- 関
- swollen joint
WordNet
- come into the company of; "She joined him for a drink"
- cause to become joined or linked; "join these two parts so that they fit together" (同)bring together
- make contact or come together; "The two roads join here" (同)conjoin
- become part of; become a member of a group or organization; "He joined the Communist Party as a young man" (同)fall_in, get together
- united or combined; "a joint session of Congress"; "joint owners"
- marijuana leaves rolled into a cigarette for smoking (同)marijuana cigarette, reefer, stick, spliff
- a disreputable place of entertainment
- junction by which parts or objects are joined together
- (anatomy) the point of connection between two bones or elements of a skeleton (especially if it allows motion) (同)articulation, articulatio
- provide with a joint; "the carpenter jointed two pieces of wood" (同)articulate
- affecting or involving two or more; "joint income-tax return"; "joint ownership"
- fasten with a joint
- fit as if by joints; "The boards fit neatly"
- involving both houses of a legislature; "a joint session of Congress"
- separate (meat) at the joint
- an abnormal protuberance or localized enlargement (同)puffiness, lump
- the act of bringing two things into contact (especially for communication); "the joining of hands around the table"; "there was a connection via the internet" (同)connection, connexion
- having joints or jointed segments;
PrepTutorEJDIC
- 〈二つ以上のもの〉‘を'『つなぐ』,結合する《+『名』+『together』(『up』)》;(…に)…‘を'つなぐ《+『名』+『to』(『onto』)+『名』》 / (線などで)〈二つ以上のもの〉‘の'間を結ぶ(つなぐ)《+『名』+『by』(『with』)+『名』》 / (友情・結婚などで)〈人〉‘を'結びつける《+『名』+『in』+『名』》 / 〈川・道などが〉…‘と'いっしょになる,合流する / 〈会など〉‘に'『加入する』 / (…で)〈人〉‘の'『仲間に入る』,‘と'いっしょになる《+『名』〈人〉+『in』(『for』)+『名』,+『名』〈人〉+『in』do『ing』》 / (…に)『加わる』《+『in』+『名』〈事〉/+『in』 『with』+『名』〈人〉》 / (人と…を)『ともにする』《+『with』+『名』〈人〉+『in』+『名』(doing)》 / 〈川・道などが〉『いっしょになる』,合流する / 接合箇所(点,面,線);継ぎ目
- 『関節』 / 『継ぎ目』,接合箇所,合わせ目 / 継ぎ目と継ぎ目の間の部分,節 / (二つの部分を継いだり支えたりするのに用いる)継ぎ手,ジョイント / (枝や葉の)つけ根,節 / (骨付きの)肉の大切り身 / 《俗》安酒場,とばく宿,アヘン窟(くつ) / 『共同の』,共有の;連帯の,連合の / 両院合同の;二院制議会の両院の / …‘を'継ぎ合わせる;…‘を'継ぎ目(関節)でつなぐ / …‘を'継ぎ目で分ける;〈鳥・肉など〉‘を'関節で切り分ける
- 〈U〉ふくらむこと;膨張,増大 / 〈C〉(体の)はれもの,こぶ
- 継ぎ目のある;関節のある
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/08/08 10:31:24」(JST)
[Wiki en表示]
Joint effusion |
A traumatic right knee effusion. Note the swelling lateral to the kneecap as marked by the arrow.
|
Classification and external resources |
ICD-10 |
M25.4 |
ICD-9-CM |
719.0 |
DiseasesDB |
15237 |
[edit on Wikidata]
|
A joint effusion is the presence of increased intra-articular fluid.[1] It may affect any joint. Commonly it involves the knee.
Contents
- 1 Differential diagnosis
- 1.1 Septic arthritis
- 1.2 Gout
- 1.3 Trauma
- 2 Diagnostic approach
- 3 See also
- 4 References
Differential diagnosis
There are many causes of joint effusion. It may result from trauma, inflammation, hematologic conditions, or infections.[1]
Septic arthritis
Septic arthritis is the purulent invasion of a joint by an infectious agent[2] with a resultant large effusion due to inflammation.[3]
Gout
Gout is usually present with recurrent attacks of acute inflammatory arthritis (red, tender, hot, swollen joint). It is caused by elevated levels of uric acid in the blood that crystallizes and deposits in joints, tendons, and surrounding tissues. Gout affects 1% of individuals in Western populations at some point in their lives.[4]
Trauma
Trauma from ligamentous, osseous or meniscal injuries can result in an effusion.[5] These are often hemarthrosis or bloody effusions.
