Medial Epicondyle Injection Periprocedural Care

Updated: Oct 16, 2017
  • Author: Ritu Khurana, MD; Chief Editor: Erik D Schraga, MD  more...
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Periprocedural Care


Aspiration or injection of soft tissues may be performed as an outpatient procedure and does not require specialized equipment. [14]  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



Patient Preparation


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.


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.)

Injection site. Injection site.