40 results match your criteria Arthrocentesis Elbow


[Arthrocentesis in the Emergency Department].

Ther Umsch 2020 Jun;77(5):213-217

Center da sandà Val Müstair, Sta. Maria V.M.

Arthrocentesis in the Emergency Department Acute joint swelling is a common presentation to the emergency department. Although routine investigations like clinical exam, labs and eventually x-ray are usually obtained, definitive diagnosis must be established since timely recognition of septic arthritis in particular is crucial. Definitive diagnosis is achieved by performing an arthrocentesis of the affected joint. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF
September 2020

Ultrasound-aided diagnosis of septic arthritis of the elbow in the emergency department.

J Ultrasound 2020 Jul 15. Epub 2020 Jul 15.

Department of Emergency Medicine, University of South Carolina School of Medicine, St Francis Hospital, Columbus, GA, USA.

Septic arthritis (SA) is an emergency orthopedic condition that carries significant patient morbidity and mortality. Clinical data and blood test analyses are fairly unreliable in making the diagnosis and, therefore, utilizing a feasible and reliable diagnostic tool is desirable, particularly in emergency settings where rapid diagnosis is pivotal. Here, we report the case of a 58-year-old male presenting to the emergency department with a swollen elbow. Read More

View Article and Full-Text PDF

Efficacy of arthrocentesis and lavage for treatment of post-traumatic arthritis in temporomandibular joints.

J Korean Assoc Oral Maxillofac Surg 2020 Jun;46(3):174-182

Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.

Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Read More

View Article and Full-Text PDF

Influence of clipping on bacterial contamination of canine arthrocentesis sites before and after skin preparation.

Vet Surg 2020 Oct 9;49(7):1307-1314. Epub 2020 Jun 9.

Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Objective: To determine the influence of hair removal as part of the aseptic skin preparation of canine arthrocentesis sites and to characterize the bacterial flora remaining after aseptic skin preparation.

Study Design: Randomized controlled trial.

Study Population: Thirteen shorthaired beagle-cross dogs. Read More

View Article and Full-Text PDF
October 2020

Acute septic elbow monoarthritis with associated Neisseria gonorrhoeae bacteraemia: an uncommon presentation of an old disease.

Infez Med 2020 Jun;28(2):253-257

Division of Infectious Diseases, Department of Medicine, University of Miami, Miller School of Medicine, Miami, Florida, USA.

Neisseria gonorrhoeae is an uncommon present-day cause of septic arthritis. It is generally seen in the younger patient population and is often difficult to isolate in the lab. Blood cultures performed as routine work are usually negative, and when positive tend to be seen in the classic form of disseminated gonococcal infection. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF
November 2019

The accuracy of joint aspiration for the diagnosis of shoulder infections.

J Shoulder Elbow Surg 2020 Mar 25;29(3):516-520. Epub 2019 Sep 25.

Department of Orthopedics, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.

Background: Shoulder joint aspirations are frequently performed to rule out infection. In case of unsuccessful aspiration, physicians often augment the aspiration liquid by injecting saline solution.

Methods: We performed shoulder joint aspirations by fluoroscopic assistance and analyzed the value of an additional saline solution irrigation in patients undergoing revision shoulder surgery. Read More

View Article and Full-Text PDF

Point-of-Care Ultrasound-Directed Evaluation of Elbow Effusion.

Clin Pract Cases Emerg Med 2019 Aug 22;3(3):286-288. Epub 2019 Jul 22.

Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania.

A 53-year-old male presented with pain in the right elbow that was sudden in onset and progressively worsening over approximately eight hours. The pain was exacerbated with any movement of the elbow. Of note, he had been recently admitted for robotic prostatectomy and had a prolonged hospital stay requiring a course of antibiotics. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Septic elbow arthritis in children: Epidemiology and outcome.

Arch Pediatr 2019 Jan 13;26(1):38-43. Epub 2018 Dec 13.

Orthopedics department, Sahloul University, Hospital Sousse Tunisia, 4045 Sousse, Tunisia.

Introduction: Septic elbow arthritis is a rare disease, especially in children. The aim of this study was to report the functional outcome of our pediatric population with both demographic and microbiological features.

Methods: We retrospectively reviewed all our cases of pediatric septic elbow arthritis between 2007 and 2017. Read More

View Article and Full-Text PDF
January 2019

Spontaneous Septic Arthritis of Canine Elbows: Twenty-One Cases.

Vet Comp Orthop Traumatol 2018 Nov 9;31(6):488-493. Epub 2018 Oct 9.

Department of Clinical Sciences and Services, Queen Mother Hospital for Animals, Royal Veterinary College, North Mymms, United Kingdom.

Objective:  This study provides information on clinical features, diagnosis, treatment and associated risk factors of spontaneous septic elbow arthritis in the dog.

Methods: Medical records between March 2007 and June 2015 were searched for cases of spontaneous septic elbow arthritis with a diagnosis based on clinical signs, arthrocentesis, cytological and microbiological analysis of elbow joint synovial fluid, radiography and outcome following treatment.

Results: Twenty-one cases of septic arthritis were identified. Read More

View Article and Full-Text PDF
November 2018

Pseudogout - a rare manifestation of hungry bone syndrome after focused parathyroidectomy.

Ann R Coll Surg Engl 2018 May 1;100(5):e106-e108. Epub 2018 Apr 1.

Division of General Surgery (Thyroid and Endocrine Surgery), University Surgical Cluster, Department of Surgery, National University Health System , Singapore.

Pseudogout, also known as calcium pyrophosphate deposition disease, is a rheumatological condition arising from accumulation of calcium pyrophosphate dihydrate crystals in connective tissues. We present a case of a 56-year-old Bangladeshi woman who underwent focused right inferior parathyroidectomy for primary hyperparathyroidism from a right inferior parathyroid adenoma. On the first post-operative day, she complained of left elbow painful swelling with redness and warmth. Read More

View Article and Full-Text PDF

Spontaneous elbow hemarthrosis identified by point-of-care ultrasound.

Clin Exp Emerg Med 2017 Mar 30;4(1):60-63. Epub 2017 Mar 30.

Department of Emergency Medicine, Maine Medical Center, Portland, ME, USA.

Traumatic or spontaneous hemarthroses are an important cause of joint effusions, and can complicate innate or acquired coagulopathies. The elbow is an unusual location for a spontaneous hemarthrosis; we describe a previously unreported case of warfarin-induced spontaneous elbow hemarthrosis, diagnosed by point-of-care ultrasound. On the basis of clinical and ultrasound findings arthrocentesis was deferred, and the patient was successfully treated with warfarin reversal and conservative care. Read More

View Article and Full-Text PDF

A novel fresh cadaver model for education and assessment of joint aspiration.

J Orthop 2016 Dec 15;13(4):419-24. Epub 2016 Sep 15.

Department of Emergency Medicine, University of Arizona, Tucson, AZ, United States.

Objectives: The objective of this study was to describe a novel cadaver model and to determine the utility of this model for teaching and assessing students in performing knee, elbow, and wrist arthrocentesis.

Methods: Third year medical students were evaluated while performing arthrocentesis during a fresh cadaver training sessions.

Results: Sixty-three participants were included in this analysis. Read More

View Article and Full-Text PDF
December 2016

Evaluation of a caudolateral approach for arthrocentesis and injection of the equine elbow joint.

Vet Rec 2016 Aug 16;179(7):173. Epub 2016 Jun 16.

The Queen's Veterinary School Hospital, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.

The objectives of this study were to evaluate the likelihood of successful arthrocentesis of the equine elbow joint using the caudolateral approach and to determine if the deep branch of the radial nerve (DBRN) varies in its proximity to the site of centesis. Methylene blue (MB) was injected into 71 elbow joint specimens immediately caudal to the lateral collateral ligament using a 3.8-cm needle advanced to its hub. Read More

View Article and Full-Text PDF

An unusual presentation of disseminated Mycobacterium tuberculosis in the ED.

Am J Emerg Med 2016 Sep 12;34(9):1915.e5-7. Epub 2016 Feb 12.

Department of Emergency Medicine, University Hospitals Case Medical Center & Case Western Reserve University, Cleveland, OH 44106. Electronic address:

View Article and Full-Text PDF
September 2016

Development of a Cadaveric Model for Arthrocentesis.

J Vet Med Educ 2015 7;42(2):140-5. Epub 2015 May 7.

This article reports the development of a novel cadaveric model for future use in teaching arthrocentesis. In the clinical setting, animal safety is essential and practice is thus limited. Objectives of the study were to develop and compare a model to an unmodified cadaver by injecting one of two types of fluids to increase yield. Read More

View Article and Full-Text PDF
September 2015

Septic Arthritis of the Elbow in Children: Clinical Presentation and Microbiological Profile.

J Pediatr Orthop 2016 Jan;36(1):75-9

Children's Hospital of Philadelphia, Philadelphia, PA.

Background: Septic arthritis of the elbow in children is a rare but important musculoskeletal infection, and there is little published data to guide treating clinicians. The purpose of this study was to describe the clinical presentation and diagnostic findings, associated pathology, and microbiological profile of septic arthritis of the elbow in a pediatric population.

Methods: We retrospectively analyzed a consecutive series of children who had an elbow arthrocentesis for presumed septic arthritis and whose joint aspirates were positive for microbial growth. Read More

View Article and Full-Text PDF
January 2016

Markedly elevated intra-articular white cell count caused by gout alone.

