II. Indications
III. Preparation
- Needle
- Gauge: 25-27 (injection), 18-20 (aspiration)
- Length: 1 to 1.5 inches
- Syringe: 5 ml (injection) or 20-30 ml (aspiration)
-
Corticosteroid options
- Betamethasone (Celestone) 1 ml of 6 mg/ml
- Methylprednisolone (Depo-Medrol): 1 ml of 40 mg/ml
-
Anesthetic
- Lidocaine 1%: 2 ml or
- Bupivacaine 0.25% or 0.5%: 2 ml
IV. Technique
- Patient position
- Patient supine with knee in slight flexion
- Prop up knee on towel roll in popliteal space
- Sterilize local skin with Betadine or Hibiclens
- Mark needle insertion site based on approach
- Insert needle into bursa and aspirate
- Inject Corticosteroid preparation
V. References
- Pfenninger (1994) Procedures, p. 1036-54
- Cardone (2003) Am Fam Physician 67(10):2147-52 [PubMed]
- Zuber (2002) Am Fam Physician 66(8):1497-1500 [PubMed]