Approach to knee effusions.

نویسندگان

  • David J Mathison
  • Stephen J Teach
چکیده

The presence of an intra-articular knee effusion requires an extensive differential diagnosis and a systematic diagnostic approach. Pediatric knee effusions occur most commonly as acute hemarthroses after traumatic injury. However, the knee joint is susceptible to effusions secondary to a wide variety of atraumatic causes. Special attention is required in the atraumatic effusion to distinguish features of infectious, postinfectious, rheumatologic, hematologic, vasculitic, and malignant disease. This review discusses the various etiologies of both traumatic and atraumatic pediatric knee effusions highlighting the historical, physical examination, and laboratory characteristics to aid the emergency provider in diagnosis and initial management.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Medical Student Identification of Knee Effusion by Ultrasound

Twenty-one fourth-year medical students were given a brief lecture on ultrasound of the knee and fifteen minutes of supervised ultrasound scanning of three cadavers which had been injected with saline to give varying degrees of knee effusions. Each student was then individually observed and required to scan both knees of a cadaver different from the practice cadavers and identify the patella, t...

متن کامل

Ultrasound of the knee during voluntary quadriceps contraction: a technique for detecting otherwise occult effusions.

OBJECTIVE To describe 1) a technique that can detect synovial effusions not seen on static ultrasound (US) examination and 2) the characteristics of patients with knee osteoarthritis (OA) for whom this technique proved useful. METHODS From reviewed records of 76 patients with knee OA (112 knees) that we had seen for US-guided injections over a defined period, we found 45 knees with no detecta...

متن کامل

Radioactive yttrium in the treatment of rheumatoid knee effusions. Preliminary evaluation.

Irradiation of the synovium for the treatment of chronic knee effusions associated with rheumatoid arthritis and allied conditions is being increasingly used as an alternative to surgical synovectomy. Intraarticular injections of a colloidal solution of radioactive gold (19"8Au) has been tried with some success (Ansell, Crook, Mallard, and Bywaters, 1963; Virkkunen, Krusius, and Heiskanen, 1967...

متن کامل

Evaluation of Intra-articular Colloidal Gold Au 198 in the Treatment of Presistent Knee Effusions.

In the management of persistent knee effusions, synovectomy may be useful but surgical removal is often far from complete and recurrences are common. The present study reports an attempt to produce a radiation synovectomy, using the principle that colloidal Au 198, when injected into the knee joint, would behave like other particles and localize on the synovial membrane. Au 198 has a half life ...

متن کامل

بررسی میزان آنزیم آدنوزین دآمیناز در انواع پلورال افیوژن لنفوسیتی در بیمارستان‌های فیروزگر و رسول اکرم(ص)The Survey of ADA Level in Different Lymphocytic Pleural Effusions in Firoozgar and Rasoul-e-Akram Hospitals

    Background & Aim: Adenosine deminase(ADA) can be used in the diagnosis of tuberculous pleural effusions. In countries with high prevalence of tuberculous pleural effusions, specificity and sensitivity for ADA test is high, therefore it is an integral part of a diagnostic workup of lymphocyte-rich exudative body fluids, and it is a cheap and economically cost-effective test. No study has bee...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Pediatric emergency care

دوره 25 11  شماره 

صفحات  -

تاریخ انتشار 2009