Puncture of the joint, joint capsule

Puncture of the elbow joint can be carried out both for the purpose of diagnosing rheumatic diseases and to act as one of the methods of their treatment. This procedure allows the rheumatologist to identify the presence of tissue lesions and their severity. To undergo diagnostics, you should contact highly qualified specialists who not only master the technique of performing it, but also study world experience in identifying and treating joint diseases.

The multidisciplinary Yusupov Hospital, located in Moscow, is formed by several clinics, so a patient who complains of pain and discomfort in the joints can receive comprehensive treatment of the underlying disease and associated pathologies.

Content

• Puncture of the elbow joint: the essence of the procedure and indications for use
• Who carries out the treatment?
• Why do they contact us?

• Expert opinion
• Reviews from our patients
• Sign up for treatment

To familiarize yourself with the technique of puncture of the elbow joint, you can look at the photos posted on our website. In addition, here you will also find numerous positive reviews about the procedure left by our patients.

Performing a puncture of the elbow joint

First of all, when performing a puncture, the rules of antiseptics and sterility should be strictly observed. All instruments and preparations used for the procedure must be disinfected. In addition, they must meet all medical standards. Before puncture, the patient’s skin in the elbow area should be treated with alcohol, lubricated with iodine solution and wiped with alcohol again. This must be done to ensure that iodine does not enter the cavity of the elbow joint and cause a chemical burn.

The procedure should be carried out lying down or sitting. The bend of the arm should be fixed at a right angle so that the puncture site is at the back.

When making a puncture, the doctor should slightly displace the patient's skin. This is necessary to prevent infection from entering the elbow cavity. With the help of such manipulation, the wound channel will be closed. The technician must advance the needle slowly and very carefully. After removing it, a patch is applied. In the first 24 hours after the puncture, you should not wet or rub your hand.

Puncture of the elbow joint: the essence of the procedure and indications for use

The procedure itself involves puncture of the joint followed by removal of pathological fluid. This may be pus, blood or inflammatory products. Pus accumulates in arthritis. Its elimination should be as prompt as possible to prevent further spread of the inflammatory process.

The thickness of the needle for such manipulation does not exceed 0.5 mm, so many patients even find it difficult to tell how painful this procedure is or not.

Blood can accumulate during hemarthrosis and it is also advisable to remove it. Finally, inflammatory fluid appears due to synovitis of the joint. It can also accumulate with bursitis - inflammation of the periarticular bursa of the elbow. Puncture (piercing) of the elbow joint for bursitis is also carried out in our clinic.

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In addition to eliminating fluid, a puncture for bursitis of the elbow joint is performed to administer medications. Also, using a puncture, the joint fluid is taken for analysis and to determine the cause of the disease.

Orthopedic doctor Andrey Sergeevich Litvinenko comments:

As a result of puncture, inflammation, pain, swelling and other unpleasant sensations are reduced. Only a specialist can prescribe the correct course of treatment, taking into account the patient’s characteristics, indications and contraindications.

The medical staff employs true professionals who will quickly make an accurate diagnosis. The treatment process itself will be as painless and effective as possible. We also give injections in the elbow joint and blockades in the elbow, for example, for epicondylitis.

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Author of the article:

Litvinenko Andrey Sergeevich

Orthopedist

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Indications for puncture

Joint puncture is also called arthrocentesis and is performed in the following cases:

• with inflammation of the elbow;
• with accumulation of fluid and pus;
• for chronic inflammation;
• for injuries in the elbow area;
• for allergic lesions;
• for tuberculosis, brucellosis;
• for rheumatism;
• before a planned operation.

Prices for joint puncture

Puncture of the elbow joint: varieties

A puncture is a specific procedure that can be performed by specialists to diagnose or treat a disease. During a diagnostic puncture of the elbow joint, the resulting material is sent for laboratory testing. When examining the contents, a specialist can determine the presence of blood in the joint fluid and identify the development of tumors in bone or cartilage tissue. When studying the composition of the fluid, diseases such as lupus, tuberculosis or rheumatism can be detected.

Puncture of the elbow joint, performed as part of the treatment of the underlying disease, is aimed at removing accumulated fluid from the joint cavity and administering medications. A distinctive feature of the method of carrying out the therapeutic function is that the specialist can perform several punctures.

The Yusupov multidisciplinary hospital employs experienced specialists who perform high-quality and painless puncture of the elbow joint and identify the cause of the existing problem and the patient’s complaints. Specialists at the Yusupov Hospital use European equipment, which, in combination with innovative techniques, allows them to achieve a positive therapeutic effect.

