title: The missed thorn.
abstract: Following surgical exploration, a swelling on the back of a boy's hand was thought to be a tuberculous granuloma and was treated as such. Eleven months later, when the lump was re-explored, a plant thorn was retrieved from the middle of a foreign body granuloma. Even though a definite history of trauma is not given, an organic foreign body lesion should be considered in the differential diagnosis of a lytic lesion of bone.
authors: Department of Orthopaedics, Newham General Hospital, London, United Kingdom.
authors: M
authors: M
authors: Barry
authors: N
authors: N
authors: Maffulli
authors: C
authors: C
authors: Good
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D005383:Finger Injuries / Q000150:complications / Q000000981:diagnostic imaging; D015745:Granuloma, Foreign-Body / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging