32 results match your criteria Arthrocentesis Wrist


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

Septic Joints: Finger and Wrist.

Authors:
Brian Chenoweth

Hand Clin 2020 08;36(3):331-338

University of Oklahoma, 800 Stanton L Young Boulevard, Suite 3400, Oklahoma City, OK 73003, USA. Electronic address:

Infections in the joints of the hand and wrist carry the risk of significant morbidity. Common presenting symptoms include joint redness, swelling, and pseudoparalysis that occurs several days following a penetrating trauma. Diagnostic workup should be expedited, including a laboratory evaluation and arthrocentesis. Read More

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

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

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

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

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

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Gonococcal Tenosynovitis Diagnosed with the Aid of Emergency Department Bedside Ultrasound.

J Emerg Med 2018 06 21;54(6):844-848. Epub 2018 Apr 21.

Department of Emergency Medicine, Northwell Health Long Island Jewish Medical Center, New Hyde Park, New York.

Background: Gonorrhea is the second most common sexually transmitted infection. Disseminated gonococcal infection (DGI) consists of gonococcal infection plus one or more of the triad of arthritis, tenosynovitis, and dermatitis. Diagnosis in the emergency department (ED) must be suspected clinically, as confirmatory tests are often not available. Read More

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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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Carpal synovitis with capitate bone tuberculosis in a child.

BMJ Case Rep 2018 Mar 15;2018. Epub 2018 Mar 15.

Pediatrics Department - Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal.

We present a 10-year-old boy with 2-month duration non-traumatic wrist pain and inflammatory signs. Due to elevated inflammatory markers on blood tests, with an increase in radiocarpal and intercarpal joints synovial fluid and no bony lesions, the patient was submitted to wrist arthrocentesis for the suspicion of septic arthritis. The patient did not improve on conventional treatment, however. Read More

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Septic Arthritis of the Wrist.

J Am Acad Orthop Surg 2018 Feb;26(4):109-115

From the Department of Orthopaedics and Sports Medicine, Temple University Hospital, Philadelphia, PA (Dr. Jennings) and the Rothman Institute at Thomas Jefferson University, Philadelphia (Dr. Ilyas).

Septic arthritis of the wrist is an uncommon condition, but one that can result in substantial morbidity. Timely identification and treatment is critical to patient care. No serum laboratory values have been shown to consistently confirm wrist joint infection. Read More

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February 2018

Acute pulmonary edema associated with ketamine-induced hypertension during procedural sedation in the ED.

Am J Emerg Med 2017 03 8;35(3):522.e1-522.e4. Epub 2016 Oct 8.

Emergency Department, Maimonides Medical Center, Brooklyn, NY.

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An Algorithmic Approach to the Suspected Septic Wrist.

Ann Plast Surg 2017 Jun;78(6):659-662

From the Department of Plastic and Reconstructive Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, NC.

An acutely painful, erythematous wrist can be due to a variety of pathologic processes, including crystalline arthropathy, infection, trauma, osteoarthritis, and systemic disease. The broad differential diagnosis of the inflamed wrist and nonspecific clinical findings make accurate diagnosis challenging. There is no published clinical or laboratory criterion that reliably differentiates septic wrist arthritis from a sterile inflammatory arthropathy. Read More

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Success of ultrasound-guided versus landmark-guided arthrocentesis of hip, ankle, and wrist in a cadaver model.

Am J Emerg Med 2017 Feb 24;35(2):240-244. Epub 2016 Oct 24.

Department of Emergency Medicine, Keck School of Medicine of USC, LAC+USC Medical Center, 1200 N. State Street, Room 1011, Los Angeles, CA 90033, United States.

Purpose: The objectives of this study were to evaluate emergency medicine resident-performed ultrasound for diagnosis of effusions, compare the success of a landmark-guided (LM) approach with an ultrasound-guided (US) technique for hip, ankle and wrist arthrocentesis, and compare change in provider confidence with LM and US arthrocentesis.

Methods: After a brief video on LM and US arthrocentesis, residents were asked to identify artificially created effusions in the hip, ankle and wrist in a cadaver model and to perform US and LM arthrocentesis of the effusions. Outcomes included success of joint aspiration, time to aspiration, and number of attempts. Read More

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February 2017

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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December 2016

Erosive osteoarthritis, psoriatic arthritis and pseudogout; a casual association?

Clin Rheumatol 2016 Jul 2;35(7):1885-9. Epub 2015 Apr 2.

Rheumatology Unit, Department of Medicine DIMED, University of Padua, Via Giustiniani, 2, 35128, Padova, Italy.

According to recent hypothesis, the inflammation has a pivotal role in the onset and progression of erosive hand osteoarthritis (EHOA), psoriatic arthritis (PsA) and chondrocalcinosis (CC)/pseudogout. Albeit, it has been recognised for years as an association between EHOA and radiographic evidence of CC, but there are few reports of coexistence of microcrystalline arthritis and PsA. This is the first report that described a clinical experience concerning two consecutive cases of patients presented with EHOA, PsA and pseudogout. Read More

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Radiocarpal and first metatarsophalangeal intraarticular injection site confirmation with fluoroscopy and review of accuracy of intraarticular injections.

Am J Ther 2015 Jan-Feb;22(1):11-3

1Division of Rheumatology, Rush University Medical Center, Chicago, IL; and 2Division of Rheumatology, Cook County Health & Hospitals System, Chicago, IL.

The aim of this study was to determine the accuracy of radiocarpal (RC) joint and first metatarsophalangeal (MTP) joint arthrocentesis using fluoroscopy. Rheumatologists were asked to mark their usual site of arthrocentesis over fluoroscopically identified joint lines of the right RC and right first MTP joints. Ten rheumatologists with a mean of 17. Read More

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September 2015

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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Epidemiology of suspected wrist joint infection versus inflammation.

