24 results match your criteria Arthrocentesis Ankle

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Utility of point-of-care musculoskeletal ultrasound in the evaluation of emergency department musculoskeletal pathology.

World J Emerg Med 2018 ;9(4):262-266

Department of Emergency Medicine, The University of Arizona, Tucson, AZ, USA.

Background: To evaluate the utilization of point-of-care ultrasound (POCUS) for the assessment of emergency department (ED) patients with musculoskeletal symptoms and the impact of musculoskeletal POCUS on medical decision-making and patient management in the ED.

Methods: This was a retrospective review of ED patients presenting with musculoskeletal symptoms who received a POCUS over a 3.5-year period. Read More

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http://dx.doi.org/10.5847/wjem.j.1920-8642.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117542PMC
January 2018
6 Reads

[Performance of the 2015 ACR/EULAR classification criteria compared with other classification criteria for diagnosis of gout in Chinese patients].

Beijing Da Xue Xue Bao Yi Xue Ban 2017 Dec;49(6):979-984

Department of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing 100034, China.

Objective: To evaluate the ability of 2015 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria to diagnose gout compared with the widely used 1977 American Rheumatism Association (ARA) criteria and other criteria in clinical practice in Chinese patients, and to compare the sensitivity and specificity of different classification criteria for gout in early and established diseases.

Methods: The patients who had ankle arthritis and visited the Department of Rheumatology and Clinical Immunology, Peking University First Hospital between February 2012 and February 2016 were screened. The patients who had been already diagnosed with gout or pyrophosphate deposition disease through arthrocentesis or tissue aspiration and those who had been diagnosed with rheumatoid arthritis, spondyloarthritis, and osteoarthritis were excluded. Read More

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December 2017
5 Reads

Success of ultrasound-guided versus landmark-guided arthrocentesis of hip, ankle, and wrist in a cadaver model.

Am J Emerg Med 2017 Feb 24;35(2):240-244. Epub 2016 Oct 24.

Department of Emergency Medicine, Keck School of Medicine of USC, LAC+USC Medical Center, 1200 N. State Street, Room 1011, Los Angeles, CA 90033, United States.

Purpose: The objectives of this study were to evaluate emergency medicine resident-performed ultrasound for diagnosis of effusions, compare the success of a landmark-guided (LM) approach with an ultrasound-guided (US) technique for hip, ankle and wrist arthrocentesis, and compare change in provider confidence with LM and US arthrocentesis.

Methods: After a brief video on LM and US arthrocentesis, residents were asked to identify artificially created effusions in the hip, ankle and wrist in a cadaver model and to perform US and LM arthrocentesis of the effusions. Outcomes included success of joint aspiration, time to aspiration, and number of attempts. Read More

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http://dx.doi.org/10.1016/j.ajem.2016.10.056DOI Listing
February 2017
8 Reads

Dual-Energy Computed Tomography of the Knee, Ankle, and Foot: Noninvasive Diagnosis of Gout and Quantification of Monosodium Urate in Tendons and Ligaments.

Semin Musculoskelet Radiol 2016 Feb 14;20(1):130-6. Epub 2016 Apr 14.

Department of Diagnostic and Interventional Radiology, Eberhard Karls-University Tübingen, Tübingen, Germany.

Gout is a true crystal deposition arthropathy caused by the precipitation of monosodium urate into joints and periarticular soft tissues. It is the most common inflammatory arthropathy in men and women of older age with a male-to-female ratio of 3 to 8:1. The disease may progress from asymptomatic hyperuricemia through symptomatic acute gout attacks with asymptomatic periods into chronic symptomatic tophaceous gout. Read More

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http://dx.doi.org/10.1055/s-0036-1579709DOI Listing
February 2016
8 Reads

Advanced erosive gout as a cause of Fever of unknown origin.

Korean J Fam Med 2015 May 22;36(3):146-9. Epub 2015 May 22.

Department of General Internal Medicine, Mito Kyodo General Hospital, Tsukuba University Hospital Mito Area Medical Education Center, Mito, Japan.

A 61-year-old man was referred to our hospital due to a 3-month history of fever of unknown origin, and with right knee and ankle joint pains. At another hospital, extensive investigations had produced negative results, including multiple sterile cultures of blood and joint fluids, and negative autoantibodies. His serum uric acid level was not elevated. Read More

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http://dx.doi.org/10.4082/kjfm.2015.36.3.146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445055PMC
May 2015
3 Reads

Subtalar joint septic arthritis in a patient with hypogammaglobulinemia.

J Foot Ankle Surg 2013 Mar-Apr;52(2):242-8. Epub 2012 Nov 13.

Podiatric Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA.

The clinical presentation of a monoarticular, red, hot, and swollen joint has many possible diagnoses, including septic arthritis, which is 1 of the most devastating. The morbidity associated with this pathologic process involves permanent joint damage and the potential for progression to systemic illness and, even, mortality. The common risk factors for joint sepsis include a history of rheumatoid arthritis, previous joint surgery, joint prosthesis, intravenous drug abuse, alcoholism, diabetes, previous intra-articular steroid use, and cutaneous ulceration. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516120046
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http://dx.doi.org/10.1053/j.jfas.2012.10.012DOI Listing
August 2013
2 Reads

Presence of crystals is not an evidence of absence of infection.

Am J Emerg Med 2013 Feb 1;31(2):455.e1-2. Epub 2012 Sep 1.

Department of Internal Medicine, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, NY 13326, USA.

Acute monoarthritis is one of the most common rheumatologic presentations. However, it is clinically difficult to distinguish between an inflamed joint due to crystal-induced arthritis and an inflamed joint due to septic arthritis. Arthrocentesis and synovial fluid analysis are used to differentiate between these 2 conditions. Read More

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http://dx.doi.org/10.1016/j.ajem.2012.07.020DOI Listing
February 2013
3 Reads
1.152 Impact Factor

Cartilage damage in the haemophilic joints: pathophysiology, diagnosis and management.

Blood Coagul Fibrinolysis 2012 Apr;23(3):179-83

Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain.

Intra-articular bleeding affects the metabolism and repair of articular cartilage. Biomechanical data have shown that blood causes harmful effects on overall cartilage function under loading conditions. Therefore, haemophilic patients suffering a haemarthrosis should be subjected to blood aspiration (arthrocentesis) to prevent cartilage damage. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/MBC.0b013e32835084ddDOI Listing
April 2012
1 Read

Virtual rheumatology: using simulators and a formal workshop to teach medical students, internal medicine residents, and rheumatology subspecialty residents arthrocentesis.

J Clin Rheumatol 2011 Apr;17(3):121-3

James A. Haley Veterans Administration, FL, USA.

Background: Arthrocentesis is an important skill for medical practitioners at all levels of training. Previous studies have indicated a low comfort level and performance of arthrocentesis among primary care physicians that could be improved with hands-on training.

Objectives: The objective of this study was to improve comfort with knee and shoulder arthrocentesis at all levels of medical training, including medical students, internal medicine residents, and rheumatology subspecialty residents, and in arthrocentesis of the elbow, wrist, and ankle for advanced subspecialty residents in rheumatology through the use of a formal workshop using simulators. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/RHU.0b013e318214bb54DOI Listing
April 2011
12 Reads

Non-popliteal synovial rupture.

J Clin Rheumatol 2009 Jun;15(4):185-9

San Antonio Uniformed Services Health Education Consortium, Rheumatology Service, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX, USA.

The ruptured popliteal synovial cyst is a common complication of chronic knee arthritis. In contrast, non-popliteal synovial rupture is less well recognized and may present a diagnostic dilemma. We report an 81-year-old woman who presented with chest wall pain and ecchymosis. Read More

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http://dx.doi.org/10.1097/RHU.0b013e3181a628abDOI Listing
June 2009
6 Reads

Treatment of reactive arthritis: a practical guide.

BioDrugs 2000 Jan;13(1):21-8

Department of Medicine, Section Rheumatology, University HospitalBenjamin Franklin, Berlin, Germany.

AbstractReactive arthritis follows infections of the urogenital or enteric tract with bacteriasuch as Chlamydia, Yersinia, Shigella, Salmonella or Campylobacter. Typically,one knee or ankle are affected for weeks to several months, with up to 20% ofpatients experiencing a chronic course of more than 1 year. The acute arthritis is treated nonspecifically with nonsteroidal anti-inflammatorydrugs (NSAIDs), local measures such as arthrocentesis, cold pads and rest of theaffected joint. Read More

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http://dx.doi.org/10.2165/00063030-200013010-00003DOI Listing
January 2000
4 Reads

[Hemarthrosis as a hemorrhagic complication after thrombolytic treatment].

Rev Esp Cardiol 2001 Oct;54(10):1230-2

Servicio de Cardiología. Hospital General de Albacete.

Hemorrhage of variable severity is the main complication of thrombolytic treatment. We present the case of a rare hemorrhagic location after the use of this treatment for acute myocardial infarction, as ankle hemarthrosis. In the first twelve hours the patient had a joint hemorrhagic effusion with refractory pain and arthrocentesis was required. Read More

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October 2001
2 Reads

Ultrasound-assisted ankle arthrocentesis.

Authors:
S Roy A Dewitz I Paul

Am J Emerg Med 1999 May;17(3):300-1

Department of Emergency Medicine, Boston Medical Center, MA 02118, USA.

Difficulty is frequently encountered in performing ankle arthrocentesis. This report describes an ultrasound-assisted technique that can be readily learned by emergency physicians. It involves using the ultrasound beam to accurately locate the tibiotalar joint, thereby increasing the probability of obtaining joint fluid on aspiration. Read More

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May 1999
2 Reads

Monarthritis: differential diagnosis.

