29 results match your criteria Arthrocentesis Elbow

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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

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https://linkinghub.elsevier.com/retrieve/pii/S0929693X183023
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http://dx.doi.org/10.1016/j.arcped.2018.11.001DOI Listing
January 2019
17 Reads

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

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1668108
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http://dx.doi.org/10.1055/s-0038-1668108DOI Listing
November 2018
31 Reads

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

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http://dx.doi.org/10.1308/rcsann.2018.0028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956596PMC
May 2018
9 Reads

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

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http://dx.doi.org/10.15441/ceem.16.137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385507PMC
March 2017
5 Reads

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

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http://dx.doi.org/10.1016/j.jor.2016.09.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030325PMC
December 2016
11 Reads

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

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http://dx.doi.org/10.1136/vr.103738DOI Listing
August 2016
4 Reads

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:

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http://dx.doi.org/10.1016/j.ajem.2016.02.010DOI Listing
September 2016
3 Reads

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

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http://dx.doi.org/10.3138/jvme.1014-106RDOI Listing
September 2015
4 Reads

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

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http://pdfs.journals.lww.com/pedorthopaedics/2016/01000/Sept
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/BPO.0000000000000390DOI Listing
January 2016
3 Reads

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

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http://www.healio.com/orthopedics/journals/ortho/2014-8-37-8
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http://www.healio.com/doiresolver?doi=10.3928/01477447-20140
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http://dx.doi.org/10.3928/01477447-20140728-91DOI Listing
August 2014
2 Reads

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

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http://dx.doi.org/10.1111/jsap.12232DOI Listing
August 2014
2 Reads

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

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http://dx.doi.org/10.1016/j.jemermed.2013.04.053DOI Listing
November 2013
24 Reads

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

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September 2012
6 Reads

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
13 Reads

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

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http://dx.doi.org/10.1016/j.pop.2010.07.002DOI Listing
December 2010
4 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
7 Reads

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

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http://linkinghub.elsevier.com/retrieve/pii/S004081660800053
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http://dx.doi.org/10.1016/j.tice.2008.06.004DOI Listing
February 2009
9 Reads

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

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April 1998
4 Reads

Arthrosonography--the use of diagnostic ultrasound in septic and traumatic arthritis in cattle--a retrospective study of 25 patients.

Authors:
J Kofler

Br Vet J 1996 Nov;152(6):683-98

Clinic of Orthopaedics in Large Animals, University of Veterinary Medicine Vienna, Austria.

The case records, clinical, radiographic, ultrasonographic and arthrocentesis findings from 25 cattle with septic or traumatic arthritis were reviewed. The total of 30 joints involved were: articulatio cubiti (elbow joint)-1, articulatio carpi (carpal joint)-10; articulatio genus (stifle joint)-4, articulatio tarsocruralis (tarsocrural joint)-8; articulatio metacarpo-/metatarsophalangea (metacarpo-/metatarsophalangeal joint -7. Ultrasonographic investigation was performed using 7. Read More

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November 1996
3 Reads

[Gonorrheal arthritis].

Authors:
M Weber H Gerber

Schweiz Rundsch Med Prax 1994 Jan;83(2):46-8

Klinik für Rheumatologie und Rehabilitation, Stadtspital Triemli.

A 43-year-old female patient presented with migratory arthralgias, generalized exanthema and arthritis of the left elbow. She had a history of fever and chills three days earlier. Beside to a maculopapular and pustular rash and a joint involvement we found a swelling of the dorsal surface of her right hand without wrist effusion or synovitis. Read More

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January 1994
17 Reads

Communication of the ulnaris lateralis bursa with the equine elbow joint and evaluation of caudal arthrocentesis.

Equine Vet J 1993 Mar;25(2):130-3

Texas Veterinary Medical Center, Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A & M University, College Station 77843.

Elbows from cadaver limbs were evaluated to determine the presence of a communication between the ulnaris lateralis bursa (ULB) and the joint and the extent of the bursa. Thirty-two pairs of joints were studied: 12 pairs were frozen, then transversely sectioned and 20 pairs were injected with methyl methacrylate. The 12 frozen-section pairs revealed a communication between the ULB and the elbow joint in 9/24 joints (37. Read More

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March 1993
4 Reads

Arthritis in children with bacterial meningitis.

Am J Dis Child 1986 May;140(5):424-7

Forty-eight patients with arthritis and meningitis were identified by hospital chart review among 2,089 cases of bacterial meningitis treated between 1969 and 1984. The etiologic agents were Haemophilus influenzae in 38 cases (79%), Neisseria meningitidis in nine cases (19%), and Staphylococcus aureus in one case (2%). Thirteen patients had more than one joint affected: two affected joints, ten patients; three affected joints, two patients; and four affected joints, one patient. Read More

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May 1986
4 Reads

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

Synovial cyst presenting as forearm mass.

Postgrad Med 1982 Oct;72(4):258, 261

A 43-year-old man with rheumatoid arthritis that involved primarily the hands and feet was seen at Veterans Administration Wadsworth Medical Center, Los Angeles, for a painless mass on the left forearm. An antecubital synovial cyst was diagnosed on the basis of results of ultrasonography and arthrography. Arthrocentesis of the elbow joint yielded 5 ml of serous fluid. Read More

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October 1982
4 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
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
5 Reads

Arthrocentesis and synovial membrane biopsy.

Vet Clin North Am 1974 May;4(2):449-62

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May 1974
3 Reads

Arthrocentesis for diagnosis and therapy.

Authors:
P W Brown

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

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