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Musculoskeletal Complications of HemophiliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 prognos...
Source: HSS Journal - November 17, 2009 Category: Orthopaedics Tags: HSS Journal Source Type: journals

Septic Arthritis in Adults with Sickle Cell Disease Often is Associated with Osteomyelitis or Osteonecrosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The incidence of septic arthritis in adults with SCD is low, but often is associated with osteomyelitis or osteonecrosis. LEVEL OF EVIDENCE: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence. PMID: 19885711 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)
Source: Clinical Orthopaedics and Related Research - November 3, 2009 Category: Orthopaedics Authors: Hernigou P, Daltro G, Flouzat-Lachaniette CH, Roussignol X, Poignard A Tags: Clin Orthop Relat Res Source Type: journals

Short-term effects of arthrocentesis plus viscosupplementation in the management of signs and symptoms of painful TMJ disc displacement with reduction. A pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Oral and Maxillofacial Surgery - October 11, 2009 Category: ENT & OMF Tags: Oral and Maxillofacial Surgery Source Type: journals

MRI-Guided Injection Procedures of the Temporomandibular Joints in Children and Adults: Technique, Accuracy, and SafetyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: American Journal of Roentgenology - September 20, 2009 Category: Radiology Authors: Fritz, J., Thomas, C., Tzaribachev, N., Horger, M. S., Claussen, C. D., Lewin, J. S., Pereira, P. L. Tags: Musculoskeletal Imaging Source Type: journals

TMJ hemi-arthroplasty with metal fossa-eminence prothesis for degenerative joint changes: a six-year retrospective auditEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Ricardo Imtiaz Mohammed-Ali, Ankur Sahai, Peter Korczak Tags: On-line Only Abstracts Source Type: journals

Therapeutic benefits of TMJ arthroscopy and arthrocentesis: a prospective outcome assessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients who fail to respond to routine conservative measures for TMJ related pain, restriction and locking may be submitted to diagnostic arthroscopy or arthrocentesis, both of which are associated with significant therapeutic improvement in 70% or more patients. There is no current data on improvements in mouth opening and lateral deviations achieved during and following arthroscopy. This prospective audit presents 140 patients treated between 2006 and 2008 from one surgeon's practice who have been followed up at least once at 6 weeks following arthroscopy or arthrocentesis. (Source: The British Journal of Oral & Maxillofacial Surgery)
Source: The British Journal of Oral & Maxillofacial Surgery - September 11, 2009 Category: ENT & OMF Authors: Nabeela Ahmed, Andrew J. Sidebottom, Mary O’Connor Tags: On-line Only Abstracts Source Type: journals

The management of septic arthritis in children: systematic review of the English language literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 infe...
Source: The Journal of Bone and Joint Surgery. British volume - August 31, 2009 Category: Orthopaedics Authors: Kang SN, Sanghera T, Mangwani J, Paterson JM, Ramachandran M Tags: J Bone Joint Surg Br Source Type: journals

Concerns About Management of Septic Arthritis After ACL ReconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Arthroscopy - August 31, 2009 Category: Surgery Authors: Robert T. Burks Tags: Letters to the Editor Source Type: journals

Synovial apoptosis in temporomandibular joint disc displacement without reductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - August 30, 2009 Category: ENT & OMF Authors: Pervin Imirzalioğlu, Sina Uçkan, Nurhan Güler, Ayşegül Haberal, Duygu Uçkan Tags: Oral and Maxillofacial Surgery Source Type: journals

[Histopathological diagnosis of periprosthetic joint infection following total hip arthroplasty : Use of a standardized classification system of the periprosthetic interface membrane.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Der Orthopade - August 19, 2009 Category: Orthopaedics Authors: Müller M, Morawietz L, Hasart O, Strube P, Perka C, Tohtz S Tags: Orthopade Source Type: journals

How Common is MRSA in Adult Septic Arthritis?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this 2-ED population from a single geographic region, MRSA was the most common cause of community-onset adult septic arthritis. Synovial fluid cell counts were unexpectedly low in MRSA septic arthritis cases. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 10, 2009 Category: Emergency Medicine Authors: Bradley W. Frazee, Christopher Fee, Larry Lambert Tags: Infectious Disease Source Type: journals

[Case Report] The emergence of lymphogranuloma venereum in EuropeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: LANCET - July 23, 2009 Category: Journals (General) Authors: Martí Vall-Mayans, Estrella Caballero, Benicio Sanz Tags: Case Report Source Type: journals

