Joint flid analysis-A study to early diagnose different arthopathies
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Arthritis is the initial manifestation of many joint disorders. An analysis of synovial fluid has long been recommended as a routine procedure to assist in the diagnosis of arthritis. Objective: The present study was undertaken to correlate the clinical presentation and the results of synovial fluid analysis in arthritic conditions. Materials and Methods: In the present study, A total of 78 joint cases were studied. The joints aspirated were the knee (75 cases), ankle (2 cases) and elbow (1 case). Based on the physical, cytological, bio-chemical and bacteriological studies, the synovial fluids were divided into distinct group, which confirmed to the clinical diagnostics. Results: In our study of 78 specimens of synovial fluid of various arthritis (synovitis), 24 (30.76%) were osteoarthriitis, 4 (5.12%) were Rheumatoid arthritis, 7 (8.97%) were tuberculous arthritis, 3 (3.84%) were septic arthritis, 1 (1.28%) were neuropathic joint, 10 (12.82%) were Traumatic Joint, 1 (1.28%) was Gouty arthritis, 1 (1.28%) was Rheumatic Fever and 27 (34.61 %) were non-specific synovitis. The synovial glucose values ranged from 35 to 110 mgldl. The total protein content varied from 4 to 6 mgldl. The cytology showed total inflammatory cells varying between 15 cells to 2000 cells / cu.mm. There are predominance of polymorphs, lymphocytes and monocytes. Other cells present were synovial cells. The next most common diagnosis was osteoarthritis (24 cases). Seven cases were diagnosed as tuberculous arthritis. In that four cases were confirmed with synovial biopsy after the synovial analysis. Three cases were diagnosed as septic arthritis. Total four cases diagnosed as rheumatoid arthritis. The series also included one case of rheumatic fever. One case was diagnosed as neuropathic joint involving left elbow the patient presented with gross swelling, pain free joint movement, deformity, thickenings of the synovium and crepitations were present. One case was diagnosed as gouty arthritis. Ten cases were diagnosed as traumatic arthritis. Conclusion: Biochemical analysis and cytology assessment of synovial fluid for proteins and sugar contributes in diagnosis of different types of arthritis.
Authors and Affiliations
P Lakshmi Narayana Reddy
Prospective study of correlation of pain and radiological feature of OA knee
Aim of study was to assess the relationship between disability and defining features of osteoarthritis knee (Radiological findings and pain) To identify predictors of disability in patients where radiological evidence of...
Role of precontoured clavicle plate in clavicular fractures
Plate prominence was noted in 2 patients at the end of 6 months though their functional outcome was on par with excellence according to the scoring scale. There was one case of non-union among the operated group at the e...
Open reduction with ulnar osteotomy for chronic post-traumatic radial head dislocation in children
Purpose: A number of surgical techniques with variable results and complications have been described for the treatment of chronic post-traumatic radial head dislocations or the missed Monteggia lesions. This study aims t...
To assess the clinical outcome of ankle fractures with regards to the demographic variables and the quality of reduction of the fractures
Background: Ankle fractures are among the most common injuries. Severe injury combined with inadequate or inappropriate treatment can lead to severe complications and major disability. As a result, early treatment withou...
Mini open versus arthroscopic repair of rotator cuff tear: A prospective and retrospective study in rural area
Background: Rotator cuff abnormalities (including degenerative tears and those due to injury) reportedly account for up to 70% of symptoms associated with the shoulder and have significant effects on quality of life and...