RT Book, Section
A1 Inboriboon, Pholaphat Charles
A1 Willet, Katherine Gloor
A2 Reichman, Eric F.
SR Print(0)
ID 1159801005
T1 Methylene Blue Joint Injection
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159801005
RD 2025/07/10
AB Trauma  can  breach  the  integrity  of  the  joint  capsule  and  result  in  infection,  long-term  arthritis,  and  other  serious  potentially  permanent  morbidity.  Any  breach  of  the  joint  capsule  can  introduce  contaminants  and  risk  septic  inoculation  of  the  joint.  Synovial  joint  fluid  provides  nutrition  to  the  articular  cartilage.  Loss  of  this  fluid  without  prompt  joint  capsule  closure  can  lead  to  cartilage  wasting  and  arthritis.  The  injection  of  joints  with  methylene  blue  provides  a  rapid  and  definitive  way  to  assess  joint  capsule  integrity  in  cases  of  periarticular  trauma  where  the  clinical  examination  is  inconclusive.