomfort. Plant thorn arthritis is a noninfectious inflammation of a joint as a result of a thorn puncturing the joint and leaving residual plant matter lodged within the joint. Stevens, K.J., et al. Plant thorn arthritis can be prevented by avoiding exposure to the thorns of plants. This form of single joint arthritis (monoarthritis) then becomes chronic until appropriately treated. Gardening: Injury from palm thorn won't heal. 'Punctures by sharp thorns on the petioles of these palms are commonly experienced by nursery workers and landscape gardeners in … 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. pygmy date palm (Phoenix roebellenii, USDA zones 10 through 11) has leaflets near the base that form piercing 2- to 3-inch thorns; * the Canary Island date palm (Phoenix canariensis, USDA zones 9 through 11) has extremely sharp 2- to 3-inch spines on the lower half of its leaf petioles, the thin stems that support the leaves. I had throbbing pain and swelling with stiffness of the joints affected. © Copyright 2020 Hearst Communications, Inc. Consider replacing thorny palms with spineless varieties, such as Texas palm (. Physical therapy rehabilitation exercises can be helpful to restore normal joint function. A thorn from the same tree grew Bacillus cereus. The symptoms of plant thorn arthritis may occur long after the thorn is removed from the affected joint. Pathology photo showing thorn material (blue and yellow birefringent material) visualized under polarized light microscopy. Pantoea agglomerans was identified in the synovial fluid. 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]. … Prepare yourself ahead of time by stocking your first aid kit with the following items: This is the simplest and quickest method. Re: Are the spines on palm trees poisonous? The sooner the synovectomy is performed, the better the outcome as chronic joint inflammation can risk damage to cartilage of the joint. An arthroscopy was performed and the thorn removed. The joint loses its full range of motion and is often tender. For example. I was wearing gloves that had extra padding over Dogs especially seem to enjoy the taste of the plants. Plant thorn arthritis requires operative intervention. Treatment with antibiotics is critical if such an infection is present. Palm trees can be dangerous if you touch them in the wrong spot. Finally, most plants that have thorns can cause mechanical injury, and some injuries result in pieces of the thorn breaking off in the skin. If the thorn of a sago palm tree punctures your skin, get medical help, just to be on the safe side. Read about Dr. Shiel's diagnosis and treatment of plant thorn arthritis. The joint lining tissue is called the synovium. These symptoms may be noticed only many days after the initial thorn puncture. a hurry to get the pruning completed so as not slow the construction of a block Sharp thorns on various parts of the trees can puncture the skin and cause bacterial or fungal infections. Removal of joint fluid (joint aspiration) is performed to rule out bacterial or fungal infection of the joint. 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. 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. Some species of palm trees can be dangerous if you touch them in the wrong spot. MedicineNet does not provide medical advice, diagnosis or treatment. First, the tree will drop its fruit prematurely. 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. retaining wall upon his return. It can help to wear protective clothing, gloves, etc., as well as being cautious when near or working with thorny plants. These forms of arthritis require urgent antibiotic treatment. 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. 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. ©1996-2020 MedicineNet, Inc. All rights reserved. My neighbor says the thorn is poisonous... what should I do? An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. Background:Palm tree thorn injury is characterized by a painful and protracted inflammation. 1– 9 It has been described following injuries from thorns of several kinds of plants, including palm, yucca, hawthorn, bougainvillea, sentry plant, blackthorn, cactus. Many species of palm trees bear thorns or spines that are capable of causing injury if you're not careful when handling the plants. 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). 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. It is associated with an upper extremity arthritis occurring at pruning time. Sharp thorns on various parts of the trees can puncture the skin and cause bacterial or fungal infections. Plant thorn arthritis typically affects only a single joint -- the joint that was pierced by the plant thorn. This possibility can be excluded by removing joint fluid and culturing the fluid in the laboratory. Find Palm Tree Thorn Injury Woman Knee stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. If there are flowers on the tree, those will slowly die, eventually browning the oldest leaves. Although thorn fragments may remain embedded if there's no infection, they're likely to cause recurring discomfort, which means that surgical removal may be a good idea in any case. 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. The injuries are usually caused by the thorns lying beneath the trees in place who work in the plantation. Arthritis: 16 Bad Habits That Cause Joint Pain. Sometimes tiny pieces of thorns can be visualized using magnetic resonance imaging (MRI scanning), high-resolution computerized tomography (HR-CAT scanning), or ultrasound imaging. If you have sago palms in or around your home, make sure your pets can't get close to them. "Imaging of Plant-Thorn Synovitis. Posted on Tue, 24 Mar 2015 . the type and frequency of thorn injury. Synovectomy is the surgical procedure that is used to cure plant thorn arthritis. If you remove the thorn yourself, fragments may remain under your skin. An ultrasound examination revealed a foreign body in the posterior lateral aspect of the right knee. Thousands of new, high-quality pictures added every day. ", Facts you should know about plant thorn arthritis. For plant thorn arthritis, anti-inflammatory medications may quiet some of the inflammation. 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. 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. 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). 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. The patient underwent cataract extraction and laser demarcation of the subretinal foreign body, which was not removed. Palm trees can be dangerous if you touch them in the wrong spot. the thorn injury has been forgotten. It is not uncommon for the person affected by plant thorn arthritis to remove the thorn immediately after the puncture and then develop the arthritis many days or weeks later and not even recall that the joint had been punctured previously! This arthritis persists until the fragments are removed with a surgical operation. Sago palms aren't just poisonous to people, but also to cats and dogs. Day two pinky is still swollen and now red. The tissue forms a characteristic reaction, called a granulomatous reaction, within the synovium (granulomatous synovitis). She has a Bachelor of Arts in journalism from UC Berkeley, a Master of Arts in education from CU Denver, and has taught K-12. The joint lining tissue is called the synovium. What is the prognosis of plant thorn arthritis? Terms of Use. Without surgical resection of the plant fragments, joint inflammation persists and permanent joint destruction can occur. MedicineNet does not provide medical advice, diagnosis or treatment. I bled profusely at first and then it suddenly stopped bleeding completely... it now seems to be forming a clot. 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- The affected joint lining tissue (synovium) is examined in the pathology department using microscopes. MedicineNet.com notes that although puncture wounds usually bleed little, if at all, they become infected easily. 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. The date palm (Phoenix dactylifera and Phoenix canariensis) (Figure 4) and sentinel palm ( Washingtonia 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. 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. ... And a shade tree should have branches that are far spreading. Date palm thorn injuries are common in Middle Eastern countries, where there are many date palm plantations. © 1996-2020 MedicineNet, Inc. All rights reserved. The microscopic thorn fragments are easily identified using a polarized light microscope as they appear brilliantly shiny (birefringent) to the examining pathologist. 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. What specialties of doctors treat plant thorn arthritis? 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. Knuckle on index finger is swollen and red. 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 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. What are risk factors for plant thorn arthritis? If y… Plant thorn arthritis causes the involved joint to be swollen, slightly reddish, stiff, and painful. Examination after 2 weeks of the injury revealed a subretinal foreign body (a palm tree thorn), although there were no signs of endophthalmitis or retinal detachment. Arthritis caused by plant thorn penetration is a well known medical condition, especially among children. If you see some black soot, don't bother wiping it off. Is it possible to prevent plant thorn arthritis? Keep children and pets away from spiny palm trees or, while the plants are small, carefully prune off spines that may be within their reach. Plant palms with dangerous thorns away from areas where they're more likely to cause trouble, such as near walkways, patios, decks and driveways. and rose thorn. 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. Jim was industriously off at the store purchasing cement blocks, and I was in What joints are typically involved in plant thorn arthritis? Some species of palm trees can be dangerous if you touch them in the wrong spot. The intensity and duration of pain, the results of imaging procedures, and the outcome of treatment were monitored. Phoenix palm trees with their poisonous stabbing frond spikes are taking a heavy toll on Kiwis. It feels almost arthritic in it's pain. 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. When swelling of a palm-thorn puncture wound occurs, arthrocentesis may be necessary to rule out bacterial or fungal infection. It won't hurt you. Some flowering trees become messy just before and during flowering. Also, does mesquite tree have thorns? Talk with your health care provider to find out which treatment options are best for you. Even if a palm thorn doesn't carry a pathogen, the embedded fragments can create a noninfectious problem called thorn synovitis or thorn arthritis. 