Nyska M, Sperber A D, Howard C B, Nyska A, Dekel S
Department of Orthopedic Surgery, Soroka Medical Center, Beer-Sheva, Israel.
Foot Ankle. 1989 Dec;10(3):180-3. doi: 10.1177/107110078901000313.
Palm thorn injury to tendons and joints is characterized in most patients by an acute inflammatory stage followed by a relatively asymptomatic period and finally by chronic synovitis or tenosynovitis. Once the inflammatory process has begun, detection and localization of the thorn can be very difficult. We present an unusual case of palm thorn tenosynovitis of the ankle extensor tendon which was detected and localized preoperatively by ultrasound. Removal of the thorn and synovectomy were curative.
手掌荆棘刺伤肌腱和关节在大多数患者中表现为急性期炎症，随后是相对无症状期，最终发展为慢性滑膜炎或腱鞘炎。一旦炎症过程开始，棘刺的检测和定位会非常困难。我们报告了一例罕见的踝伸肌腱手掌荆棘腱鞘炎病例，术前通过超声检测并定位。取出棘刺并行滑膜切除术治愈。
