Joint Injections and Nerve Blocks

Question 1

Where is the coffin joint injection given?

Answer 1

Above the hoof wall, lateral or medial to the sagittal line, needle perpendicular to the ground

Question 2

Where is the navicular bursa joint injection given?

Answer 2

Midway between the heel-bulbs, proximal to the coronary band

Question 3

Where is the pastern joint injection given?

Answer 3

distal to the eminence on distolateral PI underneath the common digital extensor tendon, parallel to the ground

Question 4

Where is the fetlock joint injection given?

Answer 4

Distal to the lateral splint bone, proximal to the proximal sesamoid collateral ligament, palmar/plantar to the cannon bone, dorsal to the lateral branch of the suspensory

Question 5

What are the two carpal joint injections?

Answer 5

Radiocarpal and mid-carpal

Question 6

Where is the radiocarpal joint injection given?

Answer 6

Distal to the medial radius, proximal to the radial carpal bone, medial to the extensor carpi radialis

Question 7

Where is the mid-carpal joint injection given?

Answer 7

Distal to the radial carpal bone, medial to the proximal edge of the 3rd carpal bone, medial to the extensor carpi radialis

Question 8

Where is the tibiotarsal joint injection given?

Answer 8

Distal to the medial malleolus of the tibia
Medial or lateral to the saphenous vein

Question 9

Where is the distal intertarsal joint injection given?

Answer 9

Distal to the cunean tendon
In the proximal T created by the junction of the central tarsal, 3rd tarsal, and fused 1+2 tarsal

Question 10

Where is the tarsometatarsal joint injection given?

Answer 10

Proximal to the head of the lateral splint bone
Lateral to the lateral edge of the SDFT
Needle directed slightly distal and dorsomedial

Question 11

Where is the femoropatellar joint injection given?

Answer 11

Proximal to the tibial crest
Between the medial and middle patellar ligament
Parallel to ground

Question 12

Where is the medial femorotibial joint injection given?

Answer 12

Proximal to the medial tibia
Between the medial patellar ligament and medial collateral ligament

Question 13

Where is the lateral femorotibial joint injection given?

Answer 13

Proximal to the lateral tibia
Caudal to the lateral patellar ligament

Question 14

Types of local anesthetic used

Answer 14

Lidocaine
Mepivacaine (Carbocaine)

Question 15

What are the forelimb blocks?

Answer 15

Palmar/plantar Digital
Abaxial Sesamoid
Low Four-point
High Four-point
High Palmar
Proximal nerves

Question 16

What nerves does the PD NB block?

Answer 16

Medial and lateral palmar digital nerves

Question 17

What structures are blocked by the PD nerve block?

Answer 17

Navicular bone, navicular bursa, DDFT as it inserts on the coffin bone, part of the coffin joint, entire sole of the foot

Question 18

What nerves are blocked by the abaxial sesamoid nerve block?

Answer 18

Medial and lateral palmar digital nerves and the dorsal branches

Question 19

What structures are blocked by the abaxial sesamoid nerve block?

Answer 19

Everything from the PD NB, more proximal DDFT and SDFT, part of the extensor tendons, the distal sesamoid ligaments of the proximal sesamoids, tendon sheaths, coffin joint, pastern joint

Question 20

What nerves are blocked by the low four-point nerve block?

Answer 20

Medial and lateral palmar nerves
Medial and lateral palmar metacarpal nerves

Question 21

What structures are blocked by the low four-point nerve block?

Answer 21

distal cannon, flexor tendons, tendon sheaths, proximal sesamoids, and the suspensory branches

Question 22

What nerves are blocked by the high four-point nerve block?

Answer 22

Medial and lateral palmar nerves
Medial and lateral palmat metacarpal nerves

Question 23

What structures are blocked by the high four-point nerve block?

Answer 23

Flexor tendons, suspensory ligament, mid-cannon, and below

Question 24

What nerves are blocked by the high palmar nerve block at the accessory carpal bone?

Answer 24

Lateral palmar nerve before it gives off the medial and lateral palmar metacarpal nerves

Question 25

What structures are blocked by the high Palmar nerve block at the accessory carpal bone?

Answer 25

all the structures distal to the carpus including the origin of the suspensory ligament