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Arthrocentesis

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https://www.readbyqxmd.com/read/29215382/initial-treatment-in-septic-arthritis-medical-versus-surgical-approach-an-8-year-single-center-in-spain-experience
#1
Bryan Josué Flores-Robles, Mercedes Jiménez Palop, Abel Alejandro Sanabria Sanchinel, Robert Francis Andrus, Ana Royuela Vicente, Marta Isabel Sanz Pérez, María Espinosa Malpartida, Consuelo Ramos Giráldez, Carolina Merino Argumanez, Luis Fernando Villa Alcázar, José Luis Andréu Sánchez, Hildegarda Godoy Tundidor, José Campos Esteban, Jesús Sanz Sanz, Carmen Barbadillo Mateos, Carlos Isasi Zaragoza, Juan Mulero Mendoza
OBJECTIVE: The aim of this study was to compare the functional results of 2 different procedure types, medical or surgical, which are used in treating native joint septic arthritis. METHODS: In this retrospective cohort study, we reviewed clinical registries of patients admitted to a single third-level hospital with the diagnosis of septic arthritis during the period of January 1, 2008, to January 31, 2016. RESULTS: A total of 63 cases of septic arthritis were identified in which the initial approach for 49 patients was medical (arthrocentesis), whereas the initial approach for 14 patients was surgical (arthroscopy or arthrotomy)...
December 5, 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29192730/3-phase-technicium-99m-bone-scanning-in-patients-with-pain-in-the-hip-region-after-cemented-total-hip-replacement-a-multicentre-series-of-100-cases
#2
Daniel S Hill, Soulat Naim, Roy J Powell, Denis Kinsella, Andrew D Toms, Jonathan Howell
INTRODUCTION: The aim of this study was to assess the benefit of a Technetium-99M (HDP) 3-phase bone scan (TPBS) as an additional diagnostic test in the evaluation of pain in the hip region following cemented total hip replacement (THR) surgery. METHODS: A retrospective study over a 24-month period was performed comprising 100 patients investigated with a TPBS. Investigations were summarised and analysed, and were classified as entirely normal, possibly abnormal, and definitely abnormal...
November 21, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29182905/is-there-a-difference-in-intra-articular-injections-of-corticosteroids-hyaluronate-or-placebo-for-temporomandibular-osteoarthritis
#3
REVIEW
Yan Liu, Jiashun Wu, Wei Fei, Xiao Cen, Yi Xiong, Shasha Wang, Yaling Tang, Xinhua Liang
PURPOSE: Corticosteroids are widely used for treatment of temporomandibular joint (TMJ) osteoarthritis (OA). This study investigated the effects of corticosteroids on TMJOA compared with placebo or hyaluronate. MATERIALS AND METHODS: The authors designed and implemented a systematic review and meta-analysis to compare the effects of intra-articular injection of corticosteroid, hyaluronate, or placebo for patients with TMJOA. The authors searched related randomized controlled studies electronically in multiple English- and Chinese-language electronic databases...
November 8, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29173086/evaluation-of-ultrasonography-guidance-for-single-puncture-temporomandibular-joint-arthrocentesis-a-randomized-clinical-study
#4
Mehmet Fatih Şentürk, Derya Yıldırım, Elif Bilgir
Objective To evaluate ultrasonography (US) guidance on the single-puncture temporomandibular joint (TMJ) arthrocentesis technique. Methods Twenty-four patients were randomly divided into two groups (n = 12 in each group), and single puncture arthrocentesis (SPA) was performed with and without US guidance in groups 1 and 2. During the one-year follow-up period, the groups were statistically evaluated by the visual analog scale for pain, maximum mouth opening, lateral excursion, and protrusion within each group and between the two groups...
November 24, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/29171826/tertiary-care-centre-adherence-to-unified-guidelines-for-management-of-periprosthetic-joint-infections-a-gap-analysis
#5
Mitchel D Armstrong, Alberto V Carli, Hesham Abdelbary, Stephane Poitras, Peter Lapner, Paule E Beaule
BACKGROUND: The success rate of surgical treatment for periprosthetic joint infection (PJI) remains inconsistent in the literature. Variability in PJI clinical guidelines and surgeon adherence to guidelines could affect treatment success. The objectives of this study were to appraise current recommendations for PJI management and develop a unified clinical standard of care, to perform a gap analysis of PJI cases in a tertiary institution to determine the rate of guideline adherence, and to determine if adherence to unified PJI guidelines affected 2-year treatment outcomes...
