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Academic literature on the topic 'Arthrocentesi'

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Published: 9 March 2023
Last updated: 10 March 2023

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Journal articles on the topic "Arthrocentesi"

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Dolwick, M. Franklin. "Arthrocentesis." Journal of Oral and Maxillofacial Surgery 67, no. 9 (September 2009): 15. http://dx.doi.org/10.1016/j.joms.2009.05.341.

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Kendell, Barry D., and David E. Frost. "Arthrocentesis." Atlas of the Oral and Maxillofacial Surgery Clinics 4, no. 2 (September 1996): 1–14. http://dx.doi.org/10.1016/s1061-3315(18)30096-9.

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Voll, Sandra K., and Joseph Walsh. "Arthrocentesis." Nurse Practitioner 38, no. 9 (September 2013): 34–39. http://dx.doi.org/10.1097/01.npr.0000431180.87429.03.

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Grossmann, Eduardo, Primo Guilherme Vargas Pasqual, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Liogi Iwaki Filho, and Ênio Tadashi Setogutti. "Single-Needle Arthrocentesis with Upper Compartment Distension versus Conventional Two-Needle Arthrocentesis: Randomized Clinical Trial." Pain Research and Management 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/2435263.

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The objective of this study was to compare single-needle arthrocentesis with distension of the upper compartment of the temporomandibular joint (TMJ) with the conventional two-needle arthrocentesis. Twenty-six patients with articular disc displacement without reduction (DDWOR) were included in the study and assigned to two groups (n=13): single-needle arthrocentesis with distension of the upper compartment of the TMJ (1N) and conventional two-needle arthrocentesis (2N). The maximum interincisal distance (MID) and TMJ pain as measured by the visual analog scale (VAS) were compared. MID and VAS data were obtained: before (T1), seven days after (T2), fifteen days after (T3), one month after (T4), three months after (T5), six months after (T6), nine months after (T7), and one year after the arthrocentesis procedures (T8). Considering each group individually, results of the VAS scores and MID measurements showed a significant difference between T1 and T2–T8 (p<0.001) in both groups. Between two groups, results show no significant differences (p>0.05). Both techniques tested were effective in reducing pain and increasing MID. Due to the advantages over the conventional two-needle arthrocentesis, single-needle arthrocentesis with distension of the upper compartment should be considered as the first treatment option for patients with painful hypomobilized TMJ of DDWOR.
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Zotti, Francesca, Massimo Albanese, Luigi Rodella, and Pier Nocini. "Platelet-Rich Plasma in Treatment of Temporomandibular Joint Dysfunctions: Narrative Review." International Journal of Molecular Sciences 20, no. 2 (January 11, 2019): 277. http://dx.doi.org/10.3390/ijms20020277.

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Background: The aims of this narrative review were to examine up-to-date literature in order to evaluate the effectiveness of arthrocentesis or injections with platelet-rich plasma in temporomandibular affections and to compare them to arthrocentesis alone or with hyaluronic acid (HA) or to hyaluronic acid injections. Methods: The search of international literature was made on the PMC, PubMed and Cochrane databases, including all full-length text of studies on humans focused on osteoarthritis and disc displacements and their treatment with platelet-rich plasma arthrocentesis or injections. All design studies were included in the review and they were examined for three different outcomes: pain, joint sound and mandibular motion. English papers were only selected. Results: Even though the low number of studies in this field, arthrocentesis with platelet-rich plasma and platelet-rich plasma injections in temporomandibular disorders’ management were found to be effective in reducing pain and joint sound as well as in improving mandibular motion in a maximum follow-up of 24 months. Conclusion: Comparison to arthrocentesis alone or to HA use in arthrocentesis or by injections provided encouraging results in terms of the effectiveness of platelet-rich plasma use.
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Clavero, Marina A. Gavin, M. Victoria Simón Sanz, Eduard Mirada Donisa, Rocio Gallego Sobrino, and Leire Esparza Lasaga. "Influence of the type of anesthesia on 111 arthrocentesis in temporomandibular joint disorders: results of a prospective study." Journal of Oral Medicine and Oral Surgery 28, no. 1 (December 17, 2021): 3. http://dx.doi.org/10.1051/mbcb/2021037.

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Aims: Temporomandibular dysfunction is a generic term that covers a large number of clinical problems affecting not only TMJ (Temporomandibular Joint), but also the masticatory musculature and related structures. Arthrocentesis is the most commonly used technique in patients with pain or limitation of the oral opening due to joint causes in which conservative treatment has failed. It is generally performed under local anesthesia and sedation, although depending on the type of patient and the preferences of the surgeon it can also be performed under general anesthesia. Material and method: A prospective, observational, analytical cohort study has been carried out to evaluate if the type of anesthesia, the drugs used for sedation and whether or not anesthetic induction is performed during arthrocentesis influence the results of 111 arthrocentesis performed in patients with TMJ pathology. Results: In patients who arthrocentesis was performed with propofol without midazolam the improvement in pain at one week and one month postarthrocentesis was greater than propofol with midazolam was used. Conclusion: The type of anesthesia could influence the results of arthrocentesis.
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Tsui, Hei Christopher, Chun Mo Lam, Yiu Yan Leung, Kar Yan Li, Natalie Sui Miu Wong, and Dion Tik Shun Li. "Lavage Volume of Arthrocentesis in the Management of Temporomandibular Disorders: A Systematic Review and Meta-Analysis." Diagnostics 12, no. 11 (October 28, 2022): 2622. http://dx.doi.org/10.3390/diagnostics12112622.

