Hand Injection

Aka: Hand Injection, Wrist Injection, Finger injection, Finger Joint Injection, Finger Tendon Injection, Finger Soft Tissue Injection, Toe Injection

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II. Technique: Finger injection Sites

  1. Finger and toe joints
    1. Needle: 25g to 27g (1 to 1.5 inch) for injection (22g for aspiration)
    2. Methylprednisolone: 4-10 mg (up to 20 mg)
    3. Lidocaine 1%: 0.5 - 1.0 ml
  2. Thumb Abductor tendon (De Quervain's Tenosynovitis)
    1. See De Quervain's Tenosynovitis Injection
  3. Flexor tendon sheath (Trigger Finger)
    1. See Digital Flexor Tenosynovitis Injection
  4. Dupuytren's Disease (Dupuytren's Contracture)
    1. Dupuytren's Nodule Corticosteroid Injection
  5. First Carpometacarpal Joint Osteoarthritis
    1. First Carpometacarpal Joint Steroid Injection

III. Technique: Wrist Injection Sites

  1. Wrist
    1. Needle: 25 to 27g (1 to 1.5 inch) for injection (22g for aspiration)
    2. Methylprednisolone: 10-40 mg
    3. Lidocaine 1%: 1-2 ml
    4. Injection (or aspiration site)
      1. Within the anatomic snuff box
      2. Distal to radial tubercle and between extensor pollicis longus and the common extensor tendons
  2. Carpal Tunnel
    1. See Carpal Tunnel Corticosteroid Injection
  3. Wrist Ganglion
    1. See Ganglion Cyst Injection
  4. Intersection Syndrome (Tenosynovitis of the Radial Wrist Extensors)
    1. See Intersection Syndrome Steroid Injection
  5. Triangular Fibrocartilage Complex Injury (TFCC Injury)
    1. See TFCC Steroid Injection

IV. References

  1. Pujalte (2024) Am Fam Physician 110(4): 395-401 [PubMed]
  2. Waryasz (2017) R I Med J 100(2):31-4 +PMID: 28246658 [PubMed]

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