A Practical Guide to Joint and Soft Tissue Injection and Aspiration: An Illustrated Text for Primary Care Providers / Edition 2

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Overview

Expanded and updated for its Second Edition, this practical illustrated guide explains the rationale and step-by-step procedures for joint and soft tissue injections and aspirations. The book will enable primary care physicians to master these effective techniques for treating a variety of common skin and musculoskeletal conditions. Full-color illustrations help practitioners identify anatomic landmarks and demonstrate how to perform each technique. This edition covers many alternative techniques and several new procedures, including ultrasound-guided injections, eyelid injections for cysts, nerve blocks for headaches, procedures for the hip, scapula joint injections, and temporomandibular joint procedures.

A companion Website contains videos demonstrating 48 injections.

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This book familiarizes primary care physicians with how to aspirate joints and make injections for symptomatic relief. The first edition was published in 2005.
Purpose: Primary care practitioners are in a unique position to offer patients immediate relief of symptoms in some cases, and this book focuses on preparing them to offer these services. The author has provided a very helpful book.
Audience: The audience is limited to primary care practitioners. Consultants typically would have a more invasive approach to these techniques as they see more complex cases. The author is a family medicine physician writing for a primary care audience.
Features: The book is divided according to individual techniques for joints, skin, and muscles and provides the applicable ICD-9 and CPT codes, which is very helpful. As some of these procedures could be beyond the scope of an outpatient clinic because of comorbid conditions, one significant weakness of the book is the lack of discussion about indications, contraindications, and when to refer to a surgical consultant. The color photographs are somewhat helpful in understanding the orientation of the needle, but they are somewhat limited in describing the procedures. (While the publisher will offer a website with videos of the procedures, the website was not available at the time of review.) Additionally, because of patient gowning, some of the pictures are difficult to interpret, e.g. the anterior approach to the hip joint. An appendix concerning informed consent tends to generalize all procedures and does not consider the adverse possibilities of the medicines injected.
Assessment: This is a very useful book for a primary care physician's library and can serve well as a last minute memory jogger regarding techniques. Presumably, the videos on the website will add instructional material.
From The Critics
Reviewer:Vincent F Carr, DO, MSA, FACC, FACP(Uniformed Services University of the Health Sciences)
Description:This book familiarizes primary care physicians with how to aspirate joints and make injections for symptomatic relief. The first edition was published in 2005.
Purpose:Primary care practitioners are in a unique position to offer patients immediate relief of symptoms in some cases, and this book focuses on preparing them to offer these services. The author has provided a very helpful book.
Audience:The audience is limited to primary care practitioners. Consultants typically would have a more invasive approach to these techniques as they see more complex cases. The author is a family medicine physician writing for a primary care audience.
Features:The book is divided according to individual techniques for joints, skin, and muscles and provides the applicable ICD-9 and CPT codes, which is very helpful. As some of these procedures could be beyond the scope of an outpatient clinic because of comorbid conditions, one significant weakness of the book is the lack of discussion about indications, contraindications, and when to refer to a surgical consultant. The color photographs are somewhat helpful in understanding the orientation of the needle, but they are somewhat limited in describing the procedures. (While the publisher will offer a website with videos of the procedures, the website was not available at the time of review.) Additionally, because of patient gowning, some of the pictures are difficult to interpret, e.g. the anterior approach to the hip joint. An appendix concerning informed consent tends to generalize all procedures and does not consider the adverse possibilities of the medicines injected.
Assessment:This is a very useful book for a primary care physician's library and can serve well as a last minute memory jogger regarding techniques. Presumably, the videos on the website will add instructional material.
Read More Show Less

Product Details

  • ISBN-13: 9780781796064
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 11/12/2009
  • Edition description: Second
  • Edition number: 2
  • Pages: 224
  • Product dimensions: 7.20 (w) x 10.20 (h) x 0.60 (d)

Table of Contents

INTRODUCTION

FOUNDATION CONCEPTS: Understand the Anatomy / Identify the Landmarks / Thoughtful Consideration / When to Refer to a Subspecialist / Indications for Injections & Aspirations / Contraindications to Injections & Aspirations / Safety / Synovial Fluid Analysis / Special Medical Conditions / Topical Anesthesia / Local Infiltration Anesthesia / Injectables (Corticosteroids; Viscosupplementation; Botulinum Toxin; Other) / Equipment / Musculoskeletal Ultrasound / Technique / Complications / Aftercare / Documentation of the Procedure / Billing & Coding / Informed Consent / Evidence-Based Medicine / Pearls

SKIN & SKIN STRUCTURES: Chalazion / Keloid Scar / Common Wart

HEAD & NECK: Temporomandibular Joint / Greater Occipital Neuralgia / Cervical Strain & Sprain

UPPER EXTREMITIES: Subacromial Space: Posterior Approach / Glenohumeral Joint: Posterior Approach / Glenohumeral Joint: Anterior Approach / Acromioclavicular Joint / Sternoclavicular Joint / Biceps Tenosynovitis - Long Head / Cubital Tunnel Syndrome / Elbow Joint / Olecranon Bursitis / Lateral Epicondylitis / Medial Epicondylitis / Radial Nerve Entrapment / Carpal Tunnel Syndrome: Proximal Approach / Carpal Tunnel Syndrome: Traditional Approach / Wrist Joint / De Quervain's Tenosynovitis / Ganglion Cyst / Thumb Carpal-Metacarpal Joint / MCP Joint / Trigger Finger

TRUNK: Muscular Trigger Points / Suprascapular Neuritis / Scapulothoracic Syndrome / Sacroiliac Joint

LOWER EXTREMITIES: Hip Joint: Anterior Approach / Hip Joint: Lateral Approach / Piriformis Syndrome / Meralgia Paresthetica / Trochanteric Bursitis / Hip Adductor Tendonitis / Knee Joint: Lateral Supra-Patellar Approach / Knee Joint: Infra-Patellar Approach / Prepatellar Bursitis / Pes Anserine Bursitis / Iliotibial Band Friction Syndrome / Tibialis Posterior Tendonitis / Tarsal Tunnel Syndrome / Ankle Joint: Anterior Lateral Approach / Ankle Joint: Anterior Medial Approach / Fibularis Brevis Tendonitis / Plantar Fasciitis / 1st Metatarsal Phalangeal Joint / Morton's Interdigital Neuroma

APPENDICES: Consent Form / Aftercare Handout / Medical Record Documentation / General References

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