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The aim of this study was to investigate the most effective lavage volume of arthrocentesis in the management of temporomandibular disorders. A comprehensive electronic search, based on the PRISMA guidelines, was performed, which included a computer search with specific keywords, a reference list search and a manual search. The inclusion criteria were the following: a randomized controlled trial, at least 20 subjects who underwent arthrocentesis, mention of the irrigation materials used for the arthrocentesis, mention of the irrigation volumes used for the arthrocentesis, MMO and pain measured as VAS or NRS, were reported as outcome figures, mention of a specific diagnosis or signs and symptoms, and inclusion of the data on the MMO or VAS/NRS at 6-month follow-up. Sixteen publications were enrolled in the meta-analysis, comparing arthrocentesis with a lavage volume <150 mL and arthrocentesis with a lavage volume ≥150 mL, in the efficacy of the improvement in the mouth opening and pain reduction. The results revealed the group with a lavage volume <150 mL had a greater improvement in the mouth opening and pain reduction. However, results are to be interpreted with caution, due to the paucity of the randomized controlled literature and other confounding factors. Further high-quality studies are required to provide a better conclusion to the treatment outcomes of the different lavage volumes.
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Santos, George Soares, Rodrigo Calado Nunes E. Sousa, Julio Bisinotto Gomes, Juceléia Maciel, Celso Koogi Sonoda, Idelmo Rangel Garcia, and Willian Morais de Melo. "Arthrocentesis Procedure." Journal of Craniofacial Surgery 24, no. 4 (July 2013): 1347–49. http://dx.doi.org/10.1097/scs.0b013e3182869f6b.

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Taylor, William J., Jaap Fransen, Nicola Dalbeth, Tuhina Neogi, H. Ralph Schumacher, Melanie Brown, Worawit Louthrenoo, et al. "Diagnostic Arthrocentesis for Suspicion of Gout Is Safe and Well Tolerated." Journal of Rheumatology 43, no. 1 (December 1, 2015): 150–53. http://dx.doi.org/10.3899/jrheum.150684.

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Objective.To determine the frequency of adverse events of diagnostic arthrocentesis in patients with possible gout.Methods.Consecutive patients underwent arthrocentesis and were evaluated at 6 weeks to determine adverse events. The 95% CI were obtained by bootstrapping.Results.Arthrocentesis was performed in 910 patients, and 887 (97.5%) were evaluated for adverse events. Any adverse event was observed in 12 participants (1.4%, 95% CI 0.6–2.1). There was 1 case (0.1%, 95% CI 0–0.34) of septic arthritis.Conclusions.Diagnostic arthrocentesis is associated with a low frequency of adverse events. Septic arthritis rarely occurs.
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Gonzalez, P., R. Kaler, N. Sukumaran, A. Eldib, Y. Turkowski, Z. Y. Li, and K. Gilek-Seibert. "AB1503 MOST MEDICINE RESIDENTS WOULD LIKE TO LEARN JOINT ASPIRATION PROCEDURES BUT 2/3 HAVE NEVER DONE IT: SURVEY OF COMMUNITY HOSPITAL TRAINEES IN NORTHEASTERN USA." Annals of the Rheumatic Diseases 81, Suppl 1 (May 23, 2022): 1854.2–1855. http://dx.doi.org/10.1136/annrheumdis-2022-eular.906.

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BackgroundArthrocentesis is a procedure performed to aspirate synovial fluid from a joint cavity. It has both diagnostic and therapeutic utilization in outpatient and inpatient settings. While arthrocentesis is considered a minor surgical procedure, there is always potential to injure blood vessels, nerves, and tendons1. Although joint arthrocentesis is not an Accreditation Council for Graduate Medical Education procedural requirement for Internal Medicine (IM) residents in the United States, several studies have revealed that training on knee arthrocentesis and injection provided a solid foundation to medical residents toward increasing their confidence and refining motor skills2.ObjectivesTo evaluate the current Roger Williams Medical Center (RWMC) IM residents’ confidence level in performing intra-articular injection. Results from this study will inform the design of resident-orientated quality improvement arthrocentesis teaching series in RWMC.MethodsProject was incepted and designed by one rheumatology faculty, one fellow and five IM residents of RWMC. We selected the survey as a tool to elicit information from all current IM residents who filled out a 7-question survey regarding their residency experience and exposures to knee aspiration and injection. We used Survey Monkey as an anonymous survey tool (see Table 1). Data were collected between 1/14/22 until 1/27/22 and were verified by two members of the research team.Table 1.Survey from 39 total responsesQuestionResponses1.What post-graduate year are you?PGY1:41.03%PGY2: 35.90%PGY3: 9%2. Are you comfortable/confident with knee arthrocentesis/injection during residency?Not Comfortable/confident: 69.23%Somewhat comfortable/confident: 28.21%Quite comfortable/confident: 2.56%3. Do you think you have adequate exposure to knee procedures in residency?Strongly Agree: 0%Agree: 0%Undecided: 5.13%Disagree: 51.28%Strongly Disagree: 43.59%4. How many knee aspirations/injections have you done during residency?0: 73.68%1-4: 26.32%5-10: 0%>10: 0%5. Do you think our residency program is preparing you to do knee aspirations/injections?Strongly Agree: 0%Agree: 0%Undecided: 17.95%Disagree: 35.90%Strongly Disagree: 46.15%6. Would you be interested in doing more knee aspirations/injections?Yes: 94.87%No: 5.13%7. Having exposure to arthrocentesis is very important for me to have in my residency programStrongly Agree: 33.33%Agree: 35.90%Undecided: 23.08%Disagree: 5.13%Strongly Disagree: 2.56%ResultsA total of 47 IM residents within three classes in this community residency program were provided with the survey. The survey response rate was 82.9% (39 /47). 69.23% residents do not feel comfortable doing arthrocentesis. More than half of the resident population (51.28%) do not think they have adequate exposure to knee arthrocentesis. 73.68% respondents have never performed knee injections/arthrocentesis. According to the survey, 94.87% of the residents would be interested in learning to do knee procedures. Having exposure to knee arthrocentesis during residency was important to 36.84% and very important to 34.21% of the trainees.ConclusionThe survey results demonstrate that most of the IM residents had no prior exposure and are uncomfortable with knee arthrocentesis. However we proved that there is high interest in learning this procedure. Literature review shows that structured training sessions have a long-term effect in competency and confidence with similar procedures. This survey provides us data to set up a system to improve the quality of joint procedures teaching in RWMC.References[1]Akbarnia H, Saber AY, Zahn E. Knee arthrocentesis. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK470229/. Published September 5, 2021[2]Barilla-LaBarca M-L, Tsang JC, Goldsmith M, Furie R. Design, implementation, and outcome of a hands-on Arthrocentesis Workshop. J Clin Rheumatol. 2009;15(6):275-279.Disclosure of InterestsPamela Gonzalez: None declared, Ravinder Kaler: None declared, Neenu Sukumaran: None declared, Ahmed ElDib: None declared, Yana Turkowski: None declared, Zi Ying Li: None declared, Katarzyna Gilek-Seibert Speakers bureau: Abbvie, Consultant of: GSK
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Dissertations / Theses on the topic "Arthrocentesi"

