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Arthrocentesis Procedures News
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All Recent Arthrocentesis Procedures News |
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Is There a Role for Tissue Biopsy in the Diagnosis of Periprosthetic Infection?
CONCLUSIONS: Our data suggest tissue biopsy alone offers no clear advantage over joint aspiration. However, the combination of both techniques provides improved sensitivity and accuracy. We recommend the use of tissue biopsy as an adjunct to joint aspiration in the diagnosis of total joint infection. LEVEL OF EVIDENCE: Level II, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.
PMID: 20131022 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)...
POSTED 02/03/2010 at 06:00 PM --
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Supervising the Supervisors—Procedural Training and Supervision in Internal Medicine Residency
CONCLUSIONS Residents report low levels of comfort and experience with procedures, and frequently report supervising prior to feeling
comfortable. Our findings suggest a need to examine best practices for procedural supervision of trainees.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11606-009-1226-zAuthors
Michelle Mourad, University of California San Francisco Department of Medicine, Division of Hospital Medicine 533 Parnassus Ave Box 0131 San Francisco CA 94143 USAJeffrey Kohlwes, University of San Francisco California Department of Medicine, Division of General Internal Medicine San Francisco USAJudith Maselli, University of California San Francisco Department of Medicine, Division of Hospital Medicine 533 Parnassus Ave Box 0131 San Francisc......
POSTED 01/14/2010 at 06:47 PM --
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Single, intra-articular treatment with 6 ml hylan G-F 20 in patients with symptomatic primary osteoarthritis of the knee: a randomised, multicentre, double-blind, placebo controlled trial
Conclusions:
This placebo-controlled study demonstrated that, in patients with knee osteoarthritis, a single 6 ml intra-articular injection of hylan G-F 20 is safe and effective in providing statistically significant, clinically relevant pain relief over 26 weeks, with a modest difference versus placebo.
Trial registration number:
NCT00131352. (Source: Annals of the Rheumatic Diseases)...
POSTED 12/10/2009 at 12:07 AM --
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Musculoskeletal Complications of Hemophilia
Abstract The most important clinical strategy for management of patients with hemophilia is the avoidance of recurrent hemarthroses
by means of continuous, intravenous hematological prophylaxis. When only intravenous on-demand hematological treatment is
available, frequent evaluations are necessary for the early diagnosis and treatment of episodes of intra-articular bleeding.
The natural history of the disease in patients with poorly controlled intra-articular bleeding is the development of chronic
synovitis and, later, multi-articular hemophilic arthropathy. Once arthropathy develops, the functional prognosis is poor.
Treatment of these patients should be conducted through a comprehensive program by a multidisciplinary hemophilia unit. Although
continuous prophylaxis can ......
POSTED 11/17/2009 at 05:39 PM --
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Certification Is Good for Hospital Medicine
DR. DEITELZWEIG is vice president for medical affairs and chairman of hospital medicine at the Ochsner Clinic Foundation in New Orleans The development of a new pathway for certification with Focused Practice in Hospital Medicine is good news for hospitalists. Ideally, hospital medicine would be its own subspecialty, especially since it involves specialized knowledge and the performance of procedures that aren't done in a typical office-based practice, such as vascular access, lumbar puncture, ECG interpretation, and arthrocentesis. But this credential does provide recognition of what we do, and it reflects a natural evolution of hospital medicine. (Source: Hospitalist News)...
POSTED 10/31/2009 at 07:00 PM --
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Short-term effects of arthrocentesis plus viscosupplementation in the management of signs and symptoms of painful TMJ disc displacement with reduction. A pilot study
Conclusions A cycle of five weekly hyaluronic acid injections performed immediately following arthrocentesis is effective to improve signs
and symptoms in patients with painful temporomandibular joint disc displacement with reduction and to maintain them over a
3-month follow-up.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10006-009-0179-zAuthors
Luca Guarda-Nardini, University of Padova TMD Clinic, Department of Maxillofacial Surgery Padova ItalyDaniele Manfredini, University of Padova TMD Clinic, Department of Maxillofacial Surgery Padova ItalyGiuseppe Ferronato, University of Padova TMD Clinic, Department of Maxillofacial Surgery Padova Italy
Journal Oral and Maxillofacial SurgeryOnline ISSN 1865-1569Print ISSN 1865-1550 (Source: Oral a......
POSTED 10/11/2009 at 02:12 AM --
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MRI-Guided Injection Procedures of the Temporomandibular Joints in Children and Adults: Technique, Accuracy, and Safety
CONCLUSION. We accept the hypothesis that real-time MRI-guided
selective injection procedures of the temporomandibular joints are feasible,
accurate, and safe when performed on a clinical open-bore 1.5-T MR system. (Source: American Journal of Roentgenology)...
