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Joint Aspiration


Overview & Description

Synovial fluid is a liquid found in small amounts within the joints. This liquid is produced by the membrane lining the capsule of a joint, known as the synovial membrane. During a joint aspiration, the synovial fluid is drawn out using a needle, and looked at under a microscope.

Who is a candidate for the test?

A joint aspiration is done to help diagnose joint problems in a person with joint pain, swelling, or deformity.

How is the test performed?

A joint aspiration can be done in a doctor's office. Local anesthesia is injected into the joint to numb the area. The area is then cleaned with an antiseptic. A sterile needle is inserted into the joint space. A small amount of the synovial fluid is withdrawn and sent to the laboratory for analysis.

The procedure usually takes about 10 minutes. The only discomfort usually occurs when the local anesthesia is injected.


Preparation & Expectations

What is involved in preparation for the test?

The person may be asked to fast for 6 hours before the test. This is because food may interfere with the test results. For instance, the blood glucose level is normally lower in individuals who have arthritis.


Results and Values

What do the test results mean?

Normal synovial fluid is clear and light tan in color. Abnormal results may indicate:

  • infection
  • injury to the joint
  • arthritis, or inflammation or swelling of a joint
  • toxic synovitis, or inflammation of the synovial membrane
  • a tumor or growth involving the joint
  • increased fluid within the joint
  • gout, which is a form of arthritis caused by deposit of uric acid crytals into the joint
  • systemic lupus erythematosus, a disease in which normal tissue is destroyed by the body's own immune defenses

  • Attribution

    Author:Gail Hendrickson, RN, BS
    Date Written:
    Editor:Keefe, Sandy, RN, MSN
    Edit Date:05/16/00
    Reviewer:Barbara Mallari, RN, BSN, PHN
    Date Reviewed:08/09/01

    Sources

    Mosby's Diagnostic and Laboratory Test Reference, Fouth Edition, 1999.


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