Evidence map›Paper›PMID 34427795›Full record

ArticleJournal of experimental orthopaedics2021

Bacterial arthritis of native joints can be successfully managed with needle arthroscopy.

Tobias Stornebrink, Stein J Janssen, Arthur J Kievit, Nathaniel P Mercer, John G Kennedy, Sjoerd A S Stufkens, Gino M M J Kerkhoffs

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Only Minor Complications Are Reported After Needle Arthroscopy: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. In-Office Needle Arthroscopy: Indications, Surgical Techniques, Tips, and Tricks.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Tobias StornebrinkDepartment of Orthopedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Stein J JanssenDepartment of Orthopedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Arthur J KievitDepartment of Orthopedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Nathaniel P MercerDepartment of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA.
John G KennedyDepartment of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA.
Sjoerd A S StufkensDepartment of Orthopedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Gino M M J KerkhoffsDepartment of Orthopedic Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam Movement Sciences, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. g.m.kerkhoffs@amsterdamumc.nl.
Health & Safety in Sports · NLNYU Langone Health · USAmsterdam Neuroscience · NLUniversity of Amsterdam · NL

Funding

Arthrex GmbH EMEA18069
6 · The paper itself

Abstract

purposeTo assess the feasibility of needle arthroscopy for management of suspected bacterial arthritis in native joints.

methodsDuring a pilot period, patients presenting with symptoms suggestive of native joint bacterial arthritis were eligible for initial management with needle arthroscopy. Procedures were performed in the operating theatre or at the patient bedside in the emergency department or inpatient ward. As our primary outcome measure, it was assessed whether needle arthroscopic lavage resulted in a clear joint. In addition, the need for conversion to standard arthroscopy or arthrotomy, the need for conversion from local to general anaesthesia, complications and the need for additional surgical intervention at follow-up during admission were recorded.

resultsEleven joints in 10 patients (four males, age range 35 - 77) were managed with needle arthroscopy. Needle arthroscopic lavage resulted in a clear joint in all cases. Conversion to standard arthroscopy or arthrotomy was not needed. Seven procedures were performed at the patient bedside using local anaesthesia. These procedures were well tolerated and conversion to general or spinal anaesthesia was not required. There were no procedure complications. One patient received multiple needle arthroscopic lavages. No further surgical interventions beside the initial needle arthroscopic lavage were required for successful management in other cases.

conclusionsNeedle arthroscopy can be a feasible tool in the initial management of complaints suggestive for native joint bacterial arthritis, providing an effective, quick and well-tolerable intervention in the operating theatre or at the patient bedside, with the potential to relief health systems from need for scarce operating theatre time.

Indexed as

Bacterial arthritisNanoScopeNeedle arthroscopy

Identifiers

PMID34427795
PMCPMC8382939
OpenAlexW3194119443

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.