Periostitis of the metatarsal caused by a date palm thorn in a child: a case report.

Abstract

Date palm thorn injuries are common in Middle Eastern countries, where there are many date palm plantations. If detected, these injuries can be treated without subsequent complications. In children, however, the diagnosis can very easily be missed. An untreated embedded thorn may cause late complications, including periostitis or osteomyelitis. In this article, the author presents a case of date palm thorn-induced periostitis of the fourth metatarsal. The lesion was successfully treated in this 10-year-old male by curettage of the lesion and removal of the thorn embedded in the periosteum of the metatarsal. The presence of the date palm thorn was confirmed with ultrasound scan and computerized tomography.