The Elbow

Material

A thin needle,2.5 to 3 cm long and a 2 cc syringe, filled with 20 mg triamcinolone

Position:

The patient lies prone with his slightly flexed arm by his side.
The upper arm is laterally rotated, the elbow extended and the forearm in supination.
A small pillow is placed under the elbow

Technique:

The tenoperiosteal junction is palpated for tenderness ( the tendon is squeezed against the border of the olecranon).
The needle is inserted about one cm proximal to the olecranon and directed towards it.
Tendinous resistance should be felt before hitting bone.
Infiltration is then carefully performed by several withdrawals and reinsertions of the needle and maintaining bony contact.