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Category: 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.

Metatarsal Joint Injection

Metatarsal Joint Injection

Tiếng Việt >> Indications This injection procedure is used to diagnose and treat Morton’s metatarsalgia and Morton’s neuroma. Techniques After informed consent is obtained, the patient is positioned for optimal access to the dorsal aspect of the foot. The metatarsal joint interspaces are palpated for swelling and tenderness. The patient is prepared in a standard aseptic fashion over an area large enough to allow palpation of landmarks, and sterile technique is used throughout the procedure. A 1-in. (2-cm), 25-gauge needle…

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Metatarsophalangeal Joint Injection

Metatarsophalangeal Joint Injection

Tiếng Việt >> Indications Metatarsophalangeal joint injection is a useful procedure in the treatment of joint inflammation secondary to rheumatoid arthritis. Techniques After obtaining informed consent, the patient is positioned for optimal access to the dorsal surface of the foot. The metatarsophalangeal joints are palpated for swelling and point tenderness. The patient is prepared in a standard aseptic fashion over an area large enough to allow palpation of landmarks, and sterile technique is used throughout the procedure. Light traction is…

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Plantar Heel Fascia Injection

Plantar Heel Fascia Injection

Tiếng Việt >> Indications Plantar heel fascia injection is used to treat inflammation at the insertion of the long plantar ligament at the anterior aspect of the calcaneus, secondary to chronic overuse disorder or spondyloarthritides. Techniques After informed consent is obtained, the patient is placed in the prone position with the feet extending over the end of the examination table. The plantar aspect of the heel is palpated in the area of the attachment of the plantar fascia to the…

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Retrocalcaneal Bursa Injection

Retrocalcaneal Bursa Injection

Tiếng Việt >> Indications Retrocalcaneal bursa injection is a useful therapeutic procedure for bursitis secondary to repetitive overuse disorder or rheumatoid arthritis. Techniques After informed consent is obtained, the patient is situated in the side lying position. The lateral malleolus and the Achilles tendon are palpated. The patient is prepared in a standard aseptic fashion over an area large enough to allow palpation of landmarks, and sterile technique is used throughout the procedure. A 1½-in. (4-cm), 23- to 25-gauge needle…

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Subtalar (Talocalcaneal) Joint Injection

Subtalar (Talocalcaneal) Joint Injection

Indications Subtalar joint injection is used to treat inflammation secondary to rheumatoid arthritis and other inflammatory arthritides. Techniques After informed consent is obtained, the patient is placed in the prone position with the feet extending over the end of the examination table and the foot flexed to about 90 degrees. The location of the subtalar joint, about 1 to 2 cm distal to the tip of the lateral malleolus and posterior to the sinus tarsus, should be palpated and marked….

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Tibiotalar Joint Injection

Tibiotalar Joint Injection

Tiếng Việt >> Indications Tibiotalar joint injection is a useful therapeutic procedure with inflammation secondary to osteoarthritis, rheumatoid arthritis, or chronic pain from instability. Pain most often occurs with ankle extension and flexion with weight bearing. Techniques After informed consent is obtained, the patient is placed in the supine position with the leg extended and the ankle extended over the end of the examination table. The area just anterior to the medial malleolus at the articulation of the tibia and…

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Anserine Bursa Injection

Anserine Bursa Injection

Indications Anserine bursa injection is a useful diagnostic and therapeutic procedure in bursitis resulting from osteoarthritis or direct trauma. Pain is noted inferior to the anterior medial surface of the knee when climbing stairs. Pain is reproduced with the knee in flexion-extension while internally rotating the leg. Techniques After informed consent is obtained, the patient is placed in the supine position with the knee in extension. The knee is palpated for the point of maximal tenderness over the medial tibial…

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Knee Joint Injection

Knee Joint Injection

Tiếng Việt >> Indications Intraarticular corticosteroid injection of the knee joint is used to treat noninfective inflammatory joint disease secondary to rheumatoid arthritis, seronegative spondyloarthritides, or the chondrocalcinosis inflammatory phase of osteoarthritis. Techniques After informed consent is obtained, the patient is placed in the sitting position with the knee flexed to 90 degrees. The patellar tendon is palpated and the middle of the patellar tendon is marked. The patient is prepared in a standard aseptic fashion over an area large…

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Abductor Tendon Injection

Abductor Tendon Injection

Indications Injection of the abductor tendon is a useful diagnostic and therapeutic procedure for tendonitis at the insertion of the gluteal musculature into the greater trochanter. Techniques After informed consent is obtained, the patient is positioned lying on the side facing the clinician with the painful hip exposed. The hips and knees are flexed and the affected hip adducted. The hip is palpated above the tip of the trochanter to determine the point of maximal tenderness. A 3.5-in. (9-cm), 21-gauge…

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Trochanteric Bursa Injection

Trochanteric Bursa Injection

Indications Trochanteric bursa injection is used to diagnose and treat bursitis of the hip. This often presents as pain in the lateral thigh during ambulation. Pain may be elicited by placing the hip in external rotation and abduction. Techniques After obtaining informed consent, the patient is positioned lying on the side and facing the clinician, with the painful hip exposed. The hips and knees are flexed and the affected hip adducted. The protuberance of greater trochanter on the lateral aspect…

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