© Springer International Publishing AG 2017
Jonathan D. Hodax, Adam E. M. Eltorai and Alan H. Daniels (eds.)The Orthopedic Consult Survival Guide10.1007/978-3-319-52347-7_77. Joint Aspiration and Injection
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Department of Orthopedics, Brown University, Providence, RI, USA
Keywords
Joint injectionTraumatic arthrotomySaline load testOverview
Access to joints for injection and aspiration is useful for both diagnostic and therapeutic purposes. Indications include:
- 1.
Collecting synovial fluid to test for bacteria, elevated nucleated cells, or crystals
- 2.
Irrigating a suspected septic joint in order to mitigate the damage to cartilage before a formal irrigation and debridement can be performed
- 3.
Injecting sterile isotonic fluid in order to evaluate for a traumatic arthrotomy (open joint)
- 4.
Injecting local anesthetic to provide pain control and allow for an easier examStay updated, free articles. Join our Telegram channel
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