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Arthrocentesis


Presentation

  • In patients presenting with atraumatic joint pain and swelling, diagnosis is typically made by synovial fluid analysis. Management of an acute suspected hip joint arthritis can present a challenge to the emergency physician (EP).[ncbi.nlm.nih.gov]
  • For this reason, a less invasive, single-needle approach has been recently described, and the present investigation reports findings on a case series of patients with TMJ osteoarthritis treated with hyaluronic acid injections following a single needle[ncbi.nlm.nih.gov]
  • We present a case that affected the temporomandibular joint (TMJ) and was treated with arthrocentesis, which is an efficient, conservative, and inexpensive treatment.[ncbi.nlm.nih.gov]
  • TMJ disorder has always presented as a therapeutic challenge to maxillofacial surgeons.[ncbi.nlm.nih.gov]
  • CASE REPORT: An 18-year-old pregnant woman presented with right hip pain, a normal temperature, and elevated inflammatory markers. She had no risk factors for septic arthritis.[ncbi.nlm.nih.gov]
Veterinarian
  • More Get to Know Our Team Highly knowledgeable and skilled veterinarians and well-trained, qualified staff are ready for your pet and you.[vcahospitals.com]
Italian
  • […] santé et de la recherche médicale (INSERM), UMR 1132, Hôpital Lariboisière; Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Lariboisière, Service de Rhumatologie, Centre Viggo Petersen, Pôle Appareil Locomoteur, Paris, France; Epidemiology Unit, Italian[ncbi.nlm.nih.gov]
Easy Bruising
  • If multiple injections with corticosteroids are given too frequently, it is possible to develop systemic side effects (side effects throughout the body), such as weight gain, puffy face and trunk, and easy bruising.[medicinenet.com]
Malocclusion
  • There were no significant differences in regard to protrusion, lateral excursion movement and incidence of malocclusion at 12 months after treatment between the groups (P 0.05).[ncbi.nlm.nih.gov]
  • BACKGROUND: Temporomandibular joint (TMJ) internal derangements are progressive painful conditions and cause joint dysfunction, joint sound, malocclusion, and locking of the mouth.[ncbi.nlm.nih.gov]
  • Prognostic factors analysed were age, sex, duration of locking, trauma history, previous TMJ treatment, depression, bruxism, malocclusion and missing teeth. Degenerative changes were evaluated as probable prognostic factors.[ncbi.nlm.nih.gov]
Follicular Plugging
  • Seite 129 - Fixed erythema, flat or raised, over the malar eminences, tending to spare the nasolabial folds Erythematous raised patches with adherent keratotic scaling and follicular plugging; atrophic scarring may occur in older lesions Skin rash as[books.google.com]
Skin Atrophy
  • Skin atrophy can sometimes occur if corticosteroids are injected close to the undersurface of the skin. Tendon rupture : Injection of corticosteroids directly into a tendon or tendon insertion can cause rupture.[hss.edu]
Acute Low Back Pain
  • A patient is described with acute low back pain and for whom a diagnosis of acute axial gout was suggested after arthrocentesis of an asymptomatic peripheral joint yielded monosodium urate crystals.[ncbi.nlm.nih.gov]
Facial Scar
  • Facial Scarring from the entry injection. Damage to the jaw joint surface during the arthrocentesis procedure, usually of a reversible nature but which could permanently affect joint function.[exodontia.info]
Suggestibility
  • Written comments by respondents suggest additional MSK procedure training during and after residency is needed. CONCLUSION: Our results suggest a structured resident course in MSK procedures has a longterm influence.[ncbi.nlm.nih.gov]
  • A patient is described with acute low back pain and for whom a diagnosis of acute axial gout was suggested after arthrocentesis of an asymptomatic peripheral joint yielded monosodium urate crystals.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: The present investigation suggested that the single needle technique for TMJ hyaluronic injection following arthrocentesis in osteoarthritic joints may have promising applications in the clinical setting, which have to be confirmed with future[ncbi.nlm.nih.gov]
  • CONCLUSION: Although our series comprised a limited number of cases and a short follow-up period, initial results suggested that arthrocentesis with SH injection seemed to be superior to art.[ncbi.nlm.nih.gov]
  • The results suggest it is sufficient to use only arthrocentesis in patients without preoperative degenerative changes and arthrocentesis with SH in patients with degenerative changes on their preoperative MRIs, but because there were some significant[ncbi.nlm.nih.gov]
Distractibility
  • To increase the joint space during arthrocentesis, the patient is usually asked to open the mouth and deviate it to the opposite side so as to distract the condyle from the glenoid fossa thereby increasing joint space.[ncbi.nlm.nih.gov]

Workup

  • Abstract Arthrocentesis is a procedure in the diagnostic workup and treatment of joint pain that has few complications. Analysis of joint fluid yields important treatment data.[ncbi.nlm.nih.gov]
  • Septic arthritis workup. Medscape Reference. Available online at . Accessed 9/9/2016. Sofronescu, A. (Updated 2016 April 13). Joint fluid interpretation. Medscape Reference. Available online at . Accessed 9/9/2016. Fisher, M. and Genzen, J. R.[labtestsonline.it]