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GOKER, FUNDA. "EVALUATION OF ARTHROCENTESIS WITH HYALURONIC ACID INJECTIONS FOR MANAGEMENT OF TEMPOROMANDIBULAR DISORDERS." Doctoral thesis, Università degli Studi di Milano, 2021. http://hdl.handle.net/2434/820923.

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Objectives: Although, arthrocentesis is an accepted safe treatment modality used for the management of TMD patients with pain, the benefit of hyaluronic acid (HA) injections remains uncertain. The aim of this study was to investigate whether intra-articular injections of hyaluronic acid as an adjunct therapy with arthrocentesis can be more effective than other medications for the improvement of symptoms associated with temporomandibular disorders. Materials and methods: For this purpose, an electronic search of Medline, Scopus and Cochrane databases was performed up to September 2020. No language, and publication date limitation was set. The following search terms were used: “arthrocentesis”, “hyaluronic acid”, “intra-articular injections”, “viscosupplementation”, with “temporomandibular disorders”. Inclusion criteria was prospective or retrospective studies, case reports, and randomized clinical trials that reported the application of HA injections compared to other intra-articular drugs for the treatment of temporomandibular disorders. Exclusion criteria included systemic reviews, animal studies. Additionally, a retrospective clinical study was performed on 12 TMD cases for evaluation of changes before and after arthrocentesis with hyaluronic acid (HA) injections in quality of life (QoL) of these patients. Results: In the systemic review, the initial screening included 1327 articles. After a more detailed evaluation of the titles, abstracts, and full texts; a total of 29 studies were selected (26 randomized studies, 2 controlled clinical trials, 1 retrospective report). In the clinical study 12 patients were included. According to the results, intra-articular injections of HA and other medications together with arthrocentesis seemed to be beneficial for improvement of functional symptoms of TMD and pain. The case series also supported support the efficacy of HA injections with a significant improvement of QoL of these patients. However, after the evaluation of the reports in literature, it was impossible to identify an optimum drug or a protocol in improving the pain and/or functional symptoms of temporomandibular problems due to diversity of treatment modalities and conflicting results. Conclusion: As a conclusion, there was no consensus in the studies that HA injections showed better results in comparison with other treatment modalities. According to the results of this systematic review and clinical study HA injections with/without arthrocentesis seems to be beneficial in terms of clinical symptoms and QoL of the patients.
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Roepke, William B., Brian V. Viscomi, Derek A. Lance, Jordan B. Newby, Ryan P. Serbin, Ethan R. Harris, Robert M. Becker, Caroline L. Abercrombie, and Paul W. Gorman. "Are Thiel-embalmed Cadavers Effective Tools in Educating Medical Students to Perform Knee Arthrocentesis?" Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/5.

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INTRODUCTION: The purposes of this study are to determine whether Thiel-embalmed cadavers are an effective educational tool in teaching medical students to perform knee arthrocentesis, to compare the use of Thiel-embalmed cadavers to formalin-embalmed cadavers in arthrocentesis education, and to determine whether the use of Thiel-embalmed cadavers is potentially generalizable to the instruction of other orthopedic procedures. METHODS: Sixty-eight third-year medical students participated in the study. The participants first completed a pre-survey to assess their prior experience with arthrocentesis procedures and Thiel-embalmed cadavers. Participants then attended an instructional session where the knee arthrocentesis procedure was demonstrated on a Thiel-embalmed cadaver. Participants then individually performed the simulated knee arthrocentesis procedure twice: once on a Thiel-embalmed cadaver and once on a formalin-embalmed cadaver. Success of each attempt was determined through the visualization of aspirated joint fluid. Following the laboratory session, each participant completed a post-survey to determine whether the session improved their perceived confidence in performing knee arthrocentesis, if they preferred the use of Thiel-embalmed cadavers or formalin-embalmed cadavers as a teaching tool, and if they believed simulated practice using Thiel-embalmed cadavers would be effective for learning other orthopedic procedural skills. RESULTS: Sixty-eight students participated in the laboratory session and successfully completed both pre- and post-course surveys. 96% of participants reported that they felt confident performing knee arthrocentesis under physician supervision following their participation in the laboratory session (versus 15% of participants in the pre-survey). 96% of participants reported that the Thiel-embalmed cadavers provided a more realistic teaching model than formalin-embalmed cadavers for learning knee arthrocentesis. 100% of participants believed the incorporation of simulated practice using Thiel-embalmed cadavers is an effective method in teaching students to perform knee arthrocentesis. 100% of participants reported that they would participate in future sessions using Thiel-embalmed cadavers to learn and practice other orthopedic procedural techniques. DISCUSSION: This study used a moderate sample size of third-year medical students to provide data regarding the suitability of using Thiel cadavers in arthrocentesis education. Results indicate that Thiel cadavers are effective tools in teaching medical students to perform knee arthrocentesis, that students preferred the Thiel cadavers to the formalin cadavers, and that the use of Thiel cadavers is a safe, engaging, and high-quality teaching modality for demonstrating proper arthrocentesis procedural technique to medical students. Since this study looked specifically at teaching knee arthrocentesis to medical students, it is uncertain whether the benefits of Thiel cadavers are generalizable to the education of other orthopedic procedures and subject groups such as residents, fellows, and practicing physicians. Further studies should be performed to assess whether Thiel cadavers are beneficial in teaching other orthopaedic procedures and if these benefits extend to other subject groups.
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Pasqual, Primo Guilherme. "Artrocentese convencional e de agulha única com distensão do compartimento superior em portadores de deslocamento do disco sem redução da articulação temporomandibular." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2018. http://hdl.handle.net/10183/179709.

