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Carpal Tunnel Injection: Difference between revisions
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{{ | {{partial}} | ||
{{procedure | |||
|indication=[[Carpal Tunnel Syndrome]] | |||
|syringe=1mL | |||
|needle=23G 30mm | |||
|steroid=20mg triamcinolone | |||
|local=nil | |||
|volume=0.5mL | |||
}} | |||
==Background== | |||
Injection for [[Carpal Tunnel Syndrome]]. | |||
==Anatomy== | |||
The flexor retinaculum attaches to four areas. Namely the pisoform, the scaphoid, the hook of the hamate, and the trapezium. The proximal edge lies at the distal wrist crease. The median nerve normally lies under the palmaris longus tendon (if present) at the mid wrist, and is medial to the flexor carpi radialis (FCR) tendon. | |||
==Technique== | |||
*Position:Hand palm up | |||
*Identify the midpoint along the proximal wrist crease, between the FCR and median nerve. | |||
*Insert the needle then angle proximal to distal at a 45 degree angle. | |||
*Slide distally until it is under the midpoint of the retinaculum | |||
*Inject as a bolus | |||
==Aftercare== | |||
Rest for one week. Use a night splint. Repeat injections can be done. | |||
==Procedure== | ==Procedure== | ||
[https://www.healthpoint.co.nz/public/orthopaedics/counties-manukau-health-orthopaedics/?medpro=true&video=wdhb/cortisone_carpal_tunnel.mp4 Carpal Tunnel Injection Video] | [https://www.healthpoint.co.nz/public/orthopaedics/counties-manukau-health-orthopaedics/?medpro=true&video=wdhb/cortisone_carpal_tunnel.mp4 Carpal Tunnel Injection Video] | ||
Revision as of 09:26, 29 June 2020
This article is still missing information.
| Carpal Tunnel Injection | |
|---|---|
| Indication | Carpal Tunnel Syndrome |
| Syringe | 1mL |
| Needle | 23G 30mm |
| Steroid | 20mg triamcinolone |
| Local | nil |
| Volume | 0.5mL |
Background
Injection for Carpal Tunnel Syndrome.
Anatomy
The flexor retinaculum attaches to four areas. Namely the pisoform, the scaphoid, the hook of the hamate, and the trapezium. The proximal edge lies at the distal wrist crease. The median nerve normally lies under the palmaris longus tendon (if present) at the mid wrist, and is medial to the flexor carpi radialis (FCR) tendon.
Technique
- Position:Hand palm up
- Identify the midpoint along the proximal wrist crease, between the FCR and median nerve.
- Insert the needle then angle proximal to distal at a 45 degree angle.
- Slide distally until it is under the midpoint of the retinaculum
- Inject as a bolus
Aftercare
Rest for one week. Use a night splint. Repeat injections can be done.
