Elbow for Joint Injection

Skills Gained

Patient posture and management
Palpation techniques
Identifying anatomical landmarks and painful areas
Injections for:
- Tennis Elbow (lateral epicondylitis)
- Golfer’s Elbow (medial epicondylitis)
Training in fan or cone infiltration techniques

Evidence

"Musculoskeletal Injection Skills Competency in Physical Medicine and Rehabilitation Residents: A Method for Development and Assessment."

Cuccurullo, S. M. B., David DO; Petagna, Ann Marie MA, PT; Platt, Heather BS; Strax, Thomas E. MD (2004). "Musculoskeletal Injection Skills Competency in Physical Medicine and Rehabilitation Residents: A Method for Development and Assessment." American Journal of Physical Medicine & Rehabilitation 83(6)(June 2004): 479-485.

"An Instructional Program to Facilitate Teaching Joint/Soft-tissue Injection and Aspiration."

Vogelgesang, S. A. K., Theresa M.; Kreiter, Clarence D. (2002). "An Instructional Program to Facilitate Teaching Joint/Soft-tissue Injection and Aspiration." Journal of General Internal Medicine 17(6): 441-445.

References

Family Medicine

AAFP Residency Guidelines, Musculoskeletal and Sports Medicine, Reprint No. 265 (p.4): Indications, limitations, contraindications, and informed consent for office-based musculoskeletal procedures such as: a. Common joint aspirations b. Common joint injections c. Common injections for bursitis d. Common injections for tendinopathy

Rheumatology

Core Curriculum Outline for Rheumatology Fellowship Programs, American College of Rheumatology, 2015 "Demonstrtae competency in obtaining synovial fluid from diarthrodial joints, bursae, and tenosynovial structures."

Specialist GP Trainees

RAGCP Lifelong Learning Curriculum: Appropriate Procedures (2016): guided and unguided musculoskeletal injections (eg trigger point, joint, bursal, intra-articular, carpal tunnel, nerve blocks) The RACGP Curriculum for Australian General Practice 2011: Musculoskeletal Medicine, Royal Australian College of General Practitioners. Identify and acquire musculoskeletal procedural skill competency levels appropriate for the required service provision level, eg. if performing joint injections ensure skill competency level has been acquired.

Rheumatology Specialist Trainees

Royal Australasian College of Physicians, Rheumatology Advanced Training Curriculum, Royal Australasian College of Physicians, 2013, p.8 "be competent in the use of appropriate diagnostic and therapeutic procedures, including joint and soft tissue injection and aspiration."

Orthopaedics

Specialist Training in Trauma and Orthopaedics Curriculum August 2015, p.52: Elective General: Aspiration / injection elbow joint

Specialist Sport & Exercise Medicine Trainees

Specialty Training Curriculum for Sport and Exercise Medicine, Joint Royal Colleges of Physicians Training Board, August 2010, p.53 Skills (mandatory): Safely inject major joints including shoulder, elbow, knee and ankle

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Skills Gained

Evidence

"Musculoskeletal Injection Skills Competency in Physical Medicine and Rehabilitation Residents: A Method for Development and Assessment."

"An Instructional Program to Facilitate Teaching Joint/Soft-tissue Injection and Aspiration."

References

User Guide

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