Journal articles: '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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Zahid, Hurraia, Nouman Rauf, Ameer Muhammad Farooq Siddiqi, Fariha Farooq, Rabiya Imdad, Arham Chaudhry, and Zahid Sarfaraz Khan. "Efficiency of Arthrocentesis with Hyaluronic Acid in TMJ Disc Derangement." Pakistan Journal of Medical and Health Sciences 16, no. 8 (August 31, 2022): 397–99. http://dx.doi.org/10.53350/pjmhs22168397.

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Objective: The objective of this research was to determine if arthrocentesis for Temporomandibular Joint (TMJ) issues, with or without hyaluronic acid, is an effective treatment. Study Design: A Prospective study Place and Duration: This study was carried out at the Sardar Begum Dental College from January 2022 to June, 2022. Methods: This research included 40 individuals of both sexes with TMJ disc problems. After informed written consent, patients' age, sex, side, and effusion type were examined. Evenly separate patients into two groups. Group I got arthrocentesis in 20 cases and group II got hyaluronic acid in 20 cases. Standard two-needle arthrocentesis was used. Maximum mouth opening, pain reduction, and complications were compared between both groups. Data was analyzed using SPSS 18.0. Results: Pre-treatment, MMO in group I was 29.7±11.37 mm while in group II maximum mouth opening was 30.4±11.61 mm. Post treatment, we found that in group I MMO was 43.9±7.43 mm and in group II 45.6±23.62 mm but did not found any significantly difference after 1.5 years of follow up 40.6±16.28 in group I and 42.7±4.17 mm in group II. Using VAS, pain scores were reduced 1.3±6.87in group I and 0.5±2.3 in group II, with p value 0.001 after treatment. Conclusion: In this research, we found that arthrocentesis was a successful and safe approach for treating disc derangement in the temporomandibular joint (as measured by an increase in MMO and a decrease in pain score), with arthrocentesis utilizing hyaluronic acid showing marginally improved outcomes. Keywords: Arthrocentesis, Pain score, Temporomandibular Joint disc, MMO

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Kumar, Amit, Amit Gupta, Rajarshi Ghosh, Rajeev Pandey, and Sanjeev Kumar. "A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections." Craniomaxillofacial Trauma & Reconstruction 13, no. 2 (March 17, 2020): 99–104. http://dx.doi.org/10.1177/1943387520911826.

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The purpose of the study was to compare 2 techniques of arthrocentesis, to find out the efficacy of one over the other at various parameters, and to contribute to the scarce literature of these 2 techniques. Forty patients reported with a chief complaint of pain in temporomandibular joint (TMJ), clicking in TMJ, and restricted mouth opening were included in this study. Twenty patients were divided into 2 groups, all reporting with temporomandibular disorders. Group A was treated with 2-needle technique of arthrocentesis, while group B underwent concentric needle technique of arthrocentesis under local anesthesia with Ringer’s lactate solution. The operating time was found to be less in concentric needle technique (mean: 25.36 minutes) compared to 2-needle technique (mean: 42.82 minutes), and the difference was found to be statistically significant. Concentric needle technique proved to be a better alternative for TMJ arthrocentesis as it has quite a lot of advantages over 2-needle technique.

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De Riu, Giacomo, Mirella Stimolo, Silvio Mario Meloni, Damiano Soma, Milena Pisano, Salvatore Sembronio, and Antonio Tullio. "Arthrocentesis and Temporomandibular Joint Disorders: Clinical and Radiological Results of a Prospective Study." International Journal of Dentistry 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/790648.

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Purpose. We evaluated the efficacy of arthrocentesis in the treatment of temporomandibular joint (TMJ) disorders.Material and Methods. In this prospective clinical case series, 30 consecutive patients with TMJ disorders underwent arthrocentesis using saline and sodium hyaluronate injections. Outcome measures were TMJ pain, maximum mouth opening (MMO), joint noises, and anatomical changes in the TMJ architecture. Patients were evaluated using cone-beam computed tomography (CBCT) and magnetic resonance imaging (MRI) at the beginning of treatment and 60 days after the last arthrocentesis. Pretreatment and posttreatment clinical parameters were compared using paired and unpairedt-tests, and McNemar’s test was used to evaluate CBCT and MRI changes ().Results. At 1-year follow-up examinations, visual analogue scale scores indicated that pain was reduced significantly and mean postoperative MMO was increased significantly. CBCT findings showed no significant change, and MRI showed only slight reductions in inflammatory signs.Conclusions. Within the limitations of this study, we can conclude that arthrocentesis is a simple, minimally invasive procedure with a relatively low risk of complications and significant clinical benefits in patients with TMJ disorders. This trial is registered withNCT01903512.

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Contreras Anez, Gustavo, Ana B. Arevalo, Shane E. Murray, and Christian Olivo Freites. "394. Impact of Day of Admission and Time to Diagnostic Arthrocentesis on Mortality and Other Outcomes in Solid-Organ Transplant Recipients with Septic Arthritis: A Nationwide Analysis." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S202. http://dx.doi.org/10.1093/ofid/ofz360.467.