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O objetivo do presente estudo foi avaliar a efusão e o posicionamento do disco articular através de imagens por ressonância magnética nuclear (RMN) pré e pós-operatórios de duas técnicas de artrocentese da articulação temporomandibular. Foram incluídos 26 pacientes com deslocamento de o disco articular sem redução (DDSR), divididos aleatoriamente em dois grupos: artrocentese com 1 agulha com distensão do compartimento superior da ATM (A1) e artrocentese convencional com 2 agulhas (A2). Para comparação dos valores da efusão articular entre as intervenções nos diferentes momentos (antes e após um ano das artrocenteses), foi utilizado o teste qui-quadrado. Todas as análises foram realizadas com nível de significância de 5%. Em relação à efusão, após a realização dos tratamentos, foi observada uma diferença estatisticamente significativa entre as diferentes categorias de efusão (p=0,009), sendo essa diferença evidente no grupo de artrocentese convencional. Do total da amostra, apenas um caso não houve qualquer modificação do posicionamento do disco articular. Pode-se concluir que a artrocentese convencional foi capaz de alterar a variável efusão de maneira estatisticamente significativa, enquanto a artrocentese de agulha única e distensão do compartimento superior não. Ambas as técnicas foram responsáveis por alterar o posicionamento da cabeça mandibular, ou do complexo cabeça-disco, projetando-os nessa última situação para uma posição mais anterior o que pode ser verificado no exame de RMN final, com um aumento da distância interincisal máxima. O uso de artrocentese com emprego de uma única agulha é uma técnica mais simples, do que a artrocentese convencional o que possibilita um maior conforto para o paciente com menor tempo de procedimento e com resultados satisfatórios.
The aim of the present study was to evaluate the effusion and positioning of the articular disc through nuclear magnetic resonance imaging (NMRI) before and after two different arthrocentesis techniques for the temporomandibular joint. 26 patients with dislocation of the articular disc without reduction (ADDwoR) were included, and randomly divided into two groups: arthrocentesis using 1 needle with distention of the upper compartment of the TMJ (A1), and conventional arthrocentesis with 2 needles (A2). The chi-square test was used to compare the joint effusion values between the interventions at different moments (before and after one year of arthrocentesis). All analyzes were performed with a significance level of 5%. Regarding effusion, after the treatments, a statistically significant difference was observed between the different effusion categories (p = 0.009), which was evident in the conventional arthrocentesis group. Of the total sample, only one case did not have a modification of the position of the articular disc. It can be concluded that conventional arthrocentesis was able to change the effusion variable in a statistically significant way, whereas the single needle arthrocentesis and distention of the upper compartment did not. Both techniques were responsible for altering the position of the mandibular head, or the disc-head complex, projecting them in the latter situation, to a more anterior position with an increase in the maximum interincisal distance verified in the final NMRI examination. Arthrocentesis with a single needle is simpler than the conventional technique, for it allows greater comfort to the patient, a shorter procedure and satisfactory results.
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Jalali, Zober. "Comparing lavage treatment with local anesthetics of painful jaw movements at disc displacement without reduction." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19939.

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Syftet med denna studie var att jämföra tre års resultat av enbart lokalanestesi jämfört mot lokalanestesi ochspolning i käkledenpå patienter som lider av smärtande diskdisplacering utan reduktionStudien utfördes från 2003 till 2007 och 45 patienter valdes från sammanlagt 55 utvalda patienter för behandling av TMD till avdelningen för Klinisk bettfysiologi, Odontologiska fakulteten, Malmö högskola, Sverige.Frågeformulär och klinisk undersökning enligt Research Diagnostic Criteria(RDC/TMD), panorama röntgenbilder och magnetisk resonanstomografi utfördes vid start av studien. Tre år efter behandling, sändes ett frågeformulär till 37 patienter.Intensiteten av smärta, fysisk funktion, känslomässig funktion och global förbättring utvärderades.Tjugofyra patienter randomiserades till behandling med lokalanestesi och tjugo patienter randomiserades till behandling med lokalanestesi och spolning. Trettiofyra patienter besvarade enkäten vid 3-års uppföljningen. I en intention-to-treat analys visade det huvudsakliga resultatet att 28/45(62%) hade fått 30% smärtlindring vid uppföljningen. Inga signifikanta skillnader fanns mellan grupperna lokalanestesi och lokalanestesi och spolning avseende smärtlindring, fysisk funktion, känslomässig funktion och global förbättring. Det fanns signifikanta förbättringar (P< 0.05) inom båda grupperna avseendesmärtintensitet, fysisk funktion och emotionell funktion och global förändring vid uppföljning jämfört med start av studien.Eftersom det inte fanns någon skillnader mellan grupperna lokalanestesi och spolningoch enbart lokalanestesii käkleden tre år efter behandling av smärtsam diskdisplacering utan återgång, kan spolning av käkleden ifrågasätts.
The aim of this prospective and longitudinal study was to compare three-year outcomes of local anesthetics compared to anesthetics, arthrocentesis and lavage on patients suffering from painful jaw locking in the TMJThe study was performed from 2003 until 2007 and 45 patients were selected from altogether 55 eligible patients referred for the treatment for TMD to the Department of Stomatognathic Physiology, Faculty of Odontology, Malmö University, Sweden. History questionnaire and clinical examination according toResearch Diagnostic Criteria, panoramic radiographs and Magnetic Resonance Imaging were completed at baseline. A questionnaire was sent three years after treatment to 37 patients. Pain intensity, physical functioning, emotional functioning and global improvement were evaluated.Twenty-five patients were randomised to group anesthetics and 20 patients were randomised to group anesthetics, arthrocentesis and lavage. Thirty-four patients answered the questionnaire at the 3-year follow-up. In an intention-to-treat analysis the primary outcome, showing a ≥30% pain relief, was reported by 28 of 45(62%) patients at the follow-up. No significant differences in improvement were found between group local anesthetics and group anesthetics, arthrocentesis and lavage regarding pain relief, physical functioning, emotional functioning, and global improvement. Significant improvements(P<0.05) were found within both groups regarding pain intensity, physical functioning, emotional functioning and global changes at the follow-up compared to baseline.Since no differences were found between local anesthetics, arthrocentesis and lavage compared to local anesthetics alone of the TMJ three years after treatment of painful disc displacement without reduction, the use of arthrocentesis and lavage can be questioned.
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Bergmann, Maria. "Ermittlung des Auftretens von Komplikationen bei Gelenkpunktionen beim Pferd." Doctoral thesis, Universitätsbibliothek Leipzig, 2010. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-62419.

