Concluded Case

Knee joint effusion

35 yrs old lady with recurrent swelling in right knee joint for last 10 yrs no pain 6 tmes aspiration done no difficulty in walking

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Concluded answer
Recurrent effusion of knee is chronic d disease it has to be clinically evaluated. Causes Traumatic it may cartileginous injury, meniscus injury , ligamentous injury Of these cause meniscus injury and cartilegenous may give rise to chronic recurrent effusion There is an entity which may lead to chronic recurrent effusion is OVER USE. Non traumatic Degenerative changes due to osteo arthritis , rheumatoid arthritis And tuberculous arthritis Blood for examination MT Xray knee USG ,/CT / MRI Aspiration For cytology Culture for AFB and all relevant test for tuberculosis
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Take in consideration of the following aetiology for painless joint effusion. ....like connective tissue disorder .eg..SLE , arthritis in diabetic pt..old meniscus tear or undiagnosed prepatellar bursitis or cystic lesion arising from knee joint ..and proceed accordingly
Knee effusion
Recurrent effusion of knee is chronic d disease it has to be clinically evaluated. Causes Traumatic it may cartileginous injury, meniscus injury , ligamentous injury Of these cause meniscus injury and cartilegenous may give rise to chronic recurrent effusion There is an entity which may lead to chronic recurrent effusion is OVER USE. Non traumatic Degenerative changes due to osteo arthritis , rheumatoid arthritis And tuberculous arthritis Blood for examination MT Xray knee USG ,/CT / MRI Aspiration For cytology Culture for AFB and all relevant test for tuberculosis
The case is chronic, since 10 years. 6 times aspirations done but recurrence is evident. Though there is no functional loss, but pathology still persist. No other joint of the patient involved. Any connective tissue disease could have shown other symptoms too at other body parts. So as a cost effective method of investigation it's wise to go for X-ray and rule out bony pathology first. Accordingly soft tissue lesions can be considered.
Fibromyalgia is a connective tissue disorder not affect commonly knee joint ..but whatever the joint it affects that remains limited not much widespread ..person if I DA any wrong .after all its a platform to discuss and share the experience and knowledge .thank you
You are right sir. But fibromyalgia also shows generalized fatigue and group muscle involvement too. In this case the patient has no other symptoms other than joint effusion. It's chronic now. So according to my view she should go for a X-ray. Hope you agree sir. If I am wrong please correct. Thank you.
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* Intra articular pathology ** Trauma Osteoarthritis Infection Needs further investigation and evaluation to conclude and line of treatment.
Intra articular pathology ... Connective tissue disorder linked with autoimmunity... Old trumatic injury.
Needs X-ray for investigation now to rule out bony pathology. If X-ray available, please share.
Autoimmune disease ?SLE
True but reasons ?

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