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Without proper anatomical landmarks and sterile technique, you risk introducing bacteria into a synovial space where infection (septic arthritis) can destroy cartilage within 24-48 hours

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Uhles S, Wang H, Bnardeau A, Prummer M, Brecheisen M, Sewing S, Tobalina L, Bosco D, Wollheim CB, Migliorini C

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The distinguishing features of infection versus simple inflammation are progressive worsening beyond 48 hours, spreading redness with clear borders that expands outward, red streaks radiating from the injection site (indicating lymphangitis), warmth that increases rather than decreases over time, pus or cloudy discharge from the site, and fever above 100.4 degrees Fahrenheit (38 degrees Celsius)