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Zielstellung: Ermittlung der Komplikationsrate nach intraartikulärer Punktion und Aufdeckung eines möglichen Zusammenhangs mit der Durchführung der Gelenkpunktion. Studiendesign: Es handelt sich um eine retrospektive Studie, basierend auf einer Fragebogenumfrage. Methoden: Erarbeitung eines Fragebogens und Versendung von 618 Exemplaren an 122 Pferdekliniken und 274 Fachtierärzte für Pferde (insgesamt 892 Fragebögen). Berücksichtigt wurden alle Pferdekliniken und Fachtierärzte für Pferde in Deutschland. Die Rückantwort erfolgte anonym. Insgesamt kamen 160 ausgefüllte Fragebögen zurück, von denen 155 in die statistische Auswertung einfließen konnten. Ergebnisse: Im Jahr 2006 wurden von 155 Tierärzten 65099 Gelenkpunktionen beim Pferd durchgeführt, das entsprach 420 Punktionen pro Tierarzt. Hierbei sind bei 51 Tierärzten insgesamt 93 Komplikationsfälle aufgetreten, was einer errechneten mittleren Komplikationsrate von 0,14 % entsprach. 64 (68,8 %) der Komplikationsfälle wurden geheilt, bei 13 (14,0 %) der Komplikationsfälle trat eine Besserung ein und sieben (7,5 %) mussten euthanasiert werden. Eine tödliche Komplikation trat somit zu 0,01 % (7 von 65099) nach einer Gelenkpunktion auf. Ein signifikanter Zusammenhang zwischen der mittleren Komplikationsrate und der Verwendung eines neuen Anbruches des zur Gelenkpunktion angewendeten Medikaments konnte festgestellt werden. Es konnte eine Tendenz zu einem Zusammenhang zwischen der mittleren Komplikationsrate und der Häufigkeit der Durchführung des Waschens vor der Punktion, zwischen der mittleren Komplikationsrate und des, zur Punktion verwendeten, Kanülendurchmessers sowie der mittleren Komplikationsrate und dem Ort der Punktion (Stall oder Klinik) festgestellt werden. Die meisten Punktionen wurden am Hufgelenk (25,0 %) und Fesselgelenk (24,4 %) durchgeführt. Hierauf folgten Tarsometatarsal- und Intertarsalgelenke (15,5 %), Kniegelenk (12,7 %), Talokruralgelenk (9,5 %), Karpalgelenk (7,7 %), Krongelenk (2,9 %), Schultergelenk (1,3 %), Ellbogengelenk (0,7 %) und Hüftgelenk (0,4 %). Die höchste mittlere Komplikationsrate hatte das Hufgelenk mit 0,28 %, dann folgten Ellbogengelenk (0,21 %), Karpalgelenk (0,16 %), Fesselgelenk (0,15 %), Talokruralgelenk (0,11 %), Kniegelenk (0,07 %), Krongelenk (0,05 %), und Tarsometatarsal- und Intertarsalgelenke (0,01 %). Beim Schulter- und Hüftgelenk traten keine Komplikationen auf. Beim Hufgelenk traten signifikant häufiger Komplikationen auf als bei den anderen Gelenken, außer dem Fesselgelenk. Beim Fesselgelenk traten signifikant häufiger Komplikationen auf als bei Tarsometatarsal- und Intertarsalgelenken. Schlussfolgerung und klinische Relevanz: Bei Gelenkpunktionen beim Pferd kann es mit geringer Wahrscheinlichkeit (0,14 %) zum Auftreten von Komplikationen kommen. Es wurde aufgezeigt inwiefern die, in der Literatur empfohlenen, Durchführungspunkte der Gelenkpunktion von den Praktikern umgesetzt wurden. Es wurde veranschaulicht, auf welche Schritte zur Verminderung des Komplikationsrisikos noch größerer Wert gelegt werden sollte. Die Komplikationsanfälligkeit ist zwischen den Gelenken verschieden, wobei vor allem das Hufgelenk mit einem größeren Risiko belastet zu sein schien, was hier ein besonders sorgfältiges Vorgehen verlangt. Die Studie lieferte erstmals Aussagen zum Komplikationsauftreten nach Gelenkpunktion beim Pferd, auch bezüglich der einzelnen Gelenke. Die Ergebnisse können als Grundlage zur Besitzerinformation dienen und hilfreich für die Gutachtertätigkeit sein.
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Weitoft, Tomas. "Intra-articular Glucocorticoid Treatment : Efficacy and Side Effects." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5897.