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Abstract Background Multiple cases have been reported assessing the outcomes for solid-organ transplant recipients (SOTR) admitted to the hospital with septic arthritis of a native joint (SANJ); however, there are no data evaluating the outcome of these patients when they are admitted on the weekend compared with the rest of the week. Methods The NIS database of the year 2016 was utilized to identify all SOTR with SANJ using ICD-10 codes. SOTR status was defined as those adults with a history of a transplanted organ including heart, lungs, a combined heart and lung, liver, kidney, intestine or pancreas. Admissions between midnight Friday and midnight Sunday were classified as weekend admissions. Early arthrocentesis was defined as percutaneous arthrocentesis performed within 24 hours of admission. Odds ratios (OR) were calculated for primary and secondary outcomes including in-hospital mortality rate, rates of diagnostic arthrocentesis and early arthrocentesis, length o¬f stay and total hospital charges. These results were compared after univariable and multivariable logistic regression adjusted for age, gender, race, day of admission, Charlson comorbidity index and median household yearly income in the patient’s zip code. We used STATA-15 for statistical analysis. Results We identified 319 SOTR with SANJ. Compared with SOTR admitted with SANJ on weekdays, those admitted on weekends had increased in-hospital mortality rates (odds ratio[OR] 11; 95% [CI] 1.2–97.9, P < 0.05), but similar, length of stay (P > 0.05) and hospital charges (P > 0.05). However, regardless of the day of admission those who received an early arthrocentesis had a lower length of stay (P < 0.05), and lower total hospital charges (P < 0.05). Conclusion Our study showed that compared with SOTR admitted with SANJ on weekdays, those admitted on weekends had increased mortality rates but similar length of stays and total hospital charges. However, patients who received an early arthrocentesis had a significantly lower length of stay and hospital charges regardless of the day of admission. These results add weight to the hypothesis of negative outcomes in weekend admissions. Moreover, we believe that our findings require further investigation to establish the role of early arthrocentesis in the management of septic arthritis. Disclosures All authors: No reported disclosures.

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Krieger, Glenn D. "Better Arthrocentesis Results." Physician and Sportsmedicine 28, no. 11 (November 2000): 16. http://dx.doi.org/10.3810/psm.2000.11.1293.

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Rehman, Khaleeq-Ur, and Timothy Hall. "Single needle arthrocentesis." British Journal of Oral and Maxillofacial Surgery 47, no. 5 (July 2009): 403–4. http://dx.doi.org/10.1016/j.bjoms.2008.09.014.

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Nitzan, D. W., M. F. Dolwick, and G. A. Martinez. "Temporomandibular joint arthrocentesis." Plastic and Reconstructive Surgery 90, no. 6 (December 1992): 1132. http://dx.doi.org/10.1097/00006534-199212000-00062.

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Pohranychna, Kh. "USE OF ARTHROCENTESIS FOR СOMPLEX TREATMENT OF POST-TRAUMATIC TEMPOROMANDIBULAR DISORDERS, WHICH ARE NOT CAUSED BY MANDIBULAR FRACTURES." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 21, no. 4 (December 30, 2021): 129–34. http://dx.doi.org/10.31718/2077-1096.21.4.129.

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Introduction. Injury to the temporomandibular joint (TMJ) in patients without condylar fractures may cause more damage to the joint tissues than a fracture. Intra-articular changes are more often caused by intraarticular localization of the fracture, but extra-articular fractures of the mandible can also cause damage to the structural elements of the joint. Unfortunately, the use of conservative therapy after TMJ traumatic injuries is of little effectiveness, therefore, the next step in the treatment of TMJ post-traumatic disorders implies the use of minimally invasive surgery, including arthrocentesis. The aim of this work is to investigate the effectiveness of arthrocentesis in the treatment of post-traumatic internal temporomandibular disorders. Materials and methods. The study included 24 patients who had a history of head injury without bone fractures, namely TMJ contusions. Arthrocentesis was performed according to a modified method of D. Nitzan (1991) under local anesthesia. Results. According to clinical and radiological findings obtained after TMJ traumatic disorders, patients were divided into two groups according to the Wilkes classification (1989): 13 patients with stage II (early-medium) derangement and 11 patients with stage III (medium) derangement. Control radiological studies performed in 3-6 months after arthrocentesis did not show signs of hemarthrosis in 11 (84.61%) patients with intra-articular disorders of II degree and in 8 (72.72%) patients with internal disorders of III degree, position and function articular disc restored. Conclusions. Arthrocentesis with TMJ lavage is a minimally invasive surgical manipulation that has been proven as an effective mote to treat TMJ disorders of traumatic origin, and in particular, after TMJ contusion.

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Sarwar, Humaira, Irfan Shah, Ali Akhtar Khan, Muhammad Afzal, Adnan Babar, and Amir Mushtaq Baig. "COMPARISON OF ARTHROCENTESIS PLUS PLATELET RICH PLASMA WITH ARTHROCENTESIS ALONE IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT DYSFUNCTION." PAFMJ 71, no. 4 (August 27, 2021): 1377–81. http://dx.doi.org/10.51253/pafmj.v71i4.5361.

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Objective: To evaluate the role of combination therapy of platelet rich plasma (PRP) with arthrocentesis and to compare it with arthrocentesis alone in the temporomandibular dysfuction (TMD) patients.Study Design: Quasi experimental study.Place and Duration of Study: Oral and Maxillofacial Surgery department, Armed Forces Institute of Dentistry, Combined Military Hospital Rawalpindi, from Jan 2017 to Jun 2019.Methodology: Forty-two patients diagnosed with refractory unilateral temporomandibular dysfuction, were included in the study. Patients were divided in two groups with 21 temporomandibular joints in each. Arthrocentesis alone was the control group (group I) and arthrocentesis with intra-articular injection of platelet rich plasma (group II) was the study group. Treatment outcomes were assessed and compared for all patients based on clinical parameters of pre and post treatment; for pain, maximal mouth opening and temporomandibular joint clicking sounds. Results: Out of 42 patients, 33 (79%) were females and 9 (21%) were males with mean age of 34.3 ± 8.4 years. There was statistically significant difference in both groups for all variables. The p-value of maximum mouth opening of both groups before and after treatment was 0.746 and 0.01, joint clicking sounds were present in 69% of our patients before the treament and it reduced to 14% after the treatment. There was marked gradual decrease in pain of both groups, group I (6.48 ± 1.470 to 1.81 ± 0.602) and group II (7.29 ± 1.007 to 1.19 ± 0.402). Conclusion: Combination therapy of platelet rich plasma with arthrocentesis is more effective treatment method than.......

