Detection of traumatic arthrotomy of the knee using the saline solution load test

The Journal of Bone and Joint Surgery. American Volume
Russell M NordNirmal C Tejwani

Abstract

The saline solution load test helps to determine if a wound extends into the knee joint. Little is known about the volume of injected intra-articular saline solution that is needed to effectively rule in or rule out a traumatic arthrotomy of the knee. The purpose of the present study was to determine the appropriate volume and needle location for the diagnosis of a traumatic knee arthrotomy and to assess the effect of associated variables, including knee circumference, body mass index, and sex. Fifty-six consecutive patients scheduled for knee arthroscopy were enrolled. A standard inferolateral arthroscopic portal was made with a single stab incision with use of a number-11 blade. Injection sites were randomized to either a superomedial or inferomedial location. The injection of normal saline solution at a rate of 5 mL/sec through an 18-gauge needle was continued while the knee was moved through a range of motion until fluid extravasated from the iatrogenic laceration. The volume of injected fluid was recorded. The study group included thirty-one female patients and twenty-five male patients with a combined average age of fifty years and an average body mass index of 30.9. In order to effectively diagnose 50% of the arthrotomie...Continue Reading

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Citations

Jul 20, 2011·The Journal of Trauma·Todd FeathersUNKNOWN Brooke Army Medical Center
Jul 6, 2014·The Medical Clinics of North America·Engene Hong, Michael C Kraft
May 25, 2013·The American Journal of Emergency Medicine·Gregory L CvetanovichJan P Szatkowski
Jul 4, 2015·Archives of Orthopaedic and Trauma Surgery·Georg MatziolisAndreas Wagner
Mar 16, 2013·Injury·Jason T BariteauChristopher W Digiovanni
Sep 3, 2010·The American Journal of Sports Medicine·Jason L DragooElizabeth Handley
Aug 27, 2010·Clinical Orthopaedics and Related Research·John ScolaroJaimo Ahn
Sep 29, 2017·BMJ Case Reports·John C BunyasaranandPaul M Ryan
Jan 25, 2019·Techniques in Hand & Upper Extremity Surgery·Daniel J GittingsBenjamin L Gray
Aug 16, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Jacob W BrubacherMichael B Tilley
May 23, 2015·The Journal of Bone and Joint Surgery. American Volume·Justin M HallerStephen K Aoki
Jul 1, 2011·Cartilage·Maj Josef K EichingerCol Edward D Arrington
Dec 17, 2016·Acta orthopaedica et traumatologica turcica·Benjamin B BrowningJulio J Jauregui
Jan 25, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Jacob W BrubacherMichael B Tilley
Apr 6, 2011·The Journal of the American Academy of Orthopaedic Surgeons·J Stuart Melvin, Samir Mehta
Sep 6, 2020·The Journal of Bone and Joint Surgery. American Volume·Christopher S SmithDaniel B Whelan
Oct 22, 2020·The Journal of Bone and Joint Surgery. American Volume·Christopher S SmithDaniel B Whelan
Sep 6, 2020·Journal of Surgical Education·Jacqueline M BradyDarin Friess
Aug 14, 2021·Journal of Orthopaedic Trauma·Richard Randall McKnightUNKNOWN Southeast Fracture Consortium

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