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Arthrocentesis

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https://www.readbyqxmd.com/read/27903001/right-in-front-of-our-eyes-evolution-of-streptococcal-toxic-shock-syndrome-with-ischemic-optic-neuropathy
#1
Salaheldin M Elhamamsy, Mazen O Al-Qadi, Taro Minami, Marguerite Neill
INTRODUCTION: Toxic shock syndrome occurs from dysregulation of host inflammatory responses. Toxin- producing strains of Group A streptococcus cause TSS. Ischemic optic neuropathy rarely complicates septic shock. We present a rare case of streptococcal pharyngitis complicated by septic arthritis and TSS with reversible blindness due to non-arteritic ischemic optic neuropathy. CASE: A 28-year-old man drove to our ED with exudative pharyngitis. A rapid streptococcal test was positive...
December 1, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/27900503/custom-made-mouth-prop-for-tmj-arthrocentesis-a-technical-note
#2
Shakil Ahmed Nagori, P K Chattopadhyay, Saurav Kumar, K Kamalpathey
INTRODUCTION: TMJ arthrocentesis involves lavage of the upper joint space which forces the disc apart from the fossa and washes away the inflammatory components of the joint. 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. METHOD: The authors describe a simple and rapid technique of preparing a custom-made mouth prop to hold the mandible in eccentric position during arthrocentesis...
November 29, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27900338/the-bridge-enhanced-anterior-cruciate-ligament-repair-bear-procedure-an-early-feasibility-cohort-study
#3
Martha M Murray, Brett M Flutie, Leslie A Kalish, Kirsten Ecklund, Braden C Fleming, Benedikt L Proffen, Lyle J Micheli
BACKGROUND: This study assessed the safety of the newly developed bridge-enhanced anterior cruciate ligament (ACL) repair (BEAR), which involves suture repair of the ligament combined with a bioactive scaffold to bridge the gap between the torn ligament ends. As the intra-articular environment is complex in its response to implanted materials, this study was designed to determine whether there would be a significant rate of adverse reaction to the implanted scaffold. HYPOTHESIS: The primary hypothesis was that the implanted scaffold would not result in a deep joint infection (arthrocentesis with positive culture) or significant inflammation (clinical symptoms justifying arthrocentesis but negative culture)...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27810253/success-of-ultrasound-guided-versus-landmark-guided-arthrocentesis-of-hip-ankle-and-wrist-in-a-cadaver-model
#4
Kristin Berona, Amin Abdi, Michael Menchine, Tom Mailhot, Tarina Kang, Dina Seif, Mikaela Chilstrom
PURPOSE: The objectives of this study were to evaluate emergency medicine resident-performed ultrasound for diagnosis of effusions, compare the success of a landmark-guided (LM) approach with an ultrasound-guided (US) technique for hip, ankle and wrist arthrocentesis, and compare change in provider confidence with LM and US arthrocentesis. METHODS: After a brief video on LM and US arthrocentesis, residents were asked to identify artificially created effusions in the hip, ankle and wrist in a cadaver model and to perform US and LM arthrocentesis of the effusions...
October 24, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27748084/performance-of-ultrasound-in-the-diagnosis-of-gout-in-a-multi-center-study-comparison-with-monosodium-urate-crystal-analysis-as-the-gold-standard
#5
Alexis Ogdie, William J Taylor, Tuhina Neogi, Jaap Fransen, Tim L Jansen, H Ralph Schumacher, Worawit Louthrenoo, Janitzia Vazquez-Mellado, Maxim Eliseev, Geraldine McCarthy, Lisa K Stamp, Fernando Perez-Ruiz, Francisca Sivera, Hang-Korng Ea, Martijn Gerritsen, Giovanni Cagnotto, Lorenzo Cavagna, Chingtsai Lin, Yin-Yi Chou, Anne-Kathrin Tausche, Manuella Lima Gomes Ochtrop, Matthijs Janssen, Jiunn-Horng Chen, Ole Slot, Juris Lazovskis, Douglas White, Marco A Cimmino, Till Uhlig, Nicola Dalbeth
OBJECTIVES: To examine the performance of ultrasound for the diagnosis of gout using presence of monosodium urate (MSU) crystals as the gold standard. METHODS: We analyzed data from the Study for Updated Gout Classification Criteria (SUGAR), a large, multi-center observational cross-sectional study of consecutive subjects with at least one swollen joint who conceivably may have gout. All subjects underwent arthrocentesis; cases were subjects with MSU crystal confirmation...
