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Injection technique for the shoulder and elbow.

C R Rowe1

  • 1Harvard Medical School, Boston, Massachusetts.

The Orthopedic Clinics of North America
|October 1, 1988
PubMed
Summary
This summary is machine-generated.

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Shoulder and elbow injections are effective and comfortable for patients in a sitting position. Avoid injecting corticosteroids directly into tendons; target bursal or sheath spaces for better outcomes and fewer side effects.

Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal Medicine
  • Pharmacology

Background:

  • Corticosteroid injections are common treatments for shoulder and elbow conditions.
  • Proper injection technique is crucial for efficacy and patient comfort.
  • Potential complications include tendon damage and pain if administered incorrectly.

Purpose of the Study:

  • To outline optimal techniques for shoulder and elbow corticosteroid injections.
  • To identify safer and more effective injection sites.
  • To provide guidance on the frequency of corticosteroid administration.

Main Methods:

  • Review of established injection protocols for shoulder and elbow joints.
  • Emphasis on patient positioning (sitting) for accessibility and comfort.

Related Experiment Videos

  • Detailed description of aseptic techniques.
  • Identification of target injection spaces (bursal space, tendon sheath) versus contraindications (tendons).

    • Main Results:

    • Shoulder and elbow injections can be performed with minimal discomfort in a sitting position.
    • Strict adherence to aseptic technique is mandatory.
    • Direct injection into shoulder or elbow tendons should be avoided.
    • Injection into the bursal space or tendon sheath is safer, less painful, and more effective.

    Conclusions:

    • Optimal corticosteroid injection technique for shoulder and elbow involves targeting bursal or tendon sheath spaces.
    • Sitting patient position and aseptic technique enhance safety and efficacy.
    • Repeated corticosteroid injections are not recommended, suggesting a need for alternative or adjunctive treatments.