Safe and Effective Aspirations and Nerve Blocks for the On-Call Orthopaedic Surgeon
- PMID: 37276580
- DOI: 10.5435/JAAOS-D-23-00223
Safe and Effective Aspirations and Nerve Blocks for the On-Call Orthopaedic Surgeon
Abstract
The on-call orthopaedic surgeon is faced with a wide array of orthopaedic pathology for which intra-articular aspiration, injection, and/or nerve/hematoma block may be used. Efficient use of these diagnostic and therapeutic modalities affords better patient care and a more effective on-call period. Often, these interventions are the rate limiting factor in a reduction or diagnosis. In this review, we describe joint aspirations, saline load tests, hematoma blocks, and nerve blocks in detail to include their indications, techniques, related pharmacology, pearls, and pitfalls.
Copyright © 2023 by the American Academy of Orthopaedic Surgeons.
References
-
- Jennings JD, Ilyas AM: Septic arthritis of the wrist. J Am Acad Orthop Surg 2018;26:109-115.
-
- Jennings JM, Dennis DA, Kim RH, Miner TM, Yang CC, McNabb DC: False-positive cultures after native knee aspiration: True or false. Clin Orthops Relat Res 2017;475:1840-1843.
-
- Hecker A, Jungwirth-Weinberger A, Bauer MR, Tondelli T, Uçkay I, Wieser K: The accuracy of joint aspiration for the diagnosis of shoulder infections. J Shoulder Elbow Surg 2020;29:516-520.
-
- Abdel Karim M, Andrawis J, Bengoa F, et al.: Hip and knee section, diagnosis, algorithm: Proceedings of international consensus on orthopedic infections. J Arthroplasty 2019;34:S339-S350.
-
- Yui JC, Preskill C, Greenlund LS: Arthrocentesis and joint injection in patients receiving direct oral anticoagulants. Mayo Clinic Proc 2017;92:1223-1226.
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