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aspiration and or injection of the wrist is done for a variety of indications including diagnosis of a swollen joint and steroid delivery for conditions such as inflammatory arthritis the most common approach to radiocarpal injections is via the dorsum of the wrist and is illustrated in this video joint injections are done through the soft spot just beyond the radius this can be found by palpation you can also identify this by palpating for listers tubercle highlighted here and then letting your thumb slide distally into the joint space you may have to flex and extend the wrist to fully appreciate the joint space using a retractable pen mark the point of injection be careful to avoid the extensor tendons the injection is done with the forearm prone and the wrist slightly flexed these injections should always be done using sterile precautions a no touch technique is used meaning that once the area is cleaned it must not be touched with anything but sterile needles scrub the site and the
