Synovial fluid analysis one of the basic diagnostic tool for undiagnosed knee synovitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Introduction: Synovial fluid analysis being a basic diagnostic tool, will differentiate between inflammatory & non-inflammatory conditions and provide direct proof of crystal arthropathy and infection.The aim of the present study was to find out the etiological diagnosis among patients of undiagnosed knee synovitis by synovial fluid analysis. Methodology: A descriptive cross-sectional study was done in department of Physical Medicine and Rehabilitation, I.P.G.M.E.& R. Kolkata from March2009- October 2014 (5 year 06 months). Patients of knee effusion in the age group of 21 to 71yrs were included in the study. Patients having one or more of the following conditions were excluded from the study: diabetes mellitus, suspected hemarthrosis, suspected sepsis, bleeding diathesis, pregnancy, lactating mother, skin lesion, patients on hypouricemic drug. Complete enumeration was done of all the patients attending PMR OPD within the study period fulfilling inclusion and exclusion criteria. A total of 60 patients were included in the study. Study Techniques: Clinical presentation of 60 patients of knee effusion of all gender and age group between 21yr to 71yr attending P.M.R. O.P.D. was noted. Arthrocentesis was done aseptically and fluid was sent for cytologic and biochemical analysis. Results: In this study 60 patients were analysed. Clinical presentation of them (60) were as follows: polyarthritis 10, Oligoarthritis 45, Monoarthritis-5 ; one patient had high serum uric acid level (8.6mg/dl) (Table 1). Arthrocentesis findings revealed: Crystal arthopathy -12 patients, (monosodium urate crystal-11) Normal cytology& biochemistry- 31 patients, Inflammatory-9 patients, Septic Arthritis-2 patient. Conclusion: Unless we go for routine synovial fluid analysis, we can miss a reasonable number of crystal arthropathy.
Authors and Affiliations
Partha Pratim Das, Somnath Naskar
Keywords
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- EP ID EP415470
- DOI 10.9790/0853-1711051214.
- Views 53
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