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.

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 […]

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 […]

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 […]

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 […]

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 […]

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, […]

Hip Joint Injection

Tiếng Việt >> Indications Hip joint intraarticular injection is used to treat inflammation of the hip secondary to rheumatoid arthritis or osteoarthritis. Techniques After informed consent is obtained, the patient is placed in the supine position with the leg straight and externally rotated. A point is marked at 2 cm below the anterosuperior spine of […]

Coccygeal Junction Injection

Indication Infiltration of the coccyx region can be useful as a therapeutic procedure in coccydynia after exclusion of infection or other significant pathology. Techniques After informed consent is obtained, the patient is positioned in the lateral Sims’ position with the left side down for right-handed clinicians. With the upper leg flexed, the buttocks are separated, […]

Sacroiliac Joint Injection

Indications Sacroiliac joint injection is used to treat inflammation of the sacroiliac joints secondary to trauma, rheumatoid arthritis, degenerative joint disease, or stress secondary to mechanical changes in posture or gait. Techniques After informed consent is obtained, the patient is placed in the prone position. The patient is prepared in a standard aseptic fashion over […]

Lumbar Zygapophyseal Joint Injection

Indications The lumbar zygapophyseal (facet) joints have been shown to be a potential source of pain involving the low back and buttocks. Facet joint injections can provide diagnostic as well as therapeutic benefits for patients with low back pain. Techniques After informed consent is obtained, the patient is placed in the prone position with a […]