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Practical Procedures in Orthopedic Surgery pp 3–6Cite as

General Part

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Abstract

Injection and aspiration procedures are widely employed in the diagnosis and treatment of various musculoskeletal disorders. Joint aspiration is used to obtain fluid samples for diagnostic purposes and to relieve pain from tense effusions. Injections most commonly consist of local anesthetic or steroid to provide pain relief and to treat inflammation. A thorough understanding of local anatomy is ­imperative when undertaking such procedures if accurate needle placement is to be achieved, avoiding ­misplaced injections and the potential for complications. The following is a discussion of general advice regarding any musculoskeletal injection and specific descriptions of the more common procedures that are carried out in clinical practice.

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Further Readings

  1. Bellamy N, Campbell J, Robinson V, et al. Intraarticular corticosteroid for treatment of osteoarthritis of the knee (abstract). Cochrane Database Syst Rev. 2006;19(2):CD005328.

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  2. Nichols AW. Complications associated with the use of corticosteroids in the treatment of athletic injuries (abstract). Clin J Sport Med. 2005;15(5):370–5.

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  3. Osteoarthritis, NICE Clinical Guideline (January 2008). The care and management of osteoarthritis in adults.

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  4. Petrella RJ, Petrella M. A prospective, randomized, double-blind, placebo controlled study to evaluate the efficacy of intraarticular hyaluronic acid for osteoarthritis of the knee (abstract). J Rheumatol. 2006;33(5):951–6.

    Google Scholar 

  5. Wallen M, Gillies D. Intra-articular steroids and splints/rest for children with juvenile idiopathic arthritis and adults with rheumatoid arthritis (abstract). Cochrane Database Syst Rev. 2006;25(1):CD002824.

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Acknowledgments

Many thanks to Ceryl Harwood and Rebecca Dawson for their help with modeling and photography for the injection pictures.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Paul Harwood

  2. Academic Department of Trauma and Orthopaedic Surgery, School of Medicine, University of Leeds, Leeds, UK

    Peter V. Giannoudis

Authors
  1. Paul Harwood
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  2. Peter V. Giannoudis
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Corresponding author

Correspondence to Peter V. Giannoudis .

Editor information

Editors and Affiliations

  1. Unit of Trauma & Orthopaedic Surgery, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, United Kingdom

    Peter V. Giannoudis

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© 2011 Springer-Verlag London Limited

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Harwood, P., Giannoudis, P.V. (2011). General Part. In: Giannoudis, P. (eds) Practical Procedures in Orthopedic Surgery. Springer, London. https://doi.org/10.1007/978-0-85729-817-1_1

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  • DOI: https://doi.org/10.1007/978-0-85729-817-1_1

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  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-816-4

  • Online ISBN: 978-0-85729-817-1

  • eBook Packages: MedicineMedicine (R0)

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