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09.11.2022 | Technical Report

Ultrasound-guided temporomandibular joint aspiration: technique and results in six cases of suspected septic arthritis

verfasst von: John S. Symanski, David Gimarc, Brian Chan, Jason Stephenson, Brian K. Markhardt, Andrew B. Ross

Erschienen in: Skeletal Radiology

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Abstract

Objective

The aim of this study is to describe an ultrasound (US)-guided temporomandibular joint (TMJ) arthrocentesis technique and determine its microbial yield in the workup of suspected TMJ septic arthritis.

Materials and methods

A retrospective review of US-guided TMJ arthrocentesis for the work-up of septic arthritis performed by radiologists at two institutions was performed. Patient demographics, risk factors for septic arthritis, blood culture results, and pre-procedural imaging findings were recorded. Procedural data included fluid aspirate quantity, needle gauge and length, and any immediate complications. Post-procedural data included synovial fluid analysis including culture, final diagnosis of TMJ disease, type of treatment, and any delayed complications from arthrocentesis.

Results

A total of six US-guided TMJ arthrocenteses were identified, all of which yielded at least 1 mL of synovial fluid. Five patients were subsequently diagnosed with septic arthritis, and one patient was diagnosed with GVHD arthritis. The synovial fluid in four out of five patients with a final diagnosis of septic arthritis produced positive cultures. There were no immediate or delayed complications from arthrocentesis.

Conclusion

Basic US-guided procedural skills are transferrable to TMJ arthrocentesis, which is a low-risk procedure with a high microbial yield in our small series of patients with septic arthritis.
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Metadaten
Titel
Ultrasound-guided temporomandibular joint aspiration: technique and results in six cases of suspected septic arthritis
verfasst von
John S. Symanski
David Gimarc
Brian Chan
Jason Stephenson
Brian K. Markhardt
Andrew B. Ross
Publikationsdatum
09.11.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-022-04225-z

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