Intra-articular injection: Difference between revisions
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===Ultrasonography=== | ===Ultrasonography=== | ||
Guidance with [[ultrasonography]], rather than relying on [[palpation]] by an experienced clinician, may<ref name="pmid19648304">{{cite journal| author=Sibbitt WL, Peisajovich A, Michael AA, Park KS, Sibbitt RR, Band PA et al.| title=Does sonographic needle guidance affect the clinical outcome of intraarticular injections? | journal=J Rheumatol | year= 2009 | volume= 36 | issue= 9 | pages= 1892-902 | pmid=19648304 | Guidance with [[ultrasonography]], rather than relying on [[palpation]] by an experienced clinician, may<ref name="pmid20222114">{{cite journal| author=Cunnington J, Marshall N, Hide G, Bracewell C, Isaacs J, Platt P et al.| title=A randomized, double-blind, controlled study of ultrasound-guided corticosteroid injection into the joint of patients with inflammatory arthritis. | journal=Arthritis Rheum | year= 2010 | volume= 62 | issue= 7 | pages= 1862-9 | pmid=20222114 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19648304 | doi=10.3899/jrheum.090013 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20222114 | doi=10.1002/art.27448 }} </ref><ref name="pmid19648304">{{cite journal| author=Sibbitt WL, Peisajovich A, Michael AA, Park KS, Sibbitt RR, Band PA et al.| title=Does sonographic needle guidance affect the clinical outcome of intraarticular injections? | journal=J Rheumatol | year= 2009 | volume= 36 | issue= 9 | pages= 1892-902 | pmid=19648304 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19648304 | doi=10.3899/jrheum.090013 }}</ref><ref name="pmid19851159">{{cite journal| author=Ucuncu F, Capkin E, Karkucak M, Ozden G, Cakirbay H, Tosun M et al.| title=A comparison of the effectiveness of landmark-guided injections and ultrasonography guided injections for shoulder pain. | journal=Clin J Pain | year= 2009 Nov-Dec | volume= 25 | issue= 9 | pages= 786-9 | pmid=19851159 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19851159 | doi=10.1097/AJP.0b013e3181acb0e4 }}</ref> or may not<ref name="pmid17464615">{{cite journal| author=Rutten MJ, Maresch BJ, Jager GJ, de Waal Malefijt MC| title=Injection of the subacromial-subdeltoid bursa: blind or ultrasound-guided? | journal=Acta Orthop | year= 2007 | volume= 78 | issue= 2 | pages= 254-7 | pmid=17464615 url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=17464615 | doi=10.1080/17453670710013762 }}</ref><ref name="pmid18621974">{{cite journal| author=Luz KR, Furtado RN, Nunes CC, Rosenfeld A, Fernandes AR, Natour J| title=Ultrasound-guided intra-articular injections in the wrist in patients with rheumatoid arthritis: a double-blind, randomised controlled study. | journal=Ann Rheum Dis | year= 2008 | volume= 67 | issue= 8 | pages= 1198-200 | pmid=18621974 | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19851159 | doi=10.1097/AJP.0b013e3181acb0e4 }} | | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=18621974 | doi=10.1136/ard.2007.084616 }}</ref> increase successful injection or aspiration. | ||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=18621974 | doi=10.1136/ard.2007.084616 }} | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 00:12, 18 July 2010
In medicine, an intra-articular injection is a drug administration route into the synovial fluid of a joint space.[1] Related is an arthrocentesis, which is removing fluid from the synovial fluid.
Technique
The technique has been reviewed.[2]
Ultrasonography
Guidance with ultrasonography, rather than relying on palpation by an experienced clinician, may[3][4][5] or may not[6][7] increase successful injection or aspiration.
References
- ↑ Anonymous (2024), Intra-articular injection (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Thomsen TW, Shen S, Shaffer RW, Setnik GS (2006). "Videos in clinical medicine. Arthrocentesis of the knee.". N Engl J Med 354 (19): e19. DOI:10.1056/NEJMvcm051914. PMID 16687707. Research Blogging.
- ↑ Cunnington J, Marshall N, Hide G, Bracewell C, Isaacs J, Platt P et al. (2010). "A randomized, double-blind, controlled study of ultrasound-guided corticosteroid injection into the joint of patients with inflammatory arthritis.". Arthritis Rheum 62 (7): 1862-9. DOI:10.1002/art.27448. PMID 20222114. Research Blogging.
- ↑ Sibbitt WL, Peisajovich A, Michael AA, Park KS, Sibbitt RR, Band PA et al. (2009). "Does sonographic needle guidance affect the clinical outcome of intraarticular injections?". J Rheumatol 36 (9): 1892-902. DOI:10.3899/jrheum.090013. PMID 19648304. Research Blogging.
- ↑ Ucuncu F, Capkin E, Karkucak M, Ozden G, Cakirbay H, Tosun M et al. (2009 Nov-Dec). "A comparison of the effectiveness of landmark-guided injections and ultrasonography guided injections for shoulder pain.". Clin J Pain 25 (9): 786-9. DOI:10.1097/AJP.0b013e3181acb0e4. PMID 19851159. Research Blogging.
- ↑ Rutten MJ, Maresch BJ, Jager GJ, de Waal Malefijt MC (2007). "Injection of the subacromial-subdeltoid bursa: blind or ultrasound-guided?". Acta Orthop 78 (2): 254-7. DOI:10.1080/17453670710013762. PMID 17464615 url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=17464615. Research Blogging.
- ↑ Luz KR, Furtado RN, Nunes CC, Rosenfeld A, Fernandes AR, Natour J (2008). "Ultrasound-guided intra-articular injections in the wrist in patients with rheumatoid arthritis: a double-blind, randomised controlled study.". Ann Rheum Dis 67 (8): 1198-200. DOI:10.1136/ard.2007.084616. PMID 18621974. Research Blogging.