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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 ]
Synovial fluid from a knee with septic arthritis. In the joint fluid, the typical white blood cell count in septic arthritis is over 50,000–100,000 cells per 10 −6 /l (50,000–100,000 cell/mm 3); [26] where more than 90% are neutrophils is suggestive of septic arthritis. [2]
Analysis of a sample of synovial fluid to look for signs of an infection (infectious arthritis) or uric acid crystals (gout) Imaging tests, such as X-rays or MRI scans, to evaluate the condition ...
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.
Crystal induced arthritis (gout, and pseudogout) – usually involves particular joints (knee, MTP1, heels) and can be distinguished with an aspiration of joint fluid if in doubt. Redness, asymmetric distribution of affected joints, pain occurs at night and the starting pain is less than an hour with gout.
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