This instructional video is aimed at Healthcare Professionals and describes the technique for injecting the knee joint using the anterolateral and anteromedial approaches (eyes of the knee).
Recommended dosage is 40-80mg of Kenalog or Depo-Medrone, and 5-10 mls 1% Lidocaine or 0.25% Bupivacaine.
The technique can also be used for injecting a hyaluronic acid product or PRP.
This technique can be performed in sitting with the knee hanging loosely at 90 degrees but the preferred position is supine for patient comfort and relaxation with knee flexed to 90 degrees.
I use a 10 ml leur lock syringe with a 2 inch (50mm) 21G green needle. In large knees a 70mm needle may be required. A 40mm standard length needle may not be long enough to reach an intra-articular depth in many knees.
Always perform a safety aspiration. The injection should flow freely.
Always use an aseptic non-touch technique.
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Disclaimer
This video provides general information related to healthcare treatment.
It is intended for informational purposes only and is not a substitute for personal professional advice or instruction provided by a doctor or other qualified health care professional.
The information provided does not constitute personal advice or
guarantee of outcome and should not be used unless you are competent and qualified to provide injection therapy for Musculoskeletal conditions.
You should never ignore advice provided by a health care professional because
of something you have seen or read in this video or on this channel.
You should always consult a suitably qualified health care professional for personal instruction or advice.
