Artrotsentez – puncture sustava – Closed joint aspiration
Description artrotsenteza
Puncture sustava – selection procedure synovial fluid from the joint using a sterile needle. The procedure can be performed in many body joints, but generally the selection of the liquid is carried out in large joints (eg, in knees, shoulder).
Reasons artrotsenteza
Artrotsentez done, that:
- Find out, Why joint pain, swollen or filled with fluid;
- Remove liquid from swollen joints, to reduce pain and increase mobility;
- To diagnose the type of arthritis, hit the joint;
- Confirm the diagnosis of infection in a joint;
- Determine the presence of crystals, which may be a sign of gout, synovial fluid.
In some cases, the doctor may enter the drug (eg, kortizon) the joint cavity after fluid withdrawal.
Complications during artrotsenteza
Complications are rare, but no procedure does not guarantee the absence of risk. Before, how to perform artrotsentez, you need to know about possible complications, which may include:
- Infection of the joint;
- Bleeding into the joints;
- Increased pain;
- Allergic reactions.
Some factors, that may increase the risk of complications:
- Infections of the skin;
- Recent fever or infection;
- Coagulation failure;
- Use of blood thinners.
How is artrotsentez?
Preparation for the procedure
The doctor performs the following tests:
- Examination of joint;
- Roentgen – to take a picture of structures inside the body, especially bones;
- MRI scan – test, which uses magnetic waves, to make pictures of structures inside the body.
Anesthesia
The doctor may use local anesthesia. It numbs the area around the joint.
Description of the procedure
Doctor clears area, where the needle will be introduced. The needle was then inserted into a syringe and injected into a fluid-filled cavity of a joint. The doctor selects the syringe articular fluid, if necessary, may enter into a joint medicine. Thereafter, the needle is removed, the doctor presses on the injection site in the joint. On-site procedures bandage.
How long does the procedure?
Artrotsentez takes about 5-10 minutes.
Will it hurt?
The patient may feel a tingling or burning sensation, when local anesthesia is injected.
Care after artrotsenteza
When you return home, you need to perform the following actions, to ensure the normal recovery:
- First 24 hours should be put on ice the joint every 3-4 o'clock, during 20 minutes at a time;
- To reduce discomfort need to take pain medication;
- We need to ask the doctor, when you can return to normal activities.
It is necessary to go to the hospital in the following cases
- There are signs of infection, including fever and chills;
- Redness, edema, strong pain, bleeding, or any discharge from the puncture site;
- Pain, that does not go after the adoption of painkillers.