Single-Puncture Arthrocentesis—Introducing a New Technique and a Novel DeviceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Journal of Oral and Maxillofacial Surgery - July 17, 2009 Category: ENT & OMF Authors: Akram Rahal, Jean Poirier, Christian Ahmarani Tags: Technical Notes Source Type: journals

Emergency Joint Aspiration: A Guide for Radiologists on Call1 [RSNA Education Exhibits]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 techni...
Source: Radiographics recent issues - July 15, 2009 Category: Radiology Authors: Lin, H. M., Learch, T. J., White, E. A., Gottsegen, C. J. Tags: Musculoskeletal Radiology, Vascular and/or Interventional Radiology, Emergency Radiology RSNA Education Exhibits Source Type: journals

[RSNA Education Exhibits] Emergency Joint Aspiration: A Guide for Radiologists on CallEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 techni...
Source: Radiographics recent issues - July 14, 2009 Category: Radiology Authors: Lin, H. M., Learch, T. J., White, E. A., Gottsegen, C. J. Tags: Musculoskeletal Radiology, Vascular and/or Interventional Radiology, Emergency Radiology RSNA Education Exhibits Source Type: journals

Emergency Joint Aspiration: A Guide for Radiologists on Call [RSNA Education Exhibits]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 techni...
Source: Radiographics recent issues - July 14, 2009 Category: Radiology Authors: Lin, H. M., Learch, T. J., White, E. A., Gottsegen, C. J. Tags: Musculoskeletal Radiology, Vascular and/or Interventional Radiology, Emergency Radiology RSNA Education Exhibits Source Type: journals

Evaluation of persistent pain after hip resurfacing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, migrati...
Source: Bulletin of the NYU Hospital for Joint Diseases - July 9, 2009 Category: Rheumatology Tags: Bull NYU Hosp Jt Dis Source Type: journals

Effect of Repeated Arthrocentesis on Cytologic Analysis of Synovial Fluid in DogsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 differe...
Source: Journal of Veterinary Internal Medicine - June 25, 2009 Category: Veterinary Research Authors: R.I.M. Berg, J.E. Sykes, P.H. Kass, W. Vernau Tags: ORIGINAL ARTICLES Source Type: journals

New Diagnostic Method For Gout: Dual Energy Computed Tomography Instead Of Joint AspirationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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: Health News from Medical News Today)
Source: Health News from Medical News Today - June 5, 2009 Category: Consumer Health News Tags: Gout Source Type: news

Arthrocentesis for the Treatment of Internal Derangements of the Temporomandibular JointEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Internal derangements of the temporomandibular joint (TMJ) are characterized by displacement of the intra-articular disc, which acts as an obstacle to normal joint movement and results in clicking and popping sounds or locking and an inability to open the mouth widely. These conditions may be painless or they may be associated with pain, especially during function. The most common causes are trauma, which results in an immediate displacement of the disc, or chronic parafunction, which results in degenerative changes in the articular surfaces, increased friction, and gradual disc displacement. (Source: Alpha Omegan)
Source: Alpha Omegan - June 1, 2009 Category: Dentistry Authors: Daniel M. Laskin Tags: Scientific Articles Source Type: journals

Arthrocentesis for the treatment of internal derangements of the temporomandibular joint.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Internal derangements of the temporomandibular joint (TMJ) are characterized by displacement of the intra-articular disc, which acts as an obstacle to normal joint movement and results in clicking and popping sounds or locking and an inability to open the mouth widely. These conditions may be painless or they may be associated with pain, especially during function. The most common causes are trauma, which results in an immediate displacement of the disc, or chronic parafunction, which results in degenerative changes in the articular surfaces, increased friction, and gradual disc displacement. PMID: 19591327 [PubMed...
Source: The Alpha Omegan - May 31, 2009 Category: Dentistry Authors: Laskin DM Tags: Alpha Omegan Source Type: journals

Aspiration alone versus aspiration and bupivacaine injection in the treatment of undisplaced radial head fractures: A prospective randomized studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: Intra-articular use of local anaesthetic after joint aspiration does not offer any benefit over aspiration alone in the treatment of undisplaced radial head fractures and its routine application is not supported by the clinical data.Level of evidence: Level 1. (Source: Journal of Shoulder and Elbow Surgery)
Source: Journal of Shoulder and Elbow Surgery - May 31, 2009 Category: Orthopaedics Authors: Byron E. Chalidis, Pericles P. Papadopoulos, Nick C. Sachinis, Christos G. Dimitriou Tags: Featured Articles Source Type: journals

