splinting/joint injection lab Flashcards
what is the function of joint injections
suppress synovial fluid inflammation
what are indications for joint injections
- severe OA
- RA
- other inflammatory processes (gout ect.)
- subdeltoid bursitis
- rotator cuff tendonitis
what are indications for joint aspiration
- large hemarthrosis
- synovial fluid assessment
what are CI for joint injection
what are complications of joint injections
- postinjection joint pain
- iatrogenic infection
- soft tissue injury
how often do you do joint injections
about every 3 months (varying depending on which joint)
no more than 3-4 per year
what are the MC agents used for joint injections
- methylprednisolone
- triamcinolone
what types of local anesthetic can be used for joint injections
- local bupivacaine or lidocaine injection
- topical ethyl chloride spray
- plain lidocaine 1% or 2% in a 1:1 ratio mixed w steroid.
what joints may take more local anesthetic than others
shoulder and knee (may need up to 10ml)
other joints usually only need 2-5 ml
Why do you always draw needle back prior to injecting anesthetic?
in notes
what type of needle and syringe is used for corticosteroid injection
25-27g needle (1.5 inches)
5mL syringe
what type of needle and syringe is used for aspiration
18-20g needle (1.5inches)
5-20mL syringe depending on size and location of effusion
what do you use for skin preparation prior to joint injections
- alcohol
- iodine
- chlorhexidine
what is postinjection care for joint injections
- apply ice that evening
- no strenuous activity for 48 hours
- advise on signs of infection and when to return to clinic
plz watch the videos becuase i didnt put anything from them in here
okayyyyy thankkkkssss
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
volar splint
Position wrist at neutral to 20 degrees extension, allowing free motion of all fingers and thumb.
what splint is indicated in forearm fractures and severe sprains
what positioning is used for this splint?
volar dorsal splint
Position wrist at 20 degrees extension, allowing free motion of all fingers and thumb.
what splint is indicated for lacerations, crush injuries, and tendon repairs
what position do you use to apply this splint?
finger splint
place in functional position (idk what this means)
what splint is indicated with navicular injuries, scaphoid fractures, disclocations and UCL sprains.
what positioning is used for this splint
Thumb spica
place thumb in functional position w wrist apprx 30 degrees extension and thumb and index finger in opposition
what splint is indicated for 4th or 5th metacarpal fractures
what position do you use to apply this
boxer splint/ gutter splint
position wrist at 20 degrees extension w MCP joint at 45-70 degrees flexion, depending on the injury
what splint it used for colles’ or forearm fractures
what position do you use to splint this
reverse sugartong
position wrist at neutral and elbow at 90 degrees
what splint it used for supraconylar fractures and elbow sprains
what position do you use to splint this
elbow splint
position wrist at neutral and elbow at 90 degrees
what splint it used for knee injuries and post op knee surgery
what position do you use to splint this
knee immobilizer
splint knee fully extended if possible; a 10-15 degree flexion at knee may be necessary for proper gait and crutch walking
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
posterior ankle splint
position at 90 degrees unless otherwise directed
what splint it used for ankle sprains or hairline fractures
what position do you use to splint this
ankle stirrup splint
position at 90 degrees unless otherwise directed
what are the 5 P’s used for pre and post splint checks
pain
pallor
pulse
paresthesia
paralysis
