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Munn RK, Pierce ST, Sloan D, Weeks JA. Malignant joint effusions secondary to solid tumor metastasis. J Rheumatol 1995; 22:973-5. [PMID: 8587092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
We describe the case of a patient with breast cancer who developed bilateral malignant knee effusions, and review the English language literature. Patients with solid tumors who develop malignant joint effusions are rare; 27 cases have been reported (including our patient). The knee is the predominant site of joint involvement (p < 0.001). Synovial fluid (SF) analysis often demonstrates noninflammatory bloody effusion. Synovial biopsy was positive in 11 of 16 cases in which it was performed. SF cytology was positive in one half of cases in which it was obtained. Arthritis secondary to metastasis is a poor prognostic finding. A strong clinical suspicion is necessary to make the diagnosis; SF cytology or synovial biopsy can confirm it.
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127
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Slavotinek J, Berman L, Burch D, Keefe B. The incidence and significance of acute post-hysterectomy pelvic collections. Clin Radiol 1995; 50:322-6. [PMID: 7743721 DOI: 10.1016/s0009-9260(05)83425-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
In a prospective study, 32 consecutive patients underwent endovaginal pelvic scanning in the first post-operative week following hysterectomy. Twenty-four attended for a further scan at clinical follow up. Vaginal vault fluid collections were identified in 19 women (59%) on the first post-operative scan. Fifteen of the 19 with collections had no significant pyrexia. Out of the entire sample of 32 subjects, six patients (19%) had significant post-operative pyrexia of whom four were in the group with post-hysterectomy vaginal vault collection and two had no collection on their early post-operative scans. All collections detected on the early scans had resolved or were smaller on follow-up scan but two asymptomatic patients who had no collection on the early scan had developed vaginal vault fluid collections on the late follow-up scan. No statistically significant association was demonstrated between the presence of a collection and post-operative pyrexia, surgical approach or operative blood loss The results of this study indicate that the demonstration of vaginal vault collection following hysterectomy is a frequent finding in both febrile and afebrile subjects and does not indicate the need for drainage.
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128
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Haines CJ, Shan YO, Hung TW, Chung TK, Leung DH. Sonographic assessment of the vaginal vault following hysterectomy. Acta Obstet Gynecol Scand 1995; 74:220-3. [PMID: 7900527 DOI: 10.3109/00016349509008943] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE A prospective study to determine the sonographic appearance of the vaginal vault following hysterectomy. METHODS A transvaginal sonographic examination of the vaginal vault on the third postoperative day. Follow-up to determine the incidence of postoperative morbidity. RESULTS An accurate sonographic examination of the vaginal vault was possible in 66/71 cases (92.9%). Fluid collections were visible in 28/66 cases (42.4%), and measured up to 41.1 cm2 in the transverse plane and 30.2 cm2 in the sagittal plane. There was no correlation between the presence of a collection and indices of postoperative morbidity. CONCLUSION Collections of fluid at the vaginal vault are common after hysterectomy, but do not usually contribute to postoperative morbidity.
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129
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Soo MS, Kornguth PJ, Georgiade GS, Sullivan DC. Seromas in residual fibrous capsules after explantation: mammographic and sonographic appearances. Radiology 1995; 194:863-6. [PMID: 7862992 DOI: 10.1148/radiology.194.3.7862992] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
PURPOSE To evaluate the mammographic and sonographic findings associated with seromas that develop in residual fibrous capsules after explantation of breast prostheses. MATERIALS AND METHODS Preoperative and postoperative mammograms were reviewed in 86 patients (mean age, 51 years; age range, 24-71 years) who had undergone surgical explantation of breast prostheses. Six seromas were found in four patients 46-68 years of age. Imaging findings were correlated with surgical and laboratory results for three seromas. A presumptive diagnosis was made of the other three lesions. RESULTS Mammograms demonstrated all seromas as large, elliptic, water-opacity masses, some with well-circumscribed and some with irregular borders. Sonograms showed thin, compressible masses, two of which were flat and anechoic and one of which was hypoechoic. Three patients' images were initially misinterpreted, leading to excision of two seromas and aspiration of one. Seromas were not identified in patients whose implants were removed by means of complete capsulectomy. CONCLUSION Radiologists must be aware of the imaging findings associated with seromas and of a patient's surgical history to avoid biopsy of benign lesions.
