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Synovial Fluid Analysis

Synovial Fluid Analysis is a procedure used to assess joint-related abnormalities, such as in the knee or elbow.

Why is a Synovial Fluid Analysis performed?

A Synovial Fluid Analysis is performed to identify the cause of swelling in the joints, to relieve pain and distention from fluid accumulation in the joint, and to diagnose certain types of arthritis and inflammatory joint diseases. The test is also a method to determine whether an infection, either bacterial or fungal, exists within the joint.

How a Synovial Fluid Analysis is performed

This procedure is done by passing a needle into a joint space and sucking out (aspirating) synovial fluid for diagnostic analysis. When the sample is sent to the laboratory, the fluid is analyzed for color, clarity, quantity, and chemical composition. It is also examined microscopically to check for the presence of bacteria and other cells.

The patient is asked to lie on their back and remain relaxed. The local anesthetic, typically an injection of lidocaine, is then administered. The clinician is usually seated next to the patient. Then the clinician marks exactly where the needle is to enter. As the needle enters the joint, a "pop" may be felt or heard. This is normal. Correct placement of the needle in the joint space is normally painless. At this point, the clinician slowly drains some of the fluid into the syringe. The needle is then withdrawn and adhesive tape is placed over the needle site.

 
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07/09/2008

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