Lateral Epicondyle Injection Periprocedural Care

Updated: Jun 01, 2017
  • Author: Ritu Khurana, MD; Chief Editor: Erik D Schraga, MD  more...
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Periprocedural Care

Equipment

Aspiration or injection of soft tissues may be performed as an outpatient procedure and does not require specialized equipment. [12]  The fllowing should be available:

  • Needle, 25 or 27 gauge
  • Readily available syringes for injection (3-5 mL)
  • Methylprednisolone acetate 20-40 mg
  • Lidocaine 1% (0.5-1 mL) without epinephrine
Next:

Patient Preparation

Anesthesia

With regard to anesthesia, experienced clinicians often prefer to use topical ethyl chloride or no anesthetic at all. This is often appropriate for joint aspiration, in that the capsule is difficult to anesthetize, and a single quick needle thrust may be much less painful than the administration of local anesthesia.

Positioning

Place the patient in a comfortable supine position. This aids relaxation and guards against possible fainting. [1]  Have the patient flex the affected elbow to 90° with the hand tucked under the buttock. Mark the lateral epicondyle and radial head. [1, 2]

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