POSTED 09/20/2009 at 06:00 PM --
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TMJ hemi-arthroplasty with metal fossa-eminence prothesis for degenerative joint changes: a six-year retrospective audit
We report 65% of the patients experienced an improvement in pain, 58% had an improvement in mouth opening and 19% had an improvement in joint clicking. Seventy percent of the joints operated on did not need further revision surgery. We also present the improvement of these symptoms based on the analog scale. (Source: The British Journal of Oral & Maxillofacial Surgery)...
POSTED 09/11/2009 at 11:32 AM --
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The management of septic arthritis in children: systematic review of the English language literature.
Authors: Kang SN, Sanghera T, Mangwani J, Paterson JM, Ramachandran M
We performed a systematic review of the optimal management of septic arthritis in children as recommended in the current English literature using MEDLINE, EMBASE, CINAHL, the Cochrane Library and reference lists of retrieved articles without date restrictions up to 31 January 2009. From 2236 citations, 227 relevant full-text articles were screened in detail; 154 papers fulfilled the inclusion criteria, from which conclusions were drawn on the management of infected joints in children. Our review showed that no single investigation, including joint aspiration, is sufficiently reliable to diagnose conclusively joint infection. The roles of aspiration, arthrotomy and arthroscopy in treatment are not clear cut, and the i......
POSTED 08/31/2009 at 06:00 PM --
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Concerns About Management of Septic Arthritis After ACL Reconstruction
I have serious concerns about the article “Septic Arthritis After Arthroscopic Anterior Cruciate Ligament Reconstruction: A Retrospective Analysis of Incidence, Presentation, Treatment, and Cause” by Wang et al. They report on 21 patients with a postoperative infection, and yet only 16 patients had positive cultures. Of the 21 patients, 6 were treated by simple arthrocentesis and irrigation. I think this is very worrisome to present as a potential treatment for an infected ACL reconstruction. In my opinion, this would clearly be below the standard of care. The authors also state that IV antibiotics were only continued for a mean period of 19.4 days. For some of these serious infections with serious potential complications, this seems like an inordinately short period of time for the IV......
POSTED 08/31/2009 at 06:00 PM --
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Synovial apoptosis in temporomandibular joint disc displacement without reduction
Conclusion: Considering reports that increased sFas blocks apoptosis by inhibiting binding of FasL to Fas on the cell membrane, low level of sFas in our patients' synovial fluid (compared with amounts reported in joint inflammation or degeneration) suggests vulnerability to apoptosis in patients with internal derangement. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)...
POSTED 08/30/2009 at 06:00 PM --
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[Histopathological diagnosis of periprosthetic joint infection following total hip arthroplasty : Use of a standardized classification system of the periprosthetic interface membrane.]
CONCLUSION: In the diagnosis of PJI, histopathological evaluation of the periprosthetic interface membrane proved very effective. To analyse the cause of prosthesis loosening, tissue samples of the periprosthetic interface membrane should be evaluated on the basis of the consensus classification in all revision surgeries.
PMID: 19690832 [PubMed - as supplied by publisher] (Source: Der Orthopade)...
POSTED 08/19/2009 at 06:00 PM --
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[Case Report] The emergence of lymphogranuloma venereum in Europe
A 42-year-old white homosexual man presented to our clinic in April, 2008, with a 12-day history of right knee and back pain, conjunctivitis, and proctitis. 10 days earlier, after a normal radiograph, an arthrocentesis of his right knee had been done; 40 mL of clear synovial fluid was aspirated and corticosteroids were injected locally. There was no history of recent injury, febrile illness, or rheumatological conditions. He reported anonymous unprotected receptive anal sex 1 month earlier. Since 2000, he had had three episodes of uncomplicated urethritis, secondary syphilis, HIV, and an episode of primary syphilis (rapid plasma reagin [RPR] 1/32 in August, 2007). He had been taking antiretrovirals since October, 2007, with a CD4 count of 300 per μL (31%) and undetectable viral load in Ma......
POSTED 07/23/2009 at 06:00 PM --
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Single-Puncture Arthrocentesis—Introducing a New Technique and a Novel Device
Arthrocentesis of the temporomandibular joint was introduced in 1991 by Nitzan et al and has since gained widespread popularity among practitioners who treat temporomandibular joint disorders. It is considered by many as the first-line surgical treatment for patients who do not respond to conservative treatment (physical therapy, occlusal splint therapy, pain medication, and lifestyle and behavioral changes). It is regarded as a minimally invasive procedure and is easily performed in an office setting. It allows lavage of the joint space and lysis of adhesions via hydraulic distension. (Source: Journal of Oral and Maxillofacial Surgery)...
