1423:
1057:
1530:
1770:
1051:
1592:
40:
1296:
198:
1/1000 following intra-articular injections, 33.0% perceived rates were < 1/100, and 2.6% perceived the risk as negligible. Sterile preparation of the entire injection field, including adjacent skin where the gel and probe are applied, is recommended. Areas of superficial infection such as cellulitis or abscess should be avoided to prevent deeper spread.
202:
quickly to the same location and orientation by aligning to the skin mark. The needle is directed toward the intended target by a freehand technique. The needle size, length and type should be selected based on the site, depth and patient's body habitus. 22–24G needles are sufficed for most injections.
201:
After planning a safe route of access, a line parallel to the long axis of the transducer is drawn on the skin adjacent to the end of transducer where the needle will be introduced. Once the patient's skin is sterilized and initial needle entry is made adjacent to the mark, the probe can be returned
197:
Injections should be performed with adherence to aseptic technique although this varies between institutions and radiologists attributable to resources, training, perceived risk and experience. In a survey of 250 health professionals in the United
Kingdom, 43.5% believed infection rates were <
193:
Usual standards for musculoskeletal interventional procedures apply include review of previous imaging, informed consent and appropriate local anesthetic. The use of a high-frequency (> 10 MHz) linear array transducer is recommended, but lower-frequency curvilinear probes may be occasionally
176:
A 2015 Cochrane review found that intra-articular corticosteroid injections of the knee did not benefit quality of life and had no effect on knee joint space; clinical effects one to six weeks after injection could not be determined clearly due to poor study quality. Another 2015 study reported
581:
Khoshbin A, Leroux T, Wasserstein D, Marks P, Theodoropoulos J, Ogilvie-Harris D, Gandhi R, Takhar K, Lum G, Chahal J (December 2013). "The efficacy of platelet-rich plasma in the treatment of symptomatic knee osteoarthritis: a systematic review with quantitative synthesis".
194:
required to visualize deep structures in larger patients. A preliminary diagnostic sonographic examination, including color
Doppler of the area to be punctured is necessary to define the relationship of adjacent neurovascular structures.
169:
have not produced improvement compared to placebo for knee arthritis, but did increase risk of further pain. In ankle osteoarthritis, evidence is unclear. The effectiveness of injections of
968:
451:
Rutjes AW, Jüni P, da Costa BR, Trelle S, Nüesch E, Reichenbach S (August 2012). "Viscosupplementation for osteoarthritis of the knee: a systematic review and meta-analysis".
1814:
177:
negative effects of intra-articular corticosteroid injections at higher doses, and a 2017 trial showed reduction in cartilage thickness with intra-articular
961:
494:
Jevsevar D, Donnelly P, Brown GA, Cummins DS (December 2015). "Viscosupplementation for
Osteoarthritis of the Knee: A Systematic Review of the Evidence".
761:"Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis: A Randomized Clinical Trial"
1040:
954:
209:
can be considered when symptoms persist despite initial treatment options such as activity modification, analgesia and physical therapy.
181:
every 12 weeks for 2 years compared to placebo. A 2018 study found that intra-articular triamcinolone is associated with an increase in
814:
17:
173:
is unclear; there are suggestions that such injections improve function but not pain, and are associated with increased risk.
206:
44:
1325:
1406:
926:
810:"Intraocular Pressure Increases After Intraarticular Knee Injection With Triamcinolone but Not Hyaluronic Acid"
1503:
1346:
301:
1877:
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998:
330:
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39:
1819:
1388:
659:
1867:
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1383:
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165:) leads to short term pain relief that may last between a few weeks and a few months. Injections of
1786:
1160:
619:"Intraarticular Injections of Platelet-rich Plasma (PRP) in the Management of Knee Osteoarthritis"
1857:
1824:
1778:
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1455:
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1035:
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1002:
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Jüni P, Hari R, Rutjes AW, Fischer R, Silletta MG, Reichenbach S, da Costa BR (October 2015).
1908:
1862:
1743:
1156:
335:
464:
1707:
1552:
1470:
1415:
1335:
1320:
1123:
712:"The Effect of Intra-articular Corticosteroids on Articular Cartilage: A Systematic Review"
182:
170:
94:
808:
Taliaferro K, Crawford A, Jabara J, Lynch J, Jung E, Zvirbulis R, Banka T (9 March 2018).
531:"Hyaluronic acid and other conservative treatment options for osteoarthritis of the ankle"
8:
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989:
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McAlindon TE, LaValley MP, Harvey WF, Price LL, Driban JB, Zhang M, Ward RJ (May 2017).
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fluids. The technique may be used to also withdraw excess fluid from the joint.
1569:
1202:
888:
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130:
118:
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1712:
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1603:
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904:
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727:
265:
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569:
It is unclear if there is a benefit or harm for HA as treatment for ankle OA
362:
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1364:
1213:
1152:
981:
507:
401:"Corticosteroid injections for osteoarthritis of the knee: meta-analysis"
256:
58:
67:
47:: A skin mark is made to mark the optimal point of entry for the needle.
