Injection Techniques in Orthopaedic and Sports Medicine: A Practical Manual for Doctors and Physiotherapists
This practical, illustrated guide covers the use and technique of injecting joints for the relief of musculoskeletal pain and inflammation. Introductory chapters deal with the effects of corticosteroids and local anaesthetics and their uses; safety procedures which should be observed when using these products for injection and guidelines to safe injection techniques. The bulk of the book deals with the technique of injection joint by joint. The text is laid out so that each page of text describing the technique is matched by a facing page of illustrations illustrating the procedure. For each joint there is a 4 colour line drawing of the anatomy of the joint and a full colour photograph showing the surface anatomy position for injection. The actual technique of giving the injection and location the correct anatomical position for the insertion of the needle is demonstrated and explained on the CDRom.
The book features: Step by step guide to injection techniques Highly illustrated: 4 colour line drawings and full colour photographs showing the area for needle insertion and the correct position for the needle Layout allows text and relevant illustrations to be on facing pages Canadian binding with PPC cover combines protective cover with ability to lie the text flat for easy referral Includes essential information on the substances to be injected Adopts the latest guidelines for the safety of the procedure Relevant to a wide range of practitioners who have to deal with the management of swollen and painful joints particularly in relation to sports and overuse injuries Written by two highly experienced practitioners who also have many years of experience in teaching the technique Main author was key player in defining the guidelines for safe practice. The CDRom features: An introduction by the author Demonstrations of 21 upper limb injections (plus 7 clips using bones to show the correct anatomical location for the injection) Demonstrations of 27 lower limb injections (plus 7 clips using bones to show correct anatomical location for the injection) Demonstrations of 7 spinal/advanced techniques (with 5 clips using bones to show anatomical location for the injection) Demonstrations of two real injections (ie not using a sheathed needle).
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Aspiration accuracy and miscellaneous injections
Injection technique guidelines
Contraindications to injection therapy
INJECTION TECHNIQUES OF THE UPPER LIMB
The wrist and hand
Summary of suggested upper limb doses
Summary of suggested spinal doses
2ml Anatomy 2ml Blue 40 Lidocaine Total abduction acromion Acute or chronic Alternative approaches anaesthetic anaphylaxis angle Annals aspiration Blue 1.25 inches Blue 20mg bolus bolus Aftercare British Medical Journal British National Formulary bupivacaine bursa bursitis capsular pattern Causes and ﬁndings chronic capsulitis clinical clinician corticosteroid corticosteroid injections difﬁcult distal dose drugs effect elbow epidural epinephrine Equipment Syringe Needle extension ﬁnger ﬁrst Identify and mark inch 16mm inches 20mg 1.5ml inﬁltration inﬂamed Inject solution injection techniques injection therapy intra-articular joint line Kenalog 40 Lidocaine knee lateral rotation lesion Lidocaine Total volume ligament local anaesthetic medial rotation Needle Kenalog 40 Orange 0.5 inch osteoarthritis palpated Patient lies physiotherapists posterior resisted Rheumatic Diseases rheumatoid arthritis Rheumatology sacroiliac joint septic arthritis shoulder spinal steroid steroid injection symptoms synovial ﬂuid Syringe Needle Kenalog tender area tendinopathy tendon thumb tion Total volume 2ml touch bone trauma treatment triamcinolone acetonide volume 1ml volume 2ml 23G wrist