357 results match your criteria: "Arthrocentesis Knee"
Cureus
October 2024
Trauma and Orthopedics, University Hospitals of Derby and Burton NHS Foundation Trust, Burton-on-Trent, GBR.
Introduction Acute monoarthropathies that present in emergency settings include septic arthritis, where urgent joint arthrocentesis is the diagnostic gold standard. Literature indicates low confidence among trainee doctors in performing knee aspirations. Simulation-based teaching can be used to supplement procedural skills training and improve their confidence in performing such procedures.
View Article and Find Full Text PDFReumatol Clin (Engl Ed)
December 2024
Departamento de Anatomía Humana, Facultad de Medicina, Universidad de Salamanca, Salamanca, Spain.
The use of technological environments with virtual reality (VR) techniques for the practice of arthrocentesis offers an effective and safe way to learn and improve the necessary skills to carry out a medical procedure and patient care. This article presents an interactive simulator using immersive VR, in which the participant experiences practicing clinical management and decision-making in the face of a person presenting with monoarthritis in a medical consultation. The objective with this development is for the user to acquire the competence to perform, correctly and safely, a knee arthrocentesis and to differentiate the types of synovial fluids that can be found in a joint.
View Article and Find Full Text PDFBMC Med Educ
September 2024
Department of Medical Education, Geisel School of Medicine at Dartmouth College, 03755, Hanover, NH, USA.
Objectives: This study aims to compare the efficacy of remote versus in-person training strategies to teach ultrasound guided knee arthrocentesis using formalin embalmed cadavers.
Methods: 30 first-year medical student participants were randomly assigned to remote or in-person training groups. Pre- and post- training surveys were used to evaluate participant's self-confidence in their ability to perform the procedure.
Open Forum Infect Dis
July 2024
Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.
We examined the effect of preoperative antibiotic exposure and duration on synovial fluid samples from patients with native joint septic arthritis of the hip/knee. While exposure before diagnostic arthrocentesis did not affect fluid parameters, increased duration was associated with a decreased total nucleated cell count, underscoring the complex antibiotic effects on synovial fluid parameters.
View Article and Find Full Text PDFBMC Musculoskelet Disord
July 2024
Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy, 906 Kampangpetch 6 Street, Lak Si, Bangkok, Thailand.
Background: Synovial hemangiomas are rare benign vascular anomalies surrounded by a synovial lining and were first described by Bouchut in 1856. These neoplasms can develop in the intra-articular region, resulting in effusions and knee pain. However, their cause remains unknown.
View Article and Find Full Text PDFExpert Rev Hematol
August 2024
Department of Hematology, La Paz University Hospital-IdiPaz, Madrid, Spain.
Cureus
June 2024
Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, University of South Florida Health Morsani College of Medicine, Bethlehem, USA.
Diagn Microbiol Infect Dis
July 2024
Department of Nursing, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China. Electronic address:
To compare the detection value of third-generation sequencing (TGS) with pathogenic microbial culture in prosthetic joint infection (PJI). Arthrocentesis was performed on 29 patients who underwent hip and knee revision surgeries. In the PJI group, TGS detected 85.
View Article and Find Full Text PDFBioengineering (Basel)
February 2024
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, 9713 Groningen, The Netherlands.
Introduction: Temporomandibular joint (TMJ) osteoarthritis is a degenerative disease of the TMJ. It is characterized by progressive degradation of the extracellular matrix components of articular cartilage, with secondary inflammatory components leading to pain in the temporomandibular region and reduced mouth opening. Current treatments do not halt disease progression, hence the need for new therapies to reduce inflammation and, consequently, improve symptoms.
View Article and Find Full Text PDFCureus
October 2023
Internal Medicine/Primary Care, George Washington University Hospital, Washington, USA.
A 54-year-old man with a history of hypertension, atrial fibrillation, chronic kidney disease, nonischemic cardiomyopathy, osteoarthritis, and gout presented to the emergency department (ED) with dysuria, painful scrotal swelling, severe bilateral flank pain, back pain, atraumatic right arm (elbow and distally) pain and swelling, and bilateral knee pain. His physical exam was notable for fever, tachycardia, bilateral costovertebral angle (CVA) tenderness, exquisite pain, erythema, and swelling of bilateral knees and the right arm (elbow and distally). He met Systemic Inflammatory Response Syndrome (SIRS) criteria, was placed on Ceftriaxone for presumed septic pyelonephritis, and was admitted to the medicine team.
View Article and Find Full Text PDFJ Small Anim Pract
February 2024
Institute of Life Course and Medical Science, University of Liverpool, Liverpool, UK.
Objectives: This study used hydrogen nuclear magnetic resonance spectroscopy for the first time to examine differences in the metabolomic profile of stifle joint synovial fluid from dogs with cranial cruciate ligament rupture with and without meniscal injuries, in order to identify biomarkers of meniscal injury. Identifying a biomarker of meniscal injury could then ultimately be used to design a minimally invasive diagnostic test for meniscal injuries in dogs.