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Kaba, Shajadi Carlos Pardo. "Análise clínica do trauma operatório aos tecidos da articulação temporomandibular entre artroscopia e artrocentese. Estudo em suínos ex vivo." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/23/23139/tde-04112016-105710/.

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A artroscopia e a artrocentese são procedimentos considerados minimamente invasivos utilizados para o tratamento das disfunções temporomandibulares (DTM) e são métodos considerados intermediários entre a terapia conservadora e a cirurgia aberta da articulação temporomandibular (ATM). Apresentam como vantagem, em relação a cirurgia aberta, a pequena morbidade e o breve tempo de recuperação necessária aos pacientes. Desde o início do desenvolvimento da artroscopia esteve presente a preocupação com a possibilidade de danos a estruturas internas da ATM, com essa finalidade vários estudos em animais foram desenvolvidos evidenciando que realmente podem ocorrer lesões iatrogênicas as estruturas internas desencadeando processo degenerativo na articulação. A avaliação do mesmo potencial de lesão para artrocentese não existe, assim o objetivo deste trabalho foi avaliar o trauma operatório da artrocentese comparativamente a artroscopia aos tecidos da ATM em suínos. Realizou-se experimento em vinte ATM de dez cabeças de suínos sendo seis artroscopias; seis artrocenteses e oito ATM utilizadas como controle. Após a realização dos procedimentos as ATM foram cuidadosamente dissecadas, examinadas e fotografadas com registro de alterações traumáticas ao disco articular e as fibrocartilagens da fossa articular e da cabeça da mandíbula. As imagens das estruturas foram analisadas por outro examinador que não tinha conhecimento prévio de qual procedimento havia sido realizado em cada ATM classificando as lesões de acordo com o número e localidade em: ausente (sem alteração visível); leve (descolamento de fibrocartilagem da fossa ou cabeça da mandíbula isoladas e únicas), moderado (perfurações do disco e mais de um descolamento de fibrocartilagem da fossa ou cabeça da mandíbula) e severo (lacerações do disco e lesões múltiplas em mais de uma estrutura). Os dados também foram classificados em ausente e presente para uma comparação direta. Foi realizada análise estatística dos dados. No grupo controle ocorreram danos em duas das oito ATM durante a dissecção, que apresentaram características distintas das lesões constatadas após os procedimentos, nas outras seis nenhuma alteração traumática pode ser evidenciada. No grupo submetido a artrocentese os danos foram ausentes, leves e moderados em 16.7% respectivamente e severos em 50% da amostra. No grupo submetido a artroscopia ocorreram danos moderados em 66.7%, severos em 16.7%, ausentes em 16.7% e não ocorreram danos leves. Em ambos os grupos foram evidenciadas a presença de lesões em 83.3% das amostras. Apesar de não haver diferença estatisticamente significativa entre os danos verificados, em uma análise direta, a severidade das lesões constatadas após artrocentese foi maior. Conclui-se que a artrocentese e a artroscopia não são isentas de morbidade aos tecidos articulares e independentemente de serem procedimentos considerados minimamente invasivos não se pode desprezar o potencial de danos as superfícies articulares.
Arthroscopy and arthrocentesis are considered minimally invasive procedures for the treatment of temporomandibular disorders (TMD) and are situated between conservative therapies and open surgery of the temporomandibular joint (TMJ). When compared to open surgery they present the advantages of having a brief post operatory recovery time for the patient and little morbidity. Since the beginning of the development of arthroscopy the possibility of damage to the inner structures of the TMJ was a concern, as a result a series of studies in animals were made and it became clear that iatrogenic damage can really happen and trigger degenerative alterations in the joint. Considering that there are no studies that investigate the potential of causing structural damage to the TMJ during arthrocentesis the objective of this study was to evaluate the operative trauma of arthroscopy and arthrocentesis to the tissues of the TMJ using swine heads. Twenty TMJ of ten swine heads were used for six arthroscopies; six arthrocentesis and eight that were used as a control group. After the procedures the TMJ were carefully dissected, examined and photographed. Traumatic alterations to the articular disk and to the fossa and head of the mandible fibrocartilage were recorded. The images of the structures were analyzed by other examiner that did not had previous knowledge of witch procedure each TMJ was subjected to. The lesions that were identified were classified according to the location and number as: absent (no visible alteration); light (one isolated scuffing of the fibrocartilage of the fossa or the head of the mandible); moderate (disk perforation or multiple scuffing of the fibrocartilage of the fossa or head of the mandible) and severe (disk laceration or multiple lesions in more than one structure). The obtained data was also classified as absent or present for a direct comparison. Statistical analyses of the obtained data were made. In the control group damage to two of the eight TMJ was perceived during dissection, the characteristics of those lesions were clearly different from those observed after the procedures, in the other six none traumatic damage could be noticed. In the arthrocentesis group the damages were absent, light and moderate in 16.7% respectively and were severe in 50% of the sample. In the arthroscopy group damage was moderate in 66.7%, severe in 16.7%, absent in 16.7 and no light damage occurred. In both groups damage was present in 83.3% of the sample. Even though the difference between the groups was not statistically significant, making a direct analysis of the data, the severity of the lesions found in the arthrocentesis group was higher. It was concluded that arthrocentesis and arthroscopy are not absent of morbidity to the TMJ tissues and regarded of being minimally invasive procedures the potential of damage to the structures of the TMJ should not be minimized.
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Santos, Marta de Sousa Bento Almeida. "Arthrocentesis in temporo-mandibular joint disorder : a case report." Master's thesis, 2018. http://hdl.handle.net/10451/42408.