POSTED 07/17/2009 at 05:54 AM --
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Emergency Joint Aspiration: A Guide for Radiologists on Call1 [RSNA Education Exhibits]
Septic arthritis is a disabling and possibly life-threatening disease that requires early diagnosis for optimal management. It is important that clinical and imaging features of septic arthritis be promptly identified. In addition, because other disease entities may have characteristics similar to those of septic arthritis, analysis of a needle biopsy specimen may be necessary for differential diagnosis. Radiologists may be asked to perform emergent aspiration of a possibly infected joint. It is important that those who perform aspiration procedures be familiar with a safe and effective imaging-guided arthrocentesis technique that is tailored to the individual patient and the specific joint affected.
© RSNA, 2009 (Source: Radiographics recent issues)...
POSTED 07/15/2009 at 12:02 PM --
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[RSNA Education Exhibits] Emergency Joint Aspiration: A Guide for Radiologists on Call
Septic arthritis is a disabling and possibly life-threatening disease that requires early diagnosis for optimal management. It is important that clinical and imaging features of septic arthritis be promptly identified. In addition, because other disease entities may have characteristics similar to those of septic arthritis, analysis of a needle biopsy specimen may be necessary for differential diagnosis. Radiologists may be asked to perform emergent aspiration of a possibly infected joint. It is important that those who perform aspiration procedures be familiar with a safe and effective imaging-guided arthrocentesis technique that is tailored to the individual patient and the specific joint affected.
© RSNA, 2009 (Source: Radiographics recent issues)...
POSTED 07/14/2009 at 06:00 PM --
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Emergency Joint Aspiration: A Guide for Radiologists on Call [RSNA Education Exhibits]
Septic arthritis is a disabling and possibly life-threatening disease that requires early diagnosis for optimal management. It is important that clinical and imaging features of septic arthritis be promptly identified. In addition, because other disease entities may have characteristics similar to those of septic arthritis, analysis of a needle biopsy specimen may be necessary for differential diagnosis. Radiologists may be asked to perform emergent aspiration of a possibly infected joint. It is important that those who perform aspiration procedures be familiar with a safe and effective imaging-guided arthrocentesis technique that is tailored to the individual patient and the specific joint affected.
© RSNA, 2009 (Source: Radiographics recent issues)...
POSTED 07/14/2009 at 06:00 PM --
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Evaluation of persistent pain after hip resurfacing.
Authors:
Evaluation and treatment of pain following hip resurfacing arthroplasty can be challenging, even for the most experienced arthroplasty surgeon. As in any total hip replacement, there are a number of investigative tools at the disposal of orthopaedic surgeons to elicit the underlying causes of pain for diagnosis and treatment. A detailed history and physical examination are the most important frst steps in the differential diagnosis of the intrinsic and extrinsic etiologies of hip pain. Serial radiographs from the time of surgery also should be reviewed and compared for changes indicative of loosening, migration, and osteolysis, in combination or alone. Diagnostic injections with local anesthetic agents additionally can be performed to localize the origin of pain. Bone scintig......
POSTED 07/09/2009 at 12:40 PM --
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Effect of Repeated Arthrocentesis on Cytologic Analysis of Synovial Fluid in Dogs
Serial arthrocentesis and synovial fluid examination can be used to monitor treatment efficacy in immune-mediated polyarthritis (IMPA), but whether this procedure induces inflammation that interferes with test result interpretation is unknown. The aim of this study was to determine the effect of repeated arthrocentesis on synovial fluid cytology in healthy dogs. Nine healthy client-owned dogs. Prospective study. Arthrocentesis was performed under sedation on 4 joints (both carpi, 1 tarsus, 1 stifle) on each dog every 3 weeks, a total of 4 times. Automated cell counts were done on stifle fluid, smears were made, and differential cell counts done on smears from all joints. Slides were evaluated microscopically for erythrocyte numbers, total nucleated cell count, differential cell count, and ......
POSTED 06/25/2009 at 06:00 PM --
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New Diagnostic Method For Gout: Dual Energy Computed Tomography Instead Of Joint Aspiration
The most reliable method of diagnosing gout is to aspirate the joint in order to obtain fluid to verify the presence of monosodiumurate crystals (uric acid). Up to now, computed tomography (CT) has played a limited role in the evaluation of gout, since conventional CT systems cannot reliably verify deposits of uric acid... (Source: Gout News From Medical News Today)...
POSTED 06/05/2009 at 03:00 AM --
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