- Discussion:
- joint is entered dorsally;
- if there is any difficulty in entering
Wrist Joint, hand can be
suspended in Chinese finger traps to help open the joint space;
- there are 2 main entry sites,
3-4 & 4-5 sites;
-
3-4 site is used most often & enters wrist between
3rd &
4th
extensor compartments;
- palpate
Lister's tubercle on distal radius & enter skin just distal to
this, volar flexing wrist to facilitate entry;
- 4-5 site is between
4th &
5th extensor compartments;
- this is used for ulnar carpal pathology, but other than palpating distal
ulnar, there is no good bony landmark to identify the entry site;