Authors:
K Sack

Am J Med 1997 Jan;102(1A):30S-34S

Department of Medicine, University of California, San Francisco 94143-0326, USA.

Acute monarthritis should be regarded as infectious until proved otherwise. Early evaluation is crucial because of the capacity of some infectious agents to destroy cartilage rapidly. The history and physical examination can provide highly suggestive clues, but a definitive diagnosis may depend on arthrocentesis and analysis of synovial fluid. Read More

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January 1997
7 Reads

The effect of experimental hemarthrosis on joint stiffness and synovial histology in a rabbit model.

Clin Orthop Relat Res 1994 Jun(303):280-8

Wadsworth VA Medical Center, Los Angeles, CA.

The effect of a single injection of unpreserved blood on joint stiffness and on synovial and cartilage histomorphology in the ankle joints of rabbits was determined at ten and 28 days after injection. The same volume of saline was placed in the contralateral ankle for comparison. After ten days, the hemarthrosis ankle was stiffer than the control ankle (p < 0. Read More

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June 1994
1 Read

[Identification of crystals in synovial fluid: joint-specific identification rate and correlation with clinical preliminary diagnosis].

Schweiz Med Wochenschr 1992 Jun;122(25):969-74

Rheumatologische Universitätsklinik, Inselspital, Bern.

The diagnostic clarification of joint effusions of unknown origin is a challenge to every primary-care physician. Important diagnostic procedures are arthrocentesis and analysis of the aspirated synovial fluid. Synovial fluid analysis frequently allows differentiation between harmless effusions due to osteoarthritis and crystal induced inflammation, or the more devastating septic arthritis. Read More

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June 1992
10 Reads

Oral ciprofloxacin therapy for gram-negative bacillary osteomyelitis.

Am J Med 1987 Apr;82(4A):247-53

Gram-negative osteomyelitis frequently responds poorly to conventional therapy. Ciprofloxacin displays excellent in vitro activity against gram-negative bacilli and offers the potential for outpatient therapy. In this ongoing study, ciprofloxacin therapy is being evaluated for the treatment of gram-negative osteomyelitis. Read More

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Arthrocentesis.

J Fam Pract 1985 Feb;20(2):179-84

Aspiration of the synovial joints is an important part of the diagnostic and therapeutic armamentarium of the physician and may provide vital information that can be obtained in no other way. As with any other technique in medicine, skill and safety in the aspiration of joints can be acquired only through careful study and continued practice in arthrocentesis. When appropriate preparations and precautions are observed, obtaining fluid from synovial joints is safe, relatively pain free, inexpensive, and extremely beneficial to the patient. Read More

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February 1985
2 Reads

Anterior tibial nerve palsy after ankle arthrocentesis.

Authors:
J J Weiss

Arthritis Rheum 1983 Apr;26(4):573-4

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April 1983
2 Reads

Streptococcal endocarditis initially seen as septic arthritis.

Arch Intern Med 1978 May;138(5):805-6

Two patients were initially seen with culture-positive streptococcal arthritis as an early manifestation of bacterial endocarditis. The organisms were an alpha-hemolytic, nongroup D streptococcus and a beta-hemolytic, group b streptococcus. One patient had a persistent septic monarthritis; the other had migratory arthritis in which a positive synovial culture was followed by a negative culture from the same joint before antimicrobial treatment was started. Read More

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May 1978
3 Reads

Thalassemic osteoarthropathy.

Ann Intern Med 1978 Apr;88(4):494-501

Patients with beta thalassemia major may develop a specific osteoarthropathy as they approach the second and third decades of life. Twenty-five of 50 patients between the ages of 5 and 33 years had evidence of periarticular disease that consisted of dull-aching ankle pain exacerbated by weight bearing and relieved by rest. Involvement was symmetrical with mild swelling and pain on bone compression. Read More

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April 1978
4 Reads

The emergency joint: arthrocentesis and synovial fluid analysis.

JACEP 1976 Oct;5(10):787-92

Arthrocentesis and the subsequent evaluation of synovial fluid is often the definitive diagnostic procedure for the patient presenting with a joint effusion or intrasynovial hemorrhage. The difficulty of performing arthrocentesis varies with the joint in question, but those joints most frequently involved are easily entered. The indications and contraindications for this procedure are discussed. Read More

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October 1976
4 Reads

Arthrocentesis for diagnosis and therapy.

Authors:
P W Brown

Surg Clin North Am 1969 Dec;49(6):1269-78

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Arthrocentesis and injection of the equine tarsus.

Authors:
R W Van Pelt

J Am Vet Med Assoc 1966 Feb;148(4):367-77

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February 1966
1 Read
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