Abstract
This audit of 408 synovial fluid samples, analysed for cell counts and crystals, revealed that crystals were present in only 25 samples (6.1%). Of these, in only three patients was the diagnosis uncertain and therefore the analysis helpful. Cell counts and types generally reflected known underlying diagnoses of inflammatory arthritis or osteoarthritis. Routine synovial fluid analysis does not contribute to diagnosis or management in established rheumatic disorders and should be performed only when the underlying cause is uncertain or in newly presenting patients. Major savings can be made by abandoning routine synovial fluid analysis.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received: 13 October 1998 / Accepted: 10 March 1999
Rights and permissions
About this article
Cite this article
Pal, B., Nash, J., Oppenheim, B. et al. Is routine synovial fluid analysis necessary? Lessons and recommendations from an audit. Rheumatology International 18, 181–182 (1999). https://doi.org/10.1007/s002960050082
Issue Date:
DOI: https://doi.org/10.1007/s002960050082