By: James Miller
Great Podcast!! Thank you!! Are any of you concerned about the use of bupivicaine intra-articularly? There have been reports of chondrolysis particularly in the shoulder and ankle joint following...
View ArticleBy: Hildy
Thanks, this is great! James: one of my attendings was thinking that as well as a directly toxic effect, there may be an acute Charcot-joint effect leading to the destruction. There are many reports of...
View ArticleBy: Mark Goodman
James, Thanks for bringing up a interesting and contentious point. The literature shows that lidocaine or bupivacaine intra-articularly is associated with a toxic effect on chondrocytes in bovine and...
View ArticleBy: Mark Goodman
One correction on the podcast. The size of needle you are going to want is a 22g 3.5 inch spinal needle. Consider using a 5 inch 22g on larger patients. This will give you a easier time with needle...
View ArticleBy: Matt Dawson
Posted for Mark in response to a tweet by Casey Parker: Casey, Thanks for the question. The normal range for the adult is 5-7 mm measuring the anterior joint recess (that includes both layers of the...
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