RT Book, Section
A1 Mody, Elinor
A2 McKean, Sylvia C.
A2 Ross, John J.
A2 Dressler, Daniel D.
A2 Scheurer, Danielle B.
SR Print(0)
ID 1137613170
T1 Arthrocentesis
T2 Principles and Practice of Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843133
LK accessmedicine.mhmedical.com/content.aspx?aid=1137613170
RD 2024/04/24
AB Excluding  cases  of  trauma,  pain  with  passive  motion  of  a  joint  or  palpation  of  the  joint  capsule  suggests  synovitis  and  requires  further  investigation.  In  the  hospital  setting,  arthrocentesis  is  usually  performed  to  diagnose  whether  a  patient  has  a  septic  joint  and  to  narrow  antibiotic  therapy  once  the  cultures  are  known  (Figure  127-1).  Although  radiography  is  essential  in  the  diagnosis  of  trauma,  it  has  no  role  in  the  early  diagnosis  of  a  joint  infection.  Neither  CT  or  MRI  or  radionuclide  scanning  can  distinguish  between  septic  and  noninfectious  causes  of  inflammatory  synovitis.  Imaging  is  indicated,  however,  in  patients  with  suspected: