Use of Allograft Adipose Matrix for Small Joint Arthritis of the Hand

Subcutaneous local anesthesia with 1% lidocaine without epinephrine is administered to the skin overlying the joint.

Light axial traction of the digit is used to open the joint space when introducing the 18-gauge needle. Fluoroscopy is used to assist with visualization 1 cc of Leneva is injected into the CMC joint and 0.5 cc in the IP, PIP and DIP joints. The puncture is dressed with a band-aid and coban wrap, which will be worn for 48 hours. Return to work and normal use of the hand is recommended at 48 hours. No narcotics are prescribed.