24 results
Ultrasound guidance for knee arthrocentesis. 

Dr. Stephen Alerhand @SAlerhand

#Knee #Arthrocentesis #POCUS #clinical #ultrasound #MSK
Ultrasound guidance ... for knee arthrocentesis ... @SAlerhand #Knee ... #Arthrocentesis ... #MSK
Ultrasound Guided Knee Arthrocentesis 

Use ultrasound for arthrocentesis! More accurate and less painful.
Ultrasound-guided versus landmark in
Ultrasound Guided ... Knee Arthrocentesis ... versus landmark in knee ... Kim @dan___kim #Knee ... pocus #clinical #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Fever/Chills/Joint ... Effusions: - Gout ... - Pseudo gout ... Acute rheumatic fever ... differential #diagnosis #msk
Knee Effusions - Arthrocentesis Interpretation

Inflammatory arthritis:
 • Color: Yellow-> Green
 • Clarity: Opaque
 • Viscosity: Low
Knee Effusions - ... Arthrocentesis ... analysis: • MSU ... : Gout • CPPD: ... Singh @rav7ks #Knee
Ultrasound guided arthrocentesis (knee) with a resident.  Same principles apply for all ultrasound guided procedures.
arthrocentesis ... (knee) with a resident ... UltrasoundStuff #Knee ... #Arthrocentesis ... #MSK
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... forefoot, ankles, knees ... Uncertain diagnosis or arthrocentesis ... not possible • Ultrasound ... • Serum urate level
Suprapatellar Hematoma on POCUS
Before knee arthrocentesis, be sure fluid is inside joint. Hypoechoic suprapatellar lesion, partly
POCUS Before knee ... arthrocentesis, ... Hematoma #POCUS #ultrasound ... #clinical #msk ... #knee
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... active ROM +/- fever ... osteoarthritis, gout ... arthritis Workup: arthrocentesis ... Arthritis #Diagnosis #Management
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
acute rheumatic fever ... reactive arthritis, gout ... OA *Always do arthrocentesis ... Parallel, yellow = gout ... #Joint #Pain #MSK
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Debridement and Management ... Staphylococci: 24wk for knees ... benefit > risk - Never ... should prompt arthrocentesis ... #Debridement #Management