Orthopedics 2014 Aug;37(8):e739-42

Joint pain accompanied by erythema, swelling, and decreased range of motion is concerning for septic arthritis and typically warrants joint aspiration. The synovial fluid white blood cell count plays a central role in the decision-making process regarding these patients. Traditional teaching holds that a cell count greater than 50,000 white blood cells/µL is likely caused by infection and therefore warrants either operative intervention or serial aspiration. Read More

View Article and Full-Text PDF

Intra-articular mepivacaine reduces interventional analgesia requirements during arthroscopic surgery in dogs.

J Small Anim Pract 2014 Aug 15;55(8):405-8. Epub 2014 May 15.

Northwest Surgeons, Delamere House, Ashville Point, Sutton Weaver, Cheshire, WA7 3FW.

Objectives: To document efficacy of intra-articular mepivacaine in dogs based on the hypothesis that this would blunt the haemodynamic response to a nociceptive stimulus (arthroscopic surgery), reducing interventional analgesia requirements.

Methods: A dose of mepivacaine 2% 0 · 1 ml/kg (2 mg/kg) was injected intra-articularly into one randomly assigned elbow joint before surgery in eight dogs undergoing bilateral elbow arthroscopy. Baseline haemodynamic measurements were recorded immediately before the start of each arthroscopic procedure and repeated at arthrocentesis, saline distension of the joint, incision, arthroscopic cannula and obturator insertion and placement of the second portal and haemodynamic variability calculated. Read More

View Article and Full-Text PDF

Ultrasound-guided arthrocentesis of the elbow: a posterior approach.

J Emerg Med 2013 Nov 26;45(5):698-701. Epub 2013 Aug 26.

George Washington University Medical Center, Washington, DC.

Background: Identification of fluid in the elbow joint by physical examination alone can be challenging. Ultrasound can assist in the diagnosis of elbow effusion, and guide aspiration of the effusion.

Objectives: We illustrate the anatomy and ultrasound guidance technique of a posterior approach to elbow arthrocentesis using examples of normal and pathologic elbow joint ultrasound images. Read More

View Article and Full-Text PDF
November 2013

Tophaceous gout in the cervical spine.

Intern Med 2012 1;51(3):325-8. Epub 2012 Feb 1.

The First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan.

A 58-year-old woman with a three-year progressive history of chronic arthritis, had become disabled due to general malaise and fever. Her laboratory data revealed hyperuricemia and elevated levels of C-reactive protein. Neither rheumatoid factor nor anti-citrullinated peptide antibodies were present. Read More

View Article and Full-Text PDF
September 2012

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

View Article and Full-Text PDF

Arthrocentesis and therapeutic joint injection: an overview for the primary care physician.

Prim Care 2010 Dec;37(4):691-702, v

Family Medicine Residency Program, University of South Alabama, 1504 Springhill Avenue, Room 3414, Mobile, AL 36604, USA.

Athrocentesis and therapeutic joint injection is a safe and useful primary care procedure. Fluid collection and analysis from effused joints is important to establish a cause and therefore inform appropriate management. Therapeutic joint injection can give patients significant, rapid, localized pain relief. Read More

View Article and Full-Text PDF
December 2010

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

View Article and Full-Text PDF

Degeneration of normal articular cartilage induced by late phase osteoarthritic synovial fluid in beagle dogs.

Tissue Cell 2009 Feb 9;41(1):13-22. Epub 2008 Aug 9.

Department of Orthopaedics, Renji Hospital, Medical School of Shanghai Jiaotong University, Shanghai 200127, China.

Objective: To investigate the pathogenesis of late phase osteoarthritic (OA) synovial fluid (SF) on normal articular cartilage in vivo and provide an understanding of degenerative cartilage extending in OA joint.

Methods: A random knee, each of 8 beagle dogs, received anterior cruciate ligament transection (ACLT) and was confirmed to have late phase OA degenerative changes at 24 weeks after operation. Thereafter, one random elbow of each canine was injected with autologous late phase OA knee SF. Read More

View Article and Full-Text PDF
February 2009

Physical, biochemical and cytologic properties of blood and synovial fluid in clinically normal adult camel (Camelus dromedarius).

Zentralbl Veterinarmed A 1998 Apr;45(3):155-60

Department of Clinical Studies, School of Veterinary Medicine, Shiraz University, Iran.

Forty-three adult one-humped Iranian camels (Camelus dromedarius) were studied to determine their physical, cellular and biochemical parameters of synovial fluid and blood. All the animals were clinically normal with no clinical signs of locomotion problem. Synovial fluid samples were taken from both elbow joints, and blood samples were also obtained from the jugular vein immediately prior to arthrocentesis. Read More

View Article and Full-Text PDF