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Berman L, Fink AM, Wilson D, McNally E. Technical note: identifying and aspirating hip effusions. Br J Radiol 1995; 68:306-10. [PMID: 7735772 DOI: 10.1259/0007-1285-68-807-306] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Ultrasound has become a routine investigation in the investigation of the painful hip in children. It has been recommended that all effusions demonstrated by sonography be drained. Based on the experience of 800 hip aspirations, the authors describe an approach to the demonstration and aspiration of hip effusions with some of the pitfalls that result in false positive and false negative diagnoses.
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131
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Nightingale KR, Kornguth PJ, Walker WF, McDermott BA, Trahey GE. A novel ultrasonic technique for differentiating cysts from solid lesions: preliminary results in the breast. ULTRASOUND IN MEDICINE & BIOLOGY 1995; 21:745-51. [PMID: 8571462 DOI: 10.1016/0301-5629(95)00020-r] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
The feasibility of a new ultrasonic technique to distinguish cysts from solid lesions is explored. High intensity pulses are used to induce acoustic streaming in cyst fluid, and this motion is detected using Doppler techniques. Acoustic streaming cannot be generated in solid lesions, therefore, its detection would indicate a cyst. In six of seven breast cysts motion was clearly generated and detected in vivo. Ultrasonic pulses with intensities up to 4.4 W cm-2 (I(spta) in water) were focused on the cysts for 10 s. Lesion diameters ranged from 0.6 to 2.5 cm; induced flow velocities were less than 4.0 cm s-1.
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Harlow CL, Schackmuth EM, Bregman PS, Zeligman BE, Coffin CT. Sonographic detection of hematomas and fluid after imaging guided core breast biopsy. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 1994; 13:877-882. [PMID: 7837335 DOI: 10.7863/jum.1994.13.11.877] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
We investigated sonographic changes to the breast after imaging guided core breast biopsy. We studied 31 breast lesions in 29 patients before, immediately after, and 2 to 9 days after core biopsy looking for hematomas. We found sonographic changes to the breast consistent with fluid collections after core biopsy in seven of 31 breast lesions (23%). Of the biopsy sites with sonographic changes, evidence suggested that six of 31 (19%) likely had hematomas. Sonographic changes after core breast biopsy are common and the formation rate of suspected hematomas is greater than previously believed although generally not clinically significant.
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Abstract
Sixty patients with acute knee trauma were examined radiographically at presentation and subsequently examined under anaesthetic, when arthroscopy was performed. The aim was to assess whether a normal radiograph at presentation excluded significant knee pathology. Nine patients with significant pathology (25%) had normal radiographs at presentation.
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134
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Friedrich JM, Leibing U, Pfeifer T, Schnarkowski P, Büchler M, Malfertheiner P, Beger HG. [The early recognition of infected fluid collections in acute pancreatitis in computed tomography]. ROFO-FORTSCHR RONTG 1994; 161:208-13. [PMID: 7919245 DOI: 10.1055/s-2008-1032523] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
UNLABELLED Infected accumulations of abdominal fluid are a severe complication and the major cause of death (mortality rate between 20 and 60%) in patients suffering from acute pancreatitis. In 93 patients with confirmed acute pancreatitis including 28 with surgically confirmed pancreatic abscess CT findings (volume of pancreatic and extrapancreatic necrosis, capsular enhancement, gas bubble formation and contact between fluid collection and intestinum) were retrospectively correlated with clinical and operative data to assess abscess formation. This revealed a sensitivity of 0.57 in respect of pancreatic necrosis; for extrapancreatic necrosis the sensitivity was 0.39, for capsular enhancement 0.5, for gas bubble formation 0.46 and for intestinal contact 0.93. The specificity was high for gas bubbles (1.0) and intestinal contact (0.91) and low for the other criteria. IN CONCLUSION There is a strong relationship between fluid accumulations in direct contact with intestinal structures and the occurrence of abscess. This parameter enhances the reliability of CT in the early detection of extrapancreatic infection.