New Diagnostic Method For Gout: Dual Energy Computed Tomography Instead Of Joint AspirationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The most reliable method of diagnosing gout is to aspirate the joint in order to obtain fluid to verify the presence of monosodium urate 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: Health News from Medical News Today)
Source: Health News from Medical News Today - May 28, 2009 Category: Consumer Health News Tags: Gout Source Type: news

Diagnostic accuracy of neutrophil-derived circulating free DNA (cf-DNA/NETs) for septic arthritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we analyzed the putative diagnostic value of synovial cf-DNA/NETs for identification of septic arthritis. Forty-two patients with a joint effusion who had undergone arthrocentesis were included. From synovial fluid, cf-DNA/NETs (j-cf-DNA) levels were directly quantified. Diagnostic value of j-cf-DNA was compared with white blood cells (WBC), synovial white blood cells (j-WBC), C-reactive protein (CRP), j-IL-6, j-TNF alpha, j-IL-1 beta, and myeloperoxidase (j-MPO). Sensitivity, specificity, positive and negative predictive value, as well as ROC-curves for each parameter were calculated. Synovial fluid cf-DNA/...
Source: Journal of Orthopaedic Research - May 6, 2009 Category: Orthopaedics Authors: Tim Lögters, Adnana Paunel-Görgülü, Christoph Zilkens, Jens Altrichter, Martin Scholz, Simon Thelen, Rüdiger Krauspe, Stefan Margraf, Teresa Jeri, Joachim Windolf, Marcus Jäger Source Type: journals

Validity of tumour necrosis factor as a biomarker for joint diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objectives of this study was to detect soluble tumour necrosis factor receptors in synovial fluids aspirates from temporomandibular joints with internal derangements after arthrocentesis with injection of sodium hyaluronate or cyclooxygenase-2 inhibitor in patients suffering from temporomandibular joint internal derangements. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - May 1, 2009 Category: ENT & OMF Authors: M. Saied Hamed, W.M. Talaat, B. Klitzman Tags: Oral Presentations Source Type: journals

Combined splint and arthrocentesis therapy versus splint or arthrocentesis for treatment of temporomandibular joint internal derangementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was designed to evaluate the efficacy of combined splint and arthrocentesis with sodium hyaluronate (SH) injection therapy versus splint or arthrocentesis with SH injection for treatment of temporomandibular joint (TMJ) internal derangement (ID). (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - May 1, 2009 Category: ENT & OMF Authors: W.A. Elmohandes Tags: Oral Presentations Source Type: journals

Muscular disorders of temporomandibular joint treated with electroacupunctureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background and Objectives: Temporomandibular joint (TMJ) pain and dysfunction syndrome (PDS) is a common disorder of TMJ. Treatment options include: counselling, physiotherapy, pharmacotherapy, splint therapy, intra-articular steroids, arthrocentesis, surgery and further referral (orthodontic, neurology, ENT, etc.). Physiotherapy is beneficial to any patient with PDS of TMJ in which there is muscular involvement; electroacupuncture (EA) is one physiotherapy treatment and many international studies have demonstrated its effectiveness. Our group used EA since 2001 associated with surface electromyography of the masticatory m...
Source: International Journal of Oral and Maxillofacial Surgery - May 1, 2009 Category: ENT & OMF Authors: S. Scarsella, D. Villani, D. Placidi, T. Cutilli Tags: Posters Source Type: journals

[Evaluation of intra-articular collagenase, TIMP-1, and TNF-alpha levels before and after anterior cruciate ligament reconstruction.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: This study showed elevated levels of TNF-alpha, collagenase, and TIMP-1 due to the presence of ruptured ACL. Our findings showed how these levels changed in the acute postoperative period. PMID: 19717938 [PubMed - in process] (Source: Acta Orthopaedica et Traumatologica Turcica)
Source: Acta Orthopaedica et Traumatologica Turcica - April 30, 2009 Category: Orthopaedics Authors: Akesen B, Demirağ B, Budak F Tags: Acta Orthop Traumatol Turc Source Type: journals

