MSK Ultrasound Procedures

Peroneal tendon sheath injection

Equipment and Medications

  • probe: 14Mhz Linear or hockey stick probe depending on injection
  • 25g 1.5” needle
  • 3cc syringe with 1cc 0.5% ropivacaine and 1cc injectable steroid (kenalog 40mg/cc)
  • 5cc syringe with 5cc of 1% Lidocaine
  • Procedure tray
  • Equipment


    Procedure Instructions:

    1. Standard pre procedure workup (consent, indications, contraindications, allergies). Assess pain level.
    2. Position patient laying on back slightly turned with lateral aspect of ankle turned out.
    3. Place probe in short axis over the peroneal tendon sheath.
    • descriptiondescription
    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 deeper into the common peroneal tendon sheath.
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    7.Inject the injectate.
    8. Pull needle out and follow standard post-procedure protocol with cleaning off the skin and placing a bandage.
    9. Assess pain level.
    10. Other injection approaches.
  • descriptionLateral gutter
  • description First tarsometatarsal joint
  • description Calcaneocuboid joint
  • description Posterior subtalar joint
  • description Talonavicular joint


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