Background: A laceration into the joint exposes the normally sterile intra-articular contents to external contamination, Inoculation of the joint often results in septic arthritis, Laceration over joint which may be large or small, Probe to bottom of wound with hemostat or q-tip. Acta Orthop Traumatol Turc 2016; 50: 597-600. FN0370q080p8 QW(&0`fw9m8+#Dc5@ 2 Are you sure you want to trigger topic in your Anconeus AI algorithm? Browning BB et al. (This is an enhanced PDF from The Journal of Bone and Joint Surgery)Tj Orthobullets Team. -3.028 0 Td Does the saline load test still have a role in the orthopaedic world? Other studies revealed a false negative rate of 67% with volumes up to 105 mL (saline + methylene blue) and 95 mL (saline alone) and sensitivities of only 36% at volumes of 60 mL. A similar study found 95% sensitivity at a volume of 155 mL. 0000071188 00000 n 105 0 obj MeSH Fifty-six consecutive patients scheduled for knee arthroscopy were enrolled. yj3wNUn%oNd{e]i Attach a 20g needle to a syringe and advance carefully at the site of lidocaine injection. For more information, please refer to our Privacy Policy. The saline solution load test helps to determine if a wound extends into the knee joint. 0 1 TD Septic Hip Irrigation and Debridement Sensitivity of the saline load test with and without methylene blue dye in the diagnosis of artificial traumatic knee arthrotomies. Please enable scripts and reload this page. PMID: Konda SR et al. There are no studies that directly compare CT to saline loading in a randomized fashion and no studies that propose a definitive algorithm combining these two modalities to exclude knee joint injury. ET Are you sure you want to trigger topic in your Anconeus AI algorithm? Acta Orthop Traumatol Turc. PMID: 21768902, Keese GR et al. Open joint injury - WikEM /T1_2 1 Tf Historically, the saline load test has been the diagnostic test of choice for assessing traumatic arthrotomy; however, CT has recently been shown to have excellent sensitivity and specificity for detecting open knee joint injuries. Future areas of research must focus on further validation of CT evaluation and its use in other major joints, standardizing antibiotic treatment, and further delineating the role of nonsurgical management in minor injuries. BT [1] Understanding the basic anatomy and pathophysiology of knee effusions is essential to make an accurate diagnosis. Answer 4: Local wound care, tetanus prophylaxis, and administration of IV antibiotics have been showed to be appropriate for low-velocity intra-articular GSWs. 0000001570 00000 n Open knee joint injuries--an evidence-based approach to management PMID: Metzger et al. and then performing a CT yield better sensitivity? zosyn), If seawater contamination and concern for vibrio vulnificus, add doxycycline, Functional impairment correlates to the severity of injury, Infection rate from periarticular wounds ranges from 0% to 11.8%, Improved outcomes if diagnosis and treatment is achieved within 24 hours of injury (, Always suspect an open joint if there is a laceration, regardless of size, the lies over joint, Use the Ssaline load test to assess for joint capsule injury. Ponseti Technique in the Treatment of Clubfoot. PMID: of the saline load test in diagnosis of traumatic elbow arthrotomies. Operative Treatment for Resistant Clubfoot.
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