Email this article Differential Diagnosis of Large Joints Chronical Synovitis
- Authors: Zar V.V1, Shatokhina S.N1
-
Affiliations:
- Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiy
- Issue: Vol 23, No 1 (2016)
- Pages: 67-70
- Section: Original study articles
- URL: https://journal-vniispk.ru/0869-8678/article/view/47353
- DOI: https://doi.org/10.17816/vto201623167-70
- ID: 47353
Cite item
Full Text
Abstract
To determine the genesis of large joint chronical synovitis the morphologic picture (facia) of synovial exudate was studied in 23 patients using the method of cuneate dehydration of biological liquid. Cytologic investigation showed leukocytosis with prevalence of neutrophils in all patients. All patients were divided into two groups. First group included 8 patients in whom septic pattern of inflammation was confirmed by the results of synovial fluid culture inoculation, second group - 15 patients with negative bacteriologic study results. The obtained data enabled to describe two types of synovial fluid facia that allowed differentiating septic pattern of inflammation from the reactive one.
Full Text
##article.viewOnOriginalSite##About the authors
V. V Zar
Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiy
Email: vzar@list.ru
канд. мед. наук, ведущий науч. сотр. отделения травматологии и ортопедии; Тел.: 8 (495) 681-06-12. 129110, Москва, ул. Щепкина 61/2
S. N Shatokhina
Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiyдоктор мед. наук, профессор, рук. клинико-диагностической лаборатории.
References
- Шатохина С.Н., Зар В.В., Волошин В.П., Шабалин В.Н. Диагностика артроза по морфологической картине синовиальной жидкости. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2010; 2: 20-4.
- Carpenter C., Schuur J., Everett W., Pines J. Evidence-based diagnostics: adult septic arthritis. Acad. Emerg. Med. 2011; 18 (8): 781-96.
- Hariharan P., Kabrhel C. Sensitivity of erythrocyte sedimentation rate and C-reactive protein for the exclusion of septic arthritis in emergency department patients. J. Emerg. Med. 2011; 40 (4): 428-31.
- Margaretten M., Kohlwes J., Moore D., Bent S. Does this adult patient have septic arthritis? JAMA. 2007; 297 (13): 1478-88.
- Омельяненко Н.П., Слуцкий Л.И. Соединительная ткань (гистофизиология и биохимия). т.2. М.: Известия; 2010: 364-81.
- Омельяненко Н.П., Ицков П.М. Морфологические особенности пограничных структур суставного хряща. Морфология. 2002; 121 (2-3): 117.
- Шабалин В.Н., Шатохина С.Н. Морфология биологических жидкостей человека. М.: Хризостом; 2001.
- Шатохина С.Н., Шабалин В.Н. Атлас структур неклеточных тканей человека в норме и патологии. т.1. М.: Триада; 2011.
Supplementary files
