Medial Epicondyle Injection Periprocedural Care

Updated: Sep 03, 2019
  • 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. [16]  The following items are used:

  • Needle, 25 or 27 gauge
  • Readily available syringes for injection (3-5 mL)
  • Methylprednisolone acetate 30-40 mg
  • Lidocaine 1% (0.5-1 mL) without epinephrine

 

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Patient Preparation

Anesthesia

Experienced physicians often prefer to use topical ethyl chloride or no anesthetic at all. The latter is often appropriate for joint aspiration; 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 facilitates relaxation and guards against possible fainting. [3]  Have the patient flex the affected elbow to 90º with 90º of shoulder rotation. Mark the medial epicondyle and the olecranon process. (See the image below.)

Medial epicondyle injection site. Medial epicondyle injection site.
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