248 results match your criteria Arthrocentesis Knee


The two faces of the same medal… or maybe not? Comparing osteoarthritis and calcium pyrophosphate deposition disease: a laboratory and ultrasonographic study.

Clin Exp Rheumatol 2020 Apr 9. Epub 2020 Apr 9.

Section of Rheumatology, Department of Medical Sciences, University of Ferrara, Italy.

Objectives: Osteoarthritis (OA) and calcium pyrophosphate deposition disease (CPPD) are frequently associated but the real relation between these diseases is not still understood. The aim of this paper is to investigate the characteristics in terms of inflammation, anatomical changes and synovial fluid (SF) features in knees of patients with OA and CPPD.

Methods: Consecutive patients older than 55 years with knee pain and swelling were enrolled. Read More

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Improved pre-operative diagnostic accuracy for low-grade prosthetic joint infections using second-generation multiplex Polymerase chain reaction on joint fluid aspirate.

Int Orthop 2020 Apr 15. Epub 2020 Apr 15.

Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Str. 22, 81675, Munich, Germany.

Background: A major obstacle for the treatment of prosthetic joint infection (PJI) is the identification of the underlying causative organism. While the diagnostic criteria ruling PJI in or out have become ever more accurate, the detection of the causative pathogen(s) still relies mostly on conventional and time-consuming microbial culture. The aim of this study was to evaluate the diagnostic potential of a second-generation multiplex PCR assay (Unyvero ITI G2, Curetis AG, Holzgerlingen, Germany) used on synovial fluid specimens. Read More

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http://dx.doi.org/10.1007/s00264-020-04552-7DOI Listing

Prosthetic joint infection by : Case report and a review of the literature.

Int J Artif Organs 2020 Mar 24:391398820912746. Epub 2020 Mar 24.

Department of Infectious Diseases, Hospital Clínic, University of Barcelona, IDIBAPS, Barcelona, Spain.

Introduction: is a Gram-negative coccobacillus involved in different infections mostly described in case reports. Prosthetic joint infections in relation to this pathogen are rare. Here, we present the third case of in a patient without anatomical or functional spleen dysfunction. Read More

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http://dx.doi.org/10.1177/0391398820912746DOI Listing

Leech Me Alone! Atraumatic Hemarthrosis after Hirudotherapy.

Cureus 2020 Feb 7;12(2):e6915. Epub 2020 Feb 7.

Emergency Medicine, OhioHealth Doctors Hospital, Columbus, USA.

A 58-year-old male presented to the emergency department with a chief complaint of knee pain and swelling after performing hirudotherapy (leech therapy) approximately one week prior. Knee arthrocentesis demonstrated significant hemarthrosis. Hirudotherapy is being used for a broad array of reasons including treatment of osteoarthritis, to plastic and reconstructive surgery. Read More

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http://dx.doi.org/10.7759/cureus.6915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061820PMC
February 2020

Severe Acute Localized Reactions Following Intra-Articular Hyaluronic Acid Injections in Knee Osteoarthritis.

Cartilage 2020 Feb 17:1947603520905113. Epub 2020 Feb 17.

School of Medicine, University of California, Los Angeles, CA, USA.

Objective: Concerns have been raised about severe acute localized reactions (SALR) following intra-articular (IA) hyaluronic acid (HA) injections for knee osteoarthritis (OA). We compared surrogate SALR measures between hylan G-F 20 and non-hylan G-F 20 HA patients and evaluated corresponding SALR risk factors for hylan G-F 20 patients.

Design: Knee OA patients were identified from the Optum Clinformatics dataset (January 2006 to June 2016), stratified into hylan G-F 20 and non-hylan G-F 20 HA users. Read More

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http://dx.doi.org/10.1177/1947603520905113DOI Listing
February 2020

Tranexamic acid is effective in decreasing postoperative intraarticular bleeding in arthroscopic knee surgery.

Blood Coagul Fibrinolysis 2020 Apr;31(3):175-178

Department of Orthopedic Surgery, 'La Paz' University Hospital-IdiPAZ, Madrid, Spain.

