Joint effusion a resultant large effusion due to inflammation. Gout is usually present with recurrent attacks of acute inflammatory arthritis (red, tender, hot, swollen joint). It is caused by elevated levels of uric acid in the blood that crystallizes and deposits in joints, tendons, and surrounding tissues. Gout affects 1% of individuals in Western populations at some point in their lives. Trauma from ligamentous, osseous or meniscal injuries can result in an effusion. These are often hemarthrosis or bloody effusions. Rest Joint effusion A joint effusion is the presence of increased intra-articular fluid. It may affect any joint. Commonly it involves the
Toe the line Toe the line "Toe the line" is an idiomatic expression meaning either to conform to a rule or standard, or to stand poised at the starting line in a footrace. Other phrases which were once used in the early 1800s and have the same meaning were toe the mark and toe the plank. The expression has disputed origins. Those suggested are from public school, the armed services, or possibly the British House of Commons. It is common practice in many long-established schools for roll-call to be taken twice a day, at which the pupils line up with their toes exactly