October 16, 2016: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/27744399/success-rate-and-utility-of-ultrasound-guided-synovial-biopsies-in-clinical-practice
#6
Aurélie Najm, Carl Orr, Marie-Françoise Heymann, Géraldine Bart, Douglas J Veale, Benoît Le Goff
OBJECTIVE: The utility of synovial biopsy in increasing our understanding of the pathogenesis of inflammatory arthropathies, as well as in evaluating treatments, is well established. Ultrasound (US) allows synovial assessment and therefore assists in biopsying synovial tissue in a safe and well-tolerated manner. This study's objectives were to (1) determine the rate of success in retrieving synovial tissue using US guidance, (2) describe the indications for US-guided synovial biopsies in the clinical setting, (3) determine how frequently the synovial biopsy can lead to a clear diagnosis, and (4) assess the quality of the synovial tissue obtained using this technique...
December 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/27714459/sodium-hyaluronate-an-effective-adjunct-in-temporomandibular-joint-arthrocentesis
#7
Poornima Patel, Faisal Idrees, Vilas Newaskar, Deepak Agrawal
BACKGROUND: Internal derangement of the temporomandibular joint (TMJ) is one of the most common forms of temporomandibular disorders. The minimally invasive treatments such as arthrocentesis as well as arthroscopic lysis and lavage are often used as a first-line surgical treatment or in conjunction with nonsurgical modalities with low morbidity and high efficacy. Sodium hyaluronate (SH) has been proposed as an alternative therapeutic agent with similar therapeutic effects. OBJECTIVE: A prospective study was carried out for evaluation of efficacy of TMJ arthrocentesis with and without injection of SH in management of internal derangements...
October 6, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27672243/a-novel-fresh-cadaver-model-for-education-and-assessment-of-joint-aspiration
#8
Robert Daniel Kay, Aditya Manoharan, Saman Nematollahi, Joseph Nelson, Stephen Henry Cummings, William Joaquin Adamas Rappaport, Richard Amini
OBJECTIVES: The objective of this study was to describe a novel cadaver model and to determine the utility of this model for teaching and assessing students in performing knee, elbow, and wrist arthrocentesis. METHODS: Third year medical students were evaluated while performing arthrocentesis during a fresh cadaver training sessions. RESULTS: Sixty-three participants were included in this analysis. There was statistically significant improvement between the pre- and post-test analysis in all aspects assessed in our study of elbow, knee and wrist arthrocentesis...
December 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27660935/detection-of-calcium-crystals-in-knee-osteoarthritis-synovial-fluid-a-comparison-between-polarized-light-and-scanning-electron-microscopy
#9
Paola Frallonardo, Francesca Oliviero, Luca Peruzzo, Leonardo Tauro, Anna Scanu, Paola Galozzi, Roberta Ramonda, Leonardo Punzi
BACKGROUND: The identification of calcium crystals in synovial fluid (SF) of patients with osteoarthritis (OA) represents an important step in understanding the role of these crystals in synovial inflammation and disease progression. OBJECTIVES: This study aimed to investigate the presence of calcium pyrophosphate (CPP) and basic calcium phosphate (BCP) crystals in SF collected from patients with symptomatic knee OA by scanning electron microscopy (SEM) coupled to x-ray energy dispersive spectroscopy, compensated polarized light microscopy (CPLM), and alizarin red staining...
October 2016: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/27643632/effect-of-arthrocentesis-on-symptomatic-osteoarthritis-of-the-temporomandibular-joint-and-analysis-of-the-effect-of-preoperative-clinical-and-radiologic-features
#10
Dorrit W Nitzan, Jesica Svidovsky, Avraham Zini, Yehuda Zadik
PURPOSE: To evaluate the long-term outcome of arthrocentesis in patients with symptomatic temporomandibular joint (TMJ) osteoarthritis that was unresponsive to nonsurgical interventions. MATERIALS AND METHODS: Seventy-nine patients (83 joints) with symptomatic TMJ osteoarthritis that had not responded to nonsurgical interventions and who underwent arthrocentesis were included in this study. Demographic, clinical, and radiologic data, including assessment of pain, dysfunction, improvement, and satisfaction, and maximal mouth opening were analyzed...
August 25, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27638344/interrelationship-between-temporomandibular-joint-osteoarthritis-oa-and-cervical-spine-pain-effects-of-intra-articular-injection-with-hyaluronic-acid
#11
Luca Guarda-Nardini, Cristina Cadorin, Antonio Frizziero, Stefano Masiero, Daniele Manfredini
OBJECTIVE: The aim of this study was to evaluate cervical spine pain and function after five sessions of viscosupplementation with hyaluronic acid (HA) in patients with temporomandibular joint (TMJ) osteoarthritis. METHODS: Forty-nine patients, (79% females, aged between 43-81 years), affected by TMJ osteoarthritis and concurrent cervical spine pain and limited function were recruited. All patients underwent a cycle of five weekly arthrocenteses and viscosupplementation with 1 ml of medium molecular weight HA according to the single-needle arthrocentesis technique...
September 16, 2016: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/27632069/is-hyaluronic-acid-or-corticosteroid-superior-to-lactated-ringer-solution-in-the-short-term-reduction-of-temporomandibular-joint-pain-after-arthrocentesis
#12
Gary F Bouloux, Jolie Chou, Deepak Krishnan, Tara Aghaloo, Nora Kahenasa, Julie Ann Smith, Helen Giannakopoulos
PURPOSE: Arthrocentesis has been used for the management of patients with temporomandibular joint (TMJ) pain, with good success. The additional use of hyaluronic acid (HA) or corticosteroid (CS) remains controversial. The purpose of this study was to compare HA, CS, and lactated Ringer solution (LR; placebo) after arthrocentesis. MATERIALS AND METHODS: This was a prospective multicenter double-blinded randomized clinical trial. Consecutive patients presenting to the oral and maxillofacial departments at Emory University, the University of Pennsylvania, the University of California-Los Angeles, the University of Cincinnati, and the Oregon Health Sciences University were enrolled in the study...
August 20, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27632067/is-hyaluronic-acid-or-corticosteroid-superior-to-lactated-ringer-solution-in-the-short-term-for-improving-function-and-quality-of-life-after-arthrocentesis
#13
Gary F Bouloux, Jolie Chou, Deepak Krishnan, Tara Aghaloo, Nora Kahenasa, Julie Ann Smith, Helen Giannakopoulos
PURPOSE: Although arthrocentesis has been used for the management of patients with temporomandibular joint pain, the benefit of hyaluronic acid (HA) or corticosteroid (CS) remains uncertain. The purpose of this study was to assess the efficacy of HA, CS, and lactated Ringer solution (LR; placebo) after arthrocentesis for changes in quality of life (QoL), jaw function (Jaw Function Limitation Scale [JFLS] score), and maximum incisal opening (MIO). MATERIALS AND METHODS: This was a prospective multicenter double-blinded randomized clinical trial...
August 20, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27595091/septic-arthritis-of-the-temporomandibular-joint-a-case-report
#14
Sung-Won Yang, Jin-Yong Cho, Hyeon-Min Kim
Septic arthritis of the temporomandibular joint (TMJ) is a rare disease. The most common symptoms of this disease are acute malocclusion, limited mouth opening, swelling, and tenderness of affected TMJ. These symptoms are often confused with internal derangement of the articular disc, rheumatoid arthritis, retrodiscitis, or osteoarthritis. Therefore, differential diagnosis by image examination is required. Usually, antimicrobial treatment and surgical drainage by needle aspiration, arthroscopy, or arthrotomy are effective treatment approaches...
