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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.
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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