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Erb RE, Mirvis SE, Shanmuganathan K. Gallbladder injury secondary to blunt trauma: CT findings. J Comput Assist Tomogr 1994; 18:778-84. [PMID: 8089329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE Our objective was to determine CT findings of gallbladder injury secondary to blunt trauma. MATERIALS AND METHODS Computed tomography scans and medical records of seven patients diagnosed with gallbladder injury secondary to blunt trauma, including six surgically confirmed cases and one presumptive diagnosis based on CT findings, were reviewed retrospectively to delineate CT findings associated with gallbladder injury. Evaluation of CT scans included assessment of gallbladder distention, wall thickness and contour, intraluminal contents, presence of pericholecystic fluid, and associated injuries. Data obtained included age, gender, mechanism of injury, surgical and pathologic findings when available, treatment, morbidity, and mortality. RESULTS Four patients had gallbladder contusions and three had either gallbladder laceration, partial avulsion, or intraluminal hemorrhage. The spectrum of CT findings included pericholecystic fluid (seven), ill defined contour of the gallbladder wall (four), high density intraluminal hemorrhage (four), mass effect on the duodenum (three), and gallbladder collapse (one). No combination of findings was specific for the type of injury. The most common associated injuries were pericholecystic liver lacerations and duodenal hematoma or perforation. CONCLUSION The CT finding of an ill defined contour of the gallbladder wall, a collapsed lumen, or high density intraluminal hemorrhage, especially in the presence of pericholecystic fluid, strongly suggests primary gallbladder injury.
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Abstract
PURPOSE To determine the accuracy of computed tomography (CT) in enabling differentiation of pleural exudates from transudates. MATERIALS AND METHODS Eighty consecutive patients (86 effusions) underwent contrast-enhanced CT. Thoracentesis was performed to measure pleural and serum total protein and lactate dehydrogenase (LDH) values. Effusions were classified as exudates with accepted criteria. CT scans were evaluated for the presence and appearance of parietal pleural and extrapleural fat thickening. RESULTS Fifty-nine effusions were exudates and 27 were transudates. Thirty-six of the 59 exudates (61%) were associated with parietal pleural thickening. All cases of empyema and 56% of the parapneumonic exudative effusions had pleural thickening. The specificity of this finding in diagnosing the presence of an exudate is 96%. CONCLUSION Parietal pleural thickening at contrast-enhanced CT almost always indicates the presence of a pleural exudate. A pleural exudate in the absence of pleural thickening occurs most frequently in patients with malignancy or uncomplicated parapneumonic effusion.
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James MJ, Cleland LG, Gaffney RD, Proudman SM, Chatterton BE. Effect of exercise on 99mTc-DTPA clearance from knees with effusions. J Rheumatol 1994; 21:501-4. [PMID: 8006894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE To devise and use a method for assessing the effect of dynamic exercise on synovial blood flow in knees with effusions. METHODS The clearance rate of intraarticular 99mTc-DTPA (diethylene triamine pentaacetic acid) was continuously monitored by a gamma camera during periods of rest or flexion. The rate of 99mTc-DTPA disappearance during a fixed period of exercise which was interposed between 2 rest periods was estimated by extrapolation between the clearance curves for the 2 rest periods. RESULTS Cycling and walking increased the clearance rate, straight leg raising had no effect, and flexion decreased the clearance rate. CONCLUSION Our results suggest that some dynamic exercises can increase the rate of synovial blood flow in joints with effusions. This outcome may be beneficial in inflamed joints which are chronically hypoxic due to elevated intraarticular pressure and consequent chronic synovial ischemia.
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Erjefält I, Greiff L, Alkner U, Persson CG. Allergen-induced biphasic plasma exudation responses in guinea pig large airways. THE AMERICAN REVIEW OF RESPIRATORY DISEASE 1993; 148:695-701. [PMID: 8368642 DOI: 10.1164/ajrccm/148.3.695] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
In this study involving sensitized guinea pigs (anesthetized intramuscularly with a 3:2 mixture of ketamine+xylazine, 1 ml/kg), we applied allergen (ovalbumin) selectively to the tracheobronchial mucosa (sparing the nasal passages and the terminal airways) and examined the occurrence of immediate and late-phase inflammatory exudation of plasma and plasma-derived mediators (bradykinins) into the airway lumen. The experiments were terminated 10 to 480 min after challenge. A selective lavage that sampled the surface liquids of the extrapulmonary bronchi and the lower trachea was performed. The amount of plasma (microliter) was determined by analysis of a plasma tracer, [125I]albumin, in lavage fluid and blood (plasma) samples. Ovalbumin, 3 to 12 pmol, and histamine, 5 and 10 nmol, produced a dose-dependent immediate exudation response (p < 0.001). The effects were nonneurogenic because they were not affected by topical lidocaine given in a dose (3 nmol) that prevented the exudative effect of capsaicin. The 6- and 12-pmol doses of ovalbumin (but not 3 pmol) produced a significant late-phase exudative response at 5 h (p < 0.001), and both the immediate and late phases were associated with increased (p < 0.01 to p < 0.001) levels of bradykinin in the lavage fluids. Histamine, even in doses that produced a greater early response than the allergen, did not produce a late-phase response. A single topical dose of an antiasthma steroid (budesonide, 12 mumol/kg) administered just before ovalbumin (6 pmol) had little effect on the immediate response but inhibited the late-phase response (p < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