August 2016: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/27554488/-arthrocentesis-of-the-temporomandibular-joint-and-intra-articular-injections%C3%A2-an-update
#15
P Marty, A Louvrier, E Weber, P-A Dubreuil, B Chatelain, C Meyer
INTRODUCTION: Arthocentesis of the temporomandibular joint combined with intra-articular washout and, more recently, intra-articular injection of pharmacological agents has been developed from the 1990s and is nowadays extensively in use for the treatment of temporomandibular dysfunctions (TMDs). The goal of our work was to answer 3 questions: 1. Is intra-articular washout effective for the treatment of TMDs ? 2. What kind of pharmacological agents may nowadays be injected in addition to washout and are these injections useful ? 3...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
https://www.readbyqxmd.com/read/27544817/-temporomandibular-joint-disc-surgery
#16
J Potier, J-M Maes, R Nicot, T Dumousseau, M Cotelle, J Ferri
Temporomandibular joint (TMJ) disorders are a common disease and may be responsible for major functional and painful repercussions. Treatment is not consensual. The literature highlights the role of conservative treatments (physiotherapy, analgesics, splints) in a first attempt. Minimally invasive surgical techniques (arthroscopy, arthrocentesis) have developed rapidly in recent decades. They have proven effective and reliable, especially in patients suffering from irreducible or reducible anterior disc dislocation or presenting with arthopathies...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
https://www.readbyqxmd.com/read/27535160/letter-to-the-editor-regarding-single-needle-arthrocentesis-shepard-cannula-vs-double-needle-arthrocentesis-for-treating-disc-displacement-without-reduction-from-cranio%C3%A2-doi-10-1080-08869634-2015-1106810-by-wael-talaat-et-al
#17
https://www.readbyqxmd.com/read/27496577/intramuscular-botulinum-toxin-injection-additional-to-arthrocentesis-in-the-management-of-temporomandibular-joint-pain
#18
Oksana Ivask, Edvitar Leibur, Stephanie Akermann, Tiia Tamme, Ülle Voog-Oras
OBJECTIVE: The aim of this study was to compare the effect of intramuscular injection of botulinum toxin (BTX-A) as an adjunct to arthrocentesis with the effect of BTX-A injections alone in the treatment of temporomandibular joint disorders (TMDs) with masticatory muscles tension. STUDY DESIGN: The clinical study included 20 TMD patients divided into 2 groups. The influence of daily activities on pain in the temporomandibular joint (TMJ) area was evaluated in both groups using the rating scale by List and Helkimo...
October 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/27455444/epidemiology-and-management-of-acute-uncomplicated-septic-arthritis-and-osteomyelitis-spanish-multicenter-study
#19
Cristina Calvo, Esmeralda Núñez, Marisol Camacho, Daniel Clemente, Elisa Fernández-Cooke, Rosa Alcobendas, Luis Mayol, Pere Soler, Miren Oscoz, Jesús Saavedra-Lozano
BACKGROUND: Acute osteoarticular infection (OAI) is a potentially severe disease. The aim of this study was to evaluate the etiology, clinical characteristics and therapeutic approach of OAI in children in Spain. METHODS: Medical records from children <14 years with OAI from 25 hospitals between 2008-2012, were reviewed. Confirmed osteomyelitis (OM) and septic arthritis (SA) required a positive bacterial isolate; otherwise, they were considered probable. Probable SA with <40,000 cells/mm3 in joint fluid were not included...
July 22, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27435500/comparison-of-local-and-general-anaesthesia-for-arthrocentesis-of-the-temporomandibular-joint
#20
H H Tuz, O Baslarli, S Adiloglu, T Gokturk, S E Meral
Arthrocentesis of the temporomandibular joint is an effective treatment for some disorders, and is usually done under local anaesthesia. We know of few studies that have compared the ease of arthrocentesis and its outcomes under local or general anaesthesia, so we studied 32 patients (n=16 in each group). Postoperative oedema and pain, maximum mouth opening, duration of arthrocentesis, and ease of operation were assessed to compare the relative effectiveness of the two types of anaesthetic. Scores for duration of arthrocentesis (p=0...
October 2016: British Journal of Oral & Maxillofacial Surgery
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