Joint Aspiration (Arthrocentesis) Questions & Answers

1. Baker K, O'Rourke KS, Deodhar A. Joint aspiration and injection: a look at the basics. J Musculoskel Med. 2011. 28:216-22.

2. Canoso JJ. Aspiration and injection of joints and periarticular tissues. Hochberg M, Silman A, Smolen J, Weinblatt M, Weisman M, eds. Practical Rheumatology. 3rd ed. Philadelphia: Mosby; 2004. Chap 6.

3. [Guideline] Osmon DR, Berbari EF, Berendt AR, Lew D, Zimmerli W, Steckelberg JM, et al. Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2013 Jan. 56 (1):e1-e25. [QxMD MEDLINE Link].

4. [Guideline] Diagnosis and prevention of periprosthetic joint infections: evidence-based clinical practice guideline. American Academy of Orthopaedic Surgeons. Available at https://www.aaos.org/globalassets/quality-and-practice-resources/pji/pji-clinical-practice-guideline-final-2-17-21.pdf. March 11, 2019; Accessed: February 28, 2022.

5. Hassebrock JD, Fox MG, Spangehl MJ, Neville MR, Schwartz AJ. What Is the Role of Repeat Aspiration in the Diagnosis of Periprosthetic Hip Infection?. J Arthroplasty. 2019 Jan. 34 (1):126-131. [QxMD MEDLINE Link].

6. Ahmed I, Gertner E. Safety of arthrocentesis and joint injection in patients receiving anticoagulation at therapeutic levels. Am J Med. 2012 Mar. 125 (3):265-9. [QxMD MEDLINE Link].

7. Guillen Astete C, Boteanu A, Medina Quiñones C, Garcia Montes N, Roldan Moll F, Carballo Carmano C, et al. Is it safe to perform joint infiltrations or aspirations in patients anticoagulated with acenocoumarol?. Reumatol Clin. 2015 Jan-Feb. 11 (1):9-11. [QxMD MEDLINE Link].

8. Yui JC, Preskill C, Greenlund LS. Arthrocentesis and Joint Injection in Patients Receiving Direct Oral Anticoagulants. Mayo Clin Proc. 2017 Aug. 92 (8):1223-1226. [QxMD MEDLINE Link].

9. Randelli F, Brioschi M, Randelli P, Ambrogi F, Sdao S, Aliprandi A. Fluoroscopy- vs ultrasound-guided aspiration techniques in the management of periprosthetic joint infection: which is the best?. Radiol Med. 2018 Jan. 123 (1):28-35. [QxMD MEDLINE Link].

10. Christensen TH, Ong J, Lin D, Aggarwal VK, Schwarzkopf R, Rozell JC. How Does a "Dry Tap" Impact the Accuracy of Preoperative Aspiration Results in Predicting Chronic Periprosthetic Joint Infection?. J Arthroplasty. 2022 Feb 1. [QxMD MEDLINE Link].

11. Nwawka OK, Tischler B, Lin B, Ko L, Schneider R, Miller TT. Utility of lavage in addition to native fluid collection during fluoroscopically guided joint aspiration in infection diagnosis. J Orthop Res. 2021 Sep. 39 (9):1884-1888. [QxMD MEDLINE Link].

12. Bhavsar TB, Sibbitt WL Jr, Band PA, Cabacungan RJ, Moore TS, Salayandia LC, et al. Improvement in diagnostic and therapeutic arthrocentesis via constant compression. Clin Rheumatol. 2018 Aug. 37 (8):2251-2259. [QxMD MEDLINE Link].

13. Yaqub S, Sibbitt WL Jr, Band PA, Bennett JF, Emil NS, Fangtham M, et al. Can Diagnostic and Therapeutic Arthrocentesis Be Successfully Performed in the Flexed Knee?. J Clin Rheumatol. 2018 Sep. 24 (6):295-301. [QxMD MEDLINE Link].

Steven N Berney, MD Professor Emeritus, Department of Medicine (Rheumatology), Temple University School of Medicine; Attending Physician in Rheumatology, Temple University Hospital; Consultant in Rheumatology, Northeastern Hospital

Steven N Berney, MD is a member of the following medical societies: American College of Physicians, American College of Rheumatology, New York Academy of Sciences, American Federation for Clinical Research

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS Professor, Department of Orthopedic Surgery, Chief, Division of Foot and Ankle Surgery, Director, Foot and Ankle Fellowship Program, Department of Orthopedic Surgery, University of Texas Medical Branch School of Medicine

Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, Orthopaedic Trauma Association, Texas Orthopaedic Association

Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Styker.

James D Fischkoff, MD Arthritis and Osteoporosis Associates

Disclosure: Nothing to disclose.

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