: Arthroscopic knee surgery to perform partial meniscectomy and anterior cruciate ligament (ACL) reconstruction is frequent and effective, although a possible complication is postoperative hemarthrosis. When intraarticular bleeding occurs, in addition to the associated pain, the patient usually requires joint aspiration (arthrocentesis) to avoid loss of range of motion (ROM). Sometimes this complication ends up associated with a poor result of surgery due to a loss of ROM. Read More

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http://dx.doi.org/10.1097/MBC.0000000000000895DOI Listing

Successful Selective Embolization for Recurrent Hemarthrosis after Knee Arthroplasty.

Case Rep Orthop 2019 5;2019:8374709. Epub 2019 Dec 5.

Orthopaedic Department at Hospital Clinico Universidad de Chile, Santos Dumont, 999 Santiago, Chile.

Knee replacement has demonstrated to be a cost-effective treatment for severe knee osteoarthritis. Nevertheless, perioperative complications may occur, including recurrent hemarthrosis reaching an incidence between 0.3 and 1. Read More

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http://dx.doi.org/10.1155/2019/8374709DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915123PMC
December 2019

Knee orthopedic problems in newborns and infancy: a review.

Curr Opin Pediatr 2020 Feb;32(1):113-119

University of Osijek, Osijek.

Purpose Of Review: We present the reader with insight on the most common disorders of the knee in newborns and infants. Knee issues in this population may confuse the first contact physicians due to certain peculiarities of the immature immune system, small size and underdevelopment of joint anatomy. Data presented here are recent and significant, and something to bear in mind when caring for children of this age. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000859DOI Listing
February 2020

Sympathetic Joint Effusion in an Urban Hospital.

ACR Open Rheumatol 2019 Mar 15;1(1):37-42. Epub 2019 Mar 15.

Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, and Boston University Medical Center Boston Massachusetts.

Objective: Sympathetic joint effusion (SJE) and sympathetic synovial effusion (SSE) are recognized as causes of noninflammatory effusion with <2000 white blood cell (WBC) WBC/mm in the joint and bursa, respectively. Data on normal range SJE/SSE with <200 WBC/mm are unknown. We aimed to investigate the incidence, disease characteristics, and associated triggers of normal range SJE/SSE and to propose diagnostic criteria. Read More

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http://dx.doi.org/10.1002/acr2.1005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858009PMC

Pseudogout Diagnosed By Point-of-care Ultrasound.

Clin Pract Cases Emerg Med 2019 Nov 30;3(4):425-427. Epub 2019 Sep 30.

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

A 71-year-old male presented to the emergency department (ED) for worsening right knee pain for the prior 3-4 weeks. Point-of-care ultrasound (POCUS) of the right knee showed a pseudo-double contour sign. Subsequent ultrasound-guided arthrocentesis of the knee joint was performed, and fluid studies showed the presence of calcium pyrophosphate crystals, which was consistent with pseudogout. Read More

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http://dx.doi.org/10.5811/cpcem.2019.7.43244DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861017PMC
November 2019

Acalculous Cholecystitis Presenting as a Septic Joint: A Case Report.

Cureus 2019 Jul 22;11(7):e5193. Epub 2019 Jul 22.

Internal Medicine, The University of Kansas Medical Center, Kansas City, USA.

It is rare for acalculous cholecystitis to present with symptoms outside the abdomen; hence, making its diagnosis can be a challenge. We report a case of a 77-year-old male, with a relevant past medical history of left knee arthroplasty two years prior, who presented with left knee pain and swelling. Cultures from the arthrocentesis grew , which led to a search for the source of infection. Read More

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http://dx.doi.org/10.7759/cureus.5193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759001PMC
July 2019
4 Reads

Surgical approaches to hemophilic arthropathy.

Blood Coagul Fibrinolysis 2019 Sep;30(1S Suppl 1):S11-S13

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

: The role of the orthopedic surgeon is to use invasive and/or surgical methods to treat the musculoskeletal disorders suffered by persons with hemophilia, always within the context of a multidisciplinary team. Muscle hematomas must be diagnosed as early as possible and be subjected to continuous treatment until full resolution, as they are associated with the risk of severe complications (compartment syndromes and pseudotumors). Arthrocentesis (extraction of intra-articular blood) is recommended in cases of acute and profuse hemarthrosis. Read More

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http://dx.doi.org/10.1097/MBC.0000000000000824DOI Listing
September 2019
9 Reads

Culture-Negative Pediatric Septic Arthritis: Cloudy Joint Aspirate With a Cloudy Clinical Picture.

