276 results match your criteria Arthrocentesis Knee


Native joint septic arthritis due to in an adult.

IDCases 2021 31;24:e01106. Epub 2021 Mar 31.

Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, USA.

A 65-year-old woman with chronic osteoarthritis of the knees presented with a one-week history of acutely worsening right knee pain and swelling. Arthrocentesis was performed and synovial fluid was indicative of septic arthritis with a negative Gram stain for bacteria. Magnetic Resonance Imaging (MRI) was obtained, revealing a large anterior periarticular abscess with concomitant septic arthritis. Read More

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A comparative study on the lipidome of normal knee synovial fluid from humans and horses.

PLoS One 2021 16;16(4):e0250146. Epub 2021 Apr 16.

Department of Orthopaedics, Laboratory for Experimental Orthopaedics, Justus Liebig University Giessen, Giessen, Germany.

The current limitations in evaluating synovial fluid (SF) components in health and disease and between species are due in part to the lack of data on normal SF, because of low availability of SF from healthy articular joints. Our study aimed to quantify species-dependent differences in phospholipid (PL) profiles of normal knee SF obtained from equine and human donors. Knee SF was obtained during autopsy by arthrocentesis from 15 and 13 joint-healthy human and equine donors, respectively. Read More

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Differential characteristics and management of pseudoseptic arthritis following hyaluronic acid injection is a rare complication: a systematic review.

J ISAKOS 2021 03 3;6(2):94-101. Epub 2020 Nov 3.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, Hamilton, Ontario, Canada

Importance: Acute pseudoseptic arthritis is a rare complication of hyaluronic acid (HA) injections that is not well documented in the literature. Practitioners initially suspect the symptoms of this complication to represent septic arthritis, cautiously prescribing antibiotics. This review identifies that time to presentation of symptoms postinjection, negative cell cultures and lack of crystallisation could be used as differentials to suspect pseudoseptic arthritis and to prescribe anti-inflammatory drugs while closely monitoring change of symptoms. Read More

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Septic gonococcal arthritis in a pediatric patient: Rare case report.

Int J Surg Case Rep 2021 Mar 24;80:105701. Epub 2021 Feb 24.

Community Memorial Health System, Ventura, CA, USA.

Introduction: Septic arthritis is an orthopedic emergency that requires rapid diagnosis and treatment due to the rapid destruction to cartilage. The responsible organism and etiology differs depending on patient age, especially in children. Gonococcal Arthritis in toddlers is a rare occurrence with few documented cases in the literature. Read More

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Arthrocentesis, arthroscopy or arthrotomy for septic knee arthritis in children: a systematic review.

J Child Orthop 2021 Feb;15(1):48-54

Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands.

Purpose: Septic knee arthritis in children can be treated by arthrocentesis (articular needle aspiration) with or without irrigation, arthroscopy or arthrotomy followed by antibiotics. The objective of this systematic review was to identify the most effective drainage technique for septic arthritis of the knee in children.

Methods: The electronic PubMed, Embase and Cochrane databases were systematically searched for original articles that reported outcomes of arthrocentesis, arthroscopy or arthrotomy for septic arthritis of the knee. Read More

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February 2021

Diagnostic algorithm in septic total knee arthroplasty failure - What is evidence-based?

J Orthop 2021 Jan-Feb;23:208-215. Epub 2021 Jan 28.

Department of Orthopedics and Sports Orthopedics, Klinikum Rechts der Isar, Technical University of Munich (TUM), Ismaningerstr. 22, 81675, Munich, Germany.

Prosthetic joint infection (PJI) is among the most common differential diagnoses of total knee arthroplasty failure. It is a challenging complication, not least because of the difficulty of establishing the correct diagnosis. The fact that no single diagnostic parameter or test has been identified that can accurately rule in or out PJI has led to an evolution of similar but competing definitions of PJI on the grounds of an array of criteria. Read More

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January 2021

Treatment Algorithm for Surgical Site Infections Following Extensor Mechanism Repair.

JBJS Rev 2020 12 18;8(12):e20.00078. Epub 2020 Dec 18.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia.

»: Despite general agreement regarding techniques for extensor mechanism repair, there is very limited guidance in the literature for the management of surgical site infections (SSIs) that may occur after these procedures.

»: Early or mild superficial SSIs, such as cellulitis, can be managed on an outpatient basis while monitoring for improvement, with escalated intervention if the symptoms do not resolve within 1 week.

»: Deep SSIs should be managed more aggressively with surgical irrigation and debridement (I&D), including the knee joint, depending on the results of the aspiration, removal of all braided nonabsorbable suture (if necessary) with immediate or delayed exchange with monofilament suture, and the administration of parenteral antibiotics based on culture results and an infectious disease consult. Read More

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December 2020

An unexpected case of Cardiobacterium valvarum prosthetic arthritis without cardiac lesions: Case report and literature review.

