dc.contributor.author | Sibbitt, W | |
dc.contributor.author | Kettwich, L | |
dc.contributor.author | Band, P | |
dc.contributor.author | Chavez-Chiang, N | |
dc.contributor.author | DeLea, S | |
dc.contributor.author | Haseler, Luke | |
dc.contributor.author | Bankhurst, A | |
dc.date.accessioned | 2017-05-03T11:26:59Z | |
dc.date.available | 2017-05-03T11:26:59Z | |
dc.date.issued | 2012 | |
dc.identifier.issn | 03009742 | |
dc.identifier.doi | 10.3109/03009742.2011.599071 | |
dc.identifier.uri | http://hdl.handle.net/10072/49805 | |
dc.description.abstract | OBJECTIVE: 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.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Informa Healthcare | |
dc.publisher.place | United Kingdom | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 66 | |
dc.relation.ispartofpageto | 72 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Scandinavian Journal of Rheumatology | |
dc.relation.ispartofvolume | 41 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Rheumatology and Arthritis | |
dc.subject.fieldofresearch | Clinical Sciences | |
dc.subject.fieldofresearchcode | 110322 | |
dc.subject.fieldofresearchcode | 1103 | |
dc.title | Does ultrasound guidance improve the outcomes of arthrocentesis and corticosteroid injection of the knee? | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.date.issued | 2015-05-31T22:21:25Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Haseler, Luke J. | |