Our doctors

• LITVINENKO Andrey Sergeevich
  Traumatologist orthopedist Sports medicine doctor Experience: 19 years

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• SKRYPOVA Irina Viktorovna
  Physiotherapist rehabilitator Experience: 20 years

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• MOISEENKO Alexey Yurievich
  Traumatologist orthopedist Sports medicine doctor Experience: 17 years

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• KHOLIKOV Timur Vyacheslavovich
  Traumatologist orthopedist Sports medicine doctor Experience: 19 years

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Method of puncture of the elbow joint

Puncture of the elbow joint is performed by a traumatologist or orthopedist. The specialists at the Yusupov Hospital who perform the puncture are fluent in this technique, so the likelihood of complications after it is minimal. Before the procedure begins, the patient is given local anesthesia to eliminate pain, after which the specialist selects the safest area for the puncture. In the area of ​​the elbow joint, the puncture is performed on the outer or posterior surface.

The technique for performing a puncture of the elbow joint consists of the following steps:

1. to perform a puncture, the patient’s arm is bent so that an angle of 90 degrees is formed;
2. the drug is injected into the selected area with a thin needle, the thickness of which does not exceed 2 mm, and the length varies from 5 to 6 cm, after which fluid from the joint cavity is taken;
3. the puncture site is treated with an antiseptic solution;
4. A bandage is applied to the puncture site.

If the puncture technique is not followed, fluid may leak from the elbow joint and cause damage to nearby tissues. To avoid this complication during puncture, the specialist pulls back the skin so that the puncture cavity is curved and creates an obstacle to the free flow of liquid.

Specialists at the Yusupov Hospital perform a puncture of the elbow joint as carefully as possible, which eliminates the possibility of tissue damage and the development of an inflammatory process. During the consultation, the patient receives information about the technique of puncture and the features of the procedure, as well as actions after it is performed.

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Puncture of the elbow joint: indications for performance

Studying the nature of the accumulated fluid in the elbow joint allows specialists to determine the nature of the pathological process. Some patients assigned to this procedure consider it dangerous and painful, the reason for this is lack of awareness of the technique. Rheumatologists at the Yusupov Hospital inform each patient who is scheduled for puncture of the elbow joint about the purposes of the study and the stages of its implementation.

If the patient is prescribed a puncture of the elbow joint, the indications may be as follows:

• chronic inflammatory process in the elbow joint;
• acute inflammation and accumulation of blood and pus in the articular cavity;
• accumulation of fluid in the joint cavity as a result of injury;
• presence of indications for surgical intervention in the elbow joint;
• the likelihood of developing rheumatism, lupus, tuberculosis or allergic reactions in the joint area.

The consequences of the pathological process in the area of ​​the elbow joint can be degenerative lesions of the cartilage, inflammation of the membranes covering the joint or intra-articular adhesions. This procedure is carried out in the Yusupov Hospital to establish and clarify the diagnosis with strict adherence to sterility, all drugs and instruments used meet the standards, so the puncture is as safe as possible.

Treatment of rheumatic diseases at the Yusupov Hospital

Treatment of joints is a long process, during which the patient needs the support and assistance of a highly qualified rheumatologist and other specialists. At the Yusupov Hospital, doctors interact with each other, which makes it possible to build comprehensive treatment programs, within which it is possible to treat concomitant pathologies.

Puncture of the elbow joint and other diagnostic measures are aimed at collecting information about the patient’s condition, the presence of the disease and its possible consequences in order to draw up an individual treatment plan. A well-performed puncture is an informative and safe procedure. If you are concerned about the symptoms of joint diseases or a diagnostic or therapeutic puncture is indicated, seek advice from experienced specialists. Appointments can be made by staff at the Yusupov Hospital by telephone.

Comprehensive diagnostics in Moscow

Joint diseases can develop over a long period; the resulting discomfort, pain and limited movement indicate serious disorders. When patients come to the Yusupov Hospital with signs of joint damage, a specialist conducts an examination and carefully studies the complaints.

After the examination, the patient is sent for instrumental examinations and tests. The Yusupov Hospital has the necessary equipment to identify joint damage, determine its nature and extent of spread. Experts give preference to the safest and most informative methods, such as MRI, CT, and ultrasound diagnostics. In some cases, puncture of the elbow joint is necessary, the indications for which are extensive, since its results allow us to develop the most appropriate treatment program for rheumatic diseases.