A single-puncture arthrocentesis technique, using a peripheral intravenous catheter

Skármeta, Nicolás Patricio; Pesce, Marianna; Espinoza-Mellado, Paula

doi:10.1016/j.ijom.2016.04.009

Cited by 13 publications

(8 citation statements)

References 7 publications

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“…6,15 In our study at 6 months, the effectiveness of the 2-needle and concentric needle protocols in terms of pain relief and reduction in pain on chewing was similar, both resulting in improvement with respect to baseline levels of pain. 6 Our findings were similar to that of and Hall 5 as well as Guarda-Nardini et al 6 Similar findings in pain relief were seen in arthrocentesis utilizing different medications such as corticosteroids, lignocaine, hyaluronic acid, and dextrose in studies done by Gouveia et al 16 and Skármeta et al 17 The operating time was significantly less in the concentric needle technique in our study. This finding was consistent with those found in the study by Guarda-Nardini et al 6 This was because the concentric needle technique needed marking of a single Holmund line and puncture at 1 point, while the 2-needle technique required 2 points of insertion.…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

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A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections

Kumar¹,

Gupta²,

Ghosh³

et al. 2020

Craniomaxillofacial Trauma & Reconstruction

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The purpose of the study was to compare 2 techniques of arthrocentesis, to find out the efficacy of one over the other at various parameters, and to contribute to the scarce literature of these 2 techniques. Forty patients reported with a chief complaint of pain in temporomandibular joint (TMJ), clicking in TMJ, and restricted mouth opening were included in this study. Twenty patients were divided into 2 groups, all reporting with temporomandibular disorders. Group A was treated with 2-needle technique of arthrocentesis, while group B underwent concentric needle technique of arthrocentesis under local anesthesia with Ringer’s lactate solution. The operating time was found to be less in concentric needle technique (mean: 25.36 minutes) compared to 2-needle technique (mean: 42.82 minutes), and the difference was found to be statistically significant. Concentric needle technique proved to be a better alternative for TMJ arthrocentesis as it has quite a lot of advantages over 2-needle technique.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections

Kumar¹,

Gupta²,

Ghosh³

et al. 2020

Craniomaxillofacial Trauma & Reconstruction

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“…While standard double needle arthrocentesis technique is easy to perform, problems are often encountered with the positioning of the needles . Being a blind procedure, insertion of the outflow needle into the correct space can be much more difficult after placement of the first input needle.…”

Section: Discussionmentioning

confidence: 99%

“…Being a blind procedure, insertion of the outflow needle into the correct space can be much more difficult after placement of the first input needle. Operators often encounter failure in the triangulation of needles in the superior joint space to achieve inflow and outflow . The anteriorly placed second needle is frequently dislodged during the procedure and may interfere in the positioning of the first needle as well.…”

Section: Discussionmentioning

confidence: 99%

“…These include the Shepard cannula and the McCain cannula described by Rehman et al and Alkan et al respectively. Other techniques of this type described by various authors include 2 needles soldered in a Y shape manner, use of 2 concentric needles of different gauges, use of an intra‐venous catheter and utilising parts of 2 different intra‐venous catheters . Thus, a wide variety of techniques for single puncture arthrocentesis are available, with no technique universally accepted.…”

Section: Discussionmentioning

confidence: 99%

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Single puncture versus standard double needle arthrocentesis for the management of temporomandibular joint disorders: A systematic review

Nagori¹,

Chowdhury

Thukral³

et al. 2018

J of Oral Rehabilitation

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The aim of this systematic review was to investigate the current evidence in order to assess the efficacy of single puncture arthrocentesis vs standard double needle arthrocentesis in the management of temporomandibular joint(TMJ) disorders. An electronic search of the PubMed, Scopus, Cochrane CENTRAL and Google Scholar databases was performed to identify English studies published up until October 2017. Eligible studies were selected based on inclusion criteria and included randomised controlled trials(RCTs) comparing single puncture arthrocentesis and standard double needle arthrocentesis for the management TMJ disorders. The initial screening identified 984 records, of which only 5 fulfilled the inclusion criteria. A high degree of heterogeneity was found in the 5 studies with each reporting different sample selection and arthrocentesis protocol. All 5 studies reported no difference in reduction in pain intensity and improvement in maximal mouth opening between the single puncture technique and standard double needle technique. This review provides some evidence that single puncture arthrocentesis is clinically as efficacious as standard double needle arthrocentesis. There is a need of well-designed RCT with standard protocol of arthrocentesis comparing different single puncture techniques and standard double needle technique for the management of TMJ disorders.

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Success Rate in Puncture of the Temporomandibular Joint

et al. 2019

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Puncture of the temporomandibular joint (TMJ) is a minimally invasive treatment for various jaw disorders. This study used a cadaveric model to evaluate the procedure from two entrance points with respect to hit ratio and possible complications, such as extraarticular extrusion of injection fluid. Ten heads, embalmed with Thiel's method, were investigated. A straight line drawn with a colored pen connected the center of the tragus and the lateral canthus. The first portal “A” was located at a distance of 1 cm anterior and 2 mm caudal from the center of the tragus. Portal “B” was located 2 cm anterior and 1 cm caudal starting from the same reference point. Punctures “A” and “B” were performed alternately on the right and left sides. Specimens were dissected and the local distribution of the injected latex was recorded. With Approach A, four punctures (40%; 4/10) reached the TMJ, whereas with Approach B, six injections (60%; 6/10) entered the TMJ. There were no statistically significant differences between the tested puncture methods (P = 0.0317) and body sides (P = 1). With each method, for example, 35% (7/20) each, the injected latex was either periarticular or retromandibular. In a further 20% (4/20), it was located subperiosteally alongside the ramus of mandible. The latex was injected into the infratemporal fossa and the external acoustic meatus in one case each (each 5%). There was no statistically significant difference between the techniques. The adjacent anatomy has to be kept in mind during TMJ puncture as the complication rate was remarkably high, suggesting that ultrasound guided intraarticular injection could improve the hit rate. Clin. Anat., 33:683–688, 2020. © 2019 Wiley Periodicals, Inc.

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A single-puncture arthrocentesis technique, using a peripheral intravenous catheter

Cited by 13 publications

References 7 publications

A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections

A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections

Single puncture versus standard double needle arthrocentesis for the management of temporomandibular joint disorders: A systematic review

Success Rate in Puncture of the Temporomandibular Joint

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