Clin Pediatr (Phila) 2019 10 26;58(11-12):1360-1362. Epub 2019 Jul 26.

Department of Orthopedic Surgery, Ochsner Clinic Foundation, New Orleans, LA, USA.

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http://dx.doi.org/10.1177/0009922819866150DOI Listing
October 2019
2 Reads

Low frequency of septic arthritis after arthrocentesis and intra-articular glucocorticoid injection.

Scand J Rheumatol 2019 Sep 31;48(5):393-397. Epub 2019 May 31.

Department of Rheumatology, Odense University Hospital, Svendborg Hospital , Svendborg , Denmark.

: The aim of this study was to evaluate the risk of septic arthritis (SA) in patients who received an intra-articular (IA) glucocorticoid (GC) injection and to describe the characteristics of these patients. : All patients undergoing IA procedures at the orthopaedic and rheumatological departments on the Danish island of Funen from January 2006 to December 2013 were identified in the central database and included by register extraction. Patients who developed a clinically inflamed joint and positive synovial fluid culture within 14 days after IA GC injection were considered as having SA. Read More

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http://dx.doi.org/10.1080/03009742.2019.1584329DOI Listing
September 2019
1 Read

Learning knee arthrocentesis using YouTube videos.

Clin Teach 2020 Apr 10;17(2):148-152. Epub 2019 May 10.

Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.

Background: This study aims to compare medical students' educational outcomes in performing knee arthrocentesis through searching and using YouTube videos versus traditional supervisor-led sessions.

Method: Seventy-one medical students were randomly assigned to three groups. Group A had a traditional supervisor-led clinical session, where the supervisor demonstrated the procedure. Read More

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http://dx.doi.org/10.1111/tct.13031DOI Listing
April 2020
3 Reads

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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http://dx.doi.org/10.1097/MBC.0000000000000803DOI Listing
April 2019
11 Reads

Extractable synovial fluid in inflammatory and non-inflammatory arthritis of the knee.

Clin Rheumatol 2019 Aug 5;38(8):2255-2263. Epub 2019 Apr 5.

Department of Internal Medicine, Division of Rheumatology and School of Medicine, MSC 10 5550, 5th FL ACC, University of New Mexico Health Sciences Center, Albuquerque, NM, 87131, USA.

Introduction/objectives: We hypothesized that mechanical compression of the knee in rheumatoid arthritis (RA) would mobilize occult extractable fluid and improve arthrocentesis success.

Methods: Sixty-seven consecutive knees with RA and 186 knees with OA and were included. Conventional arthrocentesis was performed and success and volume (milliliters) determined; the needle was left intraarticularly, and mechanical compression was applied with an elastomeric knee brace. Read More

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http://dx.doi.org/10.1007/s10067-019-04524-2DOI Listing
August 2019
24 Reads

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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http://dx.doi.org/10.14423/SMJ.0000000000000958DOI Listing
April 2019
33 Reads

Three-phase Technetium-99m bone scanning in patients with pain in the knee region after cemented total knee arthroplasty.

Eur J Orthop Surg Traumatol 2019 Jul 19;29(5):1105-1113. Epub 2019 Mar 19.

Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Foundation Trust, Barrack Road, Exeter, EX2 5DW, UK.

Introduction: Our aim was to question the usefulness of a three-phase bone scan in the evaluation of pain in the knee region after TKR. Our hypothesis was that an abnormal investigation had a poor association with the presence of infection or loosening, and did not provide any additional diagnostic information above that already available through other standard investigations.

Methods: A retrospective study over a 24-month period was performed comprising 118 patients investigated with a TPBS. Read More

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http://dx.doi.org/10.1007/s00590-019-02407-5DOI Listing
July 2019
4 Reads

[Clinical effect and mechanism of heat sensitive moxibustion for knee joint synovitis].

