Ultrasound-guided versus landmark in knee arthrocentesis: A systematic review

Seminars in Arthritis and Rheumatism
Tao WuJian-Hua Li

Abstract

The objective was to assess the efficacy of ultrasound-guided (USG) versus landmark (LM) knee arthrocentesis in adults with knee pain or effusion. A systematic review of the literature was performed until August 2015. All controlled trials reporting the accuracy or clinical efficacy between USG and LM knee joint arthrocentesis were selected. Pooled weighted mean difference (WMD) using the D-L fixed models for continuous outcomes and the risk ratio (RR) for dichotomous outcomes were assessed by meta-analysis. Heterogeneity between studies was estimated by I(2) statistic. Nine studies including 715 adult patients (725 knee joints) were eligible for this review versus LM group; there was a statistically significant difference in favor of USG for knee arthrocentesis accuracy rate (risk ratio = 1.21; 95% CI: 1.13-1.29; P < 0.001; I(2) = 37%), lower procedural pain scores (WMD = -2.24; 95% CI: -2.92 to -1.56; P < 0.001; I(2) = 4%), more aspiration volume (WMD = 17.06; 95% CI: 5.98-28.13; P = 0.003; I(2) = 57%), and decreased pain score 2 weeks after injection (WMD = 0.84; 95% CI: 0.42-1.27; P < 0.001; I(2) = 0). There was no statistically significant difference in procedural duration between two groups (WMD = -0.8; 95% CI: -2.24 to 0...Continue Reading

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Citations

Dec 29, 2017·Toxins·Katharine E Alter, Barbara I Karp
Feb 10, 2018·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Sabeen YaqubArthur D Bankhurst
Jun 29, 2018·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Seper EkhtiariOlufemi R Ayeni
Sep 6, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·K Aaron ShawUNKNOWN CORTICES Study Group
Sep 6, 2018·World Journal of Emergency Medicine·Elaine Situ-LaCasseSrikar Adhikari
Apr 24, 2021·Open Access Emergency Medicine : OAEM·Josie AcunaSrikar Adhikari
Jun 23, 2021·Curēus·Dennis EspejoKeith S Boniface
Aug 5, 2021·CJEM·Zafrina PoonjaDaniel J Kim
Aug 27, 2021·Clinical Practice and Cases in Emergency Medicine·Sam T Ontiveros, Alicia B Minns
Aug 26, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·William H FangC Thomas Vangsness
Dec 24, 2021·Journal of Clinical Ultrasound : JCU·Paul AdamiakMohammad Bardi

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