Diagnostic approach
Skyline view of the patella demonstrating a large joint effusion as marked by the arrow.
A schematic drawing showing the sail sign which represents an effusion.
The approach to diagnosis depends on the joint involved. While aspiration of the joint is considered the gold standard of treatment, this can be difficult for joints such as the hip. Ultrasound may be used both to verify the existence of an effusion and to guide aspiration.[6]
See also
References
- ^ a b Mathison DJ, Teach SJ (November 2009). "Approach to knee effusions". Pediatr Emerg Care. 25 (11): 773–86; quiz 787–8. doi:10.1097/PEC.0b013e3181bec987. PMID 19915432.
- ^ "septic arthritis" at Dorland's Medical Dictionary
- ^ Marx, John (2010). Rosen's emergency medicine: concepts and clinical practice (7th ed.). Philadelphia, PA: Mosby/Elsevier. p. Chapter 134. ISBN 978-0-323-05472-0.
- ^ Chen LX, Schumacher HR (October 2008). "Gout: an evidence-based review". J Clin Rheumatol. 14 (5 Suppl): S55–62. doi:10.1097/RHU.0b013e3181896921. PMID 18830092.
- ^ Johnson MW (April 2000). "Acute knee effusions: a systematic approach to diagnosis". Am Fam Physician. 61 (8): 2391–400. PMID 10794580.
- ^ Marx, John (2010). Rosen's emergency medicine: concepts and clinical practice (7th ed.). Philadelphia, PA: Mosby/Elsevier. p. Chapter 53. ISBN 978-0-323-05472-0.
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Intra-articular drug delivery from an optimized topical patch containing teriflunomide and lornoxicam for rheumatoid arthritis treatment: Does the topical patch really enhance a local treatment?
- Xi H, Cun D, Xiang R, Guan Y, Zhang Y, Li Y, Fang L.SourceDepartment of Pharmaceutical Sciences, Shenyang Pharmaceutical University, Shenyang 110016, China.
- Journal of controlled release : official journal of the Controlled Release Society.J Control Release.2013 Jul 10;169(1-2):73-81. doi: 10.1016/j.jconrel.2013.03.028. Epub 2013 Apr 6.
- Patients with rheumatoid arthritis (RA) often bear joint destruction and symptomatic pain. The aim of this work is to develop a compound transdermal patch containing teriflunomide (TEF) and lornoxicam (LOX) to transport these drugs across the skin with the isochronous permeation rates for RA therapy
- PMID 23567043
- Neglected Hoffa fracture in a child.
- Tripathy SK, Aggarwal A, Patel S, Goyal T, Priya N.SourceaDepartment of Orthopaedics, Friarage Hospital, Northallerton bFreeman Hospital, Newcastle upon Tyne, UK cPostgraduate Institute of Medical Education and Research, Chandigarh, India.
- Journal of pediatric orthopedics. Part B.J Pediatr Orthop B.2013 Jul;22(4):339-43. doi: 10.1097/BPB.0b013e328354f6e2.
- The clinical presentations and surgical outcome of a 4-month-old Hoffa fracture in a 12-year-old child are reported. The child presented with chronic pain, swelling and instability in the right knee joint. Lateral radiograph showed a small bone fragment on the posterior condyle, which raised the pos
- PMID 22643129
- An autopsy case of a homeless person with unilateral lower extremity edema.
- Suzuki H, Hikiji W, Shigeta A, Fukunaga T.SourceTokyo Medical Examiner's Office, Tokyo Metropolitan Government, Japan. Electronic address: hideto-@qk9.so-net.ne.jp.
