34 results match your criteria Arthrocentesis Ankle

Ultrasound-Guided Talonavicular Arthrocentesis.

J Emerg Med 2021 May 28;60(5):633-636. Epub 2021 Jan 28.

Department of Emergency Medicine, University of Virginia Health System, Charlottesville, Virginia.

Background: Joint arthrocentesis is a commonly performed procedure by the emergency physician (EP). Point of care ultrasound (POCUS) has demonstrated promise in identifying joint effusions and guiding arthrocentesis procedures. EP-performed talonavicular joint arthrocentesis has not been previously described in the literature. Read More

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Disseminated Coccidioidomycosis Presenting as Polyarticular Septic Arthritis: A Case Report.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620974894

Kern Medical, Bakersfield, CA, USA.

Coccidioidomycosis a fungal infection endemic to southwestern United States. It is caused by inhalation of spores of . Sixty percent of infections are asymptomatic; the remaining 40% are primarily pulmonary disease. Read More

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November 2020

Reactive arthritis after COVID-19 infection.

RMD Open 2020 08;6(2)

Department of Nephrology and Rheumatology, Kyorin University School of Medicine, Shinkawa, Mitaka-shi, Tokyo, Japan.

Reactive arthritis (ReA) is typically preceded by sexually transmitted disease or gastrointestinal infection. An association has also been reported with bacterial and viral respiratory infections. Herein, we report the first case of ReA after the he severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Read More

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Complications of hemophilia in the elbow: current management.

Expert Rev Hematol 2020 09 23;13(9):991-1001. Epub 2020 Aug 23.

Department of Physical Medicine and Rehabilitation "La Paz" University Hospital-IdiPaz , Madrid, Spain.

Introduction: After the ankle and knee, the elbow is the most commonly impaired joint in patients with hemophilia.

Areas Covered: A Cochrane Library and PubMed (MEDLINE) search related to elbow problems in hemophilia was conducted. Early and continuous primary hematological prophylaxis (ideally starting in infancy) is essential, given that the juvenile elbow is highly prone to the musculoskeletal complications of hemophilia. Read More

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September 2020

Cadaver Models in Residency Training for Uncommonly Encountered Ultrasound-Guided Procedures.

J Med Educ Curric Dev 2019 Jan-Dec;6:2382120519885638. Epub 2019 Nov 19.

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

Background: Arthrocentesis of the ankle and elbow and brachial plexus nerve blocks are infrequently performed procedures; however, clinicians in specialties such as emergency medicine are required to be proficient in these procedures in the event of emergent or urgent necessity.

Objectives: The objective of this study was to create, implement, and assess a fresh cadaver-based educational model to help resident physicians learn how to perform ultrasound-guided arthrocentesis of the ankle and elbow and ultrasound-guided regional nerve blocks.

Methods: This was a single-center cross-sectional study conducted at an academic medical center. Read More

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November 2019

Accelerating recovery from acute hemarthrosis in patients with hemophilia: the role of joint aspiration.

Blood Coagul Fibrinolysis 2019 Apr;30(3):111-119

Department of Hematology.

: Arthrocentesis of an acute hemarthrosis in hemophilia remains a controversial issue. The purpose of this study is to define the role that joint aspiration can play in the recovery from acute hemarthrosis in patients with hemophilia. The study sample included 33 hemophilic patients (55 joints) with acute elbow, knee, and ankle hemarthrosis as confirmed by ultrasonography. Read More

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Native Joint Septic Arthritis: Comparison of Outcomes with Medical and Surgical Management.

South Med J 2019 04;112(4):238-243

From the Department of Internal Medicine, Yale University School of Medicine, New Haven, and the Department of Medicine, Section of Infectious Diseases, Veterans Affairs Healthcare Systems of Connecticut, West Haven.

Objective: To determine whether there are differences in the outcomes of native joint septic arthritis (SA) in adults, based on medical versus surgical management.

Methods: A 10-year retrospective single-center study was conducted of patients admitted to a tertiary care hospital between January 1, 2006 and December 31, 2015 with a diagnosis of SA to compare outcomes based on the management approach taken: medical (bedside closed-needle joint aspiration) versus surgical (arthrotomy/arthroscopy). Evaluated outcomes included joint recovery, time to recovery, length of stay, disposition to home versus rehabilitation unit, recurrence of SA in the same joint, and mortality. Read More

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Arthroscopic management for early-stage tuberculosis of the ankle.

J Orthop Surg Res 2019 Jan 22;14(1):25. Epub 2019 Jan 22.

Centre for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400083, China.

Background: Due to atypical clinical presentation, wide use of antibiotics, and lack of specificity in diagnosis, diagnosis of tubercular (TB) infection in joints is increasingly difficult, and misdiagnosis is common. The use of arthroscopy for the diagnosis and treatment of early-stage ankle TB has rarely been reported. This case series intended to present the clinical outcomes of arthroscopic management for early-stage ankle TB. Read More

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January 2019

Intra-Articular Catheter Placement: A Novel Approach for Simulating Ankle Effusions in Cadaver Models.

West J Emerg Med 2019 01 13;20(1):92-93. Epub 2018 Nov 13.

Medical University of South Carolina College of Medicine, Department of Emergency Medicine, Charleston, South Carolina.

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January 2019

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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January 2018

[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

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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February 2017

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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February 2016

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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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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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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February 2013

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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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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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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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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January 2000

[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

Ultrasound-assisted ankle arthrocentesis.

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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Monarthritis: differential diagnosis.

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

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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[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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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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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

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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