Name:
Sherman: Simon’s Emergency Orthopedics 8e Video 12-5
Description:
Sherman: Simon’s Emergency Orthopedics 8e Video 12-5
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/2b3c0715-5f72-49ed-bd9a-24e2436cc7a2/thumbnails/2b3c0715-5f72-49ed-bd9a-24e2436cc7a2.jpg?sv=2019-02-02&sr=c&sig=c%2Bm8HhXq22oZdTgQ7YyqvAX3uTQ%2BOhOT0bxwDpvknMM%3D&st=2024-05-18T23%3A47%3A47Z&se=2024-05-19T03%3A52%3A47Z&sp=r
Duration:
T00H01M42S
Embed URL:
https://stream.cadmore.media/player/2b3c0715-5f72-49ed-bd9a-24e2436cc7a2
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/2b3c0715-5f72-49ed-bd9a-24e2436cc7a2/12-0520Sherman_7e.mov?sv=2019-02-02&sr=c&sig=AJRLMaghos8t%2F27qkB7d0bsu4S%2B4whR2ahWigxGeUJ4%3D&st=2024-05-18T23%3A47%3A47Z&se=2024-05-19T01%3A52%3A47Z&sp=r
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Here is the extensor pollicis, and the abductor is right here. Usually, it's one of these two tendons that is involved. And usually it's this tendon about 80% of the time. Now, with this injection, de Quervain's tenosynovitis, extremely common, the way you tell it is by the Finkelstein's tests. You put the thumb inside the hand, and then you ulnar deviate, and they have excruciating pain going up here.
What you do is the first thing you do is you take and bend your needle. Bending the needle is the little trick of the trade that actually helps you get into the tendon. Why is that ? Think of this logically. You're trying to get maneuvered into the tendon. You see how bending your needle allows you to rotate it and then move it?
Whereas if it's not bent and you did this rotation, you would not get that advantage. If it's not bent, there's no advantage. You have to move the whole needle. So bending the needle is the best way to help position it. Then, you feel right here, and you're going to go in right next to the tendon, adjacent to the tendon. Then, I'm going to rotate my needle, touch the tendon, which is what I'm doing now.
Then, once I touch the tendon, I go just a millimeter out, and I inject. Usually, if you're right in the sheath, you'll be able to get the fluid to go all along the tendon sheath. And you can see that this fluid that Dr. Sherman put in is all along fusiform all along here. That's right alongside the tendon sheath.
So that's where you want to be.