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dc.contributor.authorSibbitt, W
dc.contributor.authorKettwich, L
dc.contributor.authorBand, P
dc.contributor.authorChavez-Chiang, N
dc.contributor.authorDeLea, S
dc.contributor.authorHaseler, Luke
dc.contributor.authorBankhurst, A
dc.date.accessioned2017-05-03T11:26:59Z
dc.date.available2017-05-03T11:26:59Z
dc.date.issued2012
dc.identifier.issn03009742
dc.identifier.doi10.3109/03009742.2011.599071
dc.identifier.urihttp://hdl.handle.net/10072/49805
dc.description.abstractOBJECTIVE: The present randomized controlled trial compared arthrocentesis of the effusive knee followed by corticosteroid injection performed by the conventional anatomic landmark palpation-guided technique to the same procedure performed with ultrasound (US) needle guidance. METHODS: Sixty-four palpably effusive knees were randomized to (i) palpation-guided arthrocentesis with a conventional 20-mL syringe (22 knees), (ii) US-guided arthrocentesis with a 25-mL reciprocating procedure device (RPD) mechanical aspirating syringe (22 knees), or (iii) US-guided arthrocentesis with a 60-mL automatic aspirating syringe (20 knees). The one-needle two-syringe technique was used. Outcome measures included patient pain by the Visual Analogue Scale (VAS) for pain (0-10 cm), the proportion of diagnostic samples, synovial fluid volume yield, complications, and therapeutic outcome at 2 weeks. RESULTS: Sonographic guidance resulted in 48% less procedural pan (VAS; palpation-guided: 5.8 ᠳ.0 cm, US-guided: 3.0 ᠲ.8 cm, p < 0.001), 183% increased aspirated synovial fluid volumes (palpation-guided: 12 ᠱ0 mL, US-guided: 34 ᠲ5 mL, p < 0.0001), and improved outcomes at 2 weeks (VAS; palpation-guided: 2.8 ᠲ.4 cm, US-guided: 1.5 ᠱ.9 cm, p = 0.034). Outcomes of sonographic guidance with the mechanical syringe and automatic syringe were comparable in all outcome measures. CONCLUSIONS: US-guided arthrocentesis and injection of the knee are superior to anatomic landmark palpation-guided arthrocentesis, resulting in significantly less procedural pain, improved arthrocentesis success, greater synovial fluid yield, more complete joint decompression, and improved clinical outcomes.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherInforma Healthcare
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom66
dc.relation.ispartofpageto72
dc.relation.ispartofissue1
dc.relation.ispartofjournalScandinavian Journal of Rheumatology
dc.relation.ispartofvolume41
dc.rights.retentionY
dc.subject.fieldofresearchRheumatology and Arthritis
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode110322
dc.subject.fieldofresearchcode1103
dc.titleDoes ultrasound guidance improve the outcomes of arthrocentesis and corticosteroid injection of the knee?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2015-05-31T22:21:25Z
gro.hasfulltextNo Full Text
gro.griffith.authorHaseler, Luke J.


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