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- Alun Yewlett, Jeremy Oakley, Nilesh Makwana, and H J Patel.
- Wrexham Maelor Hospital, Orthopaedics, 141 Heol Isaf, Cardiff, United Kingdom. alunyewlett@doctors.org.uk
- Foot Ankle Surg. 2009 Jan 1; 15 (4): 205-6.
AbstractWe 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.
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