December 1, 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29164082/acute-septic-arthritis-of-the-knee-caused-by-kingella-kingae-in-a-5-year-old-cameroonian-boy
#6
Nawal El Houmami, Dimitri Ceroni, Karine Codjo Seignon, Jean-Christophe Pons, Cédric Lambert, Guillaume André Durand, Philippe Minodier, Léopold Lamah, Philippe Bidet, Jacques Schrenzel, Didier Raoult, Pierre-Edouard Fournier
Kingella kingae is an important cause of invasive infections in young children from Western countries. Although increasing reports indicate that this organism is the leading agent of bone and joint infections in early childhood, data on K. kingae infections from resource-limited settings are scarce, and none has yet been reported in Africa. We herein report the diagnostic and epidemiological investigations of the first case of K. kingae arthritis identified in a child from sub-Saharan Africa. A 5-year-old Cameroonian boy presented with a sudden painful limp which appeared in the course of a mild rhinopharyngitis...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29109658/single-needle-arthrocentesis-with-upper-compartment-distension-versus-conventional-two-needle-arthrocentesis-randomized-clinical-trial
#7
Eduardo Grossmann, Primo Guilherme Vargas Pasqual, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Liogi Iwaki Filho, Ênio Tadashi Setogutti
The objective of this study was to compare single-needle arthrocentesis with distension of the upper compartment of the temporomandibular joint (TMJ) with the conventional two-needle arthrocentesis. Twenty-six patients with articular disc displacement without reduction (DDWOR) were included in the study and assigned to two groups (n = 13): single-needle arthrocentesis with distension of the upper compartment of the TMJ (1N) and conventional two-needle arthrocentesis (2N). The maximum interincisal distance (MID) and TMJ pain as measured by the visual analog scale (VAS) were compared...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29071046/native-join-propionibacterium-septic-arthritis
#8
Thomas Taylor, Marcus Coe, Ana Mata-Fink, Richard Zuckerman
Propionibacterium species are associated with normal skin flora and cultures may be dismissed as contaminants. They are increasingly recognized as a cause of septic arthritis following shoulder arthroplasty and arthrotomy. We identified three cases of Propionibacterium septic arthritis in native joints mimicking atypical osteoarthritis and review the literature, clinical course, and treatment of 18 cases. Two cases of Propionibacterium acne in native knee joints and one in a sternoclavicular joint are described...
October 2, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/29038631/efficacy-of-temporomandibular-joint-arthrocentesis-with-sodium-hyaluronate-in-the-management-of-temporomandibular-joint-disorders-a-prospective-randomized-control-trial
#9
Harsha Gorrela, J Prameela, G Srinivas, B Vijay Baskar Reddy, Mvs Sudhir, Gururaj Arakeri
PURPOSE: This study was designed to investigate the efficacy of the temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate (SH) in the treatment of temporomandibular joint disorders. PATIENTS AND METHODS: A total of sixty two TMJs in 34 males and 28 females aged 20-65 years comprised the study material. The patients' complaints were limited mouth opening, TMJ pain, and joint noises during function. Patients were randomly divided into 2 groups in which arthrocentesis plus intra-articular injection of sodium hyaluronate was performed in 1 group and only arthrocentesis was performed in the other group...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29017019/results-of-combined-single-session-arthrocentesis-and-dextrose-prolotherapy-for-symptomatic-temporomandibular-joint-syndrome-a-case-series
#10
Burak Cezairli, Efe Can Sivrikaya, Mehmet Melih Omezli, Ferhat Ayranci, Neslihan Seyhan Cezairli
OBJECTIVE: Arthrocentesis and prolotherapy are nonsurgical treatments for temporomandibular joint (TMJ) diseases. This study aimed to evaluate the treatment of hypermobility, pain, and displacement of the TMJ by consecutively performing arthrocentesis and prolotherapy in the same session. MATERIALS AND METHODS: In this study, 10 adults with disc displacement and painful, hypermobile TMJ were selected. Arthrocentesis and prolotherapy were consecutively performed using a 30% dextrose solution that was simultaneously injected into five areas: posterior disc attachment, superior joint space, superior and inferior capsular attachments, and stylomandibular ligament...
