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This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Effective method of regional pain control of the forearm. Surgical

count, culture, gram stain, crystal analysis See joint-specific page for procedures Arthrocentesis: shoulder Arthrocentesis: elbow Arthrocentesis: wrist Arthrocentesis:

Burns Complex Hand Injury Need for pain control or to perform painful procedure in distribution of ulnar nerve Infection overlying injection site 10 cc

Cranio-cervical Dermatomes. Headache disorders Trauma or need to perform painful procedure on area innervated by supraorbital nerve Infection overlying injection

Upper extremity fracture Serious trauma/injury or need to perform painful procedure in area covered by distribution of nerve to be blocked Infection overlying

and 27ga needle Chloraprep Perform thorough neurovascular exam prior to procedure Always calculate your anaesthetic volume beforehand Larger volumes of more

Patella fracture Any other significant trauma or need to perform painful procedure in distribution of femoral nerve (anterior and lateral lower extremity)

increases the success rate of this block Trauma or need to perform painful procedure on area innervated by median nerve Infection overlying injection site Previous

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation of therapeutic response for septic arthritis Unexplained arthritis with synovial

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

elevated blood pressure, and the patient may rarely become cushingoid. The procedure may be repeated if pain recurs Cervical Facet Joint Injection Third Occipital

prior to treatment. The second group comprises of those patients where the procedure was incorrectly selected or incorrectly performed. This has been expanded

arthroplasty. Hip resurfacing procedures have a high rate of revision surgery compared to total hip arthroplasty. This procedure is probably only suitable

For a drug it is an agent that lacks any pharmacological effect. For a procedure it is an intervention that lacks any specific anatomical or physiological

response may not have been recorded accurately. If they have had a certain procedure the technique may not have been successful. For example if they have had

This article is a stub. Patient prone with pillow under pelvis Obtain transverse view of target injection site Identify lateral to the spinous process

a higher platelet concentration is not necessarily more effective. The procedure can be repeated. Pure PRP (P-PRP): Has a low leucocyte content, and is

This article is a stub. Probably the most widely recommended technical ultrasound guidelines are those produced by the ESSR (European Society of Musculoskeletal

lateral portion of the posterior scalp. Cranio-cervical Dermatomes. The procedure is similar to the the greater occipital nerve injection Locate the LON

This article is a stub. See Lam et al for an open access review on ultrasound guided nerve hydrodissection, a technique primarily used to treat certain

Vasovagal reaction within 5-10 minutes post-procedure can occur and lying patients down for these procedures prevents any unnecessary injuries if one was

further protect you from hitting a vascular structure. Cervical Spine Procedures Cervical Facet Joint Injection Cervical Retrolaminar Injection Greater

Chlorhexidine, Betadine, Rubbing Alcohol) Sterile Gloves Sterile Drape Discuss the procedure with the patient regarding desired effects and potential complications

This article is a stub. Buffer the lidocaine with sodium bicarbonate. Warm the local anaesthetic Use fresh needles with repeated injections Use a small

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Provides anesthesia to the shoulder and upper arm. Performed by injecting

This article is a stub. Main article: Third Occipital Nerve The third occipital nerve (TON) arises from the medial branches of the posterior ramus of the

sometimes used to treat sacroiliac joint pain. Protocols vary for this procedure. Cusi et al (RCT): Dorsal interosseous injection, done under CT guidance

standard practice in NZ. This article is still missing information. This is a procedure used to both all three branches of one or more dorsal rami, by injecting

obtaining consent, position the patient with their hand supine on the procedure table. Ensure correct finger and mark with the tip of an ear speculum over

article is still missing information. Lumbar spine arthrodesis is surgical procedure that is typically performed to address degenerative conditions with mechanical

This article is a stub. This page or section deals with a controversial topic. Please use your clinical judgement. See Hauser et al for a free open access

This article is still missing information. A pelvis x-ray, also known as a pelvis series or pelvis radiograph, is a single x-ray of the pelvis to include

but aren't sufficient in themselves in allowing a safe and effective procedure. The bevel and the notch are coincident. For example if the notch is pointing

This article is a stub. The two most important aspects to consider when comparing ultrasound vs landmark guided injections are accuracy and efficacy. For

ganglion impar with local anaesthetic with or without corticosteroid is a procedure to treat Coccydynia, chronic perineal pain, and other conditions. Needle

specific to other comorbidities (e.g. diabetes mellitus). Discuss how the procedure is performed. Obtain verbal or written consent as appropriate. Have the

reported 1. Lessened improvement in pain scores post-procedure are associated with: multiple procedures, poor initial response, longer onset of symptoms,

recurs after ~400 days when it comes to medial branch neurotomy, but the procedure can be repeated. See review by Russo et al. Traditionally it has only been

one month. In practice the buffering is done immediately prior to the procedure. There have been many studies that have looked at buffering lidocaine with

in right to left dimensions. Classic Oblique Approach Preparation Pre-procedure evaluation with provocation testing Patient positioned prone with a pillow

used in research but this procedure has its issues. Leggett et al in 2015 found mixed evidence for radiofrequency procedures for discogenic pain. Helm

other body parts (anaesthetic arthrogram), unable to remain still for the procedure ultrasound machine, sterile probe cover and a skin marker (ultrasound)

excluded. Obtain adequate consent. An emphasis should be placed on this procedure being a test not a treatment. This concept should be repeated several times

below to get started. Click on a body part! Portals Regions · Concepts · Procedures · DDX · Cases · EBQs · Links Trainee Portal · AAMM Portal Support WikiMSK

containing the ilioinginal and iliohypogastric nerves. Patient Position: Supine Procedure: Identify the anterior superior iliac spine as the primary landmark Identify

