Author | Dorothy Bloniarz, MD


Injection and aspiration of the finger joints

March 24, 2009

The hand-the chief sensory organ of touch-performs grasping and fine manipulations that are essential for dexterity and performance of activities of daily living. Critical to maintaining these roles is preservation of finger joint function. For patients who present with finger pain or swelling, a comprehensive plan of evaluation and management may require diagnostic aspiration or therapeutic injection or both.

Injection therapy for pelvic soft tissue conditions

March 17, 2009

Soft tissue musculoskeletal conditions are common causes of pelvic and lower extremity pain.

Aspiration and injection of the knee

September 29, 2008

ABSTRACT: Acute pain in the knee and its surrounding structuresmay be related to fractures, septic and inflammatory arthritis,ligamentous and meniscal injuries, or tendinous strains. Chronicsymptoms often result from osteoarthritis and inflammatoryarthritides, bursitis, and tendinitis. Aspiration and analysis of kneesynovial fluid is a safe and reliable means of diagnosing many acuteand chronic conditions, and knee injection also remains an effectiveway to administer pain-relieving therapies. For aspiration of largeeffusions, the medial retropatellar and superolateral retropatellarapproaches are preferred because they permit access to the suprapatellarpouch. These two approaches may be used for aspiration orinjection or both. The anterior approach is convenient when onlyinjection is performed. (J Musculoskel Med. 2008;25:470-472)

Injection of the anserine bursa and iliotibial tract

June 26, 2008

ABSTRACT: Inflammation of the anserine bursa occurs frequently inathletes who have tight hamstrings, obese patients, patients who haveknee joint pathology, and those who experience direct trauma to thearea. Iliotibial band syndrome results from inflammation of the iliotibialtendon and the bursa. For both injections, the patient may beinjected while lying supine with the leg extended. During anserinebursa injection, the lidocaine and corticosteroid should flow withoutresistance, although some pressure is required. An inability to depressthe syringe plunger requires repositioning of the needle to avoid injectioninto the medial collateral ligament or pes anserinus tendons.(J Musculoskel Med. 2008;25:340-341)