Procedure

Hand Injection

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Hand Injection, Wrist Injection, Finger injection, Finger Joint Injection, Finger Tendon Injection, Finger Soft Tissue Injection, Toe Injection

  • See also
  1. Joint Injection
  2. Injectable Corticosteroid
  3. Carpal Tunnel Corticosteroid Injection
  4. De Quervain's Tenosynovitis Injection
  5. Digital Flexor Tenosynovitis Injection (Trigger Finger)
  6. Intersection Syndrome Steroid Injection
  7. Median Nerve Block at Wrist
  8. Radial Nerve Block at Wrist
  9. Ulnar Nerve Block at Wrist
  • Technique
  • Finger injection Sites
  1. Finger and toe joints
    1. Needle: 25g to 27g (1 to 1.5 inch) for injection (22g for aspiration)
    2. Methylprednisolone: 4-10 mg (up to 20 mg)
    3. Lidocaine 1%: 0.5 - 1.0 ml
  2. Thumb Abductor tendon (De Quervain's Tenosynovitis)
    1. See De Quervain's Tenosynovitis Injection
  3. Flexor tendon sheath (Trigger Finger)
    1. See Digital Flexor Tenosynovitis Injection
  4. Dupuytren's Disease (Dupuytren's Contracture)
    1. Dupuytren's Nodule Corticosteroid Injection
  5. First Carpometacarpal Joint Osteoarthritis
    1. First Carpometacarpal Joint Steroid Injection
  • Technique
  • Wrist Injection Sites
  1. Wrist
    1. Needle: 25 to 27g (1 to 1.5 inch) for injection (22g for aspiration)
    2. Methylprednisolone: 10-40 mg
    3. Lidocaine 1%: 1-2 ml
    4. Injection (or aspiration site)
      1. Within the anatomic snuff box
      2. Distal to radial tubercle and between extensor pollicis longus and the common extensor tendons
  2. Carpal Tunnel
    1. See Carpal Tunnel Corticosteroid Injection
  3. Wrist Ganglion
    1. See Ganglion Cyst Injection
  4. Intersection Syndrome (Tenosynovitis of the Radial Wrist Extensors)
    1. See Intersection Syndrome Steroid Injection
  5. Triangular Fibrocartilage Complex Injury (TFCC Injury)
    1. See TFCC Steroid Injection
  • References
  1. Pujalte (2024) Am Fam Physician 110(4): 395-401 [PubMed]
  2. Waryasz (2017) R I Med J 100(2):31-4 +PMID: 28246658 [PubMed]