{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:25:08Z","timestamp":1787754308633,"version":"build-2784847793"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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>Three cases of pediatric patients with knee injuries from cactus thorns are included. These cases are variable in presentation ranging from acute inflammatory responses to permanent limb deformity secondary to growth arrest. Definitive treatment also varied widely from nonoperative conservative management to multiple arthroscopic and open surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatric cactus thorn injuries have varied presentations, requiring a high level of clinical suspicion for diagnosis and treatment to prevent permanent damage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00474","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T14:01:58Z","timestamp":1738850518000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Cactus Thorn Knee Injuries in Children"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9280-1109","authenticated-orcid":false,"given":"Kendall","family":"Schwartz","sequence":"first","affiliation":[{"name":"University of Arizona College of Medicine\u2014Phoenix, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7181-2906","authenticated-orcid":false,"given":"Gabrielle","family":"Ford","sequence":"additional","affiliation":[{"name":"Morehouse School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3844-7409","authenticated-orcid":false,"given":"Alexandra","family":"Cancio-Bello","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3123-9690","authenticated-orcid":false,"given":"Heather","family":"Menzer","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics and Sports Medicine, Phoenix Children's Hospital, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6476-2125","authenticated-orcid":false,"given":"Dane","family":"Van Tassel","sequence":"additional","affiliation":[{"name":"Department of Radiology, Phoenix Children's Hospital, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6478-6271","authenticated-orcid":false,"given":"Mittun","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Radiology, Phoenix Children's Hospital, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2521-9992","authenticated-orcid":false,"given":"Melissa","family":"Esparza","sequence":"additional","affiliation":[{"name":"Division of Orthopaedics and Sports Medicine, Phoenix Children's Hospital, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"1","key":"bib1-20250206","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/0049-0172(91)90055-5","article-title":"Plant thorn synovitis: an uncommon cause of monoarthritis","volume":"21","author":"Olenginski","year":"1991","journal-title":"Semin Arthritis Rheum."},{"issue":"5","key":"bib2-20250206","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1002\/art.1780200513","article-title":"Plant thorn synovitis","volume":"20","author":"Sugarman","year":"1977","journal-title":"Arthritis Rheum."},{"issue":"3","key":"bib3-20250206","first-page":"143","article-title":"Granulomatous reaction after cholla cactus spine injury","volume":"105","author":"Ruini","year":"2020","journal-title":"Cutis."},{"issue":"12","key":"bib4-20250206","doi-asserted-by":"crossref","first-page":"3138","DOI":"10.1007\/s11999-008-0482-2","article-title":"Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture","volume":"466","author":"Duerinckx","year":"2008","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib5-20250206","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":"6","key":"bib6-20250206","first-page":"492","article-title":"Thorn in body causing abscess after 21 years","volume":"70","author":"Clarke","year":"1949","journal-title":"Calif Med."},{"issue":"2","key":"bib7-20250206","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.1053\/jars.2002.30048","article-title":"Arthroscopic retrieval of an unusual foreign body of the knee","volume":"18","author":"Sansone","year":"2002","journal-title":"Arthroscopy."},{"issue":"5","key":"bib8-20250206","first-page":"100","article-title":"A sub-acute septic arthritis of the knee; 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