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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2018
A artrocentese da articulação temporo-mandibular é uma técnica cirúrgica minimamente invasiva utilizada em pacientes com disfunção temporo-mandibular (DTM) que não respondem à terapia conservadora e cujo objectivo major é o de lavar a articulação em causa, quebrando as adesões intracapsulares e eliminando os mediadores inflamatórios presentes [1,2,3,4,5]. Este trabalho descreve o caso clínico de uma doente do sexo feminino, previamente saudável, com uma disfunção da articulação temporo-mandibular esquerda refratária a tratamento conservador, tendo-se optado por realizar uma artrocentese com lise, lavagem e viscosuplementação com ácido hialurónico e que resultou numa melhoria do quadro clínico, com resolução da dor e normalização da abertura máxima oral.
The arthrocenthesis of the temporomandibular joint is a minimally invasive surgical technique used in patients with temporo-mandibular dysfunction (TMD) that do not respond to conservative therapy. One of the most important goals in this technique is to wash the joint in question, breaking the intracapsular adhesions and eliminating inflammatory mediators [1,2,3,4,5]. This paper describes the clinical case of a previously healthy female patient with a left temporo-mandibular joint dysfunction refractory to conservative treatment, who underwent an arthrocentesis with lysis, lavage and viscosupplementation with hyaluronic acid, showing a clinical improvement with resolution of pain and normalization of the maximum oral opening.
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Alharbi, Hamad. "Degree of disk displacement as a prognostic indicator in arthrocentesis outcomes: clinical and MRI correlation." Thesis, 2015. https://hdl.handle.net/2144/16026.

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AIMS: Multiple studies have shown that arthrocentesis is an effective treatment for internal derangement of the temporomandibular joint. However, it is not known which patient groups will respond to this procedure. It is often difficult for surgeons to preoperatively the outcome of athrocentesis. This had led some researchers to analyze and evaluate specific variables which could possibly be used as prognostic factors to predict the outcome of arthrocentesis. None of those studies used the amount of disc displacement as a prognostic factor to assess the treatment outcome of arthrocentesis. Therefore, our study objective was to evaluate the amount of disc displacement as a prognostic factor for the outcome of arthrocentesis in patients with Internal derangement of the tempromandibular joint. MATERIALS AND METHODS: The study involved a retrospective review of the treatment records of 46 patients who underwent arthrocentesis of the TMJ by a single surgeon between 2010 and 2013. A prognostic factor evaluated for its effect on the treatment outcome of TMJ arthrocentesis in this study was the degree of disc displacement. For study purposes, patients were divided into two groups: 1) Success group, and, 2) Failure group. Patients were categorized as successful if they met the success criteria prescribed by the American Association of Oral and Maxillofacial Surgeons in 1995. MRI of TMJ was performed in two steps. Initially, oblique parasagittal sections were scanned with a 1.5 T MRI machine. The amount of disc displacement was analyzed from sagittal oblique views of the MRI scans in closed mouth positions by measuring the angle between the posterior band of the articular disc and the center of the condylar head. The disc is considered to be in its normal position when the thicker portion of its posterior band lies within ±10° on the 12 o'clock position. First, the condylar head was identified, and a circle was established to describe the outline of the anterior, posterior, and superior surfaces of the condylar head; this allowed separation of the condylar head from the neck region. Second, the center of the circle was identified and a vertical line was drawn from the center of the circle. The last step was to measure the degree of displacement from this vertical line to the posterior band of the disc. Findings were compared for patients in the two groups for the following variables: age (continuous), disc displacement (continuous), and gender (female or male). P-value were calculated for differences in continuous or categorical variables using a T-test or Pearson's chi-squared test, respectively. The mean MMO, pain and diet scores were also reported in the preoperative group and 12 months postoperative group by outcome status. Statistical significance was set at p < .05 based on a two-tailed test. SPSS was used for all statistical analyses (SPSS Inc, Chicago, IL, 1997). RESULTS: 46 patients with 46 joints were evaluated in the present study. Average age of patients was 31 years with arrange of 24 to 46 years. 35 cases (76.1%) were classified as successful and 11 cases (23.9%) were classified as unsuccessful based on the criteria described earlier. In the successful group, the mean MMO score was found to be greater at the 12 months postoperative interval when compared to the preoperative examination. In the unsuccessful group, the mean MMO score was also greater than preoperatively at the 12 months postoperative group but to a lesser extent than seen in the successful group. Pain level improved more in the successful group compared to the unsuccessful group. Diet scores showed improvement in chewing ability in the successful group but remain unchanged in the unsuccessful group There was a statistically significant difference between the two groups in the degree of anteriorly disc displacement. CONCLUSION: In summary, it has been shown that the degree of disc displacement, preoperative pain level, diet score, and MMO can be used as prognostic factors for the outcome of TMJ arthrocentesis. Future investigations should more carefully evaluate the validity of other variables. Identifying prognostic factors for the outcome on arthrocentesis will help with guiding surgeons in the planned evaluation of TMJ cases. More specifically, clinicians will be able to create tailored treatment modalities based upon prognostic factors.
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Books on the topic "Arthrocentesi"

1

Anderson, Bruce Carl. House officers guide to arthrocentesis and soft tissue injection. 3rd ed. Portland, Or: JJ & R Medical Publishing, 2001.

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Anderson, Bruce Carl. House officers guide to arthrocentesis and soft tissue injection. Portland, OR (8007 SE 140th Dr., Portland, Or. 97236): JJ&R Publishing, 1993.

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V, Lawry George, and Kreder Hans J, eds. Musculoskeletal examination and joint injections techniques. Philadelphia, Pa: Mosby, 2006.