This article is a stub. Literature Review Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI

tendon tear, ipsilateral hip arthroplasty, unable to remain still for the procedure, young age Relevant imaging should be reviewed, and details of the patient

This page or section deals with a topic that is not widely recognised or accepted. Please use your clinical judgement and note that this is not necessarily

radiofrequency procedures found high heterogeneity, and a meta-analysis was not feasible. In general cooled radiofrequency is the only procedure with positive

et al harvested 20 common extensor tendons in patients having a release procedure, and compared them to nine control biopsies, and performed an unblinded

have drastically different conclusions. Manchikanti et al designated the procedure at level 2 evidence, while Scheider et al concluded that there is a difference

indirect arthrography. Routine patient interactions are carried out (the procedure is explained to the patient, informed consent obtained, allergy and comorbidity

biceps and/ or rotator cuff tendon tears, unable to remain still for the procedure, young age Relevant imaging should be reviewed, and details of the patient

tibial metaphysis. The nerves may be unidentifiable which does not make the procedure contraindicated confirm vessel location using colour doppler. Deposit 2mL

junction. Injection treatment with corticosteroid and local anaesthetic is a procedure done in some centres. Radiofrequency treatments such as pulsed radiofrequency

then presuming the biopsy results are false and proceeding with a Whipple procedure without first pausing to consider other causes of this clinical picture

the needle usually by advancing it Arterial - abort the procedure Intrathecal - abort the procedure Sub-optimal distribution - adjust the needle You are wanting

Cardinal indicators for infection are: Fever Penetrating wound Recent procedure with needle, catheter or other instrument Immunosuppressed patients Children

This article is a stub.

This article is a stub. Lumbar Epidural Blood Patch - White 2019.pdf - 2.92 MB (f)

trigeminal neurovascular conflict. Alternatively, neuroablative surgical procedures may be offered in instances where MR imaging does not reveal neurovascular

Schonenberg K, van Rooij WJJ, Hirsch JA, Lohle PNM. Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS

and bursitis. Shoulder Shoulder Anatomy Shoulder Conditions Shoulder Procedures Shoulder Examination Shoulder Pain Differential Diagnoses Literature Review

with steroid in same/other body parts, unable to remain still for the procedure, young age Equipment ultrasound machine, sterile probe cover and a skin

sciatica-like symptoms. Suspicion for Ischiofemoral Impingement Syndrome. The procedure can be diagnostic and/or therapeutic in nature. There are limited data

This article is a stub. See open access article by Smith et al for ultrasound-guided aspiration, fenestration, and injection for the treatment of baker's

This article is a stub. Literature Review Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI

This article is still missing information. The supratrochlear nerve is a terminal cutaneous branch of the frontal nerve. The frontal nerve arises from

This article is a stub. Relaxed, closed-mouth approach. Place finger in the depression under the zygomatic arch, against the zygoma, and draw a curved

infiltration (e.g. at the dentist), and are skin tested prior to any invasive procedure. Patients with Ehlers Danlos Syndrome may be more susceptible to local

injection, allergic reaction, intravascular injection ADR from steroids This procedure cannot be used to exclude a visceral cause of pain such as appendicitis

This article is still missing information. The auriculotemporal nerve is a branch of the mandibular nerve (V3) that runs with the superficial temporal

health outcomes (noninferiority study). If, however, the less invasive procedure resulted in less favourable health outcomes, it would be a severe error

secondary intension or covered with a full thickness skin graft. Staged procedure: for severe PIP contractures. An external fixator is placed, with tension

This article is still missing information. The flexor retinaculum attaches to four areas. Namely the pisoform, the scaphoid, the hook of the hamate, and

This article is a stub. This page or section deals with a topic that is not widely recognised or accepted. Please use your clinical judgement and note

This article is a stub. Infection, uncontrolled coagulopathy, joint prosthesis, poor response to previous injections. Allergy to eggs or feathers is a

This article is still missing information. Injection for De Quervain Tendinopathy. The APL and EPB usually run together in the first dorsal compartment

This article is still missing information. The peroneal tendons are located in the lateral compartment of the leg behind the lateral malleolus. Peroneus

This article is still missing information. The Scaphotrapeziotrapezoid (STT) or triscaphe joint is the joint that is shared between the scaphoid, trapezium

most commonly affected joints by far are C2-3 and C5-6. Undertaking this procedure provides a diagnosis to around 60% of patients. Algorithm If a patient

This article is still missing information. Main article: Ankle Joint Anatomy The ankle joint, or tibiotalar joint, is a hinged synovial joint. It is created

analyzed different radiographic angles to measure the effectiveness of each procedure, including medial calcaneal osteotomies, lateral column lengthening, and

This article is still missing information. TMC joint injection may be indicated with failure of first line treatments to treat chronic pain e.g. fromosteoarthritis

not penetrated thecal sac or blood vessel. If aspirate CSF then abort procedure and retry in one week. Inject solution, can use doppler to confirm correct

Grays (Gy). Systems will measure this in milli-grays. An orthopaedic type procedure may be around 100mGy, while a radiotherapy dose may be around 50Gy. The

dosing is actually quite poor, and highly variable dependent on the type of procedure. For example in intercostal nerve blocks the safe dose is 10 times less

considered. Surgical intervention, in early stages, includes revascularization procedures or joint unloading treatments to decrease the load on the lunate. In patients

trained in doing interventional spine procedures and either does the procedure themselves or refers for the procedure to someone else, there is a higher chance

special reference to the articular facets, with presentation of an operative procedure. JAMA. 1933;101:773 doi: 10.1001/jama.1933.02740480005002 Badgley CE. The