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Hakobyan, Gagik. "Complex Treatment of Internal TMJ Disorders in Patients with Different Bit Types." Dentistry and Oral Maxillofacial Surgery 5, no. 3 (November 24, 2022): 01–06. http://dx.doi.org/10.31579/2643-6612/035.

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Objective: To assess the impact of physiological and pathological types of occlusion on the effectiveness of the treatment of patients with internal disorders of the TMJ. Material and Methods: A comprehensive examination and treatment of 139 patients with internal TMJ disorders with subluxation and chronic dislocation of the articular disc was carried out. The patients were divided into three groups. All groups included patients with both physiological and pathological occlusion. The first group included 28 (20.1%) patients who were treated only with occlusal splint therapy; the second group included 95 (68.3%) patients who were treated with a combination of occlusal splint therapy and the use of arthrocentesis; in the third group (16 people (11.5%), along with splint therapy and arthrocentesis, TMJ arthroscopy was performed. The examination included a survey and examination of patients, a study of diagnostic models of the jaws to determine the types of occlusion and occlusal contacts, magnetic resonance imaging (MRI) and ultrasound examination (ultrasound) of the TMJ. Patients underwent a phased treatment, including occlusive splint therapy (stage I); with insufficient effectiveness - occlusive splint therapy and arthrocentesis (stage II); occlusive splint therapy and arthrocentesis in combination with arthroscopy (stage III of treatment). Results: As a result of the study, it turned out that the groups of patients differed significantly in the complexity and duration of the treatment. Thus, in patients with internal TMJ disorders and pathological type of occlusion, in 82.6% of cases, additional use of arthrocentesis was required and in 34.8% - arthroscopy (95 patients out of 139), while patients with physiological types of occlusion (orthognathic, progenic, biprogenic and direct) needed these treatments in 80.2% and 7.8% of cases, respectively In the groups of patients, the duration of therapy, as well as the number of arthrocentesis performed in patients at the second and third stages of treatment, significantly differed. In the first group, the duration of treatment was 6.2 months for patients with normal occlusion and 8.7 (p<0.01) months for patients with pathological occlusion; additional methods of treatment (arthrocentesis and arthroscopy) were not used. In the second and third groups of patients, the duration of treatment for patients with occlusion pathology was also longer: in the second group 4.9 and 6.8 (p<0.01) months for patients with physiological and pathological types of occlusion, respectively, in the third group with the use of splint therapy, arthrocentesis and arthroscopy in patients with normal occlusion was 13.1 (p<0.05) months, and in patients with occlusion pathology 14.5 months Conclusion: Patients with internal TMJ disorders need a comprehensive examination for the timely detection of occlusion pathologies. The relationship between internal TMJ disorders and the type of occlusion must always be taken into account in the choice of further treatment tactics and therapy planning in order to achieve the best result.

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Brink Walling, A. "AB1564-HPR ULTRASOUND EXAMINATION AND INTRA-ARTICULAR INJECTIONS BY A RHEUMATOLOGY NURSE SPECIALIST." Annals of the Rheumatic Diseases 81, Suppl 1 (May 23, 2022): 1881.2–1882. http://dx.doi.org/10.1136/annrheumdis-2022-eular.1925.

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BackgroundAt The Department of Medicine, section of Rheumatology, Odense University Hospital (OUH) Svendborg, we consult patients with rheumatoid arthritis, psoriatic arthritis and gout. The patients can have joint inflammation. Therefor need joint assessment by ultrasound, arthrocentesis and / or IA injection. Ultrasound examination, arthrocentesis and administration of intra-articular (IA) injections for rheumatic disease represent an expansion of the nurse’s role. A previous study has shown, that trained nurses can perform satisfying and safe IA injections at least as well as those administered by doctors (1). High availability to adequate treatment will have a positive effect. For the patient and on a socio-economic level, as patients who have severe arthritis could be forced to stay home from work and leisure activities (2). It was decided to educate a nurse, who showed interest in ultrasound and IA injections and who showed the technical skills.ObjectivesTo educate and develop competence in the nursing staff regarding ability to perform joint ultrasound, arthrocentesis and IA injection. In order to offer immediate arthritis treatment and free up doctor time to be able to see other patients.MethodsAt first, the nurse watched the ultrasound, arthrocentesis and injection on the knee performed by a rheumatologist a couple of times. Then she performed the procedure under supervision and then she independently performed the ultrasound, arthrocentesis and injection on the knee with the opportunity for supervision. The nurse completed a two-day muscular/skeletal ultrasound course at university hospital Skejby. The course was both theory and hands-on training in an auditorium and was held by a radiologist and a rheumatologist. The nurse has furthermore participated in a course at Esbjerg hospital for doctors and nurses about ultrasound on upper extremities. This was a hands-on course. In conjunction with arthrocentesis, the nurse learned to identify urate crystals in synovial fluid through microscopy.ResultsSee Table 1 for which joints where the nurse performed ultrasound, arthrocentesis and injection during the first and second year.Table 1.Year 1JointUltrasoundArthrocentesisIA injectionPIP104MCP97WRIST2315ELBOW11KNEE504150ANKEL79MTP54In all1024190Year 2JointUltrasoundArthrocentesisIA injectionPIP109MCP3537WRIST3235ELBOW12312KNEE696680ANKEL18117MTP28223In all20372204One year after the procedure was implemented the joints that the nurse perform ultrasound and injections on, had increased. Starting with only knees to PIP, MCP, wrist, elbow, knees, ankles and MTP joints. After the first year, the nurse grew independent and confident with the new task, as the table beneath shows. Since the nurse started to perform ultrasound, arthrocentesis and IA injections, there has been no reports of adverse events.ConclusionNurses can be trained to perform ultrasound, arthrocentesis and injections, in a wide range of joints. Patients and staff express satisfaction with the availability of treatment. There has been no reports of adverse events.References[1]Edwards J, Hannah B, Brailsford-Atkinson K, et al. Intra-articular and soft tissue injections: assessment of the service provided by nurses Annals of the Rheumatic Diseases 2002;61:656-657.[2]The impact of rheumatoid arthritis and treatment on patients’ lives V. Strand1 and D. Khanna article.pdfAcknowledgementsI want to thank Rheumatologist Søren Just and Rikke Asmussen for helping me with this abstract. I also want to thank nurse specialist Pia Toftegaard for her input about the nursing perspectiv.Disclosure of InterestsNone declared

