Name: Painfree Intra-articular Injection of Knee
Uploaded: 2024-05-31T00:00:00.0000000
Duration: T00H03M51S
Description: Painfree Intra-articular Injection of Knee

Name: Painfree Intra-articular Injection of Knee

Description: Painfree Intra-articular Injection of Knee

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Upload Date: 2024-05-31T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
We see today I'm going to demonstrate you a technique of doing an articular injection of a knee joint intractable injection of knee joint is commonly performed in patients with knee osteoarthritis. And you can use this technique for giving either steroid injection or aspirate or a PRP injection into the knee joint.
The technique that I'm going to describe is injection from the front, and this is virtually pain free, and I would recommend that you use this technique in order to give each articular injections for any pathology. So in order to do this injection, you need to be aware of certain landmarks, I'm just going to draw the patella, just feel for the inferior pull feel for the superior pull. So this is our patella.
No, you can see that the ability velocity. It's their feel for the joint line start up. So this is the lateral tibial plateau. And same here, middle tibial plateau. And this is the patellar tendon. Now, the other commonly approach that is used is the lateral approach, you can use that as well, but I find that extremely painful as especially in somebody who has got arthritis, sometimes it's very difficult to find the place and your needle hits the patella.
Sometimes it hits the femoral quantile, and it can be quite a painful procedure. Now, once you have marked this, if you do arthroscopy, this is the injection site is same as your enter lateral portal. So just go up roughly a centimeter above the joint line. And a centimeter lateral to the patella tendons a centimeter up and a centimeter, which is roughly this is where you will find a soft spot.
So this is the site of your injection entry. Now, if I'm giving steroid for a knee arthritis, I don't usually give it, but I give around 80 milligrams of typekit mitron with four or 5 mL of 1% or 2% leg no gain. Now the direction of the needle is extremely important. You don't want to be heading this way. You don't want to be heading this way. So if you draw a line, if I can demonstrate if this is. And this is from the lateral side, it's from the front, you draw an angle, this is around 90 degree, so you just to be at 45 degrees, so you are just aiming for the trochlear of the femoral condyle.
People can give local anesthetic before you put the injection, I find that useless because you need to prick the skin and the patient feels the pain and the same amount of pain patient will feel when you give the injection. So I just shake the needle and the same soft spot. 45 degrees, just gently in and that's it. Aspirate just to make sure that you're not in a blood vessel and just go gently.
So the patient is awake and you can see she hardly winced. It's absolutely pain free. It's absolutely painfree. This is the best way of doing an articular injection of knee joints. I would recommend that start using it in a clinical practice as it is virtually pain free. This was a demonstration on how I do my injections for knee. I would recommend that you use this technique as it is virtually pain free for the patient, and it is also very easy to do in clinical practice.
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