- Legal medicine (Tokyo, Japan).Leg Med (Tokyo).2013 Jul;15(4):209-12. doi: 10.1016/j.legalmed.2012.12.004. Epub 2013 Feb 19.
- We present an autopsy case of a homeless person showing remarkable unilateral lower extremity edema, which was strongly associated with the cause of death. A 55-year-old homeless man without any past medical history was found dead in a flophouse. External examination showed evidence of malnourishmen
- PMID 23433746
Japanese Journal
- 稲積 真哉,若月 正,加藤 研二 [他]
- 材料 61(1), 37-40, 2012-01
- … In the civil engineering field, water-swelling materials are often used as joint sealing materials to improve water cut-off performance in the joints of the steel (pipe) sheet pile. … In short, water-swelling materials are extremely effective as water sealing materials. … However, many characteristics of water-swelling materials have not yet been proved, and one of the unproven characteristics is the swelling pressure. …
- NAID 40019143720
- 神戸 直智,佐藤 貴史,中野 倫代,中村 悠美,松江 弘之
- 日本臨床免疫学会会誌 = Japanese journal of clinical immunology 34(5), 378-381, 2011-10-31
- 家族歴のあるブラウ症候群と弧発例の若年発症サルコイドーシスは,ともにNOD2の恒常活性変異体を基盤として肉芽種を来す疾患である.本邦で同定されたNOD2変異は,R334Wが最多である一方,R334Q変異が少なく,1例報告である変異が多数存在するのが特徴である.また,世界で初めて6塩基欠失症例が発見された.本症は経過とともに足関節背面や手背などに無痛性の柔らかい腫脹が出現し, …
- NAID 10029898011
Related Links
- Your health care provider will examine you. The joint will be closely examined. You will be asked about your joint swelling, such as when it began, how long it has lasted, and whether you have it all the time or only at ...
- Joint swelling is the buildup of fluid in the soft tissue surrounding the joint. ... What to Expect at Your Office Visit Your health care provider will examine you. The joint will be closely examined. You will be asked about ...
Related Pictures
![](http://msp.c.yimg.jp/image?q=tbn:ANd9GcSBoQcNzGUHxx0mM3XjOb68X76UYty3VQ1zCZQsCZOts7Mu8opF1uttYjI:http://drugline.org/img/ail/3043_3065_3.jpg)
![](http://msp.c.yimg.jp/image?q=tbn:ANd9GcRLiug85irF6aDkZP1Fzguj22AHAZRqQCPsVXRE0dP_cwtegyf-thzDaFkl:http://trialx.com/g/Joint_Swelling-2.jpg)
![](http://msp.c.yimg.jp/image?q=tbn:ANd9GcRfuFIOF4CgISiZ908xSN9_EELNoicLBveRnZUz3aSUnprRxTxF7mDK7Q:http://trialx.com/g/Joint_Swelling-3.jpg)
![](http://msp.c.yimg.jp/image?q=tbn:ANd9GcSENRIjZN3rdCay5HEUuWsiwuRE0FjiL0cuWZY7M1VSr6dUx3F6MYLQ0Ks:http://drugline.org/img/ail/3043_3065_2.jpg)
![](http://msp.c.yimg.jp/image?q=tbn:ANd9GcRTYDE6E0ZrntuuAmTbpYF6YJurz6AzEOGSl3JoUi2bMzcW85Co_DSDVw:http://medicalimages.allrefer.com/large/the-structure-of-a-joint.jpg)
★リンクテーブル★
[★]
- 英
- joint swelling、swollen joint
[★]
- 関
- joint swelling
[★]
- 関
- associate、attend、bind、binding、bond、bonding、catenate、combine、concatenation、conjoin、conjugate、conjugation、conjunction、connect、connection、couple、dock、engage、engagement、juncture、ligate、ligation、link、linkage、participation、symphysial、union
PHP
implode() のエイリアス
[★]
- 関
- bulge、dilatation、dilate、distend、distention、eminence、expand、expansion、inflate、inflation、oncotic、protrude、protrusion、protuberance、swell、swollen、tuber、tuberosity、tumid、turgid
[★]