Zhongguo Zhen Jiu 2018 Nov;38(11):1163-8

Department of Rehabilitation, Longhai TCM Hospital, Zhangzhou 363100, Fujian Province, China.

Objective: To observe the effect of heat sensitive moxibustion based on the articular injection for knee joint synovitis.

Methods: Sixty-seven patients with knee joint synovitis were randomly assigned into an observation group (34 cases) and a control group (33 cases). Articular injection of triamcinolone was used in the control group for 2 courses, 2 times as a course, once 5 days. Read More

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http://www.cnki.net/kcms/doi/10.13703/j.0255-2930.2018.11.00
Publisher Site
http://dx.doi.org/10.13703/j.0255-2930.2018.11.008DOI Listing
November 2018
69 Reads

Ultrasound measurement of knee synovial fluid during external pneumatic compression.

J Orthop Res 2019 03 12;37(3):601-608. Epub 2019 Feb 12.

Department of Medicine Rheumatology, Division National Jewish Health, Denver, Colorado.

Synovial fluid based biomarker research has been limited by the small volumes of synovial fluid from the knees of some patients. We used ultrasound (US) to determine if synovial fluid could be displaced into an access port during pneumatic compression to 100 mmHg. Forty knees from 37 consecutive arthritis patients with rheumatoid arthritis -25, osteoarthritis -8, psoriatic arthritis -2, and 1 each with systemic lupus erythematosus and gout were evaluated. Read More

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http://doi.wiley.com/10.1002/jor.24216
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http://dx.doi.org/10.1002/jor.24216DOI Listing
March 2019
32 Reads

[Systemic lupus erythematosus with acquired hemophilia A: a case report].

Authors:
F Yang Y S Zhou Y Jia

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Dec;50(6):1108-1111

Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing 100044, China.

Acquired hemophilia A (AHA) is anunusual disease resulting from autoantibodies (inhibitors) against coagulation factor VIII (FVIII) and clinically manifests as bleeding, which sometimes can cause potentially limb-threatening or life-threatening situations. AHA is associated with cancers, auto-immune disorders, infections, dermatologic conditions and certain medications, among which it is commonly secondary to multiple rheumatologic conditions, such as rheumatoid arthritis, systemic lupus erythematosus (SLE), pollymyositis, autoimmune hemolytic anemia and undifferentiated connective tissue disease. In autoimmune diseases, it may be the result of autoantibody producing against FVIII, and some cases of AHA may act as the first manifestation of SLE. Read More

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December 2018
39 Reads

In vitro and in vivo potentialities for cartilage repair from human advanced knee osteoarthritis synovial fluid-derived mesenchymal stem cells.

Stem Cell Res Ther 2018 11 28;9(1):329. Epub 2018 Nov 28.

UMR 7365 CNRS-UL, IMoPA (Ingénierie Moléculaire et Physiopathologie Articulaire), Biopôle de l'Université de Lorraine, Campus Brabois-Santé, 9 Avenue de la Forêt de Haye, BP 20199, 54505, Vandœuvre-Lès-Nancy, France.

Background: Mesenchymal stem cells (MSCs) are found in synovial fluid (SF) and can easily be harvested during arthrocentesis or arthroscopy. However, SF-MSC characterization and chondrogenicity in collagen sponges have been poorly documented as well as their hypothetical in vivo chondroprotective properties with intra-articular injections during experimental osteoarthritis (OA).

Methods: SF-MSCs were isolated from human SF aspirates in patients suffering from advanced OA undergoing total knee joint replacements. Read More

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http://dx.doi.org/10.1186/s13287-018-1071-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263063PMC
November 2018
26 Reads

Late recurrence of an osteoarticular infection caused by Klebsiella pneumoniae in a child.

Arch Pediatr 2018 Nov 22;25(8):497-499. Epub 2018 Oct 22.

