musculoskeletal and connective tissue disorders
How To Inject a Subacromial Bursa
Equipment for Injecting a Subacromial Bursa
Antiseptic solution (eg,chlorhexidine, povidone iodine, isopropyl alcohol) Sterile gauze, gloves, sterile adhesive bandage Needle insertion site anesthesia (eg, topical freezing spray and/or injectable 1%lidocainewithoutepinephrine, in a 3-mL syringe) Optional: For therapeutic injection, 1%lidocaine(withoutepinephrine) mixed with injectable depot corticosteroid (eg,triamcinoloneacetonide, 20 to 40 mg) Hemostat, if switching of syringe while the needle remains inserted is anticipated 27-gauge, 1.5-inch needle (for injection, not aspiration) Some 3-, 5-, and 10-mL syringes Having an assistant is helpful. 