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MSK > splinting/joint injection lab > Flashcards

splinting/joint injection lab Flashcards

1
Q

what is the function of joint injections

A

suppress synovial fluid inflammation

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2
Q

what are indications for joint injections

A
  • severe OA
  • RA
  • other inflammatory processes (gout ect.)
  • subdeltoid bursitis
  • rotator cuff tendonitis
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3
Q

what are indications for joint aspiration

A
  • large hemarthrosis
  • synovial fluid assessment
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4
Q

what are CI for joint injection

A
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5
Q

what are complications of joint injections

A
  • postinjection joint pain
  • iatrogenic infection
  • soft tissue injury
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6
Q

how often do you do joint injections

A

about every 3 months (varying depending on which joint)
no more than 3-4 per year

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7
Q

what are the MC agents used for joint injections

A
  • methylprednisolone
  • triamcinolone
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8
Q

what types of local anesthetic can be used for joint injections

A
  • local bupivacaine or lidocaine injection
  • topical ethyl chloride spray
  • plain lidocaine 1% or 2% in a 1:1 ratio mixed w steroid.
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9
Q

what joints may take more local anesthetic than others

A

shoulder and knee (may need up to 10ml)

other joints usually only need 2-5 ml

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10
Q

Why do you always draw needle back prior to injecting anesthetic?

A

in notes

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11
Q

what type of needle and syringe is used for corticosteroid injection

A

25-27g needle (1.5 inches)
5mL syringe

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12
Q

what type of needle and syringe is used for aspiration

A

18-20g needle (1.5inches)
5-20mL syringe depending on size and location of effusion

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13
Q

what do you use for skin preparation prior to joint injections

A
  • alcohol
  • iodine
  • chlorhexidine
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14
Q

what is postinjection care for joint injections

A
  • apply ice that evening
  • no strenuous activity for 48 hours
  • advise on signs of infection and when to return to clinic
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15
Q

plz watch the videos becuase i didnt put anything from them in here

A

okayyyyy thankkkkssss

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16
Q

what type of splint is indicated in wrist sprains, strains, soft tissue injuries, lacerations, and carpal tunnel (nighttime splint)

what position is used when applying this splint

A

volar splint

Position wrist at neutral to 20 degrees extension, allowing free motion of all fingers and thumb.

17
Q

what splint is indicated in forearm fractures and severe sprains

what positioning is used for this splint?

A

volar dorsal splint

Position wrist at 20 degrees extension, allowing free motion of all fingers and thumb.

18
Q

what splint is indicated for lacerations, crush injuries, and tendon repairs

what position do you use to apply this splint?

A

finger splint

place in functional position (idk what this means)

19
Q

what splint is indicated with navicular injuries, scaphoid fractures, disclocations and UCL sprains.

what positioning is used for this splint

A

Thumb spica

place thumb in functional position w wrist apprx 30 degrees extension and thumb and index finger in opposition

20
Q

what splint is indicated for 4th or 5th metacarpal fractures

what position do you use to apply this

A

boxer splint/ gutter splint

position wrist at 20 degrees extension w MCP joint at 45-70 degrees flexion, depending on the injury

21
Q

what splint it used for colles’ or forearm fractures

what position do you use to splint this

A

reverse sugartong

position wrist at neutral and elbow at 90 degrees

22
Q

what splint it used for supraconylar fractures and elbow sprains

what position do you use to splint this

A

elbow splint

position wrist at neutral and elbow at 90 degrees

23
Q

what splint it used for knee injuries and post op knee surgery

what position do you use to splint this

A

knee immobilizer

splint knee fully extended if possible; a 10-15 degree flexion at knee may be necessary for proper gait and crutch walking

24
Q

what splint it used for ankle sprains, strains or fractures as well as metatarsal or distal tib/fib fractures

what position do you use to splint this

A

posterior ankle splint

position at 90 degrees unless otherwise directed

25
Q

what splint it used for ankle sprains or hairline fractures

what position do you use to splint this

A

ankle stirrup splint

position at 90 degrees unless otherwise directed

26
Q

what are the 5 P’s used for pre and post splint checks

A

pain
pallor
pulse
paresthesia
paralysis

MSK (27 decks)

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