January 1958

Technique for Extra-Articular Injection

Author Affiliations

Washington, D. C.; Philadelphia
George Washington University (Dr. Lipow). Benjamin Franklin Clinic (Drs. Kron and Smith).

AMA Arch Surg. 1958;76(1):171-178. doi:10.1001/archsurg.1958.01280190173034

This exhibit processes the application of extra-articular injections of prednisolone tertiary butylacetate with or without hexylcaine hydrochloride for tendon, ligament, muscle, and bursal pathology of an acute or chronic nature which has been resistant to traditional therapy. It has been found that these injections tended to (1) alleviate muscle spasm, (2) reduce the inflammatory process, (3) decrease the pain, and (4) shorten the course of the disease and the duration of its disability.

The only contraindications are acute infections, blood dyscrasias, and malignancies.

The rational use of muscle relaxants, analgesics, and various modalities of physical therapy in conjunction with these extra-articular injections have made it possible to institute earlier muscle reeducation and motion. Hence, modality has been decreased and the period of rehabilitation substantially shortened.

Dosage  The dosage of prednisolone tertiary butylacetate (Hydeltra T. B. A., Merck, Sharpe & Dohme) is shown in the accompanying key. The dose of hexylcaine

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