Cytologic examination of synovial fluid has been shown to be useful in
the diagnosis of various joint diseases. Few pathologists are profici
ent in the interpretation of the occasional synovial fluids that most
cytology laboratories receive. The majority of the aspirated synovial
fluids are sent only for bacterial culture and valuable information fr
om the cytologic examination is missed. We describe how pathologists s
hould perform analysis of these fluids and what kind of information th
ey can provide to the physician.