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Synovial fluid, also called synovia, is a viscous, non-Newtonian fluid found in the cavities of synovial joints. With its egg white –like consistency, [ 1 ] the principal role of synovial fluid is to reduce friction between the articular cartilage of synovial joints during movement. [ 2 ]
Knee effusion, informally known as water on the knee, occurs when excess synovial fluid accumulates in or around the knee joint. It has many common causes, including arthritis , injury to the ligaments or meniscus , or fluid collecting in the bursa , a condition known as prepatellar bursitis .
The joint usually swells due to synovial fluid collection. Watercolour drawing of acute synovitis of the knee joint, showing the beginnings of the disintegration of the cartilage of the internal condyle. Painted by Thomas Godart. Medical Photographic Library. Synovitis may occur in association with arthritis as well as lupus, gout, and other ...
Aspiration of synovial fluid in cases of joint effusion or hemarthrosis can help reduce pressure around the joints, thus providing pain relief. Corticosteroid medications may also be injected into the joint capsule to provide pain relief and anti-inflammatory effects, especially for rheumatoid arthritis and less commonly osteoarthritis.
Septic arthritis is the purulent invasion of a joint by an infectious agent [5] [6] with a resultant large effusion due to inflammation. [7] Septic arthritis is a serious condition. It can lead to irreversible joint damage in the event of delayed diagnosis or mismanagement. It is basically a disease of children and adolescence. [6]
Other symptoms of disseminated gonococcal infection can include migration of joint pain, tenosynovitis and dermatitis. [2] [15] Synovial fluid cultures are positive in 25 to 70% of the cases while blood cultures are seldom positive. [2] Apart from blood and joint cultures, swabs from urethra, rectum, pharynx, and cervix should also be taken.
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