Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis of the first carpometacarpal joint, wrist ganglion cysts, and digital flexor tenosynovitis (trigger finger) are reviewed. Indications...

Joint and soft tissue injection of the ankle and foot region is a useful diagnostic and therapeutic tool for the family physician. This article reviews the injection procedure for the plantar fascia, ankle joint, tarsal tunnel, interdigital space, and first metatarsophalangeal joint. Indications for plantar fascia injection include degeneration...

The shoulder is the site of multiple injuries and inflammatory conditions that lend themselves to diagnostic and therapeutic injection. Joint injection should be considered after other therapeutic interventions such as nonsteroidal anti-inflammatory drugs, physical therapy, and activity-modification have been tried. Indications for glenohumeral joint injection include osteoarthritis, adhesive capsulitis, and...

Joint injection of the elbow is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for the elbow joint, medial and lateral epicondylitis, and olecranon bursitis are reviewed. Persistent pain related to inflammatory conditions responds well to injection in the region. Indications for...

Subacromial septic bursitis after corticosteroid injection is exceedingly rare. This report describes a case of Staphylococcus aureus subacromial septic bursitis after corticosteroid injection in a patient undergoing isotretinoin (Accutane) therapy. This case is only the third reported in the literature linking a corticosteroid injection with septic subacromial bursitis1,2 and the...

AJR 2007; 188:1535-1539 © American Roentgen Ray Society
Treatment of Morton's Neuroma with Alcohol Injection Under Sonographic Guidance: Follow-Up of 101 Cases
Richard J. Hughes, Kaline Ali, Hugh Jones, Sue Kendall and David A. Connell
We conclude that alcohol injection of Morton's neuroma has a high success rate and is well tolerated. The results...

Conclusions Autologous blood injection appears to be a viable alternative to steroid injection therapy. It appears to be safe and no reports of reflex sympathetic dystrophy, infection or other major complications have been reported thus far. More recent studies have suggested that steroid treatment and fascial peppering with...

Manipulation and injection for hallux rigidus IS IT WORTHWHILE?
M. C. Solan, J. D. F. Calder, S. P. Bendall From the Princess Royal Hospital, Haywards Heath, England
M anipulation of the metatarsophalangeal joint and injection with steroid and local anaesthetic are widely practised in the treatment of hallux rigidus, but...

The real extent of damage in high-pressure injection injuries (grease gun injuries, paint gun injuries, pressure gun in juries) is hidden behind a small and frequently painless punctiform skin lesion on the finger or the hand. These kinds of injuries require prompt surgical intervention with surgical debridement of all ischemic...

Avascular necrosis of the femoral head in sickle-cell disease. Treatment of collapse by the injection of acrylic cement. Hernigou P, Bachir D, Galacteros F. Henri Mondor Hospital, Creteil, France. In ten patients with sickle-cell disease, we used a new technique of cement injection for the treatment of 16 painful hips with a radiographic...

D. Kane, T. Greaney, B. Bresnihan, R. Gibney, and O. FitzGerald Ann Rheum Dis. 1998 June; 57(6): 383–384.
CONCLUSION—Ultrasound allows for confirmation of the clinical diagnosis and ultrasound guided injection produces a good clinical response when unguided injection is unsuccessful. The technique is quick, inexpensive, and entails no radiation exposure.

High pressure injection injuries of paint, sand, lubricating fluid and other materials are uncommon, but important because they are also on the list of injuries missed in the accident ward. Typically, the patient has briefly placed their hand or fingertip over a pressure spray nozzle, sustaining an injection of material...

We performed a multicenter, open, randomized, clinical study of autologous cultured osteoblast injection for long-bone fracture, to evaluate the fracture healing acceleration effect and the safety of autologous cultured osteoblasts.
The autologous cultured osteoblast injection group showed fracture healing acceleration of statistical significance, and there were no specific patient complications when...

"The RCT identified by the review gave no information on harms. Corticosteroid injections can be painful. Complications observed from local corticosteroid injection throughout the body include infection, subcutaneous fat atrophy, skin pigmentation changes, fascial rupture, peripheral nerve injury, and muscle damage among others. Observational studies have reported rupture of the...

Technique of cortisone injection for carpal tunnel syndrome in the absence of a Palmaris longus tendon.
Steroid Injection, Carpal Tunnel: Treatment & Medication Author: Zita Konik, MD, Jeffrey S Peterson, MD, Updated: Nov 18, 2009

Forty-seven patients with traumatic olecranon bursitis were evaluated after a mean follow-up of 31 months (range 6 to 62 months). Twenty-two patients treated with bursal aspiration had delayed recovery and no complications of therapy. Twenty-five patients treated with intrabursal injection of 20 mg of triamcinolone hexacetonide had rapid recovery, usually...

Open joint injuries are skin and soft tissue injuries that penetrate the joint space. Like open fractures, open joint injuries require timely diagnosis, exploration, and irrigation to minimize long-term morbidity and mortality. The procedure of intra-articular injection of methylene blue is an easy and safe way to identify disruption of...

A considerable part of patients suffer from (greater) trochanteric pain syndrome or trochanteric bursitis. Local corticosteroid injections is one of the treatment options. Although clear evidence is lacking, small observational studies suggest that this treatment is effective in the short-term follow-up. So far, there are no randomised controlled trials...

Abstract Background-3% of biopsied primary bone lesion are bone cyst. It involves mostly proximal end of femur and humerus. Most popular method of treatment is curettage and bone graft or injection of hydrocortisone in the cyst. Methods-Between 1993-1997, 30 patients with UBC of proximal end of humerus were treated in two...

teroid Infiltration into arthritic joints is a common means of treating pain. It is also sometimes done to differentiate pain in the hip from that in the low back or knee. We performed a retrospective review of the notes of all patients who had undergone hip replacements in Wrightington Hospital...

Spine surgery specialists based in Central, Hong Kong.
Our aim is to provide an accurate diagnosis and a structured treatment plan.
A selection of some of the services we offer:
 
INTERVENTIONAL PAIN MANAGEMENT:
Epidural Injection
Selective Nerve Root Block
Facet Joint Injection
Discography
Radiofrequency Neurotomy
Lumbar Disc Biacuplasty
Sacro-iliac Joint Injection
 
SPINE SURGERY:
Cervical Artificial Disc Replacement - Prestige LP, Prodisc-C
ACF /...

In 1937, Rees published the first reported case of a high-pressure injection (HPI) injury to the finger. This injury involved diesel fuel. Prior to Rees's report, Hesse had described a similar injury in 1925.
Although over 100 case reports of HPI injuries of the hand can be found in the literature,...

De Quervain disease is a common condition that occurs with repetitive use of the thumb. It is a tenosynovitis of the first dorsal compartment of the wrist, involving the abductor pollicis longus and extensor pollicis brevis tendons. De Quervain tenosynovitis was first described by Fritz de Quervain in 1895.
Patients with...

News item: Nov 1, 2005 Berlin, Germany - A single injection of botulinum A toxin appears to decrease chronic plantar fasciitis pain, with the improvement lasting at least a year [1]. The findings come from a pilot study in nine patients reported in the November 2005 issue of the Annals of...

Injection of the flexor tendon in the hand is most commonly performed for the treatment of stenosing tenosynovitis. Stenosing tenosynovitis, also known as trigger finger, involves a size mismatch between a thickened or stenotic first annular (A1) pulley in the hand and the flexor tendon trying to glide through the...