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Category Archives: Joint Injection

The joint is usually injected from the extensor surface at a point where the synovium is closest to the skin. This site minimizes the interference from major arteries, veins, and nerves. When the point of injection has been determined, it is best marked with the tip of a retracted ballpoint pen or a needle hub by pressing the skin to produce a temporary indentation to mark the point of entry. The skin is then prepared in a standard aseptic fashion over an area large enough to allow palpation of landmarks, and sterile technique is used throughout the procedure.

Olecranon Bursa Injection of the Elbow

Tiếng Việt >> Indications Olecranon bursa injection is a useful diagnostic and therapeutic procedure for olecranon bursitis. This condition is usually secondary to trauma or rheumatoid arthritis. Techniques After informed consent is obtained, the patient is placed in the sitting position with the hand on the lap. The olecranon process of the ulna is palpated […]

Medial Epicondyle Injection of the Elbow

Tiếng Việt >> Indications Medial epicondyle injection is a useful diagnostic and therapeutic procedure for medial epicondylitis (golfer’s elbow or tortilla elbow). Techniques After informed consent is obtained, the patient is placed in the sitting position, with the arm resting on the examination table, palm up, and the elbow flexed to 45 degrees. The elbow […]

Lateral Epicondyle Injection of the Elbow

Tiếng Việt >> Indications Lateral epicondyle injection is a useful diagnostic and therapeutic procedure for lateral epicondylitis of the elbow (tennis elbow). The condition is usually secondary to occupational or sports-related trauma or recurrent trauma. Techniques After informed consent is obtained, the patient is placed in the sitting position, with the arm resting on the […]

Bicipital Tendon Injection

Tiếng Việt >> Indications Peritendinous injection of the bicipital tendon is a useful diagnostic and therapeutic procedure for bicipital tenosynovitis. Techniques After informed consent is obtained, the patient is placed in the seated position with the arm externally rotated and lateral to the medial edge of the humeral head. The bicipital groove is located and […]

Rotator Cuff Tendon and Subacromial Bursa Injection

Tiếng Việt >> Indications Corticosteroid injection procedures are used to diagnose and treat rotator cuff tendonitis or subacromial bursitis. These conditions are often due to nonspecific irritation of the subacromial bursa, lesions of the rotator cuff, calcific tendonitis, or rheumatoid arthritis. Techniques After informed consent is obtained, the patient is placed in a sitting position […]

Acromioclavicular Joint Injection

Tiếng Việt >> Indications Intraarticular injection of the acromioclavicular joint is used to treat an inflamed or painful joint, as well as pain secondary to acromioclavicular joint separation. Techniques After informed consent is obtained, the patient is placed in the sitting position. The acromioclavicular joint is palpated by placing the fingers at the tip of […]

Glenohumeral Joint Injection

Tiếng Việt >> Indications Intraarticular injection of the glenohumeral joint can be used to treat rheumatoid arthritis, inflammatory arthropathy, or adhesive capsulitis. Techniques After informed consent is obtained, the patient is placed in the sitting position, with the shoulder internally rotated. The glenohumeral joint is palpated by placing the fingers between the coracoid process and […]

Costochondral Junction Injection

Indications Costochondral junction injection can be very useful as a diagnostic or therapeutic procedure in patients with costochondritis and Tietze’s syndrome. Techniques After informed consent is obtained, the patient is positioned in the supine position. The involved costochondral joints are palpated for local tenderness and replication of pain complaint. The patient is prepared in a […]

Cervical Zygapophyseal Joint Injection

Indications The cervical zygapophyseal joints have been shown to be a potential source of pain from the cranium to the midthoracic spine (63). Cervical facet injections can provide diagnostic as well as therapeutic benefits for patients with a wide variety of head and neck pains. Techniques After informed consent is obtained, the patient is placed […]

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