Astanga Hrudaya
वस्तु शूकैरिवाकीर्णं रूढे च कुणिखञ्जता । बलचेष्टाक्षयः शोषः पर्वशोफश्च सन्धिजे ॥ ५१ ॥
Injury to Sandhi Marma (Joint Vital Spots): in case of injury to sandhi marma (vital spots wherein there is predominance of joints), the site (of injury) feels as though full of thorns (spicule / spike), even after healing (of the wound) there is shortening of the arm, lameness, decrease of strength and movement, and emaciation(of the body) and swelling of the (small joints of the hands, inter-phalangeal joints) joints
english translation
vastu zUkairivAkIrNaM rUDhe ca kuNikhaJjatA । balaceSTAkSayaH zoSaH parvazophazca sandhije ॥ 51 ॥
hk transliteration by Sanscript