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. 2022 Aug 5;52(5):855–874. doi: 10.1007/s00256-022-04139-w

Fig. 13.

Fig. 13

A 63-year-old female with painful total knee arthroplasty, presenting for aspiration. Initial aspiration attempts using the lateral approach yielded no fluid. Initial fluoroscopic spot image showed pooling of the contrast in the lateral periarticular soft tissues (arrows). The needle was repositioned and advanced deep to the patella. Subsequent contrast injection shows contrast outlining the medial aspect of the polyethylene liner (arrowhead), having crossed the midline, indicating intraarticular needle position