1769:
1731:
1702:
1262:
1236:
1098:
240:"Ultrasound Diagnostic and Therapeutic Injections of the Hip and Groin"
106:
1050:
1341:
1231:
1083:
1073:
887:
Stephens, Mark B.; Beutler, Anthony I.; O'Connor, Francis G. (2008).
138:
363:"Intra-articular Hyaluronic Acid Injections for Knee Osteoarthritis"
305:
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Creative
Commons Attribution 4.0 International License (CC-BY 4.0)
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373:(3). American Academy of Family Physicians: 565–70, 572.
660:"Intra-articular corticosteroid for knee osteoarthritis"
450:
529:
Witteveen AG, Hofstad CJ, Kerkhoffs GM (October 2015).
889:"Musculoskeletal injections: a review of the evidence"
496:
The
Journal of Bone and Joint Surgery. American Volume
657:
294:
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121:. A hypodermic needle is injected into the affected
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710:Wernecke C, Braun HJ, Dragoo JL (May 2015).
237:
125:where it delivers a dose of any one of many
667:The Cochrane Database of Systematic Reviews
535:The Cochrane Database of Systematic Reviews
304:. JohnDRhoads. 25 July 2013. Archived from
244:Journal of the Belgian Society of Radiology
969:
955:
815:Clinical Orthopaedics and Related Research
446:
444:
325:
323:
238:Yeap, Phey Ming; Robinson, Philip (2017).
89:) is a procedure used in the treatment of
38:
863:
784:
735:
686:
634:
554:
424:
399:Arroll B, Goodyear-Smith F (April 2004).
356:
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273:
255:
617:Rodriguez-Merchan EC (September 2013).
465:10.7326/0003-4819-157-3-201208070-00473
441:
331:"intraarticular injection - definition"
320:
27:Method of delivering drugs into a joint
14:
1901:
716:Orthopaedic Journal of Sports Medicine
623:The Archives of Bone and Joint Surgery
351:
950:
207:ultrasound-guided hip joint injection
129:agents, the most common of which are
45:Ultrasound-guided hip joint injection
188:
1326:Heated humidified high-flow therapy
360:
24:
1590:
1528:
1421:
25:
1920:
927:"MSK Ultrasound Guided Injection"
1768:
1294:
1055:
1049:
919:
880:
832:10.1007/s11999.0000000000000261
801:
752:
703:
651:
610:
361:Wen, Dennis Y (1 August 2000).
236:Initially largely copied from:
141:, is sometimes used to replace
679:10.1002/14651858.CD005328.pub3
574:
547:10.1002/14651858.CD010643.pub2
522:
487:
392:
13:
1:
1094:Effervescent powder or tablet
212:
91:inflammatory joint conditions
1878:Patient-controlled analgesia
1183:Orally disintegrating tablet
596:10.1016/j.arthro.2013.09.006
7:
453:Annals of Internal Medicine
417:10.1136/bmj.38039.573970.7C
10:
1925:
1389:Relative analgesia machine
149:Efficacy in osteoarthritis
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1805:
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893:American Family Physician
367:American Family Physician
87:intra-articular injection
64:
52:
37:
32:
18:Intra-articular injection
978:Routes of administration
728:10.1177/2325967115581163
1504:Extra-amniotic infusion
1109:Molecular encapsulation
1041:Osmotic delivery system
1036:Time release technology
722:(5): 2325967115581163.
1807:Central nervous system
1595:
1533:
1461:Mucoadhesive microdisc
1426:
777:10.1001/jama.2017.5283
302:"Carpal Tunnel Review"
137:, because of its high
115:Carpal Tunnel Syndrome
1650:Transfersome vesicles
1594:
1532:
1509:Intravesical infusion
1425:
336:TheFreeDictionary.com
157:, joint injection of
1336:Metered-dose inhaler
1321:Anesthetic vaporizer
822:therapeutic study).
508:10.2106/jbjs.n.00743
257:10.5334/jbr-btr.1371
183:intraocular pressure
171:platelet-rich plasma
95:rheumatoid arthritis
1761:Transdermal implant
1721:(into tissue/blood)
1498:Intrauterine device
1379:Anaesthetic machine
1374:Oxygen concentrator
931:R3 Medical Training
117:, and occasionally
99:psoriatic arthritis
1873:Nanocell injection
1596:
1534:
1427:
1281:Dry-powder inhaler
1896:
1895:
1892:
1891:
1723:
1685:Transdermal spray
1680:Transdermal patch
1670:Medicated shampoo
1401:
1400:
1397:
1396:
1384:Medical inhalants
1331:Medical inhalants
1259:Respiratory tract
1253:
1252:
1147:
1146:
771:(19): 1967–1975.
189:Ultrasound-guided
127:anti-inflammatory
75:
74:
16:(Redirected from
1916:
1772:
1728:
1727:
1719:
1306:
1302:
1298:
1269:
1268:
1198:Sublingual drops
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1059:
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1008:
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947:
941:
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938:
937:
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917:
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884:
878:
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867:
826:(7): 1420–1425.