Temporomandibular joint osteoarthritis: an open label trial of 76 patients treated with arthrocentesis plus hyaluronic acid injectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study is an open-label trial on a sample of 76 consecutive patients with temporomandibular joint (TMJ) osteoarthritis treated with a cycle of five weekly arthrocenteses plus hyaluronic acid injections. Patients had a diagnosis of osteoarthritis according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD Axis I Group IIIb). They underwent a cycle of five arthrocenteses with injections (1 per week) of 1ml hyaluronic acid and four follow-up assessments after the end of the treatment (at 1 week, 1 month, 3 months, 6 months). At each appointment, several subjective and objective outcome variables...
Source: International Journal of Oral and Maxillofacial Surgery - April 29, 2009 Category: ENT & OMF Authors: D. Manfredini, S. Bonnini, R. Arboretti, L. Guarda-Nardini Tags: Clinical Papers Source Type: journals

Joint aspiration and injection and synovial fluid analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Joint aspiration/injection and synovial fluid (SF) analysis are both invaluable procedures for the diagnosis and treatment of joint disease. This chapter addresses: (1) the indications, the technical principles and the expected benefits and risks of aspiration and injection of intra-articular corticosteroid; and (2) practical aspects relating to SF analysis, especially in relation to crystal identification. Intra-articular injection of long-acting insoluble corticosteroids is a well-established procedure that produces rapid pain relief and resolution of inflammation in most injected joints. The knee is the most common site...
Source: Best Practice & Research. Clinical Rheumatology - April 1, 2009 Category: Rheumatology Authors: Philip Courtney, Michael Doherty Source Type: journals

Septic arthritis as a severe complication of elective arthroscopy: Clinical management strategies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACT: Infection of a peripheral joint following arthroscopic surgery presents with an incidence of approximately 0.42% an extremely rare entity. However, septic arthritis is a serious situation possibly leading to an irreparable joint damage. Especially at delayed diagnosis patients' safety can be endangered severely. Only few precise statements regarding diagnosis and therapy have been published so far. Besides an accurate analysis of the patient's anamnesis and the assessment of the C-reactive protein especially arthrocentesis is required for diagnostic workup. For early stage infections arthroscopic therapy is p...
Source: Patient Safety in Surgery - March 31, 2009 Category: Surgery Authors: Kirchhoff C, Braunstein V, Paul J, Imhoff AB, Hinterwimmer S Tags: Patient Saf Surg Source Type: journals

Arthrocentesis versus nonsurgical methods in the treatment of temporomandibular disc displacement without reductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We conclude that early treatment either with conservative methods or with arthrocentesis is beneficial in DDw/oR. However, arthrocentesis seems to be superior regarding pain management. Therefore, arthrocentesis may be indicated in patients where painful complaints overwhelm despite other conservative treatments. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - March 9, 2009 Category: ENT & OMF Authors: Demirhan Dıraçoğlu, İlknur Bayraktar Saral, Barış Keklik, Hanefi Kurt, Ufuk Emekli, Levent Özçakar, Ayşe Karan, Cihan Aksoy Tags: Oral and Maxillofacial Surgery Source Type: journals

Arthrocentesis versus nonsurgical methods in the treatment of temporomandibular disc displacement without reduction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: We conclude that early treatment either with conservative methods or with arthrocentesis is beneficial in DDw/oR. However, arthrocentesis seems to be superior regarding pain management. Therefore, arthrocentesis may be indicated in patients where painful complaints overwhelm despite other conservative treatments. PMID: 19272808 [PubMed - as supplied by publisher] (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - March 7, 2009 Category: ENT & OMF Authors: Dıraçoğlu D, Saral IB, Keklik B, Kurt H, Emekli U, Ozçakar L, Karan A, Aksoy C Tags: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Source Type: journals

Use of a calibrated beaker in TMJ arthrocentesis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19269722 [PubMed - as supplied by publisher] (Source: The British Journal of Oral & Maxillofacial Surgery)
Source: The British Journal of Oral & Maxillofacial Surgery - March 6, 2009 Category: ENT & OMF Authors: Chhabra N, Chhabra S, Kumar YR Tags: Br J Oral Maxillofac Surg Source Type: journals

