Palm oil thorn induced tumour like lesion: a review of 3 cases

It is not widely recognized that palm oil thorn injuries can produce progressive and persistent reaction in the bone, joint and surrounding soft tissue. The natural history is unique and most of the investigation is inconclusive. We review three cases of tumour like lesion: two were around the elbow...

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Main Authors:	Che Ahmad, Aminudin, Zakaria@Mohamad, Zamzuri, Zulkifly, Ahmad Hafiz, Ab Rahman, Jamalludin
Format:	Conference or Workshop Item
Language:	English
Published:	2006
Subjects:	R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries
Online Access:	http://irep.iium.edu.my/41148/ http://irep.iium.edu.my/41148/ http://irep.iium.edu.my/41148/1/poster_20.pdf

id	iium-41148
recordtype	eprints
spelling	iium-411482016-03-10T07:06:37Z http://irep.iium.edu.my/41148/ Palm oil thorn induced tumour like lesion: a review of 3 cases Che Ahmad, Aminudin Zakaria@Mohamad, Zamzuri Zulkifly, Ahmad Hafiz Ab Rahman, Jamalludin R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries It is not widely recognized that palm oil thorn injuries can produce progressive and persistent reaction in the bone, joint and surrounding soft tissue. The natural history is unique and most of the investigation is inconclusive. We review three cases of tumour like lesion: two were around the elbows and one at the foot, which developed following injuries by palm oil thorn. The typical clinical presentation is transient acute synovial followed by a relative asymptomatic period and later by chronic or recurrent inflammation mimicking septic arthritis, osteomyelitis or bone tumour often after the thorn injury was forgotten. Hand is the most commonly affected. Lesion of the elbows and foot are very rare. The tissue for culture and histopathological examination, and administration of broad spectrum antibiotics are needed for the treatment although they are negative and inconclusive. The definite treatment includes operative debridement and removal of thorn particles, eventhough most cases the particles cannot be found either due to irrigation or too small to be seen. In conclusion, high index of suspicious is needed to include palm oil thorn injuries as a differential diagnosis of granulomatous lesion of bones and joints. 2006 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/41148/1/poster_20.pdf Che Ahmad, Aminudin and Zakaria@Mohamad, Zamzuri and Zulkifly, Ahmad Hafiz and Ab Rahman, Jamalludin (2006) Palm oil thorn induced tumour like lesion: a review of 3 cases. In: 36th Malaysian Orthopaedic Association Annual Scientific Meeting & 2nd Asia Pacific Orthopaedic Association Trauma Section Meeting, 1 - 4 June 2006, Sultan's Ballroom II, Le Meridien Hotel. http://www.moa-home.com/moa2015/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries
spellingShingle	R Medicine (General) RD701 Orthopedics RD92 Wounds and injuries Che Ahmad, Aminudin Zakaria@Mohamad, Zamzuri Zulkifly, Ahmad Hafiz Ab Rahman, Jamalludin Palm oil thorn induced tumour like lesion: a review of 3 cases
description	It is not widely recognized that palm oil thorn injuries can produce progressive and persistent reaction in the bone, joint and surrounding soft tissue. The natural history is unique and most of the investigation is inconclusive. We review three cases of tumour like lesion: two were around the elbows and one at the foot, which developed following injuries by palm oil thorn. The typical clinical presentation is transient acute synovial followed by a relative asymptomatic period and later by chronic or recurrent inflammation mimicking septic arthritis, osteomyelitis or bone tumour often after the thorn injury was forgotten. Hand is the most commonly affected. Lesion of the elbows and foot are very rare. The tissue for culture and histopathological examination, and administration of broad spectrum antibiotics are needed for the treatment although they are negative and inconclusive. The definite treatment includes operative debridement and removal of thorn particles, eventhough most cases the particles cannot be found either due to irrigation or too small to be seen. In conclusion, high index of suspicious is needed to include palm oil thorn injuries as a differential diagnosis of granulomatous lesion of bones and joints.
format	Conference or Workshop Item
author	Che Ahmad, Aminudin Zakaria@Mohamad, Zamzuri Zulkifly, Ahmad Hafiz Ab Rahman, Jamalludin
author_facet	Che Ahmad, Aminudin Zakaria@Mohamad, Zamzuri Zulkifly, Ahmad Hafiz Ab Rahman, Jamalludin
author_sort	Che Ahmad, Aminudin
title	Palm oil thorn induced tumour like lesion: a review of 3 cases
title_short	Palm oil thorn induced tumour like lesion: a review of 3 cases
title_full	Palm oil thorn induced tumour like lesion: a review of 3 cases
title_fullStr	Palm oil thorn induced tumour like lesion: a review of 3 cases
title_full_unstemmed	Palm oil thorn induced tumour like lesion: a review of 3 cases
title_sort	palm oil thorn induced tumour like lesion: a review of 3 cases
publishDate	2006
url	http://irep.iium.edu.my/41148/ http://irep.iium.edu.my/41148/ http://irep.iium.edu.my/41148/1/poster_20.pdf
first_indexed	2023-09-18T20:58:57Z
last_indexed	2023-09-18T20:58:57Z
_version_	1777410493496950784

Palm oil thorn induced tumour like lesion: a review of 3 cases

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