805:
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788:
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750:
749:
739:
707:
701:
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690:
673:(10): CD005328.
664:
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572:
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558:
541:(10): CD010643.
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68:edit on Wikidata
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1868:Intraperitoneal
1840:musculoskeletal
1838:
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1797:Intra-articular
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999:Digestive tract
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590:(12): 2037–48.
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502:(24): 2047–60.
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308:on 30 July 2013
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205:As an example,
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167:hyaluronic acid
159:glucocorticoids
151:
135:Hyaluronic acid
131:corticosteroids
83:joint injection
71:
48:
33:Joint injection
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15:
12:
11:
5:
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1911:
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1787:Intracavernous
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1570:Nutrient enema
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992:
986:
985:
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942:
918:
899:(8): 971–976.
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573:
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486:
440:
391:
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339:. Farlex. 2010
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163:hydrocortisone
155:osteoarthritis
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119:osteoarthritis
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1858:Intramuscular
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1635:Iontophoresis
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1604:Topical cream
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1369:Nasal cannula
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1019:
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1016:
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996:
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987:
983:
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459:(3): 180–91.
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411:(7444): 869.
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1909:Rheumatology
1863:Intraosseous
1853:Intracardiac
1792:Intravitreal
1754:Injector pen
1749:Subcutaneous
1720:
1690:Jet injector
1675:Dermal patch
1488:Vaginal ring
1456:Insufflation
1208:Effervescent
982:dosage forms
934:. Retrieved
930:
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310:. Retrieved
306:the original
296:
247:
243:
204:
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152:
86:
82:
76:
1848:Intravenous
1835:Circulatory
1820:Intrathecal
1744:Intradermal
1736:transdermal
1703:Parenterals
1609:Topical gel
1565:Murphy drip
1543:Suppository
1431:Nasal spray
1365:Oxygen mask
1214:Chewing gum
1153:Oral mucosa
584:Arthroscopy
59:orthopedics
1708:Injections
1471:Urogenital
1407:Ophthalmic
1263:inhalation
1237:Toothpaste
1165:sublingual
1129:Suspension
1099:Herbal tea
936:2021-05-21
629:(1): 5–8.
213:References
107:tendinitis
93:, such as
1713:infusions
1645:Liposomes
1441:Eye drops
1436:Ear drops
1347:Vaporizer
1342:Nebulizer
1232:Mouthwash
1161:sublabial
1084:Electuary
1074:Decoction
905:0002-838X
840:1528-1132
266:2514-8281
250:(S2): 6.
161:(such as
139:viscosity
54:Specialty
1903:Category
1884:PIC line
1825:Epidural
1665:Lip balm
1640:Hydrogel
1631:solution
1614:Liniment
1599:Ointment
1558:Hydrogel
1553:Solution
1538:Ointment
1478:Ointment
1451:Hydrogel
1446:Ointment
1242:Ointment
1203:Lozenges
1193:Lollipop
1139:Tincture
1124:Solution
1104:Hydrogel
1089:Emulsion
1031:Pastille
913:18953975
874:29533245
856:01554937
848:53007647
820:Level-II
795:28510679
746:26674652
697:26490760
645:25207275
604:24286802
565:26475434
516:26677239
473:22868835
435:15039276
379:10950213
284:30498802
111:bursitis
79:medicine
1584:topical
1522:enteral
1483:Pessary
1313:Liquids
1286:Smoking
1224:Liquids
1119:Softgel
1066:Liquids
1026:Capsule
1003:enteral
865:6437574
786:5815012
737:4622344
688:8884338
636:4151401
556:9254328
481:5660398
312:25 July
275:6251072
1779:Organs
1660:Lotion
1580:Dermal
1518:Rectal
1493:Douche
1273:Solids
1210:tablet
1175:Solids
1157:buccal
1114:Powder
1079:Elixir
1021:Tablet
1013:Solids
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854:
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426:387479
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384:9 June
377:
343:9 June
282:
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264:
1655:Cream
1619:Paste
1548:Enema
1500:(IUD)
1416:nasal
1338:(MDI)
1246:Spray
1134:Syrup
663:(PDF)
477:S2CID
143:bursa
123:joint
66:[
1880:pump
1732:Skin
1629:DMSO
1624:Film
1412:otic
1367:and
1188:Film
990:Oral
909:PMID
901:ISSN
870:PMID
852:OCLC
844:LCCN
836:ISSN
791:PMID
765:JAMA
742:PMID
693:PMID
671:2015
641:PMID
600:PMID
561:PMID
539:2015
512:PMID
469:PMID
431:PMID
386:2010
375:PMID
345:2010
314:2013
280:PMID
262:ISSN
103:gout
81:, a
1357:Gas
860:PMC
828:doi
824:476
781:PMC
773:doi
769:317
732:PMC
724:doi
683:PMC
675:doi
631:PMC
592:doi
551:PMC
543:doi
504:doi
461:doi
457:157
421:PMC
413:doi
409:328
405:BMJ
270:PMC
252:doi
248:101
153:In
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