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Updated: Jul 21, 2025

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Knee Arthrocentesis in Adults
Published on: February 25, 2022
7.6K
Arthrocentesis and soft tissue aspiration and injection
Michael Toprover1, Nicole Leung1, Michael H Pillinger1
1Division of Rheumatology, NYU Grossman School of Medicine and Rheumatology Section, New York Harbor Health Care System Margaret Cochrane Corbin Campus, US Department of Veterans Affairs, USA.
Best Practice & Research. Clinical Rheumatology
|July 28, 2023
Summary
Arthrocentesis, or joint aspiration, is crucial for diagnosing joint conditions like infections and crystal arthritis. Joint injections offer pain relief, complementing other treatments for various musculoskeletal issues.
Area of Science:
- Rheumatology
- Musculoskeletal Medicine
- Interventional Procedures
Background:
- Arthrocentesis (joint aspiration) is a fundamental skill for rheumatologists.
- Joint aspirations are vital for diagnosing septic joints and crystal arthritis.
- Joint and soft tissue injections provide symptomatic relief for various musculoskeletal conditions.
Purpose of the Study:
- To provide a comprehensive guide on joint and soft tissue aspiration and injection.
- To outline indications and contraindications for these procedures.
- To detail preparation and specific approaches for musculoskeletal interventions.
Main Methods:
- Review of established techniques for joint and soft tissue aspiration.
- Guidance on intra-articular and soft tissue injections.
- Description of anatomical approaches for common musculoskeletal sites.
Main Results:
- Joint aspiration is the gold standard for diagnosing septic and crystal-induced arthritis.
- Injections can offer rapid pain and swelling relief, bridging treatment gaps.
- Soft tissue aspirations and injections address conditions like bursitis and tenosynovitis.
Conclusions:
- Mastery of aspiration and injection techniques is essential for rheumatologists.
- These procedures are valuable diagnostic and therapeutic tools in rheumatology.
- Proper technique ensures patient safety and maximizes therapeutic benefit.
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