Materials And Methods: Stifle joint synovial fluid was collected from dogs undergoing stifle joint surgery or arthrocentesis for lameness investigations.
Cureus
September 2023
Surgery, Jazan University, Jazan, SAU.
Septic arthritis of the knee is the most common form of septic arthritis in children and can lead to irreversible damage to the joint. is the primary pathogen associated with septic arthritis, although other causative pathogens may be isolate in children with specific risk factors. The diagnosis of knee septic arthritis is based on comprehensive evaluation, including the patient's medical history, physical examination, blood tests, and arthrocentesis.
View Article and Find Full Text PDFCureus
August 2023
Microbiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, IND.
Bilateral septic arthritis (SA) is a rare presentation that is often associated with sepsis syndrome in patients with underlying risk factors. We present the case of a 25-year-old female with laryngeal oedema due to para phenylene diamine-containing hair-dye poisoning. She was receiving treatment with intravenous (IV) methylprednisolone and IV antibiotics along with airway management.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
September 2023
From the Lake Erie College of Osteopathic Medicine, Erie, PA.
A 68-year-old woman presented to the orthopaedic office with 2 weeks of atraumatic right prosthetic knee pain and swelling. She previously lived pain free and fully functional after a total knee arthroplasty 8 years ago. Initial radiographs showed a small joint effusion, and serum inflammatory markers were elevated.
View Article and Find Full Text PDFJ Pediatr Orthop B
July 2024
Spine Center, Trélazé, France.
How drainage of septic arthritis should be performed remains controversial. The aim of the present study was to compare arthrocentesis (Ac) using double intra-articular needle lavage to arthrotomy (At) as first-line drainage treatment for pediatric hip and knee septic arthritis. The secondary objective was to identify risk factors of second articular drainage.
View Article and Find Full Text PDFJ Pers Med
July 2023
Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.
Background: Septic arthritis (SA) in children is an acute inflammatory disease of the joints. If not treated promptly, it could become a surgical emergency. The incidence of the disease in children in Europe is approximately 2-7 per 100,000 children.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2023
Department of Orthopaedic Surgery, Nippon Life Hospital, Osaka, Japan; Department of Rehabilitation, Nippon Life Hospital, Osaka, Japan.
Introduction And Importance Of The Case: This is the first report of subcutaneous emphysema of the thigh as a complication after total knee arthroplasty (TKA).
Presentation Of Case: A 78-year-old female patient with valgus knee arthropathy underwent TKA. Two days postoperatively, the patient experienced left thigh swelling and pain, and subcutaneous emphysema was detected upon palpation.
J Am Acad Orthop Surg Glob Res Rev
January 2023
From the Department of Orthopaedic Surgery, (Dr. West, Fisher, Dr. Rounds, and Dr. Simpson); the Clinical Research Institute (Dr. Almekdash), Texas Tech University Health Science Center, Lubbock, TX; and the Department of Orthopaedics and Rehabilitation, University of Florida School of Medicine, Gainesville, FL (Dr. Murphree).
Introduction: Differentiating septic arthritis from aseptic arthritis (AA) of the knee is difficult without arthrocentesis. Although procalcitonin (PCT) has shown diagnostic value in identifying bacterial infections, it has not been established as a reliable marker for identifying septic arthritis (SA). Recent studies have shown promise in the use of PCT as a useful systemic marker for identifying septic arthritis versus AA.
View Article and Find Full Text PDFCurr Ther Res Clin Exp
June 2023
Premier Orthopaedics and Sports Medicine, Glen Mills, Massachusetts.
Background: Knee osteoarthritis is a leading cause of disability worldwide. Symptoms can vary over time, leading to episodes of worsened symptoms known as flares. Intra-articular injection of hyaluronic acid has demonstrated long-term symptomatic relief in the broader knee osteoarthritis population, although its use in the flare population has not been extensively examined.
View Article and Find Full Text PDFAm J Emerg Med
September 2023
Department of Emergency Medicine, Medical University of South Carolina, USA.
Objective: Knee arthrocentesis can be performed by landmark (LM) or ultrasound (US) guidance. The goal of performing knee arthrocentesis is to obtain synovial fluid, however, it is also important to consider the number of attempts required and accidental bone contacts that occur. This study evaluates procedural success without bone contact in knee arthrocentesis and compares both LM and US guided techniques in a cadaver model.
View Article and Find Full Text PDFJ Oncol Pharm Pract
September 2023
Department of Trauma and Orthopaedic Surgery, University Hospital Waterford, Waterford, Ireland.
J Gen Intern Med
October 2023
Medicine Service, South Texas Veterans Health Care System, San Antonio, TX, USA.
Background: Lack of experienced faculty to supervise internal medicine (IM) residents is a significant barrier to establishing a medical procedure service (MPS).
Aim: Describe the development and 10-year outcomes of an MPS led by IM chief residents.
Setting: University-based IM residency program affiliated with a county and Veterans Affairs hospital.