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Santagata, Mario, Roberto De Luca, Giorgio Lo Giudice, Antonio Troiano, Giuseppe Lo Giudice, Giovanni Corvo, and Gianpaolo Tartaro. "Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation." Journal of Functional Morphology and Kinesiology 5, no. 1 (March 6, 2020): 18. http://dx.doi.org/10.3390/jfmk5010018.

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Arthrocentesis in temporomandibular joint disorders can be associated with the intra-articular infiltration of various drugs with the objective of increase treatment efficacy. The aim of this study was to evaluate the clinical indexes variation in patients affected by temporomandibular joint disorders treated with arthrocentesis and sodium hyaluronate (SH) injections. A total of 28 patients suffering from temporomandibular joint disorders underwent one cycle of five arthrocentesis and infiltrations of sodium hyaluronate. Spontaneous mouth opening improved from 36.3 ± 7.5 mm to 45.1 ± 1.9 mm at six months follow-up. A significant reduction in the pain at rest and during mastication mean values emerged at follow-up (p < 0.0001). The mean masticatory efficiency, evaluated through a visual analogic scale, showed improvement at the follow-up period, highlighted by the increase of mean value from a baseline of 3.1 ± 1.2 to a mean value of 8.5 ± 1.2 (p < 0.0001). The mean severity of the joint damage at baseline time was 2.4 ± 0.9 and decreased to 0.4 ± 0.3 at the end of the follow-up period. The decrease in values is confirmed by statistical test (p < 0.05). Our data show how arthrocentesis integrated with sodium hyaluronate infiltrations performed under local anesthesia is a valid method of treating temporomandibular joint disorders.

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Atalı, Onur, Elif Özçelik, Onur Gönül, and Hasan Garip. "Evaluation of Patient Comfort and Impact of Different Anesthesia Techniques on the Temporomandibular Joint Arthrocentesis Applications by Comparing Gow-Gates Mandibular Block Anesthesia with Auriculotemporal Nerve Block." Pain Research and Management 2022 (August 31, 2022): 1–6. http://dx.doi.org/10.1155/2022/4206275.

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Aim. Temporomandibular disorders (TMDs) are clinical situations that are characterized by pain, sound, and irregular movements of the temporomandibular joints. The most common method in the treatment of TMDs is arthrocentesis. This study aims to compare the effect of conventional extraoral auriculotemporal nerve block (ANB) and Gow-Gates (GG) mandibular anesthesia techniques on patient comfort in an arthrocentesis procedure. Materials and Methods. We performed this study on 40 patients who underwent TMJ arthrocentesis with ANB (n = 20) or GG (n = 20) mandibular anesthesia techniques at the Marmara University Faculty of Dentistry between 2016 and 2019. The predictor variable was the type of an anesthesia technique, and the outcome variables included were pain, maximum mouth opening (MMO), and protrusive movement (PM). They were compared at the preoperative period and 3rd and 6th month periods. Statistical analysis included means with standard deviations, a one-way ANOVA for continuous data, and the results were evaluated at the significance level of p < 0.05 . Results. No statistically significant difference was observed between the VAS values, MMO, and PM averages of preoperative, 3rd and 6th months of ANB and GG ( p = 0.142 , p = 0.209 , and p = 0.148 ). Conclusion. Both anesthesia techniques have provided effective results in terms of pain and functional jaw movements in the postoperative period in arthrocentesis treatment.

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Derwich, Marcin, Maria Mitus-Kenig, and Elzbieta Pawlowska. "Mechanisms of Action and Efficacy of Hyaluronic Acid, Corticosteroids and Platelet-Rich Plasma in the Treatment of Temporomandibular Joint Osteoarthritis—A Systematic Review." International Journal of Molecular Sciences 22, no. 14 (July 9, 2021): 7405. http://dx.doi.org/10.3390/ijms22147405.

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Temporomandibular joint osteoarthritis (TMJ OA) is a low-inflammatory disorder with multifactorial etiology. The aim of this review was to present the current state of knowledge regarding the mechanisms of action and the efficacy of hyaluronic acid (HA), corticosteroids (CS) and platelet-rich plasma (PRP) in the treatment of TMJ OA.: The PubMed database was analyzed with the keywords: “(temporomandibular joint) AND ((osteoarthritis) OR (dysfunction) OR (disorders) OR (pain)) AND ((treatment) OR (arthrocentesis) OR (arthroscopy) OR (injection)) AND ((hyaluronic acid) OR (corticosteroid) OR (platelet rich plasma))”. After screening of 363 results, 16 studies were included in this review. Arthrocentesis alone effectively reduces pain and improves jaw function in patients diagnosed with TMJ OA. Additional injections of HA, either low-molecular-weight (LMW) HA or high-molecular-weight (HMW) HA, or CS at the end of the arthrocentesis do not improve the final clinical outcomes. CS present several negative effects on the articular cartilage. Results related to additional PRP injections are not consistent and are rather questionable. Further studies should be multicenter, based on a larger group of patients and should answer the question of whether other methods of TMJ OA treatment are more beneficial for the patients than simple arthrocentesis.