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Ratobyl'skiĭ GV, Lobkov VE, Vasil'kova TA, Annushkin NN. [Radiodiagnosis of postnecrotic complications of caudal pancreatitis]. VESTNIK RENTGENOLOGII I RADIOLOGII 1993:30-4. [PMID: 7801562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The left kidney and pararenal connective tissue were involved in the process in 3 cases of 5 with caudal pancreatitis complications. A complex of radiodiagnostic methods including, besides x-ray examinations, ultrasonic method and computer-aided tomography, was used to detect the routes of exudate dissemination from the caudal portion of the pancreas into cellular spaces. If a destructive or interstitial form of chronic pancreatitis is detected, radiation screening of all the possible routes of the exudate dissemination (omental sac, left subdiaphragmatic space, left pararenal area, and the lateral canal) is recommended. Detection of pathologic formation in these areas implies thorough examinations of the pancreas making use of x-ray, ultrasonic, and endoscopic methods to rule out or confirm pancreatitis.
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140
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Schimmerl S, Schurawitzki H, Karnel F. [The percutaneous aspiration and drainage of infected fluid retention after organ transplantation]. ROFO-FORTSCHR RONTG 1993; 159:28-32. [PMID: 8334253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Local postoperative infections in immunosuppressed patients carry a high mortality rate. In this group of patients interventional radiological procedures are particularly valuable in diagnosis and treatment. We report on the results of radiologically controlled aspirations (11 cases) and drainage (37 cases) of infected fluid collections in 47 patients following transplantation of various organs. By percutaneous aspiration or drainage, 91.7% of infected fluid collections were successfully treated or the clinical condition of the patient improved so that surgical intervention could be avoided. The causative organism was identified and antibiotic treatment carried out in 72.9% (35 cases). Surgical intervention was necessary in only 4.3% (2/48). Needle aspiration or drainage of percutaneously accessible fluid collections thought to be infected appears to be particularly useful for transplant patients at increased risk and is a good alternative to surgical treatment.
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141
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Pentimone F, Meola M, Del Corso L. Bilateral perinephric fluid accumulation: an unusual manifestation of pulmonary hypertension--a case report. Angiology 1993; 44:500-5. [PMID: 8503517 DOI: 10.1177/000331979304400611] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
This is the case report of a forty-seven-year-old man with an ostium secundum atrial septal defect and a very high grade of pulmonary hypertension, associated with a large bilateral perinephric fluid accumulation. The fluid accumulation was remarkably reduced after eleven phlebotomies over a twelve-month period. A pathogenetic relation with the Eisenmenger's syndrome is discussed. No previous report of this association has been found in a survey of the literature.
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Asano H. [Measurement of the subretinal fluid volume using B-scan ultrasonography. Report 2. Measurement of the decrease rate of subretinal fluid in patients with rhegmatogenous retinal detachment]. NIPPON GANKA GAKKAI ZASSHI 1993; 97:532-7. [PMID: 8317375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
I have previously reported the use of video-ultrasonography and an image computerized system to measure the volume of subretinal fluid (SRF). This measurement system was now used for 19 eyes with rhegmatogenous retinal detachment during absolute rest in bed for 24 hours and double patching. The mean age was 55 years (range, 18-69 years). The retinal detachment involved two quadrants or less of the retina in all eyes. The decrease rate of SRF was 0.051 +/- 0.033 microliter/mm2/hour (mean +/- standard deviation); 0.074 +/- 0.033 microliter/mm2/hour in 9 eyes in which the duration of retinal detachment was 14 days or less and 0.030 +/- 0.009 microliter/mm2/hour in 4 eyes in which the duration was 15 days or more. The rate was 0.032 +/- 0.009 microliter/mm2/hour in 3 eyes with atrophic holes. Three eyes with macular holes, which had retinal detachment underlying extensive staphyloma showed a rate of 0.028 +/- 0.022 microliter/mm2/hour. Though absolute rest in bed and double patching cannot completely block a transfer of fluid from vitreous to subretinal space via retinal break, the decrease rate of SRF appears to reflect the absorption of SRF across the retinal pigment epithelium.