Department of Pediatric Orthopaedic Surgery, Amiens University Hospital and Jules Verne University of Picardy, 80054 Amiens, France. Electronic address:

Klebsiella pneumoniae is an opportunistic pathogen in neonates. A 23-day-old newborn developed septic arthritis of the right hip due to an ESBL-producing strain. A recurrence on the knee was observed at 4 years of age. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0929693X183020
Publisher Site
http://dx.doi.org/10.1016/j.arcped.2018.09.009DOI Listing
November 2018
28 Reads

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
23 Reads

Incidence, Risk Factors, and Management of Infection Following Anterior Cruciate Ligament Reconstruction Surgery.

Indian J Orthop 2018 Jul-Aug;52(4):399-405

Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.

Background: Infection after anterior cruciate ligament reconstruction surgery (ACLRS) is a rare complication. Although there are number of studies from various Caucasian population but only few studies are available from Asian population. The aim of the study is to assess the incidence, risk factors and, clinical outcome using our treatment protocol. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_379_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055468PMC
August 2018
27 Reads
0.624 Impact Factor

Micro-fragmented adipose tissue for treatment of knee osteoarthritis with Baker's cyst: a case study.

BMJ Case Rep 2018 Jun 4;2018. Epub 2018 Jun 4.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, Florida, USA.

Adipose-derived therapies have increased in popularity for treatment of painful orthopaedic conditions, such as osteoarthritis. We report the passage of fat into a Baker's cyst after injection of micro-fragmented adipose tissue in a patient with bilateral knee arthritis. Following fat grafting, the patient required drainage of fatty fluid from within the Baker's cyst on multiple occasions. Read More

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http://dx.doi.org/10.1136/bcr-2018-224426DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990058PMC
June 2018
23 Reads

Joint aspiration, including culture of reaspirated saline after a 'dry tap', is sensitive and specific for the diagnosis of hip and knee prosthetic joint infection.

Bone Joint J 2018 06;100-B(6):749-754

Department of Orthopaedics, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Aims: The aim of this study was to establish the diagnostic accuracy of culture of joint aspirate with and without saline injection-reaspiration.

Patients And Methods: This is a retrospective analysis of 580 hip and knee aspirations in patients who were deemed to have a moderate to high risk of infection, and who subsequently proceeded to revision arthroplasty over a period of 12 years. It was carried out at a large quaternary referral centre where preoperative aspiration is routine. Read More

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http://dx.doi.org/10.1302/0301-620X.100B6.BJJ-2017-0970.R2DOI Listing
June 2018
33 Reads

Repair of articular cartilage defects with intra-articular injection of autologous rabbit synovial fluid-derived mesenchymal stem cells.

J Transl Med 2018 05 9;16(1):123. Epub 2018 May 9.

Shenzhen Key Laboratory of Tissue Engineering, Shenzhen Laboratory of Digital Orthopeadic Engineering, Shenzhen Second Peoples Hospital (The First Hospital Affiliated to Shenzhen University), Shenzhen, 518035, Guangdong Province, China.

Background: The role of rabbit synovial fluid-derived mesenchymal stem cells (rbSF-MSCs) in cartilage defect repair remains undefined. This work evaluates the in vivo effects of rbSF-MSCs to repair knee articular cartilage defects in a rabbit model.

Methods: Cartilage defects were made in the patellar grooves of New Zealand white rabbits. Read More

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http://dx.doi.org/10.1186/s12967-018-1485-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5941664PMC
May 2018
19 Reads

Suspected periprosthetic joint infection after total knee arthroplasty under propofol versus sevoflurane anesthesia: a retrospective cohort study.

Can J Anaesth 2018 08 23;65(8):893-900. Epub 2018 Apr 23.

Department of Public Health, Health Management and Policy, Nara Medical University, 840, Shijo-cho, Kashihara, Nara, 634-8521, Japan.

Purpose: Periprosthetic joint infection is a serious complication of total knee arthroplasty. Though there are many factors that might increase its risk, the use of propofol for maintaining general anesthesia could theoretically increase the incidence of infection because of its lipid component that supports bacterial growth. Nevertheless, the relationship between anesthetic maintenance agents and the occurrence of periprosthetic joint infection remains uncertain. Read More

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http://dx.doi.org/10.1007/s12630-018-1139-6DOI Listing
August 2018
13 Reads

A rare cause of oligoarthritis with septic presentation.

