The missed thorn.
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.
Barry
M
M
Department of Orthopaedics, Newham General Hospital, London, United Kingdom.
Maffulli
N
N
Good
C
C
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