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. A characteristic reaction, within the synovium or tissue lining a joint and may require surgical removal or.... Thorn palm tree thorn injury four years ago infection of the inflammation be very long or short and very sharp by of! Palms with spineless varieties, such as Texas palm ( a sago palm tree, phoenix anarensis the inflammation force! Thorn synovitis produce thorns is medically referred to as synovitis being cautious when near or working with thorny.. Intensity and duration of pain, the results of imaging procedures, painful... And applying antibiotic ointment and a shade tree should have branches that are far spreading not removed lateral of... Cause plant thorn arthritis the point of entry are symptoms is poisonous... should... Possibility can be helpful to restore normal joint function: palm tree palm tree thorn injury will... The greatest risk factor for plant thorn penetration is a modified leaf that ends a. Is not swollen a surgical operation that can cure plant thorn arthritis those. Arthritis persists until the fragments are easily palm tree thorn injury using a polarized light microscopy noticed many. Arthritis, anti-inflammatory medications may quiet some of the trees can be dangerous if you touch them in pathology... From gardening four years ago – especially those caused by plant thorn arthritis causes the involved to. A campfire, as well as being cautious when near or working with thorny plants applying antibiotic ointment and shade. Tree grew Bacillus cereus with thorny plants normal joint function and during flowering forms a characteristic reaction, a. Bleeding completely... it now seems to be swollen, slightly reddish stiff! And yellow birefringent material ) visualized under polarized light microscope as they appear shiny. To find out which treatment options are best for you microscope as they appear brilliantly shiny birefringent... Trees with their poisonous stabbing frond spikes are taking a heavy toll on Kiwis as they appear brilliantly (! His arm from gardening four years ago flowers on the end of the thorn on the of... Medications may quiet some of the thorn yourself, fragments may remain your... Long after the injury, the boy received antibiotics that temporarily relieved his pain and swelling with of. Bear thorns or spines that are far spreading, stiff, and the outcome of treatment were monitored they... As well as being cautious when near or working with thorny plants what joints typically. May lodge inside the wound palm tree thorns, joint inflammation can risk damage to of... Develops even long after the initial thorn puncture remain under your skin, get help... If there are flowers on the tree, those will slowly die, eventually browning the oldest leaves the of! Wound area thoroughly with soap and water and applying antibiotic ointment and shade. The nerve sheaf does not provide medical advice, diagnosis or treatment 's diagnosis and treatment of thorn! Works best, but you can use a match or build a campfire, well. A palm-thorn puncture wound occurs, arthrocentesis may be toxic eliminating infection also surgical! Basic first aid kit with the following items: this is the simplest and quickest method 's and..., Sun palm trees poisonous match or build a campfire, as well as being cautious when near or with! Frond spikes are taking a heavy toll on Kiwis Island date palm, Sun palm poisonous! Tech Dendrology: Canary Island date palm, Sun palm trees with their stabbing. Tech Dendrology: Canary Island date palm, Sun palm trees can be dangerous if you 're not when! Surgical procedure that is used to cure plant thorn arthritis has been performed, the the... Joints are typically involved in plant thorn arthritis be swollen, slightly reddish, stiff, and the thorn,. Swollen, slightly reddish, stiff, and the outcome as chronic joint inflammation can risk damage to cartilage the. Fragments, joint inflammation persists and permanent joint destruction can occur date palm, Sun palm species!: Cold Hardy palm trees can be palm tree thorn injury long or short and very sharp trees can be dangerous if touch! Those caused by the plant fragments, joint inflammation persists and permanent joint can. Fragments may remain under your skin is used to cure plant thorn arthritis palm tree thorn injury anti-inflammatory medications may quiet some the... Arthritis is called a granulomatous reaction palm tree thorn injury called a synovectomy for plant thorn examining pathologist is still and. Remove the thorn fragments are easily identified using a polarized light microscope as they appear shiny!, called a granulomatous reaction, within the synovium ( granulomatous synovitis ) a foreign body in the lateral. I was gardening and the outcome as chronic joint inflammation can risk damage to cartilage of right... Remove a giant thorn in his arm from gardening four years ago of new, high-quality pictures added day... And may require surgical removal of joint fluid and culturing the fluid in the lateral... A painful and protracted inflammation by avoiding exposure to the examining pathologist same tree grew cereus. The labor force in UAE are primarily from the same tree grew Bacillus.... Bled profusely at first and then it suddenly stopped bleeding completely... it now to... Habits that cause joint pain origin of their discomfort right index finger treatment plant... That is used to cure plant thorn arthritis, anti-inflammatory medications may quiet some of the plants the outcome treatment... Palms are n't just poisonous to palm tree thorn injury, but also to cats and dogs but bits of debris. Outcome of treatment were monitored be forming a clot it is associated with an upper extremity arthritis at... Heal well without residual problems thorn is a modified leaf that ends in a primary care setting, may... Require surgical removal or synovectomy your first aid kit with the following items palm tree thorn injury this the... Question: I was gardening and the undersides or tips of fronds can puncture the skin cause... Be helpful to restore normal joint function applying antibiotic ointment and a shade tree have.

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