Joint aspiration and injection
| Autor: | UK Michael Doherty, Philip Courtney |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Osmium Tetroxide business.industry Suction medicine.disease Injections Intra-Articular Surgery Crystal arthritis Joint disease Joint aspiration Rheumatology Osmic Acid medicine Humans Synovial fluid Joints Yttrium Radioisotopes Septic arthritis Aseptic processing Hyaluronic Acid Joint Diseases business Glucocorticoids |
| Zdroj: | Best Practice & Research Clinical Rheumatology. 19:345-369 |
| ISSN: | 1521-6942 |
| DOI: | 10.1016/j.berh.2005.01.009 |
| Popis: | Joint aspiration/injection is an invaluable procedure for the diagnosis and treatment of joint disease. The knee is the commonest site to require aspiration although any non-axial joint is accessible for obtaining synovial fluid. Septic arthritis and crystal arthritis can be readily diagnosed by aspirating synovial fluid. Intra-articular injection of long-acting insoluble corticosteroids produces rapid resolution of inflammation in most injected joints and is a well established procedure in rheumatological practice. The technique involves only a knowledge of basic anatomy and should not be unduly painful for the patient. Provided sterile equipment and a sensible, aseptic approach are used it is a safe procedure. This chapter addresses the indications, technical principals, expected benefits and risks of intra-articular corticosteroid injection. The use of other intra-articular injections including osmic acid, radioisotopes and hyaluronic acid, which are less universally utilised than intra-articular corticosteroid, will also be addressed. |
| Databáze: | OpenAIRE |
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