What are the indications for an SASD bursal injection? The SASD bursa is usually injected in the setting of subacromial impingement syndrome, with the injection providing both diagnostic information and temporizing therapeutic pain relief. Subacromial impingement syndrome results from any process that narrows the subacromial space, and it encompasses a range of rotator cuff pathology …
What are the indications for a tendon sheath injection, and what are the potential complications? The indications for tendon sheath injection include chronic or intractable pain that is recalcitrant to physical therapy. A tendon sheath injection may be performed with US guidance for diagnostic purposes, to localize the patient’s pain preoperatively, or for therapeutic purposes …
What are some uncommon pathogens seen in septic arthritis? Some of the more uncommon pathogens associated with septic arthritis present in specific clinical settings or patient populations. Neisseria gonorrhoeae is a common cause of septic arthritis in young, sexually active adults. Escherichia coli has a predilection for the elderly, intravenous drug users, and immunocompromised patients. Propionibacterium may be seen in joint …
What are the most common pathogens in septic arthritis? For all patients, the most commonly cultured organisms in the setting of septic arthritis are Staphylococcus aureus and group B Streptococcus .
What to do if you are unable to aspirate any joint fluid? It is crucial to establish the diagnosis of septic joint in a timely fashion because studies have shown that cartilage destruction can occur 1 to 2 days after the onset of symptoms. If the needle is in the appropriate position within the joint …
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What are the indications for joint aspiration? The most common indication for a monoarticular joint aspiration is to exclude the presence of infection or septic joint. Joint aspiration may also be performed for suspected crystal disease to differentiate among inflammatory conditions such as gout, rheumatoid arthritis, and calcium pyrophosphate deposition (CPPD) disease.
What laboratory tests are ordered when sending aspirated joint fluid for analysis? When sending aspirated joint fluid for analysis to microbiology, the typical list of tests includes gram staining and culture, cell count with differential, and crystal analysis. Depending on clinical suspicion and ordering requests, fluid may also be sent for evaluation of atypical/fungal cultures …
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