Dr. Abdallah El-Sayed AllamMSc of Physical Medicine, Rheumatology and Rehabilitation .

Faculty of Medicine. Tanta University. EgyptMSK US fellowship. National Taiwan University Hospital. Taiwan

Case presentation

• F• 22 Ys• 2013 RhA • Single resistant

arthritis of PIP J of Right Index finger

Discussion

The patient is seated in front of the table, opposite the examiner, with his or her hand placed on the table, palm facing down). The probe is positioned on the dorsal side of the joint for treatment along the longitudinal axis. The needle is inserted out-of-plane in the ulnar or radial side of the joint. Insertion of the needle is easier on the less degenerated side of the joint.

• Injection into small joints need accurate

needle insertion and targeting of the

pathology without injury/puncture of soft

tissues as tendons, collateral ligaments,

and cartilage.

• Ultrasound helps good visualization of

different joint structures as well as the

targeted pathology accurate injection +

reduction of complications.

• The suggested approach can be used to

inject into the joint recess in

degenerative disorders of the finger

joints where the joint space is narrowed

THANK

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