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![]() Equipment ![]() Medications |
Instructions | |
1. Standard pre procedure workup (consent, indications, contraindications, allergies). Assess pain level. | |
2. Position patient laying flat supine, considering turning patient head away from probe. | Picture of probe on anterior aspect of AC joint |
3. Place probe parallel to the joint and mark probe location and probable injection site | |
4. Clean x 3 with betadine or chlorhexidine. | |
5. Sterile drape and sterile probe cover. | |
6. Inject 1% lidocaine superficially with 25g 1.5” needle. Advance needle until you have purchase. Then, unscrew syringe from needle for greater needle control. | |
7. Under ultrasound guidance, advance needle into the AC joint. Test inject with 1% lidocaine. If no resistance, switch 1% lidocaine for injectable steroid mixture. If there is resistance, reposition needle and test inject again. Inject 0.5 -1 cc of injectable steroid/anesthetic mixture. | 8. Pull needle out and follow standard post-procedure protocol with cleaning off the skin and placing a bandage. | Post procedure transverse images demonstrating distention of the joint with steroid and anesthetic. |
9. Assess pain level. |