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The Wrist

  • Patrick M. Foye
  • Debra S. Ibrahim
  • Michael J. Mehnert
  • Todd P. Stitik
  • Jong H. Kim
  • Mohammad Hossein Dorri
  • David J. Van Why
  • Jose Ibarbia
  • Lisa Schoenherr
  • Naimish Baxi
  • Ladislav Habina
  • Jiaxin J. Tran
Chapter

Abstract

Injections at the wrist region are frequently performed in musculoskeletal practice. Prior to injection at the wrist or any site, the physician should perform a careful history and a physical exam to hone in on the source of the patient’s presenting symptoms. The literature provides a variety of descriptions regarding how to perform various injections for various procedures, and variable degrees of evidence regarding their effectiveness (Table 8.1).

Keywords

Carpal Tunnel Syndrome Ganglion Cyst Skin Preparation Flexor Carpus Radialis Needle Position 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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    Habib GS, Badarny S, Rawashdeh H. A novel approach of local corticosteroid injection for the treatment of carpal tunnel syndrome. Clin Rheumatol 2006;25(3):338–40.CrossRefPubMedGoogle Scholar
  2. 2.
    Kasten SJ, Louis DS. Carpal tunnel syndrome: a case of median nerve injection injury and a safe and effective method for injecting the carpal tunnel. J Fam Pract 1996;43(1):79–82.PubMedGoogle Scholar
  3. 3.
    Racasan O, Dubert T. The safest location for steroid injection in the treatment of carpal tunnel syndrome. J Hand Surg [Br] 2005;30(4):412–4.Google Scholar
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References

  1. 1.
    Tallia AF, Cardone DA. Diagnostic and therapeutic injection of the wrist and hand region. Am Fam Physician 2003;67(4):745–50.PubMedGoogle Scholar
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  4. 4.
    Grassi W, Lamanna G, Farina A, Cervini C. Synovitis of small joints: sonographic guided diagnostic and therapeutic approach. Ann Rheum Dis 1999;58(10):595–7.CrossRefPubMedGoogle Scholar

References

  1. 1.
    Lomasney LM, Cooper RA. Distal radioulnar joint arthrography: simplified technique. Radiology 1996;199(1):278–9.PubMedGoogle Scholar
  2. 2.
    Beaulieu CF, Ladd AL. MR arthrography of the wrist: scanning-room injection of the radiocarpal joint based on clinical landmarks. AJR Am J Roentgenol 1998;170(3):606–8.PubMedGoogle Scholar

References

  1. 1.
    Tallia AF, Cardone DA. Diagnostic and therapeutic injection of the wrist and hand region. Am Fam Physician 2003;67(4):745–50.PubMedGoogle Scholar

References

  1. 1.
    Koski JM, Hermunen H. Intra-articular glucocorticoid treatment of the rheumatoid wrist. An ultrasonographic study. Scand J Rheumatol 2001;30(5):268–70.CrossRefPubMedGoogle Scholar
  2. 2.
    Grassi W, Lamanna G, Farina A, Cervini C. Synovitis of small joints: sonographic guided diagnostic and therapeutic approach. Ann Rheum Dis 1999;58(10):595–7.CrossRefPubMedGoogle Scholar

References

  1. 1.
    Saunders S. Wrist treatments. In Law M, ed. Injection Techniques in Orthopaedic and Sports Medicine. Second edition. London: WB Saunders;2002:56–57.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Patrick M. Foye
  • Debra S. Ibrahim
  • Michael J. Mehnert
  • Todd P. Stitik
    • 1
  • Jong H. Kim
  • Mohammad Hossein Dorri
  • David J. Van Why
  • Jose Ibarbia
  • Lisa Schoenherr
  • Naimish Baxi
  • Ladislav Habina
  • Jiaxin J. Tran
  1. 1.Department of Physical Medicine and RehabilitationNew Jersey Medical SchoolNewarkUSA

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