Joint flid analysis-A study to early diagnose different arthopathies

Abstract

Results: In our study of 78 specimens of synovial fluid of various arthritis (synovitis), 24 (30.76%) were osteoarthriitis, 4 (5.12%) were Rheumatoid arthritis, 7 (8.97%) were tuberculous arthritis, 3 (3.84%) were septic arthritis, 1 (1.28%) were neuropathic joint, 10 (12.82%) were Traumatic Joint, 1 (1.28%) was Gouty arthritis, 1 (1.28%) was Rheumatic Fever and 27 (34.61 %) were non-specific synovitis. The synovial glucose values ranged from 35 to 110 mgldl. The total protein content varied from 4 to 6 mgldl. The cytology showed total inflammatory cells varying between 15 cells to 2000 cells / cu.mm. There are predominance of polymorphs, lymphocytes and monocytes. Other cells present were synovial cells. The next most common diagnosis was osteoarthritis (24 cases). Seven cases were diagnosed as tuberculous arthritis. In that four cases were confirmed with synovial biopsy after the synovial analysis. Three cases were diagnosed as septic arthritis. Total four cases diagnosed as rheumatoid arthritis. The series also included one case of rheumatic fever.