Arthrocentesis: Reasons to tap that joint…

 

Indications:

  1. fluid for analysis
    – infection
    – crystals
  2. drain tense haemarthroses
    – trauma
    – hemophilia (only after factor replacement)
    – evaluate communication with a wound
    – instillation of analgesics (remember you can inject
    morphine in a joint) or anti-inflammatory agents

Contraindications (pretty much all relative):

  1. cellulitis over the joint
  2. coagulopathy (but with small needle, it’s well described)
  3. prosthetic joint (you really want ortho involved here)

EMKF

The Emergency Medicine Kenya (EMK) Foundation is a not-for-profit organization registered in Kenya in 2015 that aims to ensure timely, accessible and quality lifesaving emergency care in Kenya.