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OpenTrials
Completed

NCT Number: NCT03327584

Ultrasound Guided Versus Landmark Guided Small & Medium Joint Arthrocentesis

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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Key information

Conditions

Effusion Joint Hydrarthrosis Joint Diseases Musculoskeletal Diseases

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Lewis Katz School of Medicine at Temple University

Philadelphia, Pennsylvania, 19140, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Arthrocentesis

Procedure

Athrocentesis

Primary outcomes

  1. Superiority of Method of arthrocentesis

    Time frame: 1 day

    Number of attempts until successful arthrocentesis

Secondary outcomes

  1. Success of method

    Time frame: 1 day

    Completion of arthrocentesis after three attempts

Sponsors and collaborators

Lead sponsor

Temple University

Other

Registry information

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Oct 31, 2017
Registry last updated
Jan 22, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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