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Septic arthritis is the purulent invasion of a joint by an infectious agent [5] [6] with a resultant large effusion due to inflammation. [7] Septic arthritis is a serious condition. It can lead to irreversible joint damage in the event of delayed diagnosis or mismanagement. It is basically a disease of children and adolescence. [6]
Knee effusion, informally known as water on the knee, occurs when excess synovial fluid accumulates in or around the knee joint. It has many common causes, including arthritis , injury to the ligaments or meniscus , or fluid collecting in the bursa , a condition known as prepatellar bursitis .
Trabecular edema, also known as bone marrow edema (BME), is a traditional term describing the interstitial fluid accumulation at the trabecular bone marrow.The term was first used in 1988, [1] referring to the changes in the bone marrow due to inflammation. [3]
Intermittent hydrarthrosis (IH), also known as periodic synoviosis, periodic benign synovitis, or periodic hydrarthritis, is a chronic condition of unknown cause characterized by recurring, temporary episodes of fluid accumulation in the knee.
Medical algorithms based on best practice can assist everyone involved in delivery of standardized treatment via a wide range of clinical care providers. Many are presented as protocols and it is a key task in training to ensure people step outside the protocol when necessary.
Arthrocentesis, or joint aspiration, is the clinical procedure performed to diagnose and, in some cases, treat musculoskeletal conditions. The procedure entails using a syringe to collect synovial fluid from or inject medication into the joint capsule .
The diagnosis is generally based on the symptoms and examination. [3] If pushing the kneecap into the femur increases the pain, the diagnosis is more likely. [1] [3] Treatment typically involves rest and rehabilitation with a physical therapist. [6] Runners may need to switch to activities such as cycling or swimming. [3] Insoles may help some ...
Plain X-rays, CT scan, ultrasonography, or MRI may help with the diagnosis. [2] [11] Findings on X-ray that may be useful among those who have already reduced include a variable joint space, subluxation of the joint, or a Segond fracture. [5] If the ankle–brachial pressure index (ABI) is less than 0.9, CT angiography is recommended. [3]