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Sherer DM, Abramowicz JS, Allen T, Fichter JR, Harvey W, Woods JR. Transient perinephric accumulation of fluid associated with acute appendicitis in pregnancy. JOURNAL OF CLINICAL ULTRASOUND : JCU 1992; 20:356-359. [PMID: 1316381 DOI: 10.1002/jcu.1870200511] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
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145
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Abstract
Sixty radiocarpal and midcarpal joints in 30 healthy adults and 20 swollen wrists in 20 patients with chronic arthritis were examined by dorsal longitudinal ultrasonography (US). In five other patients intraarticular application of fluid into the radiocarpal joint could be seen as a change in the US scan. In 49 out of the 60 healthy wrists the unechogenic zone dorsally above the scaphoid bone was less than two millimetres, and the measurement did not change in dorsal or volar flexion. The side difference was less than one millimetre. In the healthy wrists the midcarpal area above bones was echogenic in US. In 15 radiocarpal and in 10 midcarpal joints out of the 20 swollen wrists, effusion could be depicted with US as an unechogenic zone. It was two millimetres or more in radiocarpal joint and it got bigger in dorsal and smaller in volar flexion.
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146
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Kallio PE, Lequesne GW, Paterson DC, Foster BK, Jones JR. Ultrasonography in slipped capital femoral epiphysis. Diagnosis and assessment of severity. THE JOURNAL OF BONE AND JOINT SURGERY. BRITISH VOLUME 1991; 73:884-9. [PMID: 1955429 DOI: 10.1302/0301-620x.73b6.1955429] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
We used ultrasonography to study 26 hips with slipped capital femoral epiphyses. In recently slipped epiphyses the ultrasound image revealed a step at the anterior physeal outline (mean 6.4 mm), diminished distance between the anterior acetabular rim and the femoral metaphysis (mean 4.3 mm) and an effusion. As metaphyseal remodelling progressed the physeal step decreased. The femoral neck appeared straighter in hips which had been symptomatic for longer than three weeks. It was possible to measure posterior epiphyseal displacement without projectional errors and the method was accurate in diagnosing minimal slip and in staging displacement. The suggested criteria are, less than 7 mm for a mild slip, 7 to 11 mm for a moderate slip and more than 11 mm for a severe slip. We recommend ultrasonography for the diagnosis, staging and follow-up management of slipped upper femoral epiphysis.
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147
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Holland P, Davies AM, Morris E, Fowler J, Wellings R, Tyrrell PN. Real-time digital contrast enhancement and magnification in the assessment of acute elbow injuries. Br J Radiol 1991; 64:591-5. [PMID: 1873660 DOI: 10.1259/0007-1285-64-763-591] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
The elbow is a common site of injury and missed fractures may lead to disability and litigation. An assessment was made of a commercially available desk-top digital contrast enhancement and magnification unit (DETECT system) in a series of 320 patients with an acute elbow injury. Five radiologists of varying experience independently viewed elbow radiographs on a conventional light-box, and subsequently using the digitizer, indicating the presence or absence of a fracture. The overall results demonstrated no difference in performance when using the unit, though small improvements in the confidence with which a definite diagnosis was made were observed. Assessment of soft tissues with the digitizer was less reliable.
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148
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Maskell TW, Finlay DB. The prognostic significance of radiologically detected knee joint effusions in the absence of associated fracture. Br J Radiol 1990; 63:940-1. [PMID: 2268763 DOI: 10.1259/0007-1285-63-756-940] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
The significance of radiologically detected knee joint effusion as a marker of soft tissue injury following trauma is uncertain. In this study 100 patients presenting to the casualty department following acute injury, with effusions but no fracture, were assessed. Of those available for follow-up, 20% required further investigation and 11% proceeded to surgery for significant soft tissue injury. It is concluded that radiologically detected knee joint effusions are a useful marker for underlying soft tissue injury.
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Martinot A, Leclerc F, Remy-Jardin M, Darras J, Chenaud M, Wattinne L, Wood BP. Radiological case of the month. Extrapleural effusion of retropharyngeal origin. AMERICAN JOURNAL OF DISEASES OF CHILDREN (1960) 1989; 143:1207-8. [PMID: 2801663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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150
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Resnick D. Common disorders of synovium-lined joints: pathogenesis, imaging abnormalities, and complications. AJR Am J Roentgenol 1988; 151:1079-93. [PMID: 3263762 DOI: 10.2214/ajr.151.6.1079] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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