October 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28944379/septic-arthritis-of-the-temporomandibular-joint-after-acute-otitis-media-in-a-child
#11
Kathia Dubron, Jan Meeus, Koenraad Grisar, Stefanie Desmet, Titiaan Dormaar, Yannick Spaey, Constantinus Politis
Septic arthritis of the temporomandibular joint as a complication of acute otitis media is rare in the Western world. This report describes the case of a 7-year-old boy who had pain in his right ear and limited mouth opening, following the onset of acute otitis media. A contrast-enhanced computed tomography scan revealed right-sided mastoiditis and hydrops of the right temporomandibular joint, suggesting septic arthritis. Real-time PCR and microbiologic analysis identified Streptococcus pyogenes and Staphylococcus epidermidis in the joint aspirate...
September 22, 2017: Quintessence International
https://www.readbyqxmd.com/read/28936285/clinical-and-radiological-outcome-of-arthrocentesis-followed-by-autologous-blood-injection-for-treatment-of-chronic-recurrent-temporomandibular-joint-dislocation
#12
Jinesh Patel, Kumar Nilesh, M I Parkar, Alpesh Vaghasiya
BACKGROUND: This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. MATERIAL AND METHODS: Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule...
August 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28913649/improvement-in-diagnostic-and-therapeutic-arthrocentesis-via-constant-compression
#13
Tej B Bhavsar, Wilmer L Sibbitt, Philip A Band, Romy J Cabacungan, Timothy S Moore, Luis C Salayandia, Roderick A Fields, Scarlett K Kettwich, Luis P Roldan, N Suzanne Emil, Monthida Fangtham, Arthur D Bankhurst
We hypothesized that constant compression of the knee would mobilize residual synovial fluid and promote successful arthrocentesis. Two hundred and ten knees with grade II-III osteoarthritis were included in this paired design study: (1) conventional arthrocentesis was performed with manual compression and success and volume (milliliters) determined; and (2) the intra-articular needle was left in place, and a circumferential elastomeric brace was tightened on the knee to provide constant compression. Arthrocentesis was attempted again and additional fluid volume was determined...
September 14, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28806377/the-double-intravenous-catheter-technique-for-single-puncture-arthrocentesis
#14
Shakil Ahmed Nagori, Probodh K Chattopadhyay, Kamal K Pathey, Gaurav Dua
Traditionally, arthrocentesis involves insertion of 2 needles into the joint space of which one acts as an inflow port and the other as the outflow port. These 2 needles must triangulate and be exactly placed in the upper joint space for the procedure to be effective. Due to the difficulty in maintaining the needle position, single-puncture arthrocentesis is gaining popularity. It is relatively easier to perform and less traumatic to the joint. The authors describe a simple technique of single-puncture arthrocentesis using parts of 2 peripheral intravenous catheters of different gauges...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28761275/efficacy-of-arthrocentesis-versus-arthrocentesis-with-sodium-hyaluronic-acid-in-temporomandibular-joint-osteoarthritis-a-comparison
#15
Tikaram Gurung, R K Singh, Shadab Mohammad, U S Pal, Abbas Ali Mahdi, Manoj Kumar
INTRODUCTION: Temporomandibular joint osteoarthritis (TMJ OA) is a degenerative disease characterized by deterioration of articular tissue with concomitant osseous changes in the condyle and/or articular eminence, joint positive for TMJ noise with jaw movement or function, crepitus detected on palpation on opening, closing, right/left lateral, or protrusive movement. Hyaluronic acid (HA) is a polysaccharide of the family of glycosaminoglycans. HA has been shown to improve and restore normal lubrication in joint, provide nutrition to the avascular articulating disc, and stabilize the joint...
