1. General Consideration in Injection Technique 1
XX Arthritis 1
XX Injectable Corticosteroids 4
XX Triamcinolone Acetonide Injection 6
XX Hyaluronidase 7
XX Platelet Rich Plasma 8
XX Intra-articular Aspirations 12
2. Shoulder 24
XX Surface anatomy of shoulder 24
XX Subdeltoid/Subacromial Bursitis 29
XX Ultrasonography Guided Injection 35
XX Bicipital Tenosynovitis 42
XX Ultrasound Guided Injection in Biceps Tendon 44
XX Calcific tendinitis 49
XX Adhesive capsulitis 50
XX Acromioclavicular joint 51
XX Supraspinatus infiltration 53
XX Infraspinatus Tendon Infiltration 54
XX Subscapularis Tendon Infiltration 55
XX Rotator Cuff Arthropathy 56
3. Elbow 60
XX Surface Anatomy of Elbow 60
XX Wrist Extensor Group 63
XX Tennis Elbow 65
XX Ultrasonography Guided Injection for Tennis Elbow 68
XX Golfer Elbow (Swimmers Elbow or Epitrocleitis) 69
XX Olecranon Bursistis (Miners Elbow or Draftsman’s Elbow) 71
XX Elbow Joint Aspiration 73
XX Cubital Tunnel Syndrome 75
XX Posterior Interosseous Nerve Syndrome 77
XX Cheiralgia Paresthetica 78
4. Wrist and Hand 81
XX Anatomical Snuff Box 84
XX Flexor Compartment Wrist 85
XX Finger Flexor Tendon Pulley System 86
XX Triangular Fibrocartilage Complex 86
XX Flexor tendons and Carpal Tunnel 87
XX Wrist Joint 89
Contents
xii Injection Techniques in Musculoskeletal Disorders
XX Distal Radioulnar Joint 91
XX Carpal Tunnel Syndrome 91
XX First Carpometacarpal Joint 96
XX Metacarpophalangeal, Proximal and
Distal Interphalangeal Joint 97
XX Trigger Finger also Known as Stenosing Tenovaginitis 99
XX De Quervain Tenosynovitis also Known as Stenosing
Synovitis of First Dorsal Compartment 103
XX Ganglion: Cystic Tumor or Ganglion Cyst 109
XX Ulnar Tunnel Syndrome 111
5. Chest 122
XX Costosternal Syndrome 122
XX Tietze’s Syndrome 122
XX Manubriosternal Joint Pain Syndrome 124
XX Sternalis Syndrome 124
XX Sternoclavicular Joint 125
XX Xiphodynia Syndrome 126
XX Lumbar Myofascial Pain Syndrome 127
6. Spine 129
XX Anatomical and Physiological Considerations 129
XX Albert Schweitzer 134
XX Risk Factors for Low Back Pain 137
XX Epidural Steroids 141
XX Transforaminal Block 158
XX Caudal Approach 159
XX Facet Joint 161
XX Intra-articular lumbar Facet joint blocks 166
XX Lumbar Median Branch Block 170
XX Sacroiliac Joint Block 172
XX Value of Discography 178
XX Protocol for diagnostic and therapeutic spine injections
for backache 179
7. Hip and Pelvis 193
XX Surface Landmarks 193
XX Hip Joint 195
XX Hip Injections: C-Arm Guided 196
XX Trochanteric Bursa 198
XX Adductor Tendinitis 199
XX Meralgia Paresthetica 200
XX Ischial Bursitis/Ischiogluteal Bursitis
(Tailor’s or Weavers Bottom) 202
XX Gluteal Bursitis 203
XX Psoas Bursitis Pain 204
XX Osteitis Pubis Syndrome 205
XX Coccydynia 205
XX Coxa Saltans 206
Contents xiii
8. Knee and Ankle 210
XX Knee Joint 212
XX Jumpers Knee 221
XX Tibiofibular Joint 223
XX Tibial Collateral ligament fibrositis and Bursitis 224
XX Fibular Collateral ligament bursitis 225
XX Medial gastrocnemius Bursitis 226
XX Semimembranosus Bursitis 226
XX Hamstring Tendonitis 227
XX Popliteal bursa 228
XX Suprapatellar Bursa 231
XX Prepatellar Bursa (Housemaids knee) 233
XX Infrapatellar Bursitis (Clergyman’s Knee, Parson’s or
Carpet-layer’s knee) 234
XX Pes Anserine Bursitis 235
XX Foot and Ankle 239
XX Sole 241
XX Ankle Joint 247
XX Subtalar Joint 250
XX Tendinitis of Achilles Tendon 253
XX Great Toe Pain: hallux valgus 258
XX Bunionette (Tailors Bunion) 260
XX Plantar Fasciitis 261
XX Retrocalcaneal bursitis 265
XX Peroneal Tendinitis 267
XX Tibialis Posterior Tendonitis 270
XX Chronic Deltoid ligament Injury 273
XX Chronic Anterior talofibular ligament injury 274
XX Anterior Tibiotalar Joint 275
XX Chronic Fibulocalcaneal ligament Injury 278
XX Tarsal Tunnel Syndrome 279
XX Mallet Toe Pain Syndrome 280
XX Morton’s Neuroma 280
XX Sesamoiditis 281
XX Metatarsalgia 282
Annexure 291
Index 297