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Monarticular Steroid-sensitive Arthritis

 

History:

The pain is spontaneous in onset and the elbow very soon starts to swell .

Clinical Examination:

A marked capsular pattern is found. The endfeel is muscular spasm during the acute phase , later on the endfeel is harder.
The joint is warm to the touch and synovial thickening can be found on palpation over the head of the radius laterally.

Treatment:

Two injections with 20 mg triamcinolone with a two weeks interval are symptomatically very effective. The patient may be pain-free for many months, whereupon the injection can be repeated .
Sometimes a hard and painless limitation may persist.

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