A Sub-acute Septic Arthritis of the Knee; a Sequelae to Thorn Prick Injury of Patella: A Case Report

Journal of Orthopaedic Case Reports
R SivakumarVinoth Thangamani

Abstract

Sub-acute septic arthritis of knee following a thorn prick injury to patella is an uncommon condition and seen in active playful children. The child may be afraid to narrate the incident to their parents or examining doctor, so a high index of suspicion is must. The delayed presentation is inevitable. Early synovitis due to the organic biological foreign body may progress to septic arthritis, if untreated may result in knee stiffness or chronic osteomyelitis of patella. We report a case of thorn prick injury to the left patella in an 8-years-old boy who neglected the incident of thorn prick while playing with his peer group 10 days ago and presented with features of sub-acute septic arthritis. He was treated by arthrotomy, double inspection of the patella, removal of foreign body, synovectomy, lavage, antibiotics, and aggressive rehabilitation with an excellent outcome. Sub-acute synovitis in active playful children should raise the suspicion of thorn prick even though no proper history is explained. Organic foreign body from plant materials is radiolucent and easily missed. High suspicion and timely surgical intervention, double inspection during arthrotomy identifies the foreign body. Once removed, with proper antibiotic and ...Continue Reading

Methods Mentioned

BETA
lavage

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Acta Orthopaedica Scandinavica
B StrömqvistL Lidgren
The Ulster Medical Journal
Jon D Clarke, Daniel D McCaffrey
Fortschritte auf dem Gebiete der Röntgenstrahlen
J WUTSCHKE
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Emin Taşkiran, Tulgar Toros
© 2022 Meta ULC. All rights reserved