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53 Joint injections

Reducing the risk of infection
(septic arthritis risk approx 1 in 40,000)
Never inject an infected joint.
Avoiding injecting through infected skin or psoriatic plaques.
Avoid injecting adjacent to infected skin/skin ulcers.
Avoid injecting patient on concurrent oral steroids.
Mediswabs or iodine should be used with a no touch or aseptic technique.

Reducing the risk of bleeding
If injecting weight bearing joints advise rest for 24 hours post injection.
Don’t inject patients on warfarin

Reducing the risk of tendon rupture
Don’t inject near the Achilles tendon.
Don’t inject into tendons.

Patient information leaflets and consent forms

Depo-medrone doses (+/- lidocaine when injecting shoulder or knee)
Trochanteric Bursitis 40-80mg
Knee 40-80mg
Shoulder 40mg
Tennis elbow 10-20 mg using a ‘peppering’ technique

Steroid injections: how effective are they? Lancet 2010;376:1741–50


Shoulder Injections


AC joint Injection


Elbow Injection


Wrist Injection



Thumb Injection



De Quervains Injection



Hip Injection



Trochanteric Bursitis Injection



Knee injection


Ankle Injection



Heel Injection



Foot Injections


Joint injections Copyright © 2012 by 250 Textbooks / Metacognitives / Gifted Amateurs. All Rights Reserved.


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