Ultrasound Guided Versus Landmark Guided Small & Medium Joint Arthrocentesis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2019-12-31

Brief Summary

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Arthrocentesis is the removal of synovial fluid for analysis of pathologic processes. Small \& medium joint arthrocentesis will be defined as the following joints: elbow, wrist, finger, ankle and toe. Ultrasound (US) and landmark (LM) small \& medium joint arthrocentesis are both performed within the clinical setting. Both techniques are considered standard of care. Selection of which technique to use is dependent upon the physician's preference. There is currently limited data comparing the two methods. The investigators hope to determine if one modality is more effective in terms of success rate, number of attempts, and time to complete the procedure.

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Detailed Description

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Patients presenting to the Emergency Department who are 18 years old or older, who do not belong to a vulnerable group, requiring small or medium joint arthrocentesis will be included in this trial. The investigators will randomize each patient into LM vs US. Data collected will include number of attempts to tap the joint, success rate, and time for procedure to be completed. The arthrocentesis will be performed by PGY-3 residents only. A 21 gauge needle will be used for the arthrocentesis.

Conditions

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Effusion Joint

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Ultrasound Guided Arthrocentesis

The patients in this group will have ultrasound guided arthrocentesis.

Group Type ACTIVE_COMPARATOR

Arthrocentesis

Intervention Type PROCEDURE

Athrocentesis

Landmark Guided Arthrocentesis

The patients in this group will have landmark guided arthrocentesis.

Group Type ACTIVE_COMPARATOR

Arthrocentesis

Intervention Type PROCEDURE

Athrocentesis

Interventions

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Arthrocentesis

Athrocentesis

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients who require an arthrocentesis of a small and/or medium joint (defined previously)

Exclusion Criteria

* Coagulopathic patients
* Patients on anticoagulants
* Patients with cellulitis overlying the joint.
* Patients with artificial joints
* Adults Unable to Consent
* Vulnerable Populations

Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes