Injection Techniques in Orthopaedic and Sports Medicine : A Practical Manual for Doctors and Physiotherapists

by Saunders, Stephanie

• ISBN13: 9780443074981
• ISBN10: 0443074984
• Edition: 3rd
• Format: Hardcover
• Copyright: 2006-08-21
• Publisher: ELSEVIER CHURCHILL LIVINGSTONE

Summary

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 injectin and locatin 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).

Table of Contents

Guidelines and procedures

The drugs

Safety

Aspiration, accuracy and miscellaneous injections

Injection technique guideline

Contraindications to injection therapy

Preparation protocol

Injection technique flowchart

Injection techniques: assessment of the upper limb

Tests

The Shoulder

Glenohumeral joint

Suprascapular nerve

Acromio-clavicular joint

Sterno-clavicular joint

Subacromial bursa

Supraspinatus tendon

Infraspinatus tendon

Subscapularis tendon and bursa

Long head of biceps tendon

The Elbow

Elbow joint

Olecranon bursa

Common extensor tendon

Common flexor tendon

Biceps tendon insertion

Wrist and Hand

Wrist joint

Inferior radio-ulnar joint

Thumb and finger joints

Thumb tendons

Flexor tendon nodule

Carpal tunnel

Summary of suggested upper limb doses

Injection techniques: assessment of the lower limb

Tests

The Hip

Hip joint

Gluteal bursa

Psoas bursa

Trochanteric bursa

Adductor tendons

Hamstring origin

Lateral cutaneous nerve

The Knee

Knee joint

Superior tibio-fibular joint

Coronary ligament

Medial collateral ligament

Infrapatella bursa

Pes anseurine bursa

Iliotibial band bursa

Quadriceps expansion

Infrapatella expansion

Bakers cyst

The Ankle and Foot

Ankle joint

Subtalar joint

Deltoid ligament

Lateral ligament

Achilles tendon

Achilles bursa

Midtarsal joints

Toe joints

Peroneal tendons

Plantar fascia

Summary of suggested lower limb doses

Injection techniques: spine and jaw

Spinal injections

Tests

Cervical facet joint

Lumbar facet joint

Lumbar nerve root

Caudal epidural

Sacro-iliac joint

Sacro-coccygeal joint

Temporo-mandibular joint

Summary of spinal doses Appendix 1 Injection Survey Peripheral joint & soft tissue injections given in General Practice 1991-2004 Appendix 2 Websites References CD to contain clips of all techniques

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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