Ankle Joint Injection

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Ankle Joint Injection
Indication
Syringe 3mL
Needle 23G 30mm
Steroid 30mg triamcinolone
Local 2mL 2% lidocaine
Volume 2-3mL


Anatomy

Indications and Efficacy

Contraindications

Pre-procedural Evaluation

Equipment

Technique

Ultrasound Guided

Fluoroscopy Guided

Landmark Guided

Medial approach: enter space between anterior border of the medial malleolus and the tibialis anterior tendon
  • Medial Approach (tibiotalar)
    • Position: Supine with foot perpendicular to leg
    • Identify and mark sulcus lateral to the medial malleolus and medial to the tibialis anterior and extensor hallucis longus tendons
    • Plantarflex the foot with needle entering the skin overlying the sulcus
    • Angle the needle slightly cranially as it passes between the medial malleolus and tibialis anterior tendon

Complications

Aftercare

Videos

See Also

External Links

References

Literature Review