Retained blackthorn causing peroneal tendonitis: a case report.
We present the first reported case of peroneal tenosynovitis secondary to a retained blackthorn in a patient with a 4 months history of persistent pain and swelling around her lateral malleolus following a penetrating injury. Ultrasonography reported considerable subcutaneous fluid but no identifiable foreign body. Magnetic resonance imaging confirmed peroneal sheath synovitis with a possible retained foreign body posteriorly. Surgical exploration revealed marked synovitis and chronic inflammation of the peroneal sheath with the tip of a blackthorn deep to peroneus longus. This case illustrates the many ways in which penetrating blackthorn injuries may present. In particular it highlights the need for a high index of suspicion for retained foreign material and the need for further imaging and surgical exploration when symptoms do not resolve.
Yewlett
Alun
A
Wrexham Maelor Hospital, Orthopaedics, 141 Heol Isaf, Cardiff, United Kingdom. alunyewlett@doctors.org.uk
Oakley
Jeremy
J
Makwana
Nilesh
N
Patel
H J
HJ
D016512:Ankle Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005549:Foreign-Body Reaction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D018514:Plant Structures; D027861:Prunus; D052256:Tendinopathy / Q000175:diagnosis / Q000209:etiology*; D014950:Wounds, Penetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery