{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:45:43Z","timestamp":1762073143285,"version":"build-2065373602"},"reference-count":0,"publisher":"Wiley","issue":"S48","license":[{"start":{"date-parts":[[2015,9,6]],"date-time":"2015-09-06T00:00:00Z","timestamp":1441497600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2015,9]]},"abstract":"\n Reasons for performing study<\/jats:title>\n \n Blackthorn (\n \n P<\/jats:styled-content>\n runus spinosus\n <\/jats:italic>\n ) is recognised as causing infections and tissue reactions.\n <\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To describe the presentation, diagnosis, treatment and outcome of blackthorn plant thorn synovitis in the horse.<\/jats:p>\n <\/jats:sec>\n \n Study design<\/jats:title>\n Case series.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n All cases in this prospective study presented with acute onset synovitis within 24\u2009h of thorn penetration, had a standardised clinical assessment, surgical treatment and aftercare. Surgical treatment was performed within 24\u2009h of presentation under general anaesthesia, using a 2\u2010stage procedure: Stage 1: perisynovial technique. Ultrasound guided placement of a 20 gauge 35\u2009mm needle marker that is used as a guide for electrosurgical dissection onto perisynovial thorn fragments. Stage 2: endoscopic technique. Using standard and novel portals to locate and remove thorn fragments and debris from synovial structures.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Thirty\u2010five cases met the study inclusion criteria over a 24 month period. Mean lameness score on presentation was 4\/5 (range 1\u20135). The most commonly affected structures were fetlock joints (11\/35) and tendon sheaths (10\/35). Mean synovial fluid total protein was 50.5\u2009g\/l (range 18\u2013116), and\n TNCC<\/jats:styled-content>\n was 158\u2009x\u200910\n 9<\/jats:sup>\n (range 21\u2013412) on presentation and 12\u2009x\u200910\n 9<\/jats:sup>\n (range 1\u201346) at 48\u2009h post operatively. All synovial fluid cultures were negative. All horses were sound (\n grade 0<\/jats:italic>\n ) at 5 days post operatively and all returned to full work.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n There are a limited number of case series of blackthorn injury in humans; however, the consensus is that surgical treatment is required for a successful outcome. The 2\u2010stage surgical procedure described, achieved accurate identification and removal of thorn material in all cases. In contrast to previous studies on synovial sepsis, these cases had a positive outcome despite high pre\u2010 and post operative synovial fluid total protein and\n TNCC<\/jats:styled-content>\n . These findings suggest that thorn synovitis cases have a different aetiology from synovitis originating from sepsis or contamination.\n <\/jats:p>\n \n Ethical animal research:<\/jats:bold>\n \u2002The study was reviewed and approved by the Ethics Committee, School of Veterinary Medicine and Science, University of Nottingham. Owners gave informed consent for their horses' inclusion in the study.\n Source of funding:<\/jats:bold>\n \u2002None.\n Competing interests:<\/jats:bold>\n \u2002None declared.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/evj.12486_38","type":"journal-article","created":{"date-parts":[[2015,9,7]],"date-time":"2015-09-07T00:26:36Z","timestamp":1441585596000},"page":"17-17","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Plant Thorn Synovitis Caused by\n Prunus Spinosa<\/i>\n (Blackthorn) Penetration in 35 Horses"],"prefix":"10.1111","volume":"47","author":[{"given":"N.M.","family":"Ashton","sequence":"first","affiliation":[{"name":"School of Veterinary Medicine and Science University of Nottingham Sutton Bonington, Loughborough, Leicestershire LE12 5RD UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Doles","sequence":"additional","affiliation":[{"name":"School of Veterinary Medicine and Science University of Nottingham Sutton Bonington, Loughborough, Leicestershire LE12 5RD UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,6]]},"container-title":["Equine Veterinary Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fevj.12486_38","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/beva.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/evj.12486_38","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:40:42Z","timestamp":1762072842000},"score":1,"resource":{"primary":{"URL":"https:\/\/beva.onlinelibrary.wiley.com\/doi\/10.1111\/evj.12486_38"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9]]},"references-count":0,"journal-issue":{"issue":"S48","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1111\/evj.12486_38"],"URL":"https:\/\/doi.org\/10.1111\/evj.12486_38","archive":["Portico"],"relation":{},"ISSN":["0425-1644","2042-3306"],"issn-type":[{"type":"print","value":"0425-1644"},{"type":"electronic","value":"2042-3306"}],"subject":[],"published":{"date-parts":[[2015,9]]},"assertion":[{"value":"2015-09-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}