AI Article Synopsis
- Hip and knee injections are important tools for family physicians, used for both diagnosis and treatment of conditions like greater trochanteric pain syndrome and knee and hip joint issues.
- The injections can help with various conditions, including rheumatoid arthritis and osteoarthritis, and aspirations can assist in diagnosing joint effusions and alleviating pain.
- While infections are a main reason to avoid injections, the most common side effect is temporary soreness, with follow-ups typically arranged within two to six weeks after the procedure.
Article Abstract
Hip and knee injections are useful diagnostic and therapeutic tools for family physicians. This article reviews anatomic landmark-guided and ultrasound-guided injections and aspiration techniques for greater trochanteric pain syndrome, the hip joint, the knee joint, the pes anserine bursa, and the iliotibial band. Indications for injections include acute and chronic inflammatory conditions, such as rheumatoid arthritis; osteoarthritis; overuse; and traumas. Joint aspirations may be performed to aid in the diagnosis of unexplained effusions and to relieve pain. Technique, injectant, and follow-up timing depend on the physician's comfort, experience, and preference. Infections of the skin or soft tissue are the primary contraindications to injections. The most common complications are local inflammatory reactions to the injectant. These reactions usually cause soreness for 24 to 48 hours, then spontaneously resolve. Follow-up after injections is usually scheduled within two to six weeks.
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