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Joint Effusion  -- Part Of A Knee Diagnosis


In general, the word "effusion" means swelling.  The swelling is caused by an increased amount of synovial fluid.  (source)

The synovial fluid is "a clear viscous, slightly alkaline fluid present in healthy joints but whose exact composition, viscosity, volume and colour vary somewhat from joint to joint. The synovial fluid aids in nutrition of the adjacent cartilage and disc and provides lubrication to joint surfaces. " (source)

There is an MRI image showing joint effusion described HERE, and displayed HERE.


 

Source

 

Effusion,

 
increased amount of synovial fluid due to increased activity of the synovial lining of a joint, tendon sheath or bursa in response to infection or inflammation. The hip is the commonest site of effusion in a child.

Effusion may be seen on conventional radiographs as an increased soft tissue density (Fig.1). At certain sites, displacement of normal fat planes allows indirect visualization of an effusion on conventional radiographs but ultrasound or MR imaging allow better demonstration.

On ultrasound, simple effusions are usually anechoic but may contain reverberation echoes from contained nitrogen bubbles. With complex effusions, as in septic arthritis or haemarthrosis, there may be variable echogenicity reflecting debris within the fluid. This echogenicity may be increased if the joint is moved, thus agitating the cellular debris.

On MR imaging, simple effusions are low signal on T1- and high signal on T2- weighted sequences. Complex effusions show more intermediate signal on T1-weighted sequences due to their proteinaceous nature. Ultrasound or MR imaging can also demonstrate associated synovial thickening.

Aspiration of an effusion can be performed under ultrasound guidance to provide specimens for bacteriology and provide symptomatic relief. See elbow fat pad, ankle joint effusion and hip effusion

GL
The Encyclopaedia of Medical Imaging Volume VII
Effusion, Fig. 1
Lateral radiograph of the knee. The effusion is seen as a large soft tissue density between the patella and femur and extending into the suprapatellar pouch.
   
Copyright©
Medcyclopaedia - The complete online version of The Encyclopaedia of Medical Imaging by NICER
Provided by Amersham Health
www.amershamhealth.com | www.medcyclopaedia.com

 
source

Synovial fluid,

 
a clear viscous, slightly alkaline fluid present in healthy joints but whose exact composition, viscosity, volume and colour vary somewhat from joint to joint. The synovial fluid aids in nutrition of the adjacent cartilage and disc and provides lubrication to joint surfaces.

In crystal deposition diseases, crystals of various composition may be found in the synovial fluid. In some cases acute and chronic inflammatory changes may occur. Similarly, particles, cell fragments, fibrous tissue and microorganisms may also occur as a consequence of wear and tear on the articular surface.

Subchondral cysts may form as a result of intrusion of synovial fluid into subchondral bone in osteoarthritis.

In lipohaemarthrosis a haemorrhagic effusion with fat droplets and, sometimes, spicules of bone marrow may occur and is usually a reliable indicator of fracture, but may also be seen in some patients with significant cartilage or ligament injury.

DR
The Encyclopaedia of Medical Imaging Volume III:1
   
Copyright©
Medcyclopaedia - The complete online version of The Encyclopaedia of Medical Imaging by NICER
Provided by Amersham Health
www.amershamhealth.com | www.medcyclopaedia.com

Image T: Lateral radiograph of the knee shows subtle soft tissue masses of increased density (arrows) representing hemosiderin-laden synovium and prominent swelling in the region of the suprapatellar bursa consistent with a large effusion.  (source)


 



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