J Infect Chemother 2021 May 2;27(5):747-750. Epub 2021 Jan 2.

Department of Clinical Infectious Diseases, Aichi Medical University Hospital, Nagakute, Aichi, Japan; Department of Infection Control and Prevention, Aichi Medical University Hospital, Nagakute, Aichi, Japan.

We report a case of prosthetic arthritis caused by Cardiobacterium valvarum, which has been exclusively reported to cause intravascular infections. A 81-year-old Japanese female complained prosthetic knee joint pain. Arthrocentesis cultured no pathogen, and surgical replacement of the implant surface was performed. Read More

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Unilateral knee effusion in an elderly patient: an unusual presentation of rheumatoid arthritis.

J Prim Health Care 2020 12;12(4):391-394

University of Colorado School of Medicine, Department of Family Medicine & Orthopedics, Division of Sports Medicine, AF Williams Clinic, Denver, Colorado, USA.

Unilateral atraumatic knee effusion is a relatively common presenting complaint among geriatric patients in primary care and musculoskeletal speciality clinics. Gout, pseudogout, degenerative joint diseases and reactive arthritis are the most common causes of the atraumatic knee effusions. Rheumatoid arthritis very rarely presents as arthritis of one or two large joints. Read More

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December 2020

An uncommon case of native joint septic arthritis by Parvimonas micra.

Anaerobe 2021 Feb 26;67:102315. Epub 2020 Dec 26.

Department of Internal Medicine, East Carolina University/Vidant Medical Center, Greenville, NC, USA.

Parvimonas micra is an anaerobic, Gram-positive coccus found in the oral cavity and gastrointestinal tract. We report a case of a 77-year-old male with right knee pain after a recent dental procedure and fall. Arthrocentesis was notable for Parvimonas micra which was successfully treated with metronidazole. Read More

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February 2021

Concurrence of Pigmented Villonodular Synovitis with Calcium Pyrophosphate Deposition in a Postacute Stroke Patient.

J Med Ultrasound 2020 Jul-Sep;28(3):188-191. Epub 2020 Mar 26.

Department of Orthopaedics Surgery, MacKay Memorial Hospital, Taipei, Taiwan.

Pigmented villonodular synovitis (PVNS) is a rare synovial proliferative disease featuring hemosiderin deposits. Calcium pyrophosphate deposition (CPPD) is a crystal-induced inflammatory arthritis common in the elderly. We reported the case of a 78-year-old male who was under stroke rehabilitation when acute inflammatory and hemorrhagic knee arthritis of his paretic lower limb occurred. 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

Effect of an oral preparation containing hyaluronic acid, chondroitin sulfate, hydrolyzed collagen type II and hydrolyzed keratin on synovial fluid features and clinical indices in knee osteoarthritis. A pilot study.

Reumatismo 2020 Nov 19;72(3):125-130. Epub 2020 Nov 19.

High Specialty Rehabilitation Hospital, Motta di Livenza (TV), Italy; Centre for Gout and Metabolic Bone and Joint Diseases, Rheumatology, SS Giovanni and Paolo Hospital, Venice.

The aim of this study was to evaluate the effect of an oral preparation containing a naturally occurring matrix of hydrolyzed collagen type II, chondroitin sulfate (CS), and hyaluronic acid (HA), and bioactive oligopeptides of natural hydrolyzed keratin (K) in patients affected by knee OA through the evaluation of synovial fluid (SF) and clinical changes before and after treatment. Thirty patients with knee OA and swollen joint were included in the study and submitted to arthrocentesis. Patients were randomized in two groups: 1) the treatment group (N. Read More

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November 2020

Synovial fluid peptidase activity as a biomarker for knee osteoarthritis clinical progression.

Bone Joint Res 2020 Nov;9(11):789-797

Department of Physiology, Faculty of Medicine, University of the Basque Country, Leioa, Spain.

Aims: To analyze the potential role of synovial fluid peptidase activity as a measure of disease burden and predictive biomarker of progression in knee osteoarthritis (KOA).

Methods: A cross-sectional study of 39 patients (women 71.8%, men 28. Read More

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November 2020

[Application of percutaneous pie-crusting deep medial collateral ligament release for posterior horn surgery of medial meniscus].

Zhongguo Gu Shang 2020 Oct;33(10):938-42

Orthopaedic Medical Center, the 2nd Hospital of Jilin University, Changchun 130041, Jilin, China.

Objective: To explore clinical and radiographic effects of percutaneous pie-crusting deep medial collateral ligament release in patients with posterior horn tear of medial meniscus combined with tight medial compartment.

Methods: From January 2012 to December 2016, 35 patients with medial meniscus posterior horn injury were treated with percutaneous pie crusting deep medial collateral ligament release technique, including 21 males and 14 females, aged from 21 to 55 years old with an average of (39.1±6. Read More

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October 2020

Increased Diagnostic Certainty of Periprosthetic Joint Infections by Combining Microbiological Results with Histopathological Samples Gained via a Minimally Invasive Punching Technique.

