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*Can you do an intra-osseous orthobiologic injection with just an 18g needle?*
Of course you can. Location matters....here is a video documented 18g injection into the greater tuberosity right after a rotator cuff repair....no power needed, takes 2.54 seconds! And...no 11g hole in the bone.....don't do that.
You can use the same technique for the femoral condyles and tibial plateaus, especially if there are small cortical breaks visualized on ultrasound...aim for those! Pro tip" If you are putting in 10cc volume....getting the needle perfectly in the center of a bone marrow lesion is not critical to clinical success...10cc spreads pretty quickly throughout the space....promise.... 😉
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