BMJ Case Rep 2018 Apr 17;2018. Epub 2018 Apr 17.

General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.

A 33-year-old man presented with new-onset, asymmetric, migratory oligoarthritis in the setting of several weeks of nausea and vomiting, diarrhoea, fevers and dysuria. He was initially treated in the inpatient setting with broad-spectrum antibiotics due to concern for an evolving sepsis presentation. Arthrocentesis of a large right knee effusion revealed inflammatory synovial fluid without findings suggestive of septic arthritis. Read More

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http://dx.doi.org/10.1136/bcr-2017-223941DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905807PMC
April 2018
9 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
17 Reads

The Brief Case: Disseminated Neisseria gonorrhoeae in an 18-Year-Old Female.

J Clin Microbiol 2018 04 26;56(4). Epub 2018 Mar 26.

Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

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http://dx.doi.org/10.1128/JCM.00932-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5869837PMC
April 2018
20 Reads

Pachydermoperiostosis in a patient with chronic hepatitis B virus infection referred as acromegaly: a case report.

J Med Case Rep 2018 Mar 8;12(1):59. Epub 2018 Mar 8.

Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.

Background: Primary hypertrophic osteoarthropathy also known as pachydermoperiostosis is a rare genetic disorder that has often been confused with acromegaly because of similar clinical features. Vascular endothelial growth factors which have been implicated in the clinical features of pachydermoperiostosis, have also been shown to be present in chronic hepatitis and implicated in the malignant transformation of hepatitis B infection to hepatocellular carcinoma. To the best of our knowledge there is one reported case of pachydermoperiostosis with chronic hepatitis B infection. Read More

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http://dx.doi.org/10.1186/s13256-018-1578-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842528PMC
March 2018
50 Reads

Concomitant Parvimonas micra Septic Arthritis and Pseudogout After Total Knee Arthroplasty.

J Clin Rheumatol 2019 06;25(4):47-50

Department of Medicine Queen's University Kingston Department of Medicine Schulich School of Medicine & Dentistry Western University London, Ontario, Canada Department of Medicine Queen's University Kingston

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http://dx.doi.org/10.1097/RHU.0000000000000728DOI Listing
June 2019
5 Reads
1.245 Impact Factor

Cross-linked polyethylene does not reduce wear in total knee arthroplasty.

Rev Esp Cir Ortop Traumatol 2018 May - Jun;62(3):197-203. Epub 2018 Feb 14.

Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Departamento de Estadística, Hospital Clínic, Universitat de Barcelona, Barcelona, España.

Aim: To compare two different types of inserts: Ultra-high molecular weight polyethylene (UHMWPE) and cross-linked polyethylene with a quantitative and qualitative study of polyethylene wear particles in synovial fluid 3 years after total knee arthroplasty.

Material And Methods: A prospective, randomized, controlled cohort study with blinded evaluation was carried out on 25 patients undergoing staged bilateral total knee replacement, 6 months apart. Knee arthrocentesis was performed on 12 patients 3 years after surgery, and the polyethylene particles were analyzed. Read More

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http://dx.doi.org/10.1016/j.recot.2017.11.004DOI Listing
October 2018
8 Reads

Can Diagnostic and Therapeutic Arthrocentesis Be Successfully Performed in the Flexed Knee?

J Clin Rheumatol 2018 Sep;24(6):295-301

School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM.

Background/objective: The objective of this study was to determine whether the extended or flexed knee positioning was superior for arthrocentesis and whether the flexed knee positioning could be improved by mechanical compression.

Methods: Fifty-five clinically effusive knees underwent arthrocentesis in a quality improvement intervention: 20 consecutive knees in the extended knee position using the superolateral approach, followed by 35 consecutive knees in the flexed knee position with and without an external compression brace placed on the suprapatellar bursa. Arthrocentesis success and fluid yield in milliliters were measured. Read More

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http://dx.doi.org/10.1097/RHU.0000000000000707DOI Listing
September 2018
12 Reads

Are Self-study Procedural Teaching Methods Effective? A Pilot Study of a Family Medicine Residency Program.