Treatment

  • One group received arthrocentesis as initial treatment (n 40), the other group received conventional treatment including soft diet, physical treatment and occlusal splint therapy (n 40). Follow-up was after 3, 12 and 26 weeks post treatment.[ncbi.nlm.nih.gov]
  • Treatment using occlusal splint is one of the most frequently used methods of conservative treatment. It is used mainly in the case of discopathies and myofascial pain.[ncbi.nlm.nih.gov]
  • Repeat measurements were performed on the first, third, and sixth months following treatments.[ncbi.nlm.nih.gov]
  • At each appointment, several subjective and objective outcome variables were assessed to test the efficacy of the treatment protocol. Marked improvements were reported for all variables during the treatment phase.[ncbi.nlm.nih.gov]
  • Both treatment groups recorded significant improvement with respect to baseline levels in almost all outcome variables.[ncbi.nlm.nih.gov]

Prognosis

  • Abstract We aimed to assess the relationship between myeloperoxidase (MPO) and internal derangement (ID) of temporomandibular joint (TMJ) and effects of arthrocentesis procedure, either alone or in combination with hyaluronic acid (HA) injection on the prognosis[ncbi.nlm.nih.gov]
  • Influencing factor on the prognosis of arthrocentesis. J Korean Assoc Oral Maxillofac Surg. 2014; 40:155–159. pmid:25247144 View Article PubMed/NCBI Google Scholar 33. Ness GM: Temporomandibular joint arthrocentesis for acute or chronic closed lock.[journals.plos.org]
  • Various studies have compared the two techniques and have suggested that they vary in terms of prognosis, complications, and long-term outcomes [ 22 - 24 ].[journals.plos.org]
  • Intra-articular corticosteroid injection has an unpredictable prognosis and can also lead to local side-effects on the joint. Methods A total of 20 patients (11 females and 9 males) aged 17-39 years were enrolled in this study.[parjournal.net]

Etiology

  • In the second case, the patient was determined to have a noninfectious etiology and also did well. Skilled ultrasound guidance allows hip arthrocentesis to be performed by the treating clinician, decreasing the time to diagnosis and definitive care.[ncbi.nlm.nih.gov]
  • Figure-1:Trend of total and rate of discharges with arthrocentesis -2004-2013 Fig-2:Trend of proportion of arthrocentesis by arthritic etiology Fig-3:Trend of LOS and mortality among discharges with arthrocentesis Disclosure: D. Poudel, None; R.[acrabstracts.org]
  • Clinical Significance Arthrocentesis is performed for identification of the etiology or pain relief, injection of medications, or effusion drainage. To avoid complications, the clinician should be familiar with the anatomy.[statpearls.com]
  • […] such as closed lock, joint hypomobility, and limited range of motion in maximal incisal opening, excursion, and/or protrusion Alterations of occlusion Joint noises associated with pain Contraindications Presence of concomitant facial pain of separate etiologies[pocketdentistry.com]

Epidemiology

  • […] national de la santé et de la recherche médicale (INSERM), UMR 1132, Hôpital Lariboisière; Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Lariboisière, Service de Rhumatologie, Centre Viggo Petersen, Pôle Appareil Locomoteur, Paris, France; Epidemiology[ncbi.nlm.nih.gov]
  • A retrospective observational study was conducted based on the Helsinki Declaration and recommendations of the report entitled Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) [ 16 ].[journals.plos.org]
  • Epidemiology of soft-tissue/musculoskeletal injury among U.S. Marine recruits undergoing basic training. Mil Med. 1992;157:491–3. 20. Barber FA, Sutker AN. Iliotibial band syndrome. Sports Med. 1992;14:144–8. 21.[aafp.org]
  • Epidemiologic data on the incidence of CA-MRSA septic arthritis are sparse; however, one recent study noted that 50% of synovial fluid cultures in suspected septic arthritis ultimately grew MRSA. 12 It would be prudent to consider empirical therapy for[aneskey.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology of TMJD could be described by several theories: (i) Changes in the shape and position of the articular disk, (ii) biomechanical and biochemical changes in TMJ, (iii) joint overloading may cause hypoxia and on termination of overloading[jdrntruhs.org]
  • Complex regional pain syndrome: epidemiology, pathophysiology, clinical manifestations, diagnostic tests and therapeutic proposals. Rev Bras Anestesiol. 2002;52(5):618-27. [ Links ] 44. Al-Belasy FA, Dolwick MF.[scielo.br]

Prevention

  • […] to use only arthrocentesis in patients without preoperative degenerative changes and arthrocentesis with SH in patients with degenerative changes on their preoperative MRIs, but because there were some significant differences between the two groups preventing[ncbi.nlm.nih.gov]
  • Aspiration in cases of hemarthrosis can prevent adhesions. Aspiration can be performed immediately prior to injecting intra-articular medications.[boneandspine.com]
  • While treatment of IMPA is based on chronic immuneosuppressants to help prevent that body from continuing to attack the joints.[vcahospitals.com]
  • Repeated aspirations can be part of the management of a septic joint to relieve discomfort and prevent joint damage. Aspiration can be considered in cases of hemarthrosis to prevent adhesions.[emedicine.medscape.com]

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