Shoulder Joint Injection Pre-procedure Checklist

1. Betadine/Povidone Iodine (1 bottle or 3 swab-sticks)
2. Alcohol prep pads
3. Lidocaine 1% without epinephrine
4. Triamcinolone Acetonide 40mg/mL (Kenalog)
5. Syringe, 5cc
6. Needle, 18-gauge, 1-0.5 inch length –to draw meds.
7. Needle, 21 to 23-gauge, >1.25-inch length (I prefer 1.5 inch) –to inject.
8. Injection:  5 ml of Lidocaine 1% without epinephrine and 1ml of Kenalog 40 mg/1mL for a total of 6 ml.
9. Gauze, 2×2, non-sterile (about 5)
10. Gebauer’s cold spray
11. Band-Aid

Important Links

• Procedure note for shoulder injection.
• Contraindications to steroid injection.
• Potential Complications of Steroid Injection.

Reference
Am Fam Physician. 2008 Oct 15;78(8):971-976.
Deutsches Ärzteblatt International. 2012;109(24):425-430. Septic and Aseptic Complications of Corticosteroid Injections: An Assessment of 278 Cases Reviewed by Expert Commissions and Mediation Boards From 2005 to 2009.