Orthopedics Book

Knee Disorders

Ankle Disorders

Prevention

Wrist Disorders

Fracture Management

Cervical Spine Disorders

Lumbar Spine Disorders

Neurology

Shoulder Disorders

Bursa

Elbow Disorders

Foot Disorders

Hand Disorders

Hip Disorders

//fpnotebook.com/

Elbow Joint Injection

Aka: Elbow Joint Injection, Elbow Joint Aspiration, Radiohumeral Joint Injection
  1. Indications: Refractory to conservative measures
    1. Osteoarthritis
    2. Rheumatoid Arthritis
    3. Gout
    4. Radial Head Fracture diagnosis
      1. Blood or fat globules on aspiration
  2. Preparation
    1. Needle (with 5-10 cc syringe)
      1. Gauge: 18-22 to aspirate, 25 to inject
      2. Length: 1.5 inches
    2. Injection Solution
      1. Lidocaine 1%: 3-5 ml
      2. Corticosteroid options
        1. Methylprednisolone (40 mg/ml): 1-2 ml or
        2. Celestone Soluspan (3 mg/ml): 1-2 ml
  3. Technique
    1. Position patient
      1. Patient supine
      2. Elbow flexed at 45 degrees
      3. Hand resting in neutral position by thigh
    2. Mark landmarks of lateral triangle
      1. Lateral olecranon
      2. Lateral epicondyle
      3. Radial head
    3. Needle insertion
      1. Apply betadine or hibiclens to area
      2. Insert needle perpendicular to skin
        1. Needle inserted at center of lateral triangle
        2. Needle aimed toward medial epicondyle
        3. Redirect needle if bone reached
        4. Aspirate for blood prior to injection
  4. References
    1. Pfenninger (1994) Procedures, Mosby, p. 1045
    2. Cardone (2002) Am Fam Physician 66(11):2097-100 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree