Water on the knee

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Tests and diagnosis

By Mayo Clinic staff

Imaging tests

  • X-ray. Your doctor will request an X-ray to make sure you haven't broken or dislocated any bones, or to determine if you have arthritis.
  • Magnetic resonance imaging (MRI). This test detects abnormalities of the bone or knee joint, such as a tear in your ligaments, tendons or cartilage.

Blood tests
A sample of blood taken from your arm can be tested for evidence of:

  • Infection
  • Inflammation
  • Rheumatoid arthritis
  • Lyme disease
  • Bleeding disorders
  • Gout

Joint aspiration (arthrocentesis)
During this procedure your doctor withdraws fluid from inside your knee, so it can be checked for:

  • Blood, which may stem from injuries or bleeding disorders
  • Bacteria, which may be causing an infection
  • The crystals common to gout or to pseudogout
References
  1. Frequently asked questions about osteoarthritis of the knee. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00228. Accessed Jan. 18, 2010.
  2. Johnson MW. Acute knee effusions: A systematic approach to diagnosis. American Family Physician. 2000;61:2391.
  3. Mathison DJ, et al. Approach to knee effusions. Pediatric Emergency Care. 2009;25:773.
  4. Knee problems. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.gov/Health_Info/Knee_Problems/default.asp. Accessed Jan. 18, 2010.
DS00662 March 6, 2010

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