Injection Techniques in Orthopaedic and Sports Medicine

Injection Techniques in Orthopaedic and Sports Medicine

by Stephanie Saunders, Steve Longworth
     
 

An illustrated practical guide to the use and technique of injecting joints for the relief of musculoskeletal pain and inflammation. Introductory chapters deal with the effects of corticosteroids and local anaesthetics and their uses, safety procedures which should be observed when using these products for injection, and guidelines to safe injection techniques. The

Overview

An illustrated practical guide to the use and technique of injecting joints for the relief of musculoskeletal pain and inflammation. Introductory chapters deal with the effects of corticosteroids and local anaesthetics and their uses, safety procedures which should be observed when using these products for injection, and guidelines to safe injection techniques. The bulk of the book deals with the technique of injection joint by joint. The page of illustrations illustrating the procedure. For each joint there is a 2-color line drawing of the anatomy of the joint and a photograph (highlighted using a second color) showing the surface anatomy position for injection.

Editorial Reviews

Doody's Review Service
Reviewer: Mark R Hutchinson, MD (University of Illinois at Chicago College of Medicine)
Description: This is basically a handbook that presents technical cues for performing a number of injections into most areas of the body. The author includes chapters on risk and benefits, advanced techniques, and touches on medicolegal issues. The table of contents becomes an easy reference to identify the target anatomy. Simply turn to the page and there is a picture and sequence describing the technique.
Purpose: The purpose is to describe specifics and advance the skills of practitioners using injections to treat patients with musculoskeletal pain. Although these goals are worthy, I am concerned that the author fails to reiterate the risks of specific injections as they describe each specific anatomic site. It is possible that general practitioners and physical therapists for which this book is intended will simply turn to the page of appropriate anatomy and skip the separate, brief chapter on risks and concerns of injections. Because of this, I am reluctant to say that the author has safely achieved her goals.
Audience: The target audience includes both physical therapists and general practitioners. It is under-written for those practitioners who already use injections liberally and a reasonable reference for those who rarely use them. Medical students might find the pictures and simplicity of presentation of value, but caution should be emphasized because the format minimizes likelihood of potential problems (especially in specific areas.)
Features: This manual begins with a nice overview of the drugs available, preparation protocol, and reviews the potential risks, benefits, and alternatives to standard steroid injections. The author then sequentially walks through the anatomy, including two-color pictures and descriptions for injections into each anatomic location. The book's advantage is its simplicity and ease of use. A number of shortcomings limit the application of this manual, however. My biggest concern is that the author fails to reiterate potential complications with each specific injection site (e.g. MCL rupture with injection of golfer's elbow).The spiral binding inside of a normal binding will not prove durable over a long period. The two-color pictures are distracting and should be full color. Some techniques are poorly pictured and, indeed, show placement of the needle in the wrong site (tennis elbow), and one picture was inverted (coronary ligament of the knee).
Assessment: I was excited to review this offering on techniques of injection but was disappointed by the ultimate production. The authors downplay the risk of complications such as ligament weakening and rupture. A more up-to date offering might elaborate on the current thinking and techniques of prolotherapy, which was mentioned relatively briefly. Much of the content is of value, but safety has to be emphasized with a thorough discussion of the risks and benefits of these techniques. The book needs to include the viewpoint of the person that takes care of the complications of the injections. I would not recommend this manual in the current form to my students or residents.
From the Publisher
"A definitive must have book for any physiotherapist or doctor who uses injection therapy for the releif of pain in musculoskeletal conditions... It is a clinician s practical friend" Lyn Ankorn, Senior PT, Therapy Weekly, August 2002
book is clearly written and well presented. The technique sections are supported by the use of clear illustrations and photographs for each site of injection. The information included is up to date and the text is supported with references to up-to-date and appropriate research."" Claire Diver, Physiotherapy, April 2002
book is the bible for injection techiques and I would recommend it to all charted physiotherapists, GPs and orthopaedic surgeons."" Eamon O Muircheartaigh, Physiotherapy in Ireland
2 Stars from Doody

Product Details

ISBN-13:
9780702026324
Publisher:
Elsevier Health Sciences
Publication date:
11/30/2001
Edition description:
2ND SPRL
Pages:
176
Product dimensions:
6.70(w) x 9.40(h) x 0.90(d)

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