The Double Intravenous Catheter Technique for Single-Puncture Arthrocentesis

J Craniofac Surg. 2017 Oct;28(7):e603-e605. doi: 10.1097/SCS.0000000000003726.

Abstract

Traditionally, arthrocentesis involves insertion of 2 needles into the joint space of which one acts as an inflow port and the other as the outflow port. These 2 needles must triangulate and be exactly placed in the upper joint space for the procedure to be effective. Due to the difficulty in maintaining the needle position, single-puncture arthrocentesis is gaining popularity. It is relatively easier to perform and less traumatic to the joint. The authors describe a simple technique of single-puncture arthrocentesis using parts of 2 peripheral intravenous catheters of different gauges. The outflow port is formed by the catheter tube of 1 cannula while the inflow port is formed by the needle of the second cannula. Besides beings easy to perform and cost-effective, our technique provides predictable joint lavage of the joint with minimal trauma to the tissues.

MeSH terms

  • Arthrocentesis / instrumentation
  • Arthrocentesis / methods*
  • Catheters*
  • Humans
  • Punctures
  • Temporomandibular Joint*