Us guided injection of proximal tibiofibular joint

[John Manderson]

Stephen
I wonder if you have any tips/guidance on this procedure?
I have a 73yo patient with lateral knee pain, localizing more to prox. Tib-fib joint, with low grade oa (kl grade 1) on lateral knee compartment. I think worth a try of csi to see if it may help.
Thank you

John Manderson, gp
warrnambool
Victoria.

[Stephen Bird]

HI John,

Indeed this is possible,
The approach is from the lantern-lateral aspect lining up the proximal tibia and fibula.
It is an out of plane injection technique,

There is a published article which I will try and find for you,

I have a screen shot of the transducer position, needle orientation and resulting ultrasound image from the article in my teaching material. I have attached this image for you to look at.

Steve.

[Stephen Bird]

I can not upload the image due to file size restrictions,
What is your email address and I will send it your way?

Steve

[Stephen Bird]

Here is the image.

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[Stephen Bird]

Here is the full article.

Steve

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