J Hand Surg Am 2011 Mar 24;36(3):469-74. Epub 2010 Dec 24.

Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.

Purpose: To determine the cumulative prevalence of septic arthritis presenting to the emergency department of an academic medical center and evaluate the use of clinical data to diagnose infection versus inflammation.

Methods: We conducted a records review of a single institution with 80,000 annual emergency room visits. We included a consecutive series of patients with suspected wrist infection from January 1, 2007, to December 31, 2008. Read More

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Non-popliteal synovial rupture.

J Clin Rheumatol 2009 Jun;15(4):185-9

San Antonio Uniformed Services Health Education Consortium, Rheumatology Service, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX, USA.

The ruptured popliteal synovial cyst is a common complication of chronic knee arthritis. In contrast, non-popliteal synovial rupture is less well recognized and may present a diagnostic dilemma. We report an 81-year-old woman who presented with chest wall pain and ecchymosis. Read More

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Streptobacillus moniliformis septic arthritis: a clinical entity distinct from rat-bite fever?

BMC Infect Dis 2007 Jun 11;7:56. Epub 2007 Jun 11.

Department of Microbiology, Research Centre of Infection and Immunology, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

Background: Streptobacillus moniliformis is a zoonotic agent associated with rodent contacts. Although it is more commonly reported to cause rat-bite fever with reactive arthritides, it can also lead to pyogenic infection of the joints.

Case Presentation: We present a lady with past history of osteoarthritis developing streptobacillary septic arthritides of the right knee and left wrist, and required antibiotic and arthrotomy for treatment. Read More

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Disseminated gonococcal infection during pregnancy.

Arch Gynecol Obstet 2005 Dec 1;273(3):185-6. Epub 2005 Sep 1.

Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok, 10330, Thailand.

Background: Disseminated gonococcal infection in pregnancy is rare with the incidence of 0.04-0.09% in pregnant women. Read More

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December 2005

Degeneration of the scaphoid-trapezium joint: a useful finding to differentiate calcium pyrophosphate deposition disease from osteoarthritis.

Clin Rheumatol 1999 ;18(3):232-7

Department of Rheumatology and Physical Medicine, University Hospital Zurich, Switzerland.

This study aimed to determine whether osteoarthritis of the scaphoid-trapezium joint (ST osteoarthritis) is associated with calcium pyrophosphate deposition disease (CPDD) in an elderly population with or without concomitant polyarthritis of the finger joints (FIPO). An age- and gender matched case-control study was performed at a university hospital outpatient clinic. Cases and controls were identified from a clinical registry. Read More

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Ultrasound in the evaluation of an unusual periarticular soft tissue tuberculosis.

J Clin Rheumatol 1998 Feb;4(1):32-5

Department of Medicine III, Institute of Clinical Immunology and Rheumatology, Department of Radiology, University Erlangen-NUrnberg, Germany.

This case report describes a 19-year-old patient with a swelling of the interphalangeal joint of the left thumb. Conventional radiography revealed erosive changes and a periarticular osteopenia. A marked increase in bone turnover of the entire thumb and wrist region was confirmed scintigraphically. Read More

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February 1998

Performing a satisfactory arthrocentesis of the distal radioulnar joint during triple-compartment wrist arthrography.

Authors:
F A Mann

AJR Am J Roentgenol 1997 Mar;168(3):840-1

University of Washington School of Medicine, Seattle 98104, USA.

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Monarthritis: differential diagnosis.

Authors:
K Sack

Am J Med 1997 Jan;102(1A):30S-34S

Department of Medicine, University of California, San Francisco 94143-0326, USA.

Acute monarthritis should be regarded as infectious until proved otherwise. Early evaluation is crucial because of the capacity of some infectious agents to destroy cartilage rapidly. The history and physical examination can provide highly suggestive clues, but a definitive diagnosis may depend on arthrocentesis and analysis of synovial fluid. Read More

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January 1997

Acute gonococcal arthritis: an unusual host and pathogen combination.

J Clin Pathol 1995 Jan;48(1):86-8

Department of Microbiology, St Andrew's Hospital, London.

A 76 year old man was admitted for evaluation and treatment of acute oligoarticular arthritis having recently returned from India. He was diabetic on admission. Neisseria gonorrhoeae was isolated from pus collected by arthrocentesis of his right knee and was subsequently found to be chromosomally resistant to penicillin. Read More

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January 1995

[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

Gonococcal septic arthritis of the hip.

J Rheumatol 1991 Dec;18(12):1932-3

Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia.

We describe a patient with a Neisseria gonorrhoeae monoarthritis of the hip. Treatment with intravenous ceftriaxone, oral doxycycline, and repeated fluoroscopic needle aspirations resulted in a complete recovery of function without residual deficit. Gonococcal monoarthritis of the hip is rare. Read More

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December 1991

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

Complications of local corticosteroid injections.

JAMA 1980 Apr;243(15):1547-8

Unusual complications associated with local microcrystalline corticosteroid injections were observed in four patients with diverse rheumatic disorders. Adverse reactions included (1) bilateral digital flexor tendon rupture following carpal tunnel injection for idiopathic median nerve compression syndrome; (2) bowstring deformity of a finger after local corticosteroid treatment of psoriatic digital flexor tendonitis; (3) carpal tunnel infection following dorsal arthrocentesis of a wrist in a patient with rheumatoid arthritis; and (4) pronounced flushing of the face, neck, and chest after intrasynovial corticosteroid injection in a patient with psoriasis and arthritis. This article considers some physiologic actions of corticosteroids possibly responsible for development of these untoward effects. Read More

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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