Common injections in musculoskeletal medicine

Prim Care. 2013 Dec;40(4):987-1000, ix-x. doi: 10.1016/j.pop.2013.08.012. Epub 2013 Sep 24.

Abstract

Musculoskeletal injections are a common procedure in primary care and sports medicine but can be intimidating for some clinicians. This article addresses current evidence for corticosteroid injections, and common injection indications and techniques, namely knee, subacromial bursa, glenohumeral joint, lateral epicondyle, de Quervain tenosynovitis, and greater trochanteric bursa injections. Preparation for injections and some evidence for ultrasound guidance are also reviewed.

Keywords: Adhesive capsulitis; Arthrocentesis; Bursitis; Corticosteroid injection; Joint injection; Lateral epicondylalgia; Osteoarthritis.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / therapeutic use
  • Arthralgia / drug therapy
  • Humans
  • Hyaluronic Acid / administration & dosage
  • Hyaluronic Acid / therapeutic use
  • Injections, Intra-Articular* / instrumentation
  • Injections, Intra-Articular* / methods
  • Injections, Intramuscular* / instrumentation
  • Injections, Intramuscular* / methods
  • Musculoskeletal Diseases / drug therapy*
  • Myalgia / drug therapy
  • Needles

Substances

  • Adrenal Cortex Hormones
  • Anesthetics, Local
  • Hyaluronic Acid