Abstract

Benefits of US Guided Joint Aspiration 1. To patient-determine if joint fluid is really present to avoid traumatic, unnecessary aspiration attempt-detect other fluid collections such as bursitis, and soft tissue abscess to avoid septic inoculation-without radiation hazard 2. To radiologist - Expand hands-on skills and radiologists’ role Step approach with US 1. Position - Relaxed as possible 2. US examination of affected body area - Localize joint under ultrasound 3. Identify effusion - Confirm the expected findings - Identify the most adequate path 4. Aspirate using sterile technique Skin prep, draping, anesthesia, visualization, puncture and aspiration In daily practice, diagnostic or therapeutic joint approaches are carried out under ultrasonographic guidance because of several advantages. Accurate knowledge of variable joint anatomies and entry sites makes patients comfortable. We will describe the appropriate positioning and various sonographic approaches for variable joints with some technical tips. 1. US guided joint aspiration offers several advantages over the blind aspiration. 2. Knowing appropriate positioning, and entry sites, the beginners and non-experts can easily approach variable joints.

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