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PRASSINOS (N.N. ΠΡΑΣΙΝΟΣ), N. N., and K. I. SIDERI (K.I. ΣΙΔΕΡΗ). "Arthrocentesis in companion animal medicine." Journal of the Hellenic Veterinary Medical Society 56, no. 1 (November 29, 2017): 47. http://dx.doi.org/10.12681/jhvms.15070.

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Arthrocentesis, especially for synovial fluid collection and analysis, is an integral part of any diagnostic joint evaluation in companion animal medicine. Although it is a simple, quick and inexpensive technique, which also requires little in the way of expertise or special equipment, it is a much under-employed procedure in veterinary diagnostics and/or therapeutics. Knowledge of joint anatomy, aseptic conditions and strict adherence to principles of the technique are essential for an uncomplicated arthrocentesis.

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Helal, Mohamed Ahmed, Shoroog Hassan Agou, Amr Bayoumi, Ahmed Imam, and Ali Habiballah Hassan. "Management of Internal Derangement of Temporomandibular Joint Disc Displacement with Reduction Using Two Different Lines of Treatment." Brazilian Dental Science 24, no. 2 (March 31, 2021): 8. http://dx.doi.org/10.14295/bds.2021.v24i2.2080.

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Objetive: This study was to compare the effectiveness of arthrocentesis versus the insertion of anterior repositioning splint (ARS) in improving the mandibular range of motion (MRM) for patients with the temporomandibular joint (TMJ) anterior disc displacement with reduction (ADDwR). Methods: 36 patients diagnosed as ADDwR were recruited and divided randomly into two groups. The first group (G1) was treated by arthrocentesis, and the second (G2) was treated using ARS. All patients were reexamined after six months. Results: Except that for protrusive movement, there were significant differences between the two groups for the percentage changes of the MRM as measured by the amount of pain free opening, unassisted opening, maximum assisted opening, right lateral and left lateral movements (p < 0.05). Conclusion: Within the context of the current study, the non-invasive, lower cost ARS, provided better results in improving the MRM when managing ADDwR cases. Keywords Arthrocentesis; Anterior repositioning splint; TMD; Internal derangement; Anterior disc displacement; Mandibular range of motion.

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Huddleston Slater, J. J. R., L. M. Vos, L. P. P. Stroy, and B. Stegenga. "Randomized Trial on the Effectiveness of Dexamethasone in TMJ Arthrocentesis." Journal of Dental Research 91, no. 2 (December 8, 2011): 173–78. http://dx.doi.org/10.1177/0022034511431260.

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The aim of this study was to compare the effectiveness of dexamethasone administration following arthrocentesis of the temporomandibular joint (TMJ) with a placebo (saline). Twenty-eight participants with TMJ arthralgia were randomly assigned to two groups of a parallel double-blind RCT. In both groups, an arthrocentesis procedure was carried out. In one group, the procedure was followed by the administration of a single-dose intra-articular dexamethasone. In the other group, saline was administered as a control. Follow-up visits were scheduled after 1, 3, and 24 weeks. During each visit, TMJ pain (on a 100-mm VAS) and jaw stiffness (mouth opening in mm) were scored. In the statistical analysis, generalized estimating equation (GEE) models showed no differences between the two study groups, although pain and jaw stiffness were both reduced over 24 weeks. In conclusion, intra-articular dexamethasone following arthrocentesis did not improve the procedure’s effect in patients presenting with TMJ arthralgia (ClinicalTrials.gov number CT01275014).

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Zuberi, Shoaib, Asad Iqbal, and Ammar Azim Khan Niazi. "To Assess the Outcome of Temporo-Mandibular Joint Arthrocentesis in the Treatment of Internal De-Arrangement of Temporo-Mandibular Joint." Pakistan Journal of Medical and Health Sciences 16, no. 11 (November 30, 2022): 576–79. http://dx.doi.org/10.53350/pjmhs20221611576.

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Background: The two joints connecting the jawbone to the skull are called the temporomandibular joints. The TMJs are another name for these joints (TMJ). It's a connection between the mandible (at the bottom of the skull) and the temporal bone (at the top of the skull). Internal derangement of the temporomandibular joint (TMJ) is a condition in which the disc in the TMJ is displaced out of its normal functional relationship with the mandibular condyle and the articular region of the temporal bone. The problem is within the TMJ, where it can cause serious problems. Pain from an internal condition can be effectively treated with arthrocentesis, or AC (ID). Objectives: The purpose of this study is to evaluate the effectiveness of arthrocentesis of the temporomandibular joint in the management of temporomandibular joint internal derangement. Study Design: Descriptive case series. Setting: Department of Oral and Maxillofacial Surgery, Mayo Hospital, Lahore. Duration of Study: Six months after approval of synopsis i.e. 22-12-2018 to 22-06-2019 Methodology: 60 Patients matched the inclusion criteria selected from OPD of department of Oral and Maxillofacial Surgery, Mayo hospital Lahore. Informed consent was obtained. Demographic details also obtained. Patients were undergone surgery by senior consultant under LA. After surgery, patients were shifted in post-surgical wards and discharged from there after 48 hours. Patients were advised to present after 1 week of surgery in OPD. After 1 week, patients were evaluated for postoperative maximal mouth opening. Patients were also asked for presence of postoperative pain by using VAS and score was noted (as per operational definition) by researcher himself. All this information was recorded through proforma (attached). Results: Total of 60 patients, 46.7 % ( n=28) were male and 53.3 %( n=32) were female, Mean age of patients was 37.38±15.11. Sixty percent, or n=36, of the patients were found to be between the ages of 18 and 35, and forty percent, or n=24, were found to be between the ages of 36 and 60. Mean duration of TMJ Internal derangement was 49.86±19.12. Mean maximal mouth opening was 35.55±3.51mm. (p-value 0.001) and mean post-operative pain was 2.23± 1.06. (P-value 0.001). Practical Implication: This study will help to understand the effectiveness of arthrocentesis of the temporomandibular joint in the management of temporomandibular joint internal derangement Conclusion: Finally, we decided that arthrocentesis is a straightforward, minimally invasive treatment. Internally dislocated temporomandibular joints (TMJ) can be corrected with this method. For those who have closed-lock internal derangement, TMJ arthrocentesis appears to be a risk-free alternative with a reduced potential for consequences. Keywords: Temporomandibular Joint, Arthrocentesis, Post-operative Pain, Derangement, Arthrocentesis, Arthroscopy.

