Procedure Info
Larger Joints (Shoulder or Knee) Inject 5 ml lidocaine (Xylocaine) + 1 ml of triamcinolone acetonide 40mg/ml (Kenalog) using a 1.5-inch, 21 gauge needle. Note: For the knee, you may go up to 2ml or 80 mg Kenalog. Ankle joint Inject 3 to 5 ml lidocaine (Xylocaine) +...
Procedure Info
Larger Joints (e.g. knee or shoulder) A 1.5 inch, 21-gauge needle is usually used. Smaller Joints A 0.5 inch, 23- or 25-gauge needle can be used. Note that viscous steroid preparations can’t be injected through small-bore needles. You have to use a larger one....
Procedure Info
The following is a list of potential complications of intra-articular or soft tissue steroid injections Cushing’s syndrome — if administered more than once per month. Steroid arthropathy. Charcot-like arthropathy Tendon rupture (due to atrophy) Fat...
Procedure Info
Contraindications include: Periarticular infection/skin infection overlying injection site Broken skin at the injection site, Septic arthritis, Periarticular or intra-articular fracture, Joint instability, Juxta-articular osteoporosis Severe joint destruction Known...
Procedure Checklist
Non-sterile Tray for the Procedure Nail Splitter (Nail Nipper) Two straight hemostats (straight forceps) Nail elevator (toenail spatula) -Probe with Eye Iris scissors Alcohol Swabs. Syringe: A 5-10-mL syringe filled with 1% lidocaine without epinephrine and a 27 or...
Procedure Checklist
Implant removal consent form Povidone-iodine or chlorhexidine in cup with gauze Spray-on anesthesia, OR 2 cc 1% lidocaine with 25 gauge x 0.5” or 1.5” needle (longer if reinsertion at same time) and syringe Scalpel (sterile 11 blade) Straight and curved mosquito...