Micafungin plus Fluconazole in an Infected Knee with Retained Hardware due to Candida albicans (March).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Although micafungin plus fluconazole showed positive results in our patient, more data are needed regarding combination therapy for fungal prosthetic joint infections. PMID: 19261955 [PubMed - as supplied by publisher] (Source: The Annals of Pharmacotherapy)
Source: The Annals of Pharmacotherapy - March 3, 2009 Category: Drugs & Pharmacology Authors: Bland CM, Thomas S Tags: Ann Pharmacother Source Type: journals

Acute Pediatric Monoarticular Arthritis: Distinguishing Lyme Arthritis From Other EtiologiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS. Lyme arthritis shares features with both septic and nonseptic non-Lyme arthritis. This overlap prevents the creation of a clinically useful predictive model for Lyme arthritis. In endemic areas, Lyme testing should be performed on all patients presenting with acute monoarticular arthritis. (Source: PEDIATRICS)
Source: PEDIATRICS - March 2, 2009 Category: Pediatrics Authors: Thompson, A., Mannix, R., Bachur, R. Tags: Musculoskeletal System ARTICLES Source Type: journals

Arthrocentesis and synovial fluid analysis in clinical practice.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Joint aspiration, or arthrocentesis, is one of the most useful and commonly performed procedures for the diagnosis and treatment of joint diseases. The synovial fluid aspirated may be examined to evaluate the degree of inflammation and, mainly, to detect the presence of some relevant pathogenic agents, such as crystals or microorganisms. In these cases, synovial fluid analysis still represents the best diagnostic procedure. Arthrocentesis is thus particularly required for the diagnosis and management of the acute "hot red joint," which may be considered a true medical emergency because of the morbidity and mortality re...
Source: Annals of the New York Academy of Sciences - February 1, 2009 Category: Science Authors: Punzi L, Oliviero F Tags: Ann N Y Acad Sci Source Type: journals

Arthrocentesis and synovial fluid analysis in clinical practice: value of sonography in difficult cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Joint aspiration, or arthrocentesis, is one of the most useful and commonly performed procedures for the diagnosis and treatment of joint diseases. The synovial fluid aspirated may be examined to evaluate the degree of inflammation and, mainly, to detect the presence of some relevant pathogenic agents, such as crystals or microorganisms. In these cases, synovial fluid analysis still represents the best diagnostic procedure. Arthrocentesis is thus particularly required for the diagnosis and management of the acute "hot red joint," which may be considered a true medical emergency because of the morbidity and mortality re...
Source: Annals of the New York Academy of Sciences - February 1, 2009 Category: Science Authors: Punzi L, Oliviero F Tags: Ann N Y Acad Sci Source Type: journals

[Clinical features of gout in a cohort of Italian patients]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The diagnosis of gout is not always easy because of its changing clinical spectrum. Identification of MSU crystals in joint aspirates was obtained only in a minority of patients. In this setting the diagnosis with gout was often based on the observation of an acute intermittent monoarthritis involving mainly the first metatarsophlangeal joint, associated with hyperuricaemia and responsive to colchicine. PMID: 19370187 [PubMed - indexed for MEDLINE] (Source: Reumatismo)
Source: Reumatismo - January 1, 2009 Category: Rheumatology Authors: Zampogna G, Andracco R, Parodi M, Cimmino MA Tags: Reumatismo Source Type: journals

A new approach to arthrocentesis of the temporomandibular joint.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a new temporomandibular joint (TMJ) arthrocentesis technique using the irrigation pump from a surgical and dental implant motor, providing the highest hydraulic pressure reported in the literature for TMJ lavage. PMID: 19108990 [PubMed - as supplied by publisher] (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - December 22, 2008 Category: ENT & OMF Authors: Alkan A, Kilic E Tags: Int J Oral Maxillofac Surg Source Type: journals

[Reviews] Aspiration of normal or asymptomatic pathological joints for diagnosis and research: indications, technique and success rateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although joint aspiration is a basic clinical skill, aspiration of normal joints, or asymptomatic clinically quiescent joints, is only rarely undertaken. There are two main indications for this procedure. Firstly, for definitive diagnosis of crystal-associated arthritis (gout and pseudogout) during the intercritical period and for subsequent monitoring of treatment success of gout; and secondly, to obtain normal synovial fluid for biomarker research. The justification for these indications, the success rate and the technical aspects related to this procedure are presented in this article. (Source: Annals of the Rheumatic Diseases)
Source: Annals of the Rheumatic Diseases - December 16, 2008 Category: Rheumatology Authors: Pascual, E, Doherty, M Tags: Genetics, Degenerative joint disease, Musculoskeletal syndromes Reviews Source Type: journals

Q&A: Billing for arthrocentesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To receive payment for arthrocentesis and related procedures, attach a modifier –59 to the successive services. (Source: Modern Medicine Medical Economics)
Source: Modern Medicine Medical Economics - December 5, 2008 Category: Health Management Source Type: info

Canine immune-mediated polyarthritis: clinical and laboratory findings in 83 cases in western Canada (1991-2001).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A hospital-based, case-control study was used to describe clinical and laboratory findings in 83 dogs diagnosed with noninfectious, nonerosive, immune-mediated polyarthritis (IMPA) in western Canada. Case medical records were reviewed. Cases were analyzed as total IMPA cases and as subgroups [breed, systemic lupus erythematosus (SLE), reactive, and idiopathic] and compared with the general canine hospital population. Dogs with IMPA differed in age (P = 0.004) and weight (P = 0.01) from other hospital admissions. Idiopathic IMPA cases were older (4-10 y; P < 0.05), compared with the general canine hospital population...
Source: The Canadian Veterinary Journal - December 1, 2008 Category: Veterinary Research Authors: Stull JW, Evason M, Carr AP, Waldner C Tags: Can Vet J Source Type: journals

Should local anesthesia be used for arthrocentesis and joint injections?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s00296-008-0785-3Authors Kye S. Park, University of New Mexico Health Sciences Center Department of Internal Medicine MSC 10 5550, 5th FL ACC Albuquerque NM 87106 USAAndres Peisajovich, University of New Mexico Health Sciences Center Department of Internal Medicine MSC 10 5550, 5th FL ACC Albuquerque NM 87106 USAAdrian A. Michael, University of New Mexico Health Sciences Center Department of Internal Medicine MSC 10 5550, 5th FL ACC Albuquerque NM 87106 USAWilmer L. Sibbitt, University of New Mexico Health Sciences Center Department of Internal Medicin...
Source: Rheumatology International - November 27, 2008 Category: Rheumatology Tags: Rheumatology International Source Type: journals

Long-term results of arthrocentesis in degenerative temporomandibular disorders.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Arthrocentesis was found to be a useful method for the treatment of degenerative TMDs, and the outcomes of treatment provide long-term cure for degenerative temporomandibular joints. PMID: 18996032 [PubMed - as supplied by publisher] (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - November 6, 2008 Category: ENT & OMF Authors: Onder ME, Tüz HH, Koçyiğit D, Kişnişci RS Tags: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Source Type: journals

Single needle arthrocentesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Disorders of the temporomandibular joint (TMJ) secondary to internal derangements of the joint are common. Patients often present with pain, clicking, or locking, or both, of the joint, and management can be challenging. The conditions are usually managed conservatively by jaw exercises, occlusal splints, and the use of simple drugs such as tricyclic antidepressants. If all these fail, patients are offered minimally invasive procedures such as arthrocentesis and manipulation of the joint. (Source: The British Journal of Oral & Maxillofacial Surgery)
Source: The British Journal of Oral & Maxillofacial Surgery - November 3, 2008 Category: ENT & OMF Authors: Khaleeq-Ur Rehman, Timothy Hall Tags: Technical Notes Source Type: journals

Single needle arthrocentesis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18977563 [PubMed - as supplied by publisher] (Source: The British Journal of Oral & Maxillofacial Surgery)
Source: The British Journal of Oral & Maxillofacial Surgery - October 31, 2008 Category: ENT & OMF Authors: Rehman KU, Hall T Tags: Br J Oral Maxillofac Surg Source Type: journals

Tuberculous knee arthritis presenting as staphylococcal infectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a 40-year-old female immigrant with a long-standing arthritis of her right knee. An arthrocentesis failed to grow any microorganism, but fluid from an arthroscopic lavage later grew initially coagulase-negative Staphylococcus and Mycobacterium tuberculosis after 3 weeks. Failure to ask for cultures of acid-fast bacilli from the beginning and to take biopsies due to low index of suspicion led to delayed diagnosis of tuberculosis with resultant osteoarthritic changes of the joint. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00590-008-0359-9Authors Athanassios Papanikolaou, ...
Source: European Journal of Orthopaedic Surgery & Traumatology - October 9, 2008 Category: Orthopaedics Tags: European Journal of Orthopaedic Surgery & Traumatology Source Type: journals