Fam Med 2017 Nov;49(10):789-795

University of Colorado School of Medicine, Department of Family Medicine.

Background And Objectives: A family medicine residency is a unique training environment where residents are exposed to care in multiple settings, across all ages. Procedures are an integral part of family medicine practice. Family medicine residency (FMR) programs are tasked with the job of teaching these skills at a level of intensity and frequency that allows a resident to achieve competency of such skills. Read More

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November 2017
9 Reads

Tertiary care centre adherence to unified guidelines for management of periprosthetic joint infections: a gap analysis.

Can J Surg 2017 12 1;60(6):8617. Epub 2017 Dec 1.

All authors are from the Division of Orthopaedic Surgery, The Ottawa Hospital, Ottawa, Ont.

Background: The success rate of surgical treatment for periprosthetic joint infection (PJI) remains inconsistent in the literature. Variability in PJI clinical guidelines and surgeon adherence to guidelines could affect treatment success. The objectives of this study were to appraise current recommendations for PJI management and develop a unified clinical standard of care, to perform a gap analysis of PJI cases in a tertiary institution to determine the rate of guideline adherence, and to determine if adherence to unified PJI guidelines affected 2-year treatment outcomes. Read More

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http://dx.doi.org/10.1503/cjs.008617DOI Listing
December 2017
6 Reads

Acute Septic Arthritis of the Knee Caused by in a 5-Year-Old Cameroonian Boy.

Front Pediatr 2017 6;5:230. Epub 2017 Nov 6.

Research Unit on Infectious and Emerging Tropical Diseases (URMITE), UM63, CNRS 7278, IRD 198, INSERM 1095, Aix-Marseille Université, IHU Méditerranée Infection, Marseille, France.

is an important cause of invasive infections in young children from Western countries. Although increasing reports indicate that this organism is the leading agent of bone and joint infections in early childhood, data on infections from resource-limited settings are scarce, and none has yet been reported in Africa. We herein report the diagnostic and epidemiological investigations of the first case of arthritis identified in a child from sub-Saharan Africa. Read More

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http://dx.doi.org/10.3389/fped.2017.00230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5681518PMC
November 2017
36 Reads

Native join septic arthritis.

Infect Dis Rep 2017 Oct 2;9(3):7185. Epub 2017 Oct 2.

Department of Medicine, Geisel Medical School at Dartmouth, Hanover, NH.

species are associated with normal skin flora and cultures may be dismissed as contaminants. They are increasingly recognized as a cause of septic arthritis following shoulder arthroplasty and arthrotomy. We identified three cases of septic arthritis in native joints mimicking atypical osteoarthritis and review the literature, clinical course, and treatment of 18 cases. Read More

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http://dx.doi.org/10.4081/idr.2017.7185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5641666PMC
October 2017
14 Reads

Improvement in diagnostic and therapeutic arthrocentesis via constant compression.

Clin Rheumatol 2018 Aug 14;37(8):2251-2259. Epub 2017 Sep 14.

Department of Internal Medicine, Division of Rheumatology and School of Medicine, University of New Mexico Health Sciences Center, MSC 10 5550, 5th FL ACC, Albuquerque, NM, 87131, USA.

We hypothesized that constant compression of the knee would mobilize residual synovial fluid and promote successful arthrocentesis. Two hundred and ten knees with grade II-III osteoarthritis were included in this paired design study: (1) conventional arthrocentesis was performed with manual compression and success and volume (milliliters) determined; and (2) the intra-articular needle was left in place, and a circumferential elastomeric brace was tightened on the knee to provide constant compression. Arthrocentesis was attempted again and additional fluid volume was determined. Read More

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http://dx.doi.org/10.1007/s10067-017-3836-xDOI Listing
August 2018
12 Reads

Inadvertent Introduction of Tissue Coring Into Joints During Arthrocentesis: An Experimental Study.

Med Sci Monit 2017 Jul 22;23:3571-3577. Epub 2017 Jul 22.

Department of Orthopaedics, General Hospital of People's Liberation Army, Beijing, China (mainland).

