Answer
The clinician performing the procedure should be familiar with the anatomy of the specific joint and cognizant of the relevant landmarks in order to avoid puncture of tendons, blood vessels, and nerves (see the images below).
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Media Gallery
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Anterior view of right knee.
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Anatomic landmarks for knee arthrocentesis.
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Infiltration of local anesthetic via medial parapatellar approach (left knee).
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Left-knee aspiration via medial parapatellar approach.
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Application of bandage after left-knee aspiration.
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