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Azad, Dr Md Asadujjaman, Dr M. Sharif Uddin, Dr A. H. M. Abdul wahid, and Dr Mst Towhida Subrin. "Evaluation and Outcome of IA Hyaluronic Inj. vs. Corticosteroid Therapy for OA Knee: Tertiary Level Hospital in Bangladesh." Saudi Journal of Medical and Pharmaceutical Sciences 8, no. 3 (March 25, 2022): 152–57. http://dx.doi.org/10.36348/sjmps.2022.v08i03.008.

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Background: There are many types of arthritis, but osteoarthritis (OA) is one of the most frequent. IA injections of corticosteroids into the knee joint may improve pain and impairment by relieving joint inflammation. Purpose: To evaluate the effectiveness and safety of hylastan, a novel viscosupplements, with a single intra-articular corticosteroid injection in the treatment of knee osteoarthritis pain (OA). Because of its large molecular weight, the sodium hyaluronate in Hylastan is more likely to stay in the joint for an extended period of time than other viscosupplements. Methods: Multicentered based randomized quasi-experimental comparative study was performed in Shah Mokhdum Medical College, Rajshahi, Bangladesh, from January 2019 to December 2021. Enrolled patients aged ≥40 years. Patients were randomized 1:1:1 to one of three arms: 2 X 4 mL hylastan (n = 129; arthrocentesis then IA hylastan Day 0, same treatment Week 2); 1 X 4 mL hylastan (n = 130; arthrocentesis then IA hylastan Day 0, arthrocentesis only Week 2); steroid (n = 132; arthrocentesis then IA methylprednisolone acetate 40 mg Day 0, arthrocentesis only Week 2). The primary clinical outcome measure was changed from baseline in WOMAC A pain score overall postbaseline visits to Week 26. Results: Statistically significant pain reduction was observed in all three arms, with similar mean (95 % CI) changes in WOMAC A: 2 X 4 mL hylastan -0.9 (-1.0, -0.7); 1 X 4 mL hylastan -0.8 (-0.9, -0.7); steroid -0.9 (-1.0, -0.8); all p < 0.0001 versus baseline. Changes in secondary outcomes were similar in all three arms. Target knee adverse events were comparable for all treatments. Conclusions: An acceptable safety profile and effective pain relief were found with both IA hylastan injection regimens. The hypothesis of better pain relief with IA hylastan was not met compared to IA corticosteroid. The effectiveness and safety of hylastan compared to other viscosupplements require more investigation. Level of evidence Therapeutic study, Level I.

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Thom, Christopher, Jonathan Pozner, Matthew Kongkatong, and James Moak. "Ultrasound-Guided Talonavicular Arthrocentesis." Journal of Emergency Medicine 60, no. 5 (May 2021): 633–36. http://dx.doi.org/10.1016/j.jemermed.2020.12.019.

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Thomsen, Todd W., Sam Shen, Robert W. Shaffer, and Gary S. Setnik. "Arthrocentesis of the Knee." New England Journal of Medicine 354, no. 19 (May 11, 2006): e19. http://dx.doi.org/10.1056/nejmvcm051914.

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Laskin, Daniel M. "Needle placement for arthrocentesis." Journal of Oral and Maxillofacial Surgery 56, no. 7 (July 1998): 907. http://dx.doi.org/10.1016/s0278-2391(98)90043-x.

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Stea, Stefano, and Francesco Pagano. "Ultrasound-guided TMJ arthrocentesis." British Journal of Oral and Maxillofacial Surgery 54, no. 10 (December 2016): e149. http://dx.doi.org/10.1016/j.bjoms.2016.11.233.

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Roy, Simon, Andreas Dewitz, and Ian Paul. "Ultrasound-assisted ankle arthrocentesis." American Journal of Emergency Medicine 17, no. 3 (May 1999): 300–301. http://dx.doi.org/10.1016/s0735-6757(99)90129-8.

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Reddy, V. G. R., B. R. Singh, C. B. Rao, and G. Krishnan. "Temporomandibular joint arthrocentesis—revisited." International Journal of Oral and Maxillofacial Surgery 36, no. 11 (November 2007): 1066–67. http://dx.doi.org/10.1016/j.ijom.2007.08.393.

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Moorthy, S., G. Uma Maheswari, and S. Gandhiraj. "‘Arthrocentesis a holistic approach’." International Journal of Oral and Maxillofacial Surgery 36, no. 11 (November 2007): 1110. http://dx.doi.org/10.1016/j.ijom.2007.09.151.

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Abdulmaged, Enas A., and Thair Abdul Lateef. "Efficacy of arthrocentesis with injection of hyaluronic acid in the treatment of inflammatory-degenerative disease of temporomandibular joint." Journal of Baghdad College of Dentistry 33, no. 1 (March 15, 2021): 1–5. http://dx.doi.org/10.26477/jbcd.v33i1.2920.

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Background:Temporomandibular joint (TMJ) problems refer to a group of heterogeneous pain and dysfunction conditions involving the mastication, reducing life quality of the patients. Arthrocentesis is a simple and less invasive surgical method for the treatment of inflammatory-degenerative disease than other conservative procedures and better than arthroscope. This clinical study aimed at evaluating the benefit of arthrocentesis with injection of hyaluronic acid in the management of inflammatory-degenerative disease of the TMJ. Material and methods: Eighty consecutive patients were enrolled in this study with pain symptoms of TMJ, insufficient masticatory efficiency during function and limitation of mouth opening; they were assessed with clinical examination and approved with computed tomography scan. Arthrocentesis was done by inserting 18 gauge needles in the upper joint compartment, lavage by normal saline solution and at the end of the procedure 1ml of hyaluronic acid (HA) was injected. Intensity of the TMJ pain and masticatory efficiency was analyzed by visual analog scale (VAS), maximum mouth opening (MMO) was assessed by a ruler. All the assessed parameters were measured before the procedure then 1 and 4 months later. Results: During 5 months follow-up, comparison of the obtained results showed reduction in pain at chewing and rest 87.5%, improvement in mouth opening 100% and significant improvement in masticatory efficiency 87.5% of patients. Conclusion: The procedure of arthrocentesis with Sodium Hyaluronate injection, used in patients who suffered from inflammatory-degenerative disease (IDD), showed therapeutic benefits, simplicity, safety, patient satisfaction, lack of significant side effects and complications.

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Ansar, Ahmad Syed, Khan Munna, Asif Iqbal, Faisal Mohammad, Alam Naved, and Hasan Shamimul. "Prognostic criteria for the management of temporomandibular disorders using arthrocentesis with normal saline and arthrocentesis with normal saline and platelet-rich plasma." Journal of Medicine and Life 15, no. 5 (May 2022): 698–704. http://dx.doi.org/10.25122/jml-2021-0240.

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Temporomandibular joint disorders (TMDs) are ailments affecting the jaws and allied structures, resulting in many pathologies (TMJ hypermobility, internal disc derangement, bone changes, degenerative disorders, and ankylosis). Pain, clicking or crepitus, restricted range of motion, deranged jaw function, and deflected or deviated mouth opening and closing are the commonly observed manifestations in TMDs. Internal derangement refers to an aberrant relation of the articular disc to the condyle and fossa, respectively. Conventional therapies highlight the role of non-invasive conservative treatment strategies, namely joint unloading, anti-inflammatory drugs, and physiotherapy. Current literature has emphasized the use of corticosteroids and platelet-rich plasma (PRP) as treatment strategies in TMDs. This study aimed to evaluate whether intra-articular injection of PRP after normal saline lavage in TMJ minimizes the symptoms of TMDs, as compared to injection of normal saline. Thirty patients with TMD according to research diagnostic criteria (RDC) were selected. One group received arthrocentesis with normal saline, and the other group received arthrocentesis with PRP injection. The patients were assessed for pain, maximum inter-incisal mouth opening, bite force, and TMJ sounds. TMDs treated by PRP injection had slightly better results. More studies are required to substantiate the outcome. Injections of PRP were more effective in reducing the symptoms than arthrocentesis with normal saline.

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Schaffer, Ted C. "JOINT AND SOFT-TISSUE ARTHROCENTESIS." Primary Care: Clinics in Office Practice 20, no. 4 (December 1993): 757–70. http://dx.doi.org/10.1016/s0095-4543(21)00430-9.

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Currie, Roger. "Temporomandibular joint arthrocentesis and lavage." Evidence-Based Dentistry 10, no. 4 (December 2009): 110. http://dx.doi.org/10.1038/sj.ebd.6400685.

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Ak, Kıvanc Berke, Muazzez Suzen, and Barıs Cagrı Delilbasi. "COMPLICATIONS OF TEMPOROMANDIBULAR JOINT ARTHROCENTESIS." SANAMED 15, no. 1 (May 27, 2020): 65. http://dx.doi.org/10.24125/sanamed.v15i1.387.

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Gonzalez, R. Dueñas, and J. Silva Noriega. "Temporomandibular arthralgia treated by arthrocentesis." International Journal of Oral and Maxillofacial Surgery 40, no. 10 (October 2011): 1225. http://dx.doi.org/10.1016/j.ijom.2011.07.673.

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Juniper, Richard. "Arthrocentesis with sodium hyaluronate is more effective than arthrocentesis alone in temporomandibular joint treatment." Evidence-Based Dentistry 3, no. 3 (September 2002): 70–71. http://dx.doi.org/10.1038/sj.ebd.6400123.

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Chęciński, Maciej, Kamila Chęcińska, Zuzanna Nowak, Maciej Sikora, and Dariusz Chlubek. "Treatment of Mandibular Hypomobility by Injections into the Temporomandibular Joints: A Systematic Review of the Substances Used." Journal of Clinical Medicine 11, no. 9 (April 20, 2022): 2305. http://dx.doi.org/10.3390/jcm11092305.

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Introduction: Hyaluronic acid, steroids and blood products are popularly injected into the temporomandibular joint (TMJs) to relieve pain and increase the extent of mandibular abduction. The purpose of this review is to identify other injectable substances and to evaluate them in the above-mentioned domains. Material and methods: The review included articles describing clinical trials of patients treated with intra-articular injections with or without arthrocentesis. Results: The following emerging substances were initially evaluated to be effective in treating TMJ pain and increasing the amplitude of mandibular abduction: analgesics, dextrose with lidocaine, adipose tissue, nucleated bone marrow cells and ozone gas. Discussion: Better effects of intra-articular administration are achieved by preceding the injection with arthrocentesis. Conclusions: The most promising substances appear to be bone marrow and adipose tissue.

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Gurung, Tikaram, RK Singh, Shadab Mohammad, US Pal, AbbasAli Mahdi, and Manoj Kumar. "Efficacy of arthrocentesis versus arthrocentesis with sodium hyaluronic acid in temporomandibular joint osteoarthritis: A comparison." National Journal of Maxillofacial Surgery 8, no. 1 (2017): 41. http://dx.doi.org/10.4103/njms.njms_84_16.

