{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:04Z","timestamp":1787755204062,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 19-year-old male amateur footballer was referred to our center with complaints of relapsing and remitting pain, swelling, and reduced range of motion of the left knee. History, radiological, and laboratory findings were unrevealing, except for chronic synovitis. On arthroscopy, a 3.3 \u00d7 0.3-cm thorn was found embedded in the anteromedial aspect of the anterior cruciate ligament and was carefully removed. The postoperative course was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The foreign body must be considered as differential diagnoses in players presenting with unilateral chronic synovitis of the knee. Knee arthroscopy is the gold standard for both diagnostic and therapeutic purposes when the history is unclear, and radiological investigations are inconclusive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00237","type":"journal-article","created":{"date-parts":[[2021,7,15]],"date-time":"2021-07-15T14:08:36Z","timestamp":1626358116000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Incidental Finding of a Thorn in the Left Knee Joint of an Amateur Football Player and Arthroscopic Removal"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6896-3928","authenticated-orcid":false,"given":"Saroj","family":"Rai","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0314-0482","authenticated-orcid":false,"given":"Vaskar","family":"Humagain","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6431-9040","authenticated-orcid":false,"given":"Sharad","family":"Khakurel","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7320-8345","authenticated-orcid":false,"given":"Rudra Prasad","family":"Marasini","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8708-0549","authenticated-orcid":false,"given":"Binod","family":"Sherchan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"342","DOI":"10.3109\/17453678508993031","article-title":"A case of blackthorn synovitis","volume":"56","author":"Str\u00f6mqvist","year":"1985","journal-title":"Acta Orthop Scand."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1053\/jars.2002.30711","article-title":"Chronic synovitis caused by a date palm thorn: an unusual clinical picture","volume":"18","author":"Ta\u015fk\u0131ran","year":"2002","journal-title":"Arthroscopy."},{"issue":"9","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1053\/jars.2001.22422","article-title":"Foreign-body synovitis mimicking septic arthritis of the knee","volume":"17","author":"Kandel","year":"2001","journal-title":"Arthroscopy."},{"issue":"10","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.arthro.2004.08.006","article-title":"Arthroscopic retrieval of a very rare penetrating foreign body of the knee","volume":"20","author":"Lee","year":"2004","journal-title":"Arthroscopy."},{"issue":"9","key":"bib5-20240805","doi-asserted-by":"crossref","DOI":"10.4066\/biomedicalresearch.29-18-204","article-title":"Arthroscopic retrieval of a large foreign body: a case report and literature review","volume":"29","author":"Qin","year":"2018","journal-title":"Biomed Res."},{"issue":"2","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1097\/01241398-198403000-00005","article-title":"Palm thorn synovitis","volume":"4","author":"Cahill","year":"1984","journal-title":"J Pediatr Orthop."},{"issue":"241","key":"bib8-20240805","first-page":"209","article-title":"Arthroscopy in acute septic knees. 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Resolution following total synovectomy","volume":"72","author":"Doig","year":"1990","journal-title":"J Bone Joint Surg Br."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:02Z","timestamp":1787751542000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00237"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00237","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}