Abstract
Joints aspiration and injections are common practice in the elderly medicine and can be used to diagnose and treat some of the musculoskeletal conditions. Joint injection is a relatively safe procedure if associated with good knowledge of anatomy and awareness of the potential complications and contraindications. Different approaches can be used for arthrocentesis, but the discussed techniques in this chapter are the ones used most commonly by the authors. Appropriate training involves knowledge of anatomy and practical skills are key requirements.
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References
Kerlan RK, Glousman RE. Injections and techniques in athletic medicine. Clin Sports Med. 1989;8:541–60.
Centeno LM, Moore ME. Preferred intra-articular corticosteroids and associated practice: a survey of members of the American College of Rheumatology. Arthritis Care Res. 1994;7:151–5.
Derendorf H, Möllmann H, Grüner A. Pharmacokinetics and pharmacodynamics of glucocorticoid suspensions after intraarticular administration. Clin Pharmacol Ther. 1986;39:313–7.
Bellamy N, Campbell J, Robinson V, Gee T, Bourne R, Wells G. Viscosupplementation for the treatment of osteoarthritis of the knee. Cochrane Database Syst Rev. 2006;19:CD005321.
Kotz R, Kolarz G. Intra-articular hyaluronic acid: duration of effect and results of repeated treatment cycles. Am J Orthop. 1999;28(11):5–7.
Wobig M, Dickhut A, Maier R, Vetter G. Viscosupplementation with hylan G-F 20: a 26-week controlled trial of efficacy and safety in the osteoarthritic knee. Clin Ther. 1998;20:410–23.
Caborn D, Rush J, Lanzer W, Parenti D. Synvisc 901 Study Group. A randomized, single-blind comparison of the efficacy and tolerability of hylan G-F 20 and triamcinolone hexacetonide in patients with osteoarthritis of the knee. J Rheumatol. 2004;31:333–43.
Aggarwal A, Sempowski IP. Hyaluronic acid injections for knee osteoarthritis. Systematic review of the literature. Can Fam Physician. 2004;50:249–56.
Pal B, Morris J. Perceived risks of joint infection following intra-articular corticosteroid injections: a survey of rheumatologists. Clin Rheumatol. 1999;18:264–5.
Farooq MA, Devitt AT. Perceived efficacy and risks of infection following intra-articular injections: a survey of orthopaedic surgeons. Ir J Med Sci. 2005;174:26–32.
Hartmann H. [Arthrocentesis in rheumatology practice]. Tidsskr Nor Laegeforen. 2000;120:800–2.
Charalambous CP, Tryfonidis M, Sadiq S, Hirst P, Paul A. Septic arthritis following intra-articular steroid injection of the knee – a survey of current practice regarding antiseptic technique used during intra-articular steroid injection of the knee. Clin Rheumatol. 2003;22:386–90.
Cassidy JT, Bole GG. Cutaneous atrophy secondary to intra-articular corticosteroid. Ann Intern Med. 1966;65:1008–18.
McCarty DJ, McCarthy G, Carrera G. Intraarticular corticosteroids possibly leading to local osteonecrosis and marrow fat induced synovitis. J Rheumatol. 1991;18:1091–4.
Luzar MJ, Altawil B. Pseudogout following intraarticular injection of sodium hyaluronate. Arthritis Rheum. 1998;41:939–40.
Goldberg VM, Coutts RD. Pseudoseptic reactions to hylan viscosupplementation: diagnosis and treatment. Clin Orthop Relat Res. 2004;419:130–7.
Chen AL, Desai P, Adler EM, Di Cesare PE. Granulomatous Âinflammation after Hylan G-F 20 viscosupplementation of the knee: a report of six cases. J Bone Joint Surg Am. 2002;84-A:1142–7.
CKS. Rheumatoid arthritis. 2005. http://cks.library.nhs.uk/rheumatoid_arthritis/management/quick_answers/scenario. Accessed 20 July 2008.
Weitoft T, Uddenfeldt P. Importance of synovial fluid aspiration when injecting intra-articular corticosteroids. Ann Rheum Dis. 2000;59:233–5.
Jones A, Regan M, Ledingham J, Pattrick M, Manhire A, Doherty M. Importance of placement of intraarticular steroid injections. Br Med J. 1993;307:1329–30.
Chakravarty K, Pharoah PDP, Scott DGIA. Randomised controlled study of post-injection rest following intra-articular steroid therapy for knee synovitis. Br J Rheumatol. 1994;33:464–8.
Chard MD, Hazleman BL. Shoulder disorders in the elderly (a hospital study). Ann Rheum Dis. 1987;46:684–7.
Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly (a community survey). Arthritis Rheum. 1991;34:766–9.
Mahakkanukrauh P, Surin P. Prevalence of osteophytes associated with the acromion and acromioclavicular joint. Clin Anat. 2003;16:506–10.
Stein BE, Wiater JM, Pfaff HC, Bigliani LU, Levine WN. Detection of acromioclavicular joint pathology in asymptomatic shoulders with magnetic resonance imaging. J Shoulder Elbow Surg. 2001;10:204–8.
Sellman JR. Plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1994;15:376–81.
Tsai WC, Hsu CC, Chen CP, Chen MJ, Yu TY, Chen YJ. Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. J Clin Ultrasound. 2006;34:12–6.
Kane D, Greaney T, Bresnihan B, Gibney R, FitzGerald O. Ultrasound guided injection of recalcitrant plantar fasciitis. Ann Rheum Dis. 1998;57:383–4.
Jones A, Regan M, Ledingham J, Pattrick M, Manhire A, Doherty M. Importance of placement of intra-articular steroid injections. BMJ. 1993;307:1329–30.
Raza K, Lee CY, Pilling D, Heaton S, Situnayake RD, Carruthers DM, et al. Ultrasound guidance allows accurate needle placement and aspiration from small joints in patients with early inflammatory arthritis. Rheumatology (Oxford). 2003;42:976–9.
Migliore A, Tormenta S, Martin Martin LS, Valente C, Massafra U, Latini A, et al. Safety profile of 185 ultrasound-guided intra-articular injections for treatment of rheumatic diseases of the hip. Reumatismo. 2004;56:104–9.
Sofka CM, Saboeiro G, Adler RS. Ultrasound-guided adult hip injections. J Vasc Interv Radiol. 2005;16:1121–3.
Naredo E, Cabero F, Beneyto P, Cruz A, Mondéjar B, Uson J, et al. A randomized comparative study of short term response to blind injection versus sonographic-guided injection of local corticosteroids in patients with painful shoulder. J Rheumatol. 2004;31:308–14.
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Zayat, A.S., Wakefield, R.J. (2011). Arthrocentesis in the Elderly. In: Nakasato, Y., Yung, R. (eds) Geriatric Rheumatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5792-4_13
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DOI: https://doi.org/10.1007/978-1-4419-5792-4_13
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