"Acromioclavicular joint (ACJ) injections under image guidance ensure precise delivery of an injectate into the joint. Ultrasound allows for real-time visualisation of the needle and administration of the injectate. Fluoroscopy is an alternative method of image guidance."
"Steroid flare is a relatively common side effect which will settle after 1 or 2 days. The most serious complication is infection causing septic arthritis. Steroid containing injections should be postponed if there are any signs and/or symptoms of local and/ or systemic infective. Fat necrosis causing skin dimpling and skin discolouration can occur due to steroid leaking into the surrounding soft tissues 1."
"Steroid flare is a relatively common side effect which will settle after 1 or 2 days. The most serious complication is infection causing septic arthritis. Steroid containing injections should be postponed if there are any signs and/or symptoms of local and/ or systemic infective. Fat necrosis causing skin dimpling and skin discolouration can occur due to steroid leaking into the surrounding soft tissues 1."
"Pre-procedural evaluation"
"syringe selection i.e. 5mL and 3mL (US)"
"syringe selection i.e. 5mL and 3mL (US)"
"3 mL syringe (Luer lock): 40mg triamcinolone acetonide (40 mg/1 mL) and 1 mL 0.5% ropivacaine"
"10mL mL syringe: 3 mL of local anaesthetic i.e. 1% lidocaine"
"3 mL syringe (Luer lock): 40mg triamcinolone acetonide (40 mg/1 mL) and 1 mL 0.5% ropivacaine"
"syringe selection i.e. 5mL and 3mL (US)"
Expected headings
"Absolute"
"Relative"
"Pre-procedural evaluation"
"Syringe selection"
"Needle selection"
"Technique"
"Ultrasound in-plane"
"Ultrasound out-of-plane"
"Fluoroscopy"
"identify ACJ in the transverse plane; perpendicular to the clavicle, and optimise imaging and mark skin entry point"
"identify the ACJ in a longitudinal plane; parallel to the clavicle, with the ACJ in the centre of the image. Optimise imaging and mark skin at the probe midpoint"