Arthrocentesis

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Arthrocentesis
ICD-9-CM81.91

Arthrocentesis, or joint aspiration, is the clinical procedure of using a syringe to collect synovial fluid from a joint capsule.[1] Arthrocentesis is used in the diagnosis of gout, arthritis, and synovial infections such as septic arthritis.[1]

Uses[edit]

Diagnosis[edit]

Arthrocentesis is used to diagnose a variety of nontraumatic joint diseases.[2] Samples of synovial fluid can be taken for a variety of tests, such as a complete blood count, C-reactive protein test, and measuring erythrocyte sedimentation rate.[3] Tests for infection can be performed with synovial fluid, so blood cultures may also be taken.[2][4] These can be used to diagnose arthritis.[5]

Pain relief[edit]

Arthrocentesis can be used to directly infuse anti-inflammatory medications into joints.[2] This is particularly useful for rheumatoid arthritis.[2][5]

Complications[edit]

Contraindications from arthrocentesis are rare. The most common complication occurs when the syringe needle is inserted into an area of cellulitis, potentially transferring microorganisms from the skin to the joint.[4][6]

See also[edit]

References[edit]

  1. ^ a b West, Sterling G. (2002). Rheumatology Secrets. Elsevier Health Sciences. p. 63. ISBN 1560534745. Retrieved 8 November 2017.
  2. ^ a b c d Friedlaender, Eron Y. (2007-01-01), Zaoutis, Lisa B.; Chiang, Vincent W. (eds.), "Chapter 212 - Arthrocentesis", Comprehensive Pediatric Hospital Medicine, Philadelphia: Mosby, pp. 1280–1281, doi:10.1016/b978-032303004-5.50216-7, ISBN 978-0-323-03004-5, retrieved 2020-11-04
  3. ^ Kelley, Abbie; Lavallee, Mark (2018-01-01), Olympia, Robert P.; O’Neill, Rory M.; Silvis, Matthew L. (eds.), "Chapter 32 - The Acutely Swollen Knee", Urgent Care Medicine Secrets, Elsevier, pp. 191–197, doi:10.1016/b978-0-323-46215-0.00032-x, ISBN 978-0-323-46215-0, retrieved 2020-11-04
  4. ^ a b Salyer, Steven W. (2007-01-01), Salyer, Steven W. (ed.), "Chapter 12 - Orthopedic Emergencies", Essential Emergency Medicine, Philadelphia: W.B. Saunders, pp. 575–651, doi:10.1016/b978-141602971-7.10012-1, ISBN 978-1-4160-2971-7, retrieved 2020-11-04
  5. ^ a b Thiele, Ralf G. (2012-01-01), Terkeltaub, Robert (ed.), "Chapter 26 - Ultrasound in the Diagnosis of Crystal Deposition Disease", Gout & Other Crystal Arthropathies, Philadelphia: W.B. Saunders, pp. 331–343, doi:10.1016/b978-1-4377-2864-4.10026-0, ISBN 978-1-4377-2864-4, retrieved 2020-11-04
  6. ^ Ahmadi, Shahryar; Sanchez-Sotelo, Joaquin (2018-01-01), Morrey, Bernard F.; Sanchez-Sotelo, Joaquin; Morrey, Mark E. (eds.), "80 - Septic Arthritis", Morrey's the Elbow and its Disorders (Fifth Edition), Philadelphia: Elsevier, pp. 756–759, ISBN 978-0-323-34169-1, retrieved 2020-11-04

External links[edit]