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V, Lawry George, and Fam Adel G, eds. Fam's musculoskeletal examination and joint injection techniques. 2nd ed. Philadelphia: Mosby, 2010.

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Guide to Arthrocentesis and Soft Tissue Injection. Elsevier, 2005. http://dx.doi.org/10.1016/b978-1-4160-2205-3.x5001-1.

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Guide to Arthrocentesis and Soft Tissue Injection. Saunders, 2005.

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Physicians, American College of. Arthrocentesis And Joint Injection Clinical Skills Teaching Module. American College of Physicians, 1999.

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House Officers Guide to Arthrocentesis and Soft Tissue Injection. 2nd ed. JJ&R Publishing, 1997.

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Mosby's Primary Care Procedures CD-ROM Series: Arthrocentesis, Volume 1 (Mosby's Clinical Procedures). Mosby, 1998.

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Wilson, John W., and Lynn L. Estes. Acute Native Joint Infections. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199797783.003.0109.

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•Clinical: Acute monoarticular swelling, typically of a large joint, with fever and pain•Radiology: Normal osseus structures (early) with soft-tissue swelling•Laboratory: Elevated leukocytes, erythrocyte sedimentation rate, and C-reactive protein•Arthrocentesis: >50,000–100,000 leukocytes (predominantly neutrophils), absence of crystals, Gram stain often negative...
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Book chapters on the topic "Arthrocentesi"

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O’Rourke, Kenneth S. "Arthrocentesis." In Synovial Fluid Analysis and The Evaluation of Patients With Arthritis, 21–36. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-99612-3_3.

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Patel, Shalu S., and Bobby K. Desai. "Arthrocentesis." In Atlas of Emergency Medicine Procedures, 619–21. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-2507-0_106.

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Purcell, Daniel, Bryan A. Terry, and Brian R. Sharp. "Joint Arthrocentesis." In Emergency Orthopedics Handbook, 87–104. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-00707-2_4.

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Zayat, Ahmed S., and Richard J. Wakefield. "Arthrocentesis in the Elderly." In Geriatric Rheumatology, 113–24. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-5792-4_13.

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Burba, Daniel J. "Arthrocentesis and Intraarticular Analgesia/Anesthesia." In Manual of Clinical Procedures in the Horse, 282–92. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781118939956.ch29.

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McCain, Joseph P., Jose Montero, David Y. Ahn, and Mohamed A. Hakim. "Arthroscopy and Arthrocentesis of the Temporomandibular Joint." In Peterson’s Principles of Oral and Maxillofacial Surgery, 1569–624. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-91920-7_53.

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Nógrádi, Nóra, and K. Gary Magdesian. "Arthrocentesis and Joint Lavage in the Neonatal Foal." In Manual of Clinical Procedures in the Horse, 488–92. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781118939956.ch58.

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Nitzan, Dorrit W. "Temporomandibular joint arthrocentesis: biologic basis and treatment outcome." In Management of Temporomandibular Joint Degenerative Diseases, 113–23. Basel: Birkhäuser Basel, 1996. http://dx.doi.org/10.1007/978-3-0348-8992-6_11.

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Nitzan, Dorrit W., and Hadas Lehman Naaman. "Arthrocentesis: A Minimally Invasive Approach to the Temporomandibular Joint." In Minimally Invasive Oral and Maxillofacial Surgery, 45–73. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-662-54592-8_3.

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Parrillo, Steven J., Daniel S. Morrison, and Edward A. Panacek. "Arthrocentesis." In Clinical Procedures in Emergency Medicine, 971–85. Elsevier, 2010. http://dx.doi.org/10.1016/b978-1-4160-3623-4.00053-5.

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Conference papers on the topic "Arthrocentesi"

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Petersen, SK, RA Andreasen, and IMJ Hansen. "SAT0565 The frequency of septic arthritis after arthrocentesis and intra articular glucocorticoid injection is low." In Annual European Congress of Rheumatology, 14–17 June, 2017. BMJ Publishing Group Ltd and European League Against Rheumatism, 2017. http://dx.doi.org/10.1136/annrheumdis-2017-eular.1333.

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Atanasov, AN, PC Solakov, SI Kuzmanova, K. Klinkanov, and SA Andreev. "AB0057 Postoperative arthrocentesis and lavage of the knee joint in patients with rheumatoid arthritis and osteoarthritis." In Annual European Congress of Rheumatology, Annals of the rheumatic diseases ARD July 2001. BMJ Publishing Group Ltd and European League Against Rheumatism, 2001. http://dx.doi.org/10.1136/annrheumdis-2001.1118.

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Contreras, Gustavo, Ana B. Arevalo, Shane Murray, Yiming Luo, and Faris Haddadin. "THU0631 IMPACT OF DAY OF ADMISSION AND TIME TO DIAGNOSTIC ARTHROCENTESIS ON MORTALITY AND OTHER OUTCOMES IN SEPTIC ARTHRITIS: A NATIONWIDE ANALYSIS." In Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019. BMJ Publishing Group Ltd and European League Against Rheumatism, 2019. http://dx.doi.org/10.1136/annrheumdis-2019-eular.5197.

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"Research on the Application Observation of Standardized Full-course Nursing Intervention in the Perioperative Period of Minimally Invasive Arthrocentesis Surgery in Patients with Breast Fibroma." In 2018 International Conference on Biomedical Engineering, Machinery and Earth Science. Francis Academic Press, 2018. http://dx.doi.org/10.25236/bemes.2018.019.

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Reports on the topic "Arthrocentesi"

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Muñoz, Mario, Philip Brabyn, Manuel Fernandez, and Ian Zylberberg. TMJ Arthrocentesis. Touch Surgery Simulations, 2018. http://dx.doi.org/10.18556/touchsurgery/2018.s0113.

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