January 2017: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28750786/proteomic-analysis-of-synovial-fluid-obtained-from-a-dog-diagnosed-with-idiopathic-immune-mediated-polyarthritis
#16
Wei Miao Tan, Seng Fong Lau, Mokrish Ajat, Rozaihan Mansor, Puteri Azaziah Megat Abd Rani, Norasfaliza Binti Rahmad
This case study is to report the proteins detected by proteomic analysis of synovial fluid from a dog diagnosed with idiopathic immune-mediated polyarthritis, and to compare it with healthy dogs. Synovial fluid was collected via arthrocentesis from a dog diagnosed with immune-mediated polyarthritis. Protein precipitation was performed on the synovial fluid, followed by isoelectric focusing and 2-dimensional gel electrophoresis. The spots on the 2-dimensional gels were analyzed using MALDI-TOF/MS. The results were then analyzed against the MASCOT database...
March 2017: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/28734995/senior-oral-and-maxillofacial-surgery-resident-confidence-in-performing-invasive-temporomandibular-joint-procedures
#17
Mohmedvasim Momin, Michael Miloro, Louis G Mercuri, Alexander Munaretto, Michael R Markiewicz
PURPOSE: The purpose of this study was to evaluate the level of confidence that senior-level oral and maxillofacial surgery (OMS) residents have in the management of temporomandibular joint (TMJ) disorders, determine their exposure to various invasive TMJ procedures during training, and assess their confidence in performing those procedures on completion of residency. MATERIALS AND METHODS: A questionnaire was designed, and a link to a University of Illinois at Chicago Qualtrics Survey platform (Qualtrics, Provo, UT) was e-mailed to all program directors at Commission on Dental Accreditation-accredited OMS training programs in the United States...
October 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28733573/inadvertent-introduction-of-tissue-coring-into-joints-during-arthrocentesis-an-experimental-study
#18
Chi Xu, Haiwen Peng, Wei Chai, Xiang Li, Rui Li, Jiying Chen
BACKGROUND The aim of this study was to investigate whether needles introduce skin plugs into joints during arthrocentesis. MATERIAL AND METHODS In the first part of this study, the arthrocentesis site was scrubbed with a fluorescein sodium swab, and 90 needles were inserted through the joint tissue and collected for examination under a fluorescence microscope. In the second part of this study, the joints were injected using 720 needles of different gauges. Two different randomly assigned needle insertion techniques were used: needle insertion straight through the joint capsule (subgroup 1) or insertion of the needle into the subcutaneous tissue followed by flushing of the needle with 0...
July 22, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28712505/long-term-evaluation-of-single-puncture-temporomandibular-joint-arthrocentesis-in-patients-with-unilateral-temporomandibular-disorders
#19
M F Şentürk, D Yıldırım, E Bilgir, Y Fındık, T Baykul
The purpose of this study was to evaluate the long-term effects of the single-puncture arthrocentesis (SPA) technique. Forty-two patients with unilateral temporomandibular joint disorders (TMDs) were treated by SPA. Thirty-eight of these patients completed 1-24 months of follow-up (short-term group) and 21 completed 11 months or longer of follow-up (long-term group). The two groups were evaluated statistically for pain (visual analogue scale), maximum mouth opening, lateral excursion, and protrusion. Both follow-up duration groups showed significant improvements when compared to baseline levels for almost all of the outcome variables (P<0...
July 13, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28712174/arthrocentesis-for-temporomandibular-joint-pain-dysfunction-syndrome
#20
Shahid Rauf Jamot, Zafar Ali Khan, Tahir Ullah Khan, Riaz Ahmad Waraich, Muhammad Farooq
BACKGROUND: Temporomandibular joint (TMJ) dysfunction is painful condition of facial musculoskeletal system. Arthrocentesis is less invasive treatment of TMJ dysfunctions. It has been used to treat variety of TMJ disorders. The objective of this study was to determine the success of arthrocentesis in TMJPDS patients where conservative treatment had failed. METHODS: This descriptive case study of 45 patients was completed in 6 months at Outpatient Department of Oral and Maxillofacial Surgery, Mayo hospital Lahore...
January 2017: Journal of Ayub Medical College, Abbottabad: JAMC
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