BACKGROUND The aim of this study was to investigate whether needles introduce skin plugs into joints during arthrocentesis. MATERIAL AND METHODS In the first part of this study, the arthrocentesis site was scrubbed with a fluorescein sodium swab, and 90 needles were inserted through the joint tissue and collected for examination under a fluorescence microscope. In the second part of this study, the joints were injected using 720 needles of different gauges. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536130PMC
http://dx.doi.org/10.12659/msm.905590DOI Listing
July 2017
17 Reads

Mycobacterial Arthritis at 19 Months After a Bacille Calmette-Guérin Vaccination.

Am J Trop Med Hyg 2017 Jun;96(6):1263-1264

Department of Pediatrics and Orthopaedics, Hsinchu Mackay Memorial Hospital, Hsinchu, Taiwan.

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http://dx.doi.org/10.4269/ajtmh.16-0618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462556PMC
June 2017
5 Reads

Internal Medicine Point-of-Care Ultrasound Curriculum: Consensus Recommendations from the Canadian Internal Medicine Ultrasound (CIMUS) Group.

J Gen Intern Med 2017 Sep 11;32(9):1052-1057. Epub 2017 May 11.

University of Manitoba, Winnipeg, MN, Canada.

Bedside point-of-care ultrasound (POCUS) is increasingly used to assess medical patients. At present, no consensus exists for what POCUS curriculum is appropriate for internal medicine residency training programs. This document details the consensus-based recommendations by the Canadian Internal Medicine Ultrasound (CIMUS) group, comprising 39 members, representing 14 institutions across Canada. Read More

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http://link.springer.com/10.1007/s11606-017-4071-5
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http://dx.doi.org/10.1007/s11606-017-4071-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5570740PMC
September 2017
110 Reads

The Case | Hypomagnesemia with knee pain.

Kidney Int 2017 05;91(5):1261-1262

Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.kint.2016.10.041DOI Listing
May 2017
5 Reads

Early loss of subchondral bone following microfracture is counteracted by bone marrow aspirate in a translational model of osteochondral repair.

Sci Rep 2017 03 27;7:45189. Epub 2017 Mar 27.

Center of Experimental Orthopaedics, Saarland University, Homburg, Germany.

Microfracture of cartilage defects may induce alterations of the subchondral bone in the mid- and long-term, yet very little is known about their onset. Possibly, these changes may be avoided by an enhanced microfracture technique with additional application of bone marrow aspirate. In this study, full-thickness chondral defects in the knee joints of minipigs were either treated with (1) debridement down to the subchondral bone plate alone, (2) debridement with microfracture, or (3) microfracture with additional application of bone marrow aspirate. Read More

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http://dx.doi.org/10.1038/srep45189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5366926PMC
March 2017
28 Reads

Open Compared with Arthroscopic Treatment of Acute Septic Arthritis of the Native Knee.

J Bone Joint Surg Am 2017 Mar;99(6):499-505

1The Bone and Joint Institute, Royal Newcastle Centre and John Hunter Hospital, Newcastle, Australia 2Department of Immunology and Infectious Diseases, John Hunter Hospital, Newcastle, Australia 3School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.

Background: Acute native knee septic arthritis is a joint-threatening emergency. Operative treatments by open or arthroscopic methods are available to surgeons. To our knowledge, the literature to date has primarily consisted of case series and no large study has yet compared these methods. Read More

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http://dx.doi.org/10.2106/JBJS.16.00110DOI Listing
March 2017
13 Reads

Popliteal Cyst Infection and Review of the Literature.

Case Rep Infect Dis 2017 31;2017:9704790. Epub 2017 Jan 31.

Division of Infectious Diseases, Mayo Clinic 200, First Street SW, Rochester, MN 55905, USA.

A 66-year-old, Caucasian male presented with pain and swelling involving the left knee of one-week duration. Arthrocentesis was negative for evidence of septic arthritis. Magnetic resonance imaging (MRI) study of the left knee showed degenerative arthritis, partial tear of medial meniscus, and a complex fluid collection along the posteromedial aspect of the left knee suggestive of popliteal cyst. Read More

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http://dx.doi.org/10.1155/2017/9704790DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306961PMC
January 2017
17 Reads