Ortho-Preferred

Aspiration of Elbow Joint



- Discussion:
    - elbow can be entered either ulnarly or radially, but radial approach is preferred inorder to avoid ulnar nerve injury;
    - radial nerve is lies anterior to the elbow joint, and may be moved even more anteriorly by supinating the forearm;
    - landmarks for aspiration of the elbow joint are the radial head, lateral epicondyle, and tip of the olecranon (aconeus triangle);
    - prior to needle insertion, elbow flexed and pronated to protect the radial nerve;
    - 18 gauge needle is then place into the joint thru the soft spot;
    - w/ this approach, needle will penetrate only the anconeus & capsule



Avoiding nerve damage during elbow arthroscopy.

Diagnostic and Therapeutic Injection of the Elbow Region



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, July 2, 2012 7:55 pm