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 INTRA ARTICULAR HYALURONAN INJECTIONS PRIOR REVIEW 2014

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there we go hi my name is dagin clutier physician assistant and i'd like to demonstrate how i administer a visco supplementation injection so as you can see i have the patient's knee flexed at 90 degrees on the side of the table and the first thing i do actually is go ahead and see if the patient has a joint of fusion as i extend the knee so no joint of fusion and next i'll uh palpate the inferior pole of the patella and what i do is i move over the lateral joint line and i feel the soft spot and that's that's where i want to go in right there so i'll make a mark with a needle cap where i'm going to inject and give myself a little target for the injection so next i'll wipe the skin off to sterilize the skin with two alcohol wipes and i'll use ethyl chloride to dull the pinch of the needle i'll usually use it for five seconds or so so then i'll take the needle i use a 22 gauge needle and i start with

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