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Talaat, Wael, Mohamed M. Ghoneim, and Mohammed Elsholkamy. "Single-needle arthrocentesis (Shepard cannula) vs. double-needle arthrocentesis for treating disc displacement without reduction." CRANIO® 34, no. 5 (April 13, 2016): 296–302. http://dx.doi.org/10.1080/08869634.2015.1106810.

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Ilyin, Aleksander A., T. A. Fazylova, E. A. Demchinsky, V. N. Olesova, and E. E. Olesov. "A complex treatment of irreducible displacement of the temporomandibular joint disc and myofascial pain disorders with the use of botulinum toxin." Journal of Clinical Practice 10, no. 2 (August 17, 2019): 14–20. http://dx.doi.org/10.17816/clinpract10214-20.

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Background. An irreducible displacement of the articular disc (IDD) is one of the TMJ conditions characterized by complexity of clinical manifestations, severity and is always accompanied by myofascial pain disorders. Objective. To improve the results of treatment of patients with TMJ IDD and myofascial pain syndromes. Methods. We performed a clinical examination and treatment of 38 patients with irreducible displacement of the TMJ articular disc and myofascial pain disorders. As additional research methods, we used CBCT, MRI, EMG. A step-by-step treatment was conducted, including a drug therapy, injection of botulinum toxin type A (BTA) in the masticatory, temporal, lateral pterygoid muscles (LPM) bilaterally; repositional splint therapy; arthrocentesis with the lavage of both articular spaces. Results. The overall effectiveness of the treatment was 97.4%. Out of 38 patients, 34 (89.5%) were treated without arthrocentesis with the complete restoration of the mandibular movement volume and elimination of pain syndrome. Conclusions. An effective system has been developed for a sequential complex treatment of TMJ IDD; a new technique has been developed for a periarticular injection access to the LPM allowing administration of a drug to its upper and lower heads. The high efficiency of BTA injections in the treatment of TMJ IDD is due to the mandatory drug administration into 3 muscles: masticatory, temporal and lateral pterygoid. In the treatment of TMJ IDD, arthrocentesis is effective with lavage of the lower and upper articular spaces.

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Pohranychna, Kh R., and R. Z. Ohonovskyi. "Results of Using Arthrocentesis in the Treatment of Temporomandibular Disorders Associated with Fractures of the Mandibular Condylar Process." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 6, no. 6 (December 25, 2021): 171–76. http://dx.doi.org/10.26693/jmbs06.06.171.

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The purpose of the work was to study the effectiveness of arthrocentesis in the complex treatment of post-traumatic temporomandibular disorders. Materials and methods. The clinical part of the study included 24 patients, who had a history of fractures of the mandibular articular process. Patients underwent radiological examination – orthopantomography, computer tomography, ultrasound and magnetic resonance. Patients with titanium mini-plates after osteosynthesis were subjected to ultrasound, and since the reposition and fixation of fragments was performed using intermaxillary fixation they were subjected to magnetic resonance imaging. Pain assessment was performed according to visual analogue scale. Temporomandibular joint arthrocentesis was performed according to a modified method of D. Nitzan (1991) under local anesthesia. Results and discussion. All patients complained of the temporomandibular joint pain, which was rated from 1 to 6 points. All patients noted pain on palpation of the temporomandibular joint. Limited mouth opening ranging from 30 to 38 mm was found in 11 patients. Lower jaw deviation was observed in 18 patients. All patients had articulatory noises – clicking, and 11 had blocked movement of the joint head. Orthopantomograms or computer tomography revealed satisfactory restoration of the anatomical shape of the mandible after fractures and complete consolidation of the fracture. Ultrasound and magnetic resonance revealed signs of unabsorbed hematoma as consequences of hemarthrosis; in 18 patients – deformity of the capsule, in 17 – a slight thickening of the posterior edge of the articular disc, in 18 patients – disc adhesion, in 13 people – forward disc displacement with reduction, in 11 patients – disc protrusion without reduction. According to clinical and radiological signs after traumatic temporomandibular disorders, patients were divided into two groups according to Wilkes classification: 13 patients with stage II (early-middle) and 11 – with stage III (middle). We also found that after surgical treatment – osteosynthesis, the number of patients with stage III according to Wilkes makes up 58.33% (7 people), while those after splinting – 33.33% (4 people). The control ultrasound and MRI carried out 3-6 months after arthrocentesis showed no signs of hemarthrosis in 11 (84.61%) patients with intra-articular disorders of the second degree, and in 8 (72.72%) patients with internal disorders of the third degree, the position and function of the articular disc were restored. Conclusion. Arthrocentesis with temporomandibular joint lavage is a minimally invasive surgical manipulation that has proven itself in temporomandibular disorders of traumatic origin, in particular after fractures of the articular process of the mandible. Arthrocentesis is recommended to be used after ineffective conservative treatment, as well as to prevent post-traumatic intra-articular disorders in the early post-treatment fractures (intermaxillary fixation or osteosynthesis) with the attenuation of acute post-traumatic events, which is our goal of further work

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DAVID, F., M. ROUGIER, K. ALEXANDER, and S. MORISSET. "Ultrasound-guided coxofemoral arthrocentesis in horses." Equine Veterinary Journal 39, no. 1 (January 2007): 79–83. http://dx.doi.org/10.2746/042516407x153093.

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Keklik, Barış, Memet Yazar, and Ufuk Emekli. "Arthrocentesis, Arthroscopic Assessment and Surgical Interventions." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 56, supp 1 (April 18, 2010): 29–33. http://dx.doi.org/10.4274/tftr.56.29.

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Journal articles on the topic 'Arthrocentesi'

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