Joint injections

Sparling M, Malleson P, Wood B, Petty R. Radiographic followup of joints injected with triamcinolone hexaceto-nide for the management of childhood arthritis. Arthritis Rheum 1990 33(6) 821-6. 

Intra-articular glucocorticoid injections can provide excellent pain relief, particularly when ajoint effusion is present. Aspiration of the effusion and injection of glucocorticoid are carried out aseptically, and examination of the aspirate to exclude crystalline arthritis or infection is recommended. After injection, the patient should minimize activity and stress on the joint for several days. The risk of infection is estimated at 1 in 50,000 joint injections. 

Fig. 12.6a,b. Two patients who had recurrence of pain following surgical ligation of the L ISV. With the catheter tip in the mid L ISV just below the mid-portion of the L SI joint, injection in patient (a) demonstrates one small channel through the inguinal canal, whereas patient (b) has no patent vessels that would suggest a recurrence. Patient (a) was treated, (b) was not... 

Facet joint injection is traditionally performed using a blind technique. As techniques evolve, the use of CT or fluoroscopy imaging is now preferred because imaging guidance allows more precise needle placement. Once the entry site is selected, the needle is advanced anteriorly until the... 

Our needle guidance system has been evaluated [26,27] in a cadaveric study (Figure 4.5) to evaluate the system for facet joint injection. The... 

Clarke C, Moore J, Wedlake C, Lee D, Ganapathy S, Salbalbal M, Wikon T, Peters T, Bainbridge D. Virtual reality imaging with real-time ultrasound guidance for facet joint injection a proof of concept. Anesth Analg 2010 110(5) 1461-3. 

Zwar RB, Read JW, Noakes JB (2004) Sonographically guided glenohumeral joint injection. AJR Am J Roentgenol 183 48-... 

Pekkafali MZ, Kiralp MZ, Basekim CC et al (2003) Sacroiliac joint injections performed with sonographic guidance. J Ultrasound Med 22 553-559... 

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