J Clin Med 2020 Oct 20;9(10). Epub 2020 Oct 20.

Orthopädische Klinik und Poliklinik, Universitätsmedizin Rostock, Doberaner Straße 142, 18057 Rostock, Germany.

Background: The diagnosis of low-grade infections of endoprostheses is challenging. There are still no unified guidelines for standardised diagnostic approaches, recommendations are categorised into major and minor criteria. Additional histopathological samples might sustain the diagnosis. Read More

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October 2020

Medicare coverage patterns favor non-invasive and minimally-invasive treatments of knee osteoarthritis compared to temporomandibular joint osteoarthritis.

Cranio 2020 Sep 29:1-7. Epub 2020 Sep 29.

Department of Integrative Biomedical and Diagnostic Sciences, School of Dentistry, Oregon Health & Science University , Portland, OR, USA.

Objective: To compare Medicare coverage patterns for treatments of knee osteoarthritis (OA) to those of temporomandibular joint (TMJ) OA.

Methods: The International Classification of Diseases (ICD)-10 codes were used to identify knee OA, TMJ OA, and related diagnoses. The AAPC Coder was utilized to search for Medicare insurance coverage by state/district for the indicated CPT codes. Read More

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September 2020

Evaluation of an oral joint supplement on gait kinematics and biomarkers of cartilage metabolism and inflammation in mature riding horses.

Transl Anim Sci 2020 Jul 24;4(3):txaa150. Epub 2020 Aug 24.

Texas A&M University, Department of Animal Science, College Station, TX.

Twenty stock-type horses (589 ± 126 kg BW; 13 ± 8 yr) were used in a completely randomized design for 28-d to evaluate the impact of a joint supplement on gait kinematics, inflammation, and cartilage metabolism. Horses were stratified by age, sex, body weight (BW), and initial lameness scores and were randomly assigned to one of two dietary treatments consisting of either a 100-g placebo top-dressed daily to 0.6% BW (as-fed) commercial concentrate (CON; = 10; SafeChoice Original, Cargill, Inc. Read More

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[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

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The impact of a hands-on arthrocentesis workshop in undergraduate medical education.

BMC Med Educ 2020 Aug 10;20(1):260. Epub 2020 Aug 10.

Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Port Road, Adelaide, SA, 5000, Australia.

Background: To evaluate the impact of a training programme for arthrocentesis on procedural skills enhancement and self-confidence in medical students.

Methods: Participants were provided a structured workshop on injection models. A self-confidence questionnaire and medical knowledge assessment were performed. 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

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

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Anterior cruciate ligament reconstruction reinitiates an inflammatory and chondrodegenerative process in the knee joint.

J Orthop Res 2020 Jun 19. Epub 2020 Jun 19.

Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Anterior cruciate ligament (ACL) injury leads to a sustained increase in synovial fluid concentrations of inflammatory cytokines and biomarkers of cartilage breakdown. While this has been documented post-injury, it remains unclear whether ACL reconstruction surgery contributes to the inflammatory process and/or cartilage breakdown. This study is a secondary analysis of 14 patients (nine males/five females, mean age = 9, mean BMI = 28) enrolled in an IRB-approved randomized clinical trial. Read More

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Embolization for intractable spontaneous hemarthrosis of the knee joint in the elderly patient: Case report.

Medicine (Baltimore) 2020 Jun;99(24):e20475

Department of Orthopaedic Surgery, College of Medicine, Daegu Catholic University, Daegu, Korea.

Rationale: Several case reports about the diagnostic and therapeutic approaches of hemarthrosis after total knee arthroplasty using angiogram have been reported, owing to the probability of bleeding caused by vascular injuries. However, there were only few cases of spontaneous hemarthrosis of the knee joint in the elderly patient that have not undergone total knee arthroplasty that have been previously reported.

Patients Concerns: An 82-year-old male presented to our outpatient department with acute left knee pain. Read More

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Medical versus surgical treatment in native hip and knee septic arthritis.

Infect Dis Now 2021 03 5;51(2):164-169. Epub 2020 May 5.

Department of Infectious Diseases, University Hospital of Amiens-Picardie, Amiens, France.

Objective: Antibiotic treatment and arthroscopic or open drainage is the gold standard for septic arthritis. Full recovery takes time after surgery and hospital stay is longer than for arthrocentesis at the bedside. We aimed to evaluate the effectiveness of arthrocentesis (medical approach) versus a surgical approach. Read More

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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 2021 Jan-Feb;39(1):66-72. 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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February 2021

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 09 15;44(9):1629-1637. 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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September 2020

Multisystemic Involvement: Streptococcal Toxic Shock Syndrome.

Am J Med 2020 11 8;133(11):1283-1286. Epub 2020 Apr 8.

Department of Dermatology, Ramon y Cajal University Hospital, Madrid, Spain.

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November 2020

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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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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February 2020