RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57708286
T1 Chapter 78. Methylene Blue Joint Injection
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57708286
RD 2024/04/25
AB Trauma  can  breach  the  integrity  of  the  joint  capsule  and  result  in  infection,  long-term  arthritis,  and  other  serious  and  potentially  permanent  morbidity.  Synovial  joint  fluid  provides  nutrition  to  the  articular  cartilage.  Loss  of  synovial  fluid  without  prompt  joint  capsule  closure  can  lead  to  cartilage  wasting.  Additionally,  any  breach  of  the  joint  capsule,  especially  through  dirty  skin,  can  introduce  environmental  contaminants  and  risk  septic  inoculation  of  the  joint.  The  injection  of  joints  with  methylene  blue  dye  is  a  simple,  rapid,  and  definitive  way  to  assess  joint  capsule  integrity  in  cases  of  periarticular  trauma  where  the  clinical  examination  is  inconclusive.