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

youtu.be/uxR-Ty4m_m4

 

Thumb Injection

youtu.be/wQfjVk7dM1k

 

De Quervains Injection

youtu.be/Y8BSLvsyRTg

 

Hip Injection

youtu.be/LwZBAvPDNac

 

Trochanteric Bursitis Injection

youtu.be/g24XGJVBgDM

 

Knee injection

 

Ankle Injection

youtu.be/ZsvOGXxPJ7M

 

Heel Injection

youtu.be/WLRPQxbtPWI

 

Foot Injections

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