Prep area with betadine or chlorhexadine using circular motion moving away from joint x 3
Drape joint in sterile fashion
Inject lidocaine with 25-30ga needle superficially and then into deeper tissues
Insert 18ga needle (for larger joints) into joint space while pulling back on syringe
Stop once you aspirate fluid; aspirate as much fluid as possible
Send: cell count, culture, Gram Stain, crystal analysis
Send: cell count, culture, Gram Stain, crystal analysis
Have palm facing down and apply gentle traction to the affected digit
Insert needle dorsally just medial or lateral to midline and proximal to the base of the proximal phalanx
Have palm facing down and apply gentle traction to the affected digit
Insert needle dorsally medial or lateral to midline and proximal to base of middle or distal phalanx
Arthrocentesis: finger
Arthrocentesis: toe
Arthrocentesis: wrist
Arthrocentesis: ankle
Arthrocentesis: elbow
Arthrocentesis: knee
Arthrocentesis: shoulder
Ultrasound: Joint