splinting/joint injection lab

Question 1

what is the function of joint injections

Answer 1

suppress synovial fluid inflammation

Question 2

what are indications for joint injections

Answer 2

• severe OA
• RA
• other inflammatory processes (gout ect.)
• subdeltoid bursitis
• rotator cuff tendonitis

Question 3

what are indications for joint aspiration

Answer 3

• large hemarthrosis
• synovial fluid assessment

Question 4

what are CI for joint injection

Answer 4

Question 5

what are complications of joint injections

Answer 5

• postinjection joint pain
• iatrogenic infection
• soft tissue injury

Question 6

how often do you do joint injections

Answer 6

about every 3 months (varying depending on which joint)
no more than 3-4 per year

Question 7

what are the MC agents used for joint injections

Answer 7

• methylprednisolone
• triamcinolone

Question 8

what types of local anesthetic can be used for joint injections

Answer 8

• local bupivacaine or lidocaine injection
• topical ethyl chloride spray
• plain lidocaine 1% or 2% in a 1:1 ratio mixed w steroid.

Question 9

what joints may take more local anesthetic than others

Answer 9

shoulder and knee (may need up to 10ml)

other joints usually only need 2-5 ml

Question 10

Why do you always draw needle back prior to injecting anesthetic?

Answer 10

in notes

Question 11

what type of needle and syringe is used for corticosteroid injection

Answer 11

25-27g needle (1.5 inches)
5mL syringe

Question 12

what type of needle and syringe is used for aspiration

Answer 12

18-20g needle (1.5inches)
5-20mL syringe depending on size and location of effusion

Question 13

what do you use for skin preparation prior to joint injections

Answer 13

• alcohol
• iodine
• chlorhexidine

Question 14

what is postinjection care for joint injections

Answer 14

• apply ice that evening
• no strenuous activity for 48 hours
• advise on signs of infection and when to return to clinic

Question 15

plz watch the videos becuase i didnt put anything from them in here

Answer 15

okayyyyy thankkkkssss

Question 16

what type of splint is indicated in wrist sprains, strains, soft tissue injuries, lacerations, and carpal tunnel (nighttime splint)

what position is used when applying this splint

Answer 16

volar splint

Position wrist at neutral to 20 degrees extension, allowing free motion of all fingers and thumb.

Question 17

what splint is indicated in forearm fractures and severe sprains

what positioning is used for this splint?

Answer 17

volar dorsal splint

Position wrist at 20 degrees extension, allowing free motion of all fingers and thumb.

Question 18

what splint is indicated for lacerations, crush injuries, and tendon repairs

what position do you use to apply this splint?

Answer 18

finger splint

place in functional position (idk what this means)

Question 19

what splint is indicated with navicular injuries, scaphoid fractures, disclocations and UCL sprains.

what positioning is used for this splint

Answer 19

Thumb spica

place thumb in functional position w wrist apprx 30 degrees extension and thumb and index finger in opposition

Question 20

what splint is indicated for 4th or 5th metacarpal fractures

what position do you use to apply this

Answer 20

boxer splint/ gutter splint

position wrist at 20 degrees extension w MCP joint at 45-70 degrees flexion, depending on the injury

Question 21

what splint it used for colles’ or forearm fractures

what position do you use to splint this

Answer 21

reverse sugartong

position wrist at neutral and elbow at 90 degrees

Question 22

what splint it used for supraconylar fractures and elbow sprains

what position do you use to splint this

Answer 22

elbow splint

position wrist at neutral and elbow at 90 degrees

Question 23

what splint it used for knee injuries and post op knee surgery

what position do you use to splint this

Answer 23

knee immobilizer

splint knee fully extended if possible; a 10-15 degree flexion at knee may be necessary for proper gait and crutch walking

Question 24

what splint it used for ankle sprains, strains or fractures as well as metatarsal or distal tib/fib fractures

what position do you use to splint this

Answer 24

posterior ankle splint

position at 90 degrees unless otherwise directed

Question 25

what splint it used for ankle sprains or hairline fractures

what position do you use to splint this

Answer 25

ankle stirrup splint

position at 90 degrees unless otherwise directed

Question 26

what are the 5 P’s used for